Success in health on a national level involves combinations of interests and structured management of interests. People have specific, non-negotiable interests, many of which can only be understood with effort, available information, and the application of knowledge. It is a complex problem, but not chaotic of necessity. Public-private arrangements are necessary to resolve the challenges and to make resources available on a rational basis. Lessons have been learned from many policy environments, where social needs and market opportunities bear consideration.

The E-CascadeTM program is an interative program for coupling medical standards with single-payor finance based on the Polish experience, expanded on under the guidance of Dr. Manicki in many additional countries in Europe, the Middle East, Asia, and Oceania. Elements of this program can be seen in the five aspects of the E-CascadeTM system as outlined here.