ABSTRACT
This chapter sets forth the main ones outstanding issues. In Oregon, priority setting has proceeded on a state-wide basis, but of the other four countries involved in this conference, only the UK has no plans for national direction. Yet in Oregon an extensive priority list was drawn up which covered the whole spectrum of care, relying on guesswork and judgement to assign many rankings. The Gavleborg Council in Sweden has embarked on a similar course, while in both the Netherlands and New Zealand the intention is to set a basic care package or define a core service. Meanwhile, an inventory or existing services has been taken in New Zealand and an attempt is being made to shift resources among them. Oregon failed to devise a satisfactory method of public consultation and, though surveys made in New Zealand and the Netherlands found support for the development of a basic care package, there was opposition to restriction of services.
