Many organizations have put off critical upgrades or new projects to make sure ICD-10 was survivable.
People are satisfied with making minor upgrades and tweaking things here and there - as long as that's the landscape, it will keep on happening. I don't see a problem necessarily, but at the same time it is nice to see new things come.
Don't buy upgrades, ride up grades.
The press heralded this as a major accomplishment. The rush from the press as soon as it was announced suggested a high level of coordination. Like lemmings in a staged dive off a cliff, 'historic' became the media's rallying cry. There is nothing historic about the deal. In fact, news reports from November 2012 noted that China expected, in 2012, that its carbon emissions would begin to decline after 2030 because of factory upgrades, efficiencies, etc.