Kerman University of Medical Sciences International Journal of Health Policy and Management 2322-5939 2 3 2014 04 01 Breaking Gridlock in Health Policy?; Comment on “A New Synthesis” 145 147 2825 10.15171/ijhpm.2014.29 EN Owen Adams Canadian Medical Association, Ottawa, Ontario, Canada Journal Article 2014 03 02 Pierre-Gerlier Forest has put forward the case that we are on the brink of a revolution in health policy that will be the result of the interplay of five factors. I would not challenge any of them but would emphasize the need to address socio-economic health inequalities, which have the potential to become a major cost driver in a time of growing economic inequality. To Dr. Forest’s list, I would add two important shifts that are taking shape. The first is the development of an outcome focus in healthcare that seeks to measure improvements in individual and population health status. The second is a Copernican revolution in which healthcare providers revolve around the patient. These developments will enable us to answer many questions about resource allocation and return on investment in healthcare, although I still think there will be an outstanding question of how many resources society is willing and able to allocate to healthcare. https://www.ijhpm.com/article_2825_3fc2c60b5782f641f76bcefc39fb2392.pdf