The rebuttal for claims by those in favor of multiple health service delivery systems that increased patient responsibility would reduce the demand for oral health services is that:

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Although prevention would go a long way toward reducing the need for emergency and episodic care,when we consider the ten greatest public health achievements of the twentieth century,very little patient responsibility was involved when we consider the ten greatest public health achievements of the 20th century.The rebuttal to the rebuttal is that some historians have pointed out that most of these significant advances occurred during that century's infectious disease era;in today's information age,however,increased personal responsibility may be appropriate because chronic diseases are responsible for greater morbidity and mortality.

The Rebuttal for Claims by Those in Favor of Multiple