of added benefit aligned with their current general practitioner and were aware of the quality differences between potential practitioners. 35% of respondents were willing to a pay a copayment to stay with their current general practitioner, while only 30% were willing to switch to another practitioner in exchange for a financial gain. These consumers were willing to pay a considerable amount to continue going to their current practitioner up to €17.32. For general practitioners the value assigned by the consumer to staying with their current one exceeded the total value assigned to all other attributes tested such as discounts or a certificate of quality. Within the discrete choice experiment the respondents were offered a choice between their current practitioner and a hypothetical provider with identical attributes. The respondents were 40% more likely to choose their current practitioner than if both options were hypothetical providers, which would result in the probability being 50% percent for both. It was found that status quo bias had a massive impact on which general practitioner the respondents would choose. Despite consumers being offered positive financial incentives, qualitative incentives or the addition of negative financial incentives respondents were still extremely hesitant to switch from their current practitioner. The impact of status quo bias was determined as making attempts to channel consumers away from the general practitioner they are currently seeing a daunting task. Similar effects have been shown for contributions to retirement plans, choice of internet privacy policies and the decision to become an organ donor. Explanations Status quo bias has been attributed to a combination of loss aversion and the endowment effect, two ideas relevant to prospect theory. An individual weighs the potential losses of switching from the status quo more heavily than the potential gains; this is due to the prospect theory value function being steeper in the loss domain. As a result, the individual will prefer not to switch at all. In other words, we tend to oppose change unless the benefits outweigh the risks. However, the status quo bias is maintained even in the absence of gain/loss framing: for example, when subjects were asked to choose the colour of their new car, they tended towards one colour arbitrarily framed as the status quo. Loss aversion, therefore, cannot wholly explain the status quo bias, with other potential causes including regret avoidance, transaction costs and psychological commitment. Rational routes to status quo maintenance A