The model currently in place in most countries (public, private, or mixed health care system) is based on sharing the financial risk through an insurance system. 1 Due to its model structure (insurance), complexity, and the evolving nature of science and human expectations, health care should be planned for the long term and be based on solid ethical and distributive justice principles. It deals with uncertainties and preferences in a context of asymmetry of knowledge, information, and power to make decisions (Ferraz, unpublished data, 2015). It “sells” hope, beyond health, in an environment of different parties, interests, and incentives. Health care is a highly complex, dynamic, and creative sector of the economy.
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