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Access, quality, and cost control in emergency medicine: can we have all three? A resident's perspective on the future of emergency medicine.

The triad of access, quality, and cost provides a useful framework for the discussion of health care reform. A quote from a recent review of the Oregon Health Plan illustrates the conflict between these three factors very well. "The administrators of the plan are realistic people; they once placed a sign on the wall: 'Cost, access, quality--pick any two."

Cost Control↗