Healthcare is a basic human right, and many countries have implemented various healthcare systems to ensure that everyone has access to medical care regardless of their ability to pay.
One such system is free healthcare, where healthcare services are provided at no cost to the patient. However, one of the most significant concerns raised by opponents of free healthcare is the potential increase in taxes required to fund such a system.
The question then becomes, does free healthcare necessarily mean higher taxes? This article aims to explore this debate by examining the definition of free healthcare, how healthcare is currently funded, arguments for and against higher taxes with free healthcare, and ultimately determine whether or not free healthcare does indeed lead to higher taxes.
Does Free Healthcare Mean Higher Taxes?
Yes, providing free healthcare typically means higher taxes, at least in countries where healthcare is funded through a publicly funded system. Free healthcare, often referred to as universal healthcare or a single-payer system, is a healthcare system in which the government or a public entity covers the cost of healthcare services for all residents, regardless of their income or employment status.
To fund such a system, the government needs a significant source of revenue, and one of the primary ways to generate this revenue is through taxation. Taxes collected from individuals and businesses are used to finance the healthcare system, which can include paying for doctors, hospitals, medications, and other healthcare services.
The exact impact on taxes can vary depending on the country and the specific healthcare system in place. Some countries may have higher income taxes, payroll taxes, or other forms of taxation to support their healthcare systems. However, proponents of free healthcare argue that the increased taxes are offset by the elimination of private health insurance premiums and out-of-pocket healthcare expenses, resulting in overall lower healthcare costs for individuals and families.
It’s important to note that the relationship between free healthcare and higher taxes is a subject of debate and can depend on various factors, including the design and efficiency of the healthcare system, the overall tax structure of a country, and the level of government involvement in healthcare provision. Different countries have different approaches to funding and providing healthcare, so the impact on taxes can vary significantly from one place to another.
What Is Free Healthcare?
Free healthcare, also known as universal healthcare, is a healthcare system that provides medical services and treatment to all citizens of a country without charging them any out-of-pocket expenses.
In a free healthcare system, medical services, including doctor visits, hospital stays, prescription medications, and preventative care, are covered by the government, which is funded through taxes or other means. The primary goal of free healthcare is to ensure that all citizens, regardless of their socio-economic status, have access to high-quality medical care.
The provision of free healthcare is also seen as a way to improve the overall health of a population, reduce healthcare costs in the long term, and create a more equitable healthcare system. While the implementation of free healthcare is a highly debated issue, it has been successfully implemented in many countries worldwide, including Canada, the United Kingdom, and France.
The Different Types Of Healthcare Systems
Healthcare systems can vary widely from one country to another, and there are several different types of healthcare systems around the world. The key differences between these systems often revolve around how healthcare is funded, organized, and delivered. Here are some of the main types of healthcare systems:
- Universal Healthcare (Single-Payer):
- In this system, the government is the primary payer for healthcare services, and it provides healthcare coverage to all citizens and sometimes residents.
- Funding for the system typically comes from taxation, and healthcare services are often provided by both public and private healthcare providers.
- Examples of countries with universal healthcare systems include Canada, the United Kingdom, and Sweden.
- Multi-Payer Healthcare:
- In a multi-payer system, multiple sources of funding are used to provide healthcare coverage. This can include a combination of private insurance, government programs, and out-of-pocket payments.
- Healthcare providers may be both public and private, and individuals often have the choice of selecting their healthcare providers and insurance plans.
- The United States is an example of a country with a multi-payer healthcare system.
- National Health Service (NHS):
- The NHS is a publicly funded healthcare system in which the government owns and operates healthcare facilities and employs healthcare providers.
- Services are generally provided for free at the point of care, and funding primarily comes from taxation.
- The United Kingdom is known for its National Health Service.
- Socialized Medicine:
- In a socialized medicine system, the government owns and operates both healthcare facilities and employs healthcare providers.
- The government also controls the funding and delivery of healthcare services.
- Countries like Cuba have a socialized medicine system.
- Private Healthcare:
- In some countries, healthcare is primarily provided by private sector entities, and individuals are responsible for purchasing their own health insurance or paying for healthcare services out of pocket.
- The quality and availability of healthcare services in private healthcare systems can vary widely depending on one’s ability to pay.
- The United States has a significant private healthcare sector alongside its public programs.
