Responsibility is apparently a multipurpose word or you would think that after looking at five different websites and reading five different definitions. In simple terms it can be said that “being responsible means having the obligation to answer questions regarding decisions and/or actions” (Brinkerhoff, 2004, p. 372). Healthcare providers must be held accountable for financial expenditure and level of performance. Brinkerhoff also tells readers, “At the health system level, the focus is on the services, outputs, and outcomes of public agencies and programs, not on individual service encounters between patients and providers.” The more responsible providers are forced to work, the more they will try to reduce costs and increase care in care procedures and treatment pathways. Healthcare providers have to pay for extremely expensive insurance and this forces them to charge more for their services so that they continue to make a profit on the initial expense. If liability increased and fewer accidents occurred in healthcare institutions, it is possible that their insurance premiums would decrease and they could charge less for care. Then the problem may arise that suppliers may feel that performance and finances are directly linked. In some cases, when the financial cost decreases, the level of performance also decreases. Healthcare workers just need to find the perfect balance and for that they need more rules and