Measuring the effectiveness of health care systems.

In my mind's eye I have an image of a health care system whose sole function is to ensure that the community it serves derives the maximum net benefit from its existence. The community it serves (its clients) comprises sick people and those who suffer pain, grief, anxiety, etc. because ofthat sickness, both now and contingently in the future. It does not include as such those whose livelihood depends upon providing the inputs which the health care system requires, except insofar as they are clients in the