Issues to Consider in Examining Cost, Access, and Quality Challenges
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Issues to Consider in Examining Cost, Access, and Quality Challenges
Fundamental System Reform Questions
Since health care wants are unlimited, can we define a core set of "basic and essential" services? How do we define "basic and essential" and who decides what is included in the core set? How do we provide for enhanced options and choices beyond the "basic and essential" services?
What is the appropriate allocation of responsibility for financing health care—currently shared in mixed proportions by government, employers, and individuals?
What incentives are needed in our health care system for (1) providers to make prudent medical decisions based on benefit and cost and (2) consumers to become more sensitive to the benefits and costs of health care services?