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"Reform" does not work, so let's do more "reform".
The difference between economics and medicine is that there is no way to run controlled trials. Even "epidemiology" has the problem that the number of distinct economies is too small, while there is no shortage of patients.
So, is economics hopeless? A vivid image of what should exist acts as a surrogate for reality. Pursuit of the image then prevents pursuit of the reality -- John K. Galbraith