Public-private partnerships established to implement public health policy initiatives are the driving force behind the changes we see in healthcare today.

The public-private partnership framework creates a closed network, where private industry, government agencies, and relevant stakeholders convene.  This structure eliminates opportunities for non-industry-associated citizen stakeholders from participating.
The Pillar Theory of A Crisis depicts industry, government and various stakeholders (entities) as the pillars holding up the "crisis".   The existence of the crisis is imperative to the sustainability of each pillar entity.  If the crisis is alleviated, there will be no need for these entities to remain which disincentivizes the implementation of solutions and instead, incentivizes the crises to continue, justifying the pillars to remain intact.  ​