ABSTRACT

The degree of regulation and its impact on the four core focal points of public health policy-access, quality, cost, and autonomy-is exemplified by the structure, processes, and myriad of stakeholders in the legal system. Notwithstanding the passage of the Patient Protection and Affordable Care Act, however, access to care does not necessarily translate into uptake of healthcare services to secure population health. For example, the ACA requires all new private insurance plans to cover the vaccine for the human papilloma virus, which causes most cervical cancers. Yet only 54% of eligible females have obtained it. This chapter utilizes a game theoretic-epidemiological model within a medical-legal partnership to illustrate the necessity of introducing two additional focal points-corporate influence and provider conscience-alongside the traditional four focal points of healthcare policy, and provides trends in the uptake of the HPV vaccine as a case-study to demonstrate its utility.