However, this is at the cost of ending the win-win situation where patients choose relatively cheaper cash benefits (worth 75% of the cost of in-kind care) that improve their own welfare thanks to a greater choice of providers and also encourage competition across home care providers. Thus, it would be preferable to keep a cash benefits scheme for home care but to improve screening and monitoring to avoid unintended use. One way of reducing the need for monitoring could be to provide cash benefits in the form of vouchers directly payable to professionals, like in the Nordic countries (Colombo et al., To be effective, such vouchers should be designed to cover less than the full costs of care, where the implied copayment on each service purchased would give patients incentives for cost-efficient use of the vouchers. Such a focus could risk impeding the excellent Dutch results in terms of equity and access to health care facilities. However, the increasing role of competition has not had a negative impact on equity so far.