Unregulated health-care  With the incorporation of a diverse range of private actors, both formal and informal, can health-care still be regulated? Quality and staff need to be regulated, with standards and prices set, but who will enforce regulation and how can we ensure rules are followed? Just treatment is required. Public-sector delivery protects patients from poor, dangerous, treatment.  When looking at regulation in health care, the relationship between private healthcare provision, efficiency and quality is variable. Outcomes depend on the institutional settings (economic, political, and social) and what private actors are involved. Private health providers have a profit incentive to cut corners and provide the cheapest care they can while charging high prices. The theory of a virtuous cycle is far from the reality.