- Mixed Healthcare Systems:
- Many countries have mixed healthcare systems that combine elements of different approaches. For example, they may have universal coverage for basic services while allowing for private insurance and services for those who can afford them.
- Germany and France are examples of countries with mixed healthcare systems.
- Community-Based Healthcare:
- Some countries focus on community-based healthcare systems that emphasize preventive care and primary care delivered through local clinics and health centers.
- These systems often prioritize community involvement and preventive measures to improve overall health and reduce healthcare costs.
It’s important to note that the effectiveness, accessibility, and quality of healthcare can vary within each type of healthcare system, and the specific details of how these systems operate can change over time. Additionally, there are ongoing debates and reforms in many countries aimed at improving healthcare systems to better meet the needs of their populations.
Pros And Cons Of Free Healthcare
Free healthcare, often referred to as universal healthcare or single-payer healthcare, has its advantages and disadvantages. These can vary depending on the specific implementation and funding mechanisms of the healthcare system in a particular country. Here are some of the pros and cons associated with free healthcare:
Pros of Free Healthcare:
- Universal Access: One of the primary benefits of free healthcare is that it ensures that all citizens have access to necessary medical services regardless of their income or financial status. This can lead to better overall population health.
- Financial Protection: Free healthcare can protect individuals and families from high healthcare costs, preventing medical expenses from causing financial hardship or bankruptcy.
- Preventive Care: Universal healthcare systems often prioritize preventive care and early intervention, which can lead to the early detection and treatment of diseases, reducing long-term healthcare costs.
- Simplified Administration: Single-payer systems tend to have lower administrative costs compared to private insurance systems, which can reduce healthcare spending.
- Health Equity: It can help reduce health disparities, as everyone has equal access to healthcare services, irrespective of their socioeconomic background.
- Improved Health Outcomes: Countries with free healthcare often see better health outcomes, including lower mortality rates and higher life expectancies.
- Reduced Administrative Burden: Patients and healthcare providers deal with less paperwork and bureaucracy, as there is usually a single, government-administered insurance system.
Cons of Free Healthcare:
- High Taxation: Funding free healthcare often requires higher taxation, which can be a burden on citizens, especially those with higher incomes.
- Resource Allocation Challenges: Limited healthcare budgets can lead to resource allocation challenges, potentially resulting in longer wait times for certain non-urgent procedures or specialized treatments.
- Potential for Rationing: Some argue that in order to control costs, healthcare systems may need to ration certain services or limit access to expensive treatments.
- Limited Choice: In some free healthcare systems, patients may have limited choice when it comes to selecting healthcare providers or treatment options.
- Possible Quality Concerns: Critics argue that free healthcare systems may have quality issues, with longer wait times for non-urgent care and limited access to cutting-edge medical technologies and treatments.
- Inefficiencies: While administrative costs may be lower, some argue that government-run healthcare systems can be less efficient and innovative compared to private healthcare systems.
- Potential for Bureaucracy: Some free healthcare systems can become bureaucratic and slow to adapt to changing healthcare needs and technologies.
It’s essential to note that the pros and cons of free healthcare are subject to ongoing debate, and the specific outcomes can vary depending on how the system is implemented and managed. Different countries have different experiences with their healthcare systems, and the effectiveness of free healthcare depends on various factors, including funding, governance, and the overall healthcare infrastructure. Public opinion and political ideologies also play a significant role in shaping healthcare policies and systems.
How Healthcare Is Funded In The USA?
Healthcare in the United States is a complex system that involves multiple players, including the government, private insurance companies, and individuals. The way healthcare is funded in the US is a topic of ongoing debate, as the high cost of medical services has left many Americans struggling to afford the care they need. In this section, we will explore how healthcare is funded in the USA:
- Private Health Insurance: The majority of Americans get their healthcare coverage through private health insurance plans provided by their employer. These plans are purchased by employers from private insurance companies and cover a range of medical services, including doctor visits, hospitalizations, and prescription drugs. Private insurance plans are funded by monthly premiums paid by both the employer and the employee.
- Medicaid: Medicaid is a joint federal-state program that provides healthcare coverage to low-income individuals and families. Funding for Medicaid comes from both the federal government and individual states, with the federal government covering a majority of the cost. Eligibility for Medicaid varies by state, but generally, it covers individuals with incomes at or below the federal poverty level.
