Health, medicine, and ophthalmology: facing the fact and paying the piper LVI Edward Jackon memorial lecture Original Reearch Article

PURPOE: To decribe the ource of tenion within the health care ytem and method for puruing their olution. METHOD: Preentation of obervation pertinent to patient, provider, and payer perpective relevant to the cot, delivery, and quality of care and their impact on health. REULT: ocietal force, not jut wealth, are major determinant of both health and the cot of health care. CONCLUION: Tenion created by riing health care cot in the face of finite ocietal reource will increae in the year ahead. Thee can be reolved only by realizing new efficiencie in care, and prioritizing, through an explicit proce, the care that i to be provided.