By creating this document, the HISC intends to open the discussion about the parts of the public-private healthcare system that could be improved.  In recent years the national discussion has centered around the debate on changing the system entirely to a national healthcare single-payor system to address the rising cost of healthcare borne by the public sector.  The HISC takes the position that the rising cost of healthcare will not be addressed by changing who pays for healthcare, but rather that there are gaps in the current system and that closing these gaps could have a greater impact on the rising cost of healthcare than a wholesale change to a different system.  The gaps in the current system have resulted in high costs, risks to public safety and in some instances, insufficient levels of cover for patients accessing care in the Cayman Islands.