- Medicare: Medicare is a federal program that provides healthcare coverage to people aged 65 and over, as well as some younger individuals with disabilities. Funding for Medicare comes from payroll taxes paid by employees and employers, as well as premiums paid by Medicare beneficiaries. The program is administered by the federal government and covers a range of medical services, including hospitalizations, doctor visits, and prescription drugs.
- Out-of-Pocket: Some Americans pay for healthcare services out of their own pockets, particularly those who do not have health insurance or whose insurance does not cover certain services. This can be a significant financial burden, as medical services in the US can be very expensive.
- Government Programs: The government also funds various programs that provide healthcare services to specific populations, such as veterans, Native Americans, and active-duty military personnel. These programs are funded by tax dollars.
Overall, healthcare in the United States is funded through a combination of private insurance, government programs, and out-of-pocket payments. The high cost of medical services and the lack of universal coverage have left many Americans struggling to afford the care they need, leading to ongoing debates about how to reform the healthcare system.
Comparison Of The Funding Models Of Different Countries With Free Healthcare
Countries with free healthcare, or universal healthcare systems, often employ various funding models to support their healthcare systems. The specific funding models can vary significantly from one country to another. Here, I’ll provide a brief comparison of the funding models of several countries known for their universal healthcare systems:
- United Kingdom (National Health Service – NHS):
- Funding Source: The NHS is primarily funded through general taxation, including income tax and national insurance contributions.
- Key Features: Services are generally provided for free at the point of care, and the funding is allocated directly to regional NHS trusts responsible for healthcare delivery.
- Canada:
- Funding Source: Canada’s healthcare system is primarily funded through general taxation, with funding shared between the federal and provincial/territorial governments.
- Key Features: Healthcare services are publicly funded, and residents receive a health card that allows them to access medically necessary services without direct out-of-pocket payments.
- Sweden:
- Funding Source: Sweden’s healthcare system is funded primarily through taxation at both the municipal and national levels.
- Key Features: Residents have access to publicly funded healthcare services, and there are limits on out-of-pocket expenses.
- Germany:
- Funding Source: Germany employs a multi-payer system where individuals and employers contribute to health insurance through payroll taxes. The government also provides subsidies for those with lower incomes.
- Key Features: Healthcare is delivered by a mix of public and private providers, and individuals have a choice of statutory or private health insurance.
- France:
- Funding Source: France has a mixed funding system, with contributions from employers, employees, and the government. The government also funds health insurance for low-income individuals.
- Key Features: French residents have access to a mix of public and private healthcare providers, and the system emphasizes patient choice.
- Australia:
- Funding Source: Australia employs a mix of public and private funding. It has a public health insurance system called Medicare, funded through taxation, and individuals can also opt for private health insurance.
- Key Features: Residents can choose to receive care in public or private hospitals, and private health insurance can cover additional services and reduce wait times.
- Japan:
- Funding Source: Japan has a social insurance system where contributions are made by both employers and employees, and the government covers the elderly and low-income individuals.
- Key Features: Japan’s system emphasizes access to a broad network of healthcare providers, and patients often have a high level of choice.
It’s important to note that while these funding models provide a general overview of how these countries finance their healthcare systems, there are often additional layers of complexity and nuances in each country’s healthcare financing and delivery. Additionally, many countries may use a combination of funding sources to sustain their universal healthcare systems, with the goal of ensuring access to essential healthcare services for all residents.
How Taxes Are Used To Fund Healthcare
Taxes are a common source of funding for healthcare in many countries with publicly funded or universal healthcare systems. The specific mechanisms for using taxes to fund healthcare can vary from one country to another, but here’s a general overview of how taxes are typically used to support healthcare:
- General Taxation:
- Income Tax: A portion of individuals’ income is collected by the government in the form of income tax. These tax revenues are often used to fund healthcare services. The higher a person’s income, the more taxes they pay, which helps distribute the funding burden more equitably.
- Corporate Tax: Businesses also contribute to healthcare funding through corporate taxes. These taxes are levied on a company’s profits, and a portion may be allocated to healthcare programs.
- Social Insurance Contributions:
- Some countries have social insurance systems where both employees and employers contribute a percentage of an individual’s salary to a national health insurance fund. These funds are dedicated to covering healthcare costs for insured individuals.
