The health policy trilemma Nations have three broad goals in mind when designing health policy Any attempt by a nation to move closer to one of these three goals Health Wealth necessarily involves a tradeoff that moves that nation further away from another goal. Equity For example,any hypothetical policy that combats adverse selection and increases equity would either increase costs or lower health for some. Bhattacharya,Hyde and Tu-HealthEconomics Bhattacharya, Hyde and Tu – Health Economics The health policy trilemma  Nations have three broad goals in mind when designing health policy  Any attempt by a nation to move closer to one of these three goals necessarily involves a tradeoff that moves that nation further away from another goal. • For example, any hypothetical policy that combats adverse selection and increases equity would either increase costs or lower health for some