Accessibility to high quality care causes health premiums to go up

On the other hand, the proximity of an army causes prices to go up; and high prices cause the people's substance to be drained away. When their substance is drained away, the peasantry will be afflicted by heavy exactions. With this loss of substance and exhaustion of strength, the homes of the people will be stripped bare, and three-tenths of their income will be dissipated; while government expenses for broken chariots, worn-out horses, breast-plates and helmets, bows and arrows, spears and shields, protective mantles, draught-oxen and heavy wagons, will amount to four-tenths of its total revenue.

From "Sun Tzu on the Art of War - The Oldest Military Treatise in the World"

Translated from the Chinese By Lionel Giles, M.A. (1910)

Discussion:

What is the equivalent for the proximity of an army in the health context is another difficult question. It should be something can be paired with the inefficiency in hospital care as another significant financial challenge in health management. Technical and financial advancements are improving accessibility to high quality care, but they are also pushing up national expenses on healthcare. So it is selected as another major challenge in health delivery comparable to the proximity of an army.

Translation:

On the other hand, the accessibility to high quality care causes health premiums to go up; and high premium causes the people's substance to be drained away. When their substance is drained away, the commerce will be afflicted by decreased demands.With this loss of substance and exhaustion of demand, the homes of the people will be stripped bare, and three-tenth of their income will be dissipated; while government expenses for healthcare, pension, welfare, nursing care and unemployment and disability benefits will amount to four-tenth of its total revenue.

Ray Murakami