- The government may also contribute to social insurance programs, particularly for low-income individuals or certain vulnerable populations.
- Value Added Tax (VAT) or Sales Tax:
- Some countries levy a value-added tax or sales tax on the purchase of goods and services. A portion of the revenue generated from these taxes can be earmarked for healthcare funding.
- Specific Health Taxes:
- In some cases, governments may impose specific taxes on products that are deemed detrimental to health, such as tobacco, alcohol, sugary beverages, or unhealthy foods. The revenue generated from these taxes is often dedicated to healthcare initiatives, health promotion, or addressing the health-related consequences of these products.
- Property Tax:
- Local governments may collect property taxes, and in some cases, a portion of these taxes may be allocated to healthcare services within the community.
- Sin Taxes:
- Apart from specific health taxes, countries may impose “sin taxes” on items like cigarettes and alcoholic beverages. These taxes aim to discourage consumption while generating revenue for healthcare and other public programs.
- Payroll Taxes:
- Payroll taxes, which are paid by both employers and employees, may be used to fund healthcare programs. These taxes are typically a fixed percentage of an individual’s salary and are contributed to a national healthcare fund.
- Grants and Subsidies:
- In addition to taxes, governments may allocate funds from their general budget or through grants and subsidies to support healthcare programs and initiatives, especially for underserved populations or specific healthcare needs.
- Foreign Aid and Donations:
- In some cases, countries may receive foreign aid or donations from international organizations or other countries to support their healthcare systems, particularly in low-income or developing nations.
It’s important to note that the specific taxation and funding mechanisms can vary significantly from country to country, and they may evolve over time based on changes in healthcare needs, budget priorities, and political decisions. The goal of using taxes to fund healthcare is to ensure that essential healthcare services are accessible to all citizens while distributing the financial burden across the population.
Why Some People Believe That Free Healthcare Will Lead To Higher Taxes?
Some people believe that implementing free healthcare, or a universal healthcare system, will lead to higher taxes for several reasons:
- Increased Government Spending: Universal healthcare systems require significant government funding to provide healthcare services to all citizens. This often involves expanding the scope of healthcare coverage and increasing the range of services provided. To finance this expansion, governments may need to allocate more resources, which can lead to higher overall government spending.
- Tax Reallocation: In some cases, implementing free healthcare may necessitate reallocating funds from other government programs or services to cover healthcare costs. This reallocation can lead to concerns that existing services may be compromised or that taxes will increase to maintain those services.
- Perceived Government Inefficiency: Some individuals believe that government-run healthcare systems can be less efficient than private sector alternatives. They worry that higher taxes will be necessary to support the administrative costs and inefficiencies associated with government-run healthcare, leading to a perception that free healthcare is more costly than private alternatives.
- Resistance to Tax Increases: In many countries, there is a resistance to tax increases, as citizens may be concerned about the economic impact on their personal finances. The prospect of higher taxes to fund universal healthcare can be met with resistance, particularly from those who do not anticipate a direct benefit from the healthcare system or who believe that private alternatives are more efficient.
- Concerns About Government Control: Some people are concerned that a government-funded healthcare system may lead to government control or interference in healthcare decisions. They fear that this could result in restrictions on medical choices, long wait times for treatment, or a lack of innovation in healthcare services.
- Perceived Lack of Accountability: Critics of free healthcare systems may argue that government agencies responsible for healthcare funding and administration may lack accountability and transparency. They may be concerned that higher taxes could be used inefficiently or that there may not be enough oversight to prevent waste and mismanagement.
- Uncertainty About Future Costs: Predicting the exact cost of implementing and maintaining a free healthcare system can be challenging. Some individuals worry that initial cost estimates may not accurately reflect the actual long-term financial commitments, leading to the potential for tax increases in the future.
The debate over the cost and feasibility of free healthcare often revolves around complex economic, political, and ideological factors. Supporters of universal healthcare argue that the potential benefits, such as improved access to care, financial protection, and better overall health outcomes, outweigh the concerns about higher taxes. Ultimately, the decision to implement free healthcare depends on a country’s unique circumstances, political will, and the priorities of its government and citizens.
