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A health policy might promote "realized access," but not "effective access," or "effective access," but not "efficient access." Is the most important problem the system faces one of realized access, effective access, or efficient access?

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As realized access focuses more on monitoring and evaluating policies, effective access is targeted to improve the outcome of the policies. Efficient access have the intended outcome of minimizing the cost of improving outcomes of health policies. Analyzing the US health care policies, and the current scenario I must say the most important problem is 

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