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Blunt Policy Instruments Deliver Blunt Policy Outcomes: Why Cost Sharing is Not Effective at Controlling Utilization and Improving Health System Efficiency

Essue, Beverley M. PhD, MPH*,†; Birch, Stephen PhD*,‡

doi: 10.1097/MLR.0000000000000500

*Centre for Health Economics and Policy Analysis, McMaster University

Menzies Centre for Health Policy, University of Sydney

Centre for Health Economics, University of Manchester

B.M.E. is the recipient of a Sidney Sax Research Fellowship from the National Health and Medication Research Council of Australia. She has no conflicts of interest to declare. S.B. has no conflicts of interest to declare.

Reprints: Beverley M. Essue, PhD, MPH, McMaster University, CHEPA, CRL Building 282, 1280 Main Street, Hamilton, ON, Canada L8S 4K1. E-mail:

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