How Taxes May Increase To Pay For Free Healthcare
Taxes may increase to pay for free healthcare, also known as universal healthcare or single-payer healthcare, when a government decides to expand or fully fund its healthcare system. The specific tax increases and their magnitude can vary depending on the country’s existing healthcare system, its financial capacity, and its chosen funding model. Here are some ways in which taxes may increase to finance free healthcare:
- Income Tax: One of the most common sources of funding for healthcare is an increase in income tax rates. Governments can raise taxes on individuals and/or corporations to generate additional revenue for healthcare expenditures. These tax increases may apply to various income brackets, with higher earners typically paying a larger share.
- Payroll Taxes: Some countries use payroll taxes to fund healthcare. These taxes are usually split between employers and employees and are calculated as a percentage of income. An increase in payroll tax rates can contribute to healthcare funding.
- Value Added Tax (VAT) or Sales Tax: Governments may raise the rates of value-added tax or sales tax on goods and services to generate additional revenue for healthcare. These taxes are typically regressive, meaning they impact all consumers, regardless of income.
- Specific Health Taxes: To discourage the consumption of products detrimental to health, governments may impose or increase taxes on items like tobacco, alcohol, sugary beverages, or unhealthy foods. The revenue generated from these “sin taxes” can be earmarked for healthcare funding.
- Property Tax: Local governments may raise property taxes to support healthcare services within their jurisdictions. These taxes are collected based on the value of real estate properties and can vary from one locality to another.
- Capital Gains Tax: Increasing the tax rate on capital gains, such as profits from the sale of assets like stocks or real estate, can be another source of revenue for healthcare funding.
- Corporate Taxes: Governments may increase corporate tax rates to generate additional funds for healthcare. This can affect businesses’ profitability and may lead to debates about the impact on job creation and economic growth.
- Wealth Taxes: In some countries, policymakers may consider implementing or increasing wealth taxes, which target the accumulated wealth of individuals and can be used to fund healthcare initiatives.
- Environmental Taxes: Governments concerned about environmental health may implement or increase taxes on activities or products that contribute to environmental degradation. The revenue generated can be used for healthcare and other public health initiatives.
- Estate Taxes: Taxes on the inheritance of large estates can be used to finance healthcare services, particularly when high-net-worth individuals pass on their assets.
It’s important to note that tax increases to fund healthcare are a matter of policy and political decisions. They can vary in size and scope, and the specific taxes targeted for increases can differ from one country to another. The overall goal is to ensure that there is adequate funding to provide healthcare services to all citizens while distributing the financial burden across the population, often with a focus on progressive taxation to protect lower-income individuals and families. The specific impact on individuals and businesses depends on the tax policies implemented and the overall tax structure of a given country.
Why Some People Believe That Free Healthcare Will Not Necessarily Lead To Higher Taxes?
Some people believe that implementing free healthcare, or a universal healthcare system, may not necessarily lead to higher taxes, or they may argue that any potential tax increases could be offset by various factors. Here are some reasons why some individuals hold this perspective:
- Efficiency Gains: Proponents of free healthcare argue that a single-payer system can be more efficient than a multi-payer or private healthcare system. They contend that administrative costs in government-run systems can be lower, which can help offset the cost of healthcare coverage without requiring significant tax increases.
- Preventive Care: Universal healthcare often emphasizes preventive care and early intervention, which can reduce the long-term healthcare costs associated with untreated illnesses. Supporters argue that this focus on prevention can lead to cost savings in the long run and may not necessitate higher taxes.
- Cost Controls: Some proponents of free healthcare believe that a government-run system can exert better control over healthcare costs by negotiating prices with healthcare providers and pharmaceutical companies. They argue that this negotiation power can help keep healthcare expenditures in check, potentially avoiding the need for substantial tax increases.
- Reduction in Administrative Overhead: Universal healthcare systems can reduce administrative overhead compared to private insurance companies, which often spend a significant portion of premiums on administrative costs, marketing, and profits. Supporters argue that these savings can help fund healthcare without imposing higher taxes.
- Economic Benefits: Advocates of free healthcare suggest that ensuring access to healthcare for all citizens can lead to a healthier and more productive workforce. A healthier population may require fewer sick days, and improved health outcomes can have positive economic effects, potentially mitigating the need for higher taxes.
- Savings from Eliminating Private Insurance Premiums: In countries transitioning from private insurance systems to universal healthcare, individuals and employers may no longer need to pay for private health insurance premiums. Proponents argue that the savings from eliminating these premiums could offset potential tax increases.
