Cost sharing in healthcare delivery evokes different reactions in different people. The idea of shifting health care costs is vile to some, a delight to others. In many countries such as the U.S., businesses are reeling under the yoke of soaring healthcare costs and many are desperately seeking ways out. Many in fact, no longer offer healthcare coverage, and those that still do are increasing employee deductibles, co-pays, and premium quotas, for examples. These measures are escalating out-of-pocket healthcare costs to employees, understandably to the chagrin of many. Indeed, many would argue that cost-shifting strategies are stopgap solutions to a pervasive problem whose underlying causes are legion, not to mention its solutions, addressing both of which raises questions regarding the nature and extent of government or private sector involvement in so doing.