However, there are some persistent flaws in the health reform legislation. Consumer satisfaction, protection and elimination of the inequitable "parallel" health care system for elite bureaucrats have not been addressed by the HIA. Government health funds determine capitation levels for controlling the costs of mandatory insurance, while voluntary fee-for-service reimbursements, although costly, inequitable, and inefficient, encourage a competing plurality of providers, consumer choice, and satisfaction. Private suppliers of health care can still generate high incomes for themselves and escalate health care costs.