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Emphasises two additional concepts choice and accountability that reflect our consumer focus. By choice, we mean choice of health plan, of provider, and of carers a right of autonomy and self determination. For healthcare decisions to be effective, they must be personal decisions that reflect personal values as well as medical knowledge. Accountability for the consequences of healthcare decisions is a cornerstone principle. It includes responsibilities of consumers as well as of payers and providers. Taking personal responsibility for our own health, as consumers, means paying according to our means; prudently and appropriately using limited healthcare resources; adopting health promoting behaviours; continually learning about important health issues; and actively participating in decision making about our own health as well as that of the community. This draws consumers into the healthcare system as partners, not just as payers or subjects of care.