It is time to replace the existing system , not just fix it. Any change must include mental health care and bring it into the mainstream of health care.
Resources are limited.
The quality of health care, access to it, and cost containment cannot all be maximized simultaneously. If we want to achieve and maintain high-quality services and operate within a set budget, we must manage access. Not everyone can have access to every service at every time at the expense of the insured community. A single-payer system aims to manage access by using professional medical criteria. Physicians and other health care professionals act as the decision makers, deciding whether an individual suffers from a condition for which effective treatment is available.