1. Maintaining basic universal coverage in the face of
steady increases in immigrant populations, some of
whom migrate just for health reasons.
2. The problem of administrative costs which can
quickly consume the resources assigned for care.
3. Micromanagement of physician decisions seen as a
necessity for managers and as an intrusion by physicians.
4. Astronomical malpractice payouts, and in reaction,
wasteful defensive medical practices.
5. The restraint of raising health care costs.
6. Co-payment requirements which can destroy equality.
7. The handling of high-risk patients.
8. Effective monetary constraints on medical suppliers
and pharmaceuticals.
9. Managing the expansion of mental disease categories and payment for mental health care without
downplaying the importance of care for the mentally ill.
10.Managing fraud and abuse which costs as high as
$100 billion a year in the United States.