- Tax Diversification: Some proponents suggest that the tax burden for free healthcare can be diversified by redistributing existing government spending, reallocating funds from other programs, or introducing new sources of revenue, such as specific health taxes or sin taxes.
- Social Benefits: Supporters of free healthcare argue that the societal benefits of improved health and financial security for all citizens can outweigh the potential costs of tax increases, making it a worthwhile investment for the overall well-being of society.
- Preventing Medical Bankruptcy: Universal healthcare systems can protect individuals and families from high medical expenses, reducing the risk of medical bankruptcies. Supporters contend that the financial security provided by free healthcare can outweigh any tax increases.
It’s important to note that the impact of implementing free healthcare on taxes and the overall economy can be a subject of debate. It can vary depending on the specific design and funding model of the healthcare system, as well as the economic and political context of the country in question. Ultimately, the feasibility and implications of free healthcare depend on multiple factors, including the country’s existing healthcare infrastructure, political will, and the priorities of its government and citizens.
How Taxes May Not Necessarily Increase To Pay For Free Healthcare
While the implementation of free healthcare, or a universal healthcare system, may lead to increased government spending, it is possible for taxes not to necessarily increase or for the impact on taxes to be limited. Here are some reasons why taxes may not necessarily increase significantly to pay for free healthcare:
- Reallocation of Funds: Governments may choose to reallocate existing funds from other areas of their budgets to finance healthcare without raising taxes. This reallocation can involve reprioritizing spending on less critical programs or projects.
- Efficiency Improvements: Advocates of free healthcare often argue that government-run healthcare systems can be more efficient in terms of administrative costs compared to private insurance systems. Efficiency gains can help offset the cost of providing healthcare without requiring substantial tax increases.
- Cost Controls: Governments in universal healthcare systems can negotiate prices with healthcare providers and pharmaceutical companies, potentially reducing healthcare costs. These cost controls can help keep healthcare spending in check without relying on higher taxes.
- Preventive Care: Universal healthcare systems often prioritize preventive care, which can lead to early detection and treatment of diseases. Preventive measures can reduce long-term healthcare costs and may not necessitate significant tax increases.
- Economic Benefits: A healthier population resulting from free healthcare can lead to a more productive workforce and potentially boost the economy. Reduced absenteeism due to illness and improved overall health can generate economic gains, which can offset the need for higher taxes.
- Elimination of Private Insurance Premiums: In countries transitioning from private insurance to universal healthcare, individuals and employers may no longer need to pay for private health insurance premiums. The savings from eliminating these premiums can offset potential tax increases.
- Tax Diversification: Governments can diversify the tax burden by introducing new sources of revenue or reallocating funds. Specific health taxes, sin taxes (on products harmful to health), or other revenue streams can be explored to finance healthcare without solely relying on income or payroll taxes.
- Public-Private Partnerships: Some countries employ public-private partnerships in healthcare delivery. These partnerships can leverage private sector investments and expertise, potentially reducing the overall financial burden on the government.
- Economies of Scale: A universal healthcare system can benefit from economies of scale, as it serves the entire population. This can lead to lower per capita costs and help control healthcare spending.
- Improved Health Outcomes: Proponents argue that free healthcare can lead to better health outcomes, reducing the need for expensive treatments and hospitalizations. The overall reduction in healthcare costs associated with improved health can offset the need for higher taxes.
Each country’s approach to financing healthcare can vary, and the decision to implement a universal healthcare system is influenced by numerous factors, including government priorities, public opinion, and budget constraints. Additionally, the impact on taxes may vary based on the level of government involvement, existing healthcare infrastructure, and the chosen funding sources.
Conclusion
In conclusion, the question of whether free healthcare means higher taxes is complex and multifaceted. While implementing free healthcare may require an increase in taxes to cover the additional costs, there are also ways in which taxes may not necessarily increase to pay for such a system.
The funding model for free healthcare will depend on the specific country and its tax system, and whether or not taxes will increase will depend on a variety of factors, including the current healthcare spending and efficiency of the healthcare system, potential cost savings and improved efficiency from a publicly-funded healthcare system, and the willingness of citizens to pay higher taxes for such a system.
Ultimately, the decision to implement free healthcare and the funding model chosen will depend on balancing the potential benefits and costs, as well as the values and priorities of each society.