Healthcare 2025: alternative views and underlying values

This article describes the development of scenarios to stimulate public dialog concerning healthcare values. Different values lead to different futures. America’s current healthcare system has serious difficulties and must be transformed, but the underlying problems will not be addressed until the public has enough understanding to develop a consensus on the values it desires in a new system that meets societal needs. Value driven scenarios can help by illustrating the consequences of different alternatives and thereby stimulating thinking about key value‐driven components that must be included for a functional and sustainable solution.