Effective health care system

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Dear Sir,

The recent editorial commentary on “effective health care system” is very interesting. [1] As it is suggested,” a poor-friendly, safe, quality and effective health care system” should be implemented instead of “a health industry, public-private partnership, or health tourism for the rich and middle class society. [1]” The policy to give the fair and equal health service as a universal coverage program should be the core concept in public health system paradigm shift. [2] Each individual should have the chance to assess the health care service without barrier.

However, in the real world, there are many obstacles that we should further think:

The ritual belief and traditional practice that deviate the individual for getting standard health care serviceThe geographical barrier, such as distance from the health care setting, that prevent the accessibility of the individual to health care serviceThe pseudo-universal coverage system (free in concept but not in real practice; for example, there are several indirect costs occurring to the patients such as transportation, some drugs and medical devices) that is still existed in some countriesThe lack of knowledge, malpractice and conflict of interest of the medical personnel.

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