Manuscript Title

The Limited Role of Citizens in Shaping Healthcare Policies

Abstract

Citizens everywhere are seeking a greater role to influence their government decision-making. This interest in policymaking decisions has forced governments to adopt new methods to involve citizens. Although most governments acknowledge the need of their citizens' active participation in their healthcare plans, they do very little to facilitate such involvements. The toughest challenge of most healthcare systems is to get providers to acknowledge the importance of patients' choices in the health decision-making process and to develop strategies to disseminate this information into clinical decisions. There is no gold standard among actively participating citizens in choosing policies that affect their day-to-day lives. There is also no evidence to support the idea that citizens' participation in decision-making undermines the role of democratically elected representatives. If governments are interested in eliminating the apparent democratic deficit in healthcare policymaking, they need to create a vehicle that safely transfers information to their citizens and make it physically, socially, and culturally accessible to the community.