Effective and efficient service delivery to children who rely on medical te
chnology or ongoing medical care will become increasingly critical as techn
ology and medical know-how grow more sophisticated. Presently, technology's
development and application threaten to outpace systems of service deliver
y. This article explores the present state of affairs by considering the ch
allenges involved in planning and evaluating programs for children with spe
cial health care needs and their families. A cost-benefit model is suggeste
d as a meaningful framework for considering challenges related to providing
service in this arena and evaluating its effectiveness.