10. The principle of client empowerment should be supported by ensuring that citizens are free to contract or roster with the IHS of their choice, and that the allocation of capitated funding follows the client to whichever system they choose to roster with.
However, we recognize the limited effectiveness of this strategy for individuals, who, due to disabilities, poor health status, age, geographic location, or other disadvantages, may be prevented from choosing to roster with an alternate IHS. Therefore,