Discussion: Organizational Policies and Practices to Support Healthcare IssuesCompeting needs, such as the needs of the workforce, resources, and patients, affect the development of policy by creating a dilemma between government regulation and market-based resource allocation. Thus, policy development has to take a decentralised approach to either healthcare production and consumption decision or government regulation of healthcare production and consumption. Whereas the objective of policy development in healthcare aims at enhancing efficiency and controlling costs, policy development based on decentralises production and consumption decisions would favour market forces to govern patient choice, stimulate innovation and improve quality of care. Policy development based on centralised healthcare production and consumption decisions would favour increased access to healthcare that is based on need rather than based on ability to pay.Competing needs in healthcare delivery are critical considerations in organising decisions about the use of resources. The primary goal of improving efficiency of resource allocation is important, but it goes only as far as contributing to the achievement of broader access but emphasis on cost-effectiveness may have an impact on quality of health services. Therefore, it is not possible to offer broad access to quality health care services without experiencing financial hardship. Neither competition