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What is your evaluation of the effectiveness of the U.S. health care system in the context of delivery, finance, management, and/or sustainability? What are the issues that prompted a need for health care reform? Support your answer with a credible data reference. Do not use a reference already used by another student

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The U.S. health care system has long been a topic of debate and scrutiny, with discussions revolving around its effectiveness in various aspects such as delivery, finance, management, and sustainability. In evaluating its effectiveness, it is important to consider the unique challenges and issues that have prompted a need for health care reform.

One of the key issues that have necessitated health care reform in the United States is the issue of accessibility. Despite being one of the wealthiest nations globally, the U.S. faces significant barriers in providing universal access to health care services. According to data from the Centers for Disease Control and Prevention (CDC), as of 2019, approximately 8.7% of the U.S. population remained uninsured, resulting in many individuals facing financial burdens and limited access to necessary care (CDC, 2021). This limited accessibility has been a significant concern, particularly for vulnerable populations who are unable to afford health insurance coverage or face geographical barriers to access health care facilities.

The financing of health care in the U.S. is another area of concern. The country spends a substantial amount on health care, with total health expenditures accounting for approximately 17.7% of the GDP in 2018 (Centers for Medicare & Medicaid Services, 2020). However, despite this significant expenditure, the outcomes in terms of health outcomes and quality of care do not always align with the level of investment. The U.S. lags behind other developed nations in various health indicators, including life expectancy, infant mortality rates, and chronic disease management (World Health Organization, 2019). This suggests that there are inefficiencies in the financing and delivery of health care services that need to be addressed.

In terms of management, the U.S. health care system is known for its complexity and fragmentation. The system involves multiple stakeholders, including government agencies, private insurers, healthcare providers, and patients, each with their own set of rules, regulations, and financial mechanisms. This fragmentation often leads to administrative inefficiencies, high administrative costs, and difficulties in coordinating care across different providers. Additionally, the fee-for-service payment model prevalent in the U.S. has been criticized for promoting volume over value and hindering the shift towards more patient-centered and coordinated care.

Furthermore, the sustainability of the U.S. health care system is a growing concern. The rising costs of healthcare, coupled with an aging population and the increasing prevalence of chronic conditions, pose significant challenges to the long-term viability of the system. Projections from the Centers for Medicare & Medicaid Services suggest that national health expenditure is expected to grow at an average annual rate of 5.4% from 2019 to 2028, outpacing the projected GDP growth rate (Hartman et al., 2020). This presents a need for innovative approaches to controlling costs while maintaining or improving the quality of care.

In conclusion, the U.S. health care system faces various challenges in terms of delivery, finance, management, and sustainability. Limited accessibility, disparities in health outcomes, fragmented management, and increasing costs are among the issues that have prompted a need for health care reform. Addressing these issues will require comprehensive and evidence-based reforms that aim to improve access, enhance coordination and efficiency, and ensure the long-term sustainability of the system.

– Centers for Disease Control and Prevention (CDC). (2021). Early Release of Selected Estimates Based on Data from the National Health Interview Survey. Retrieved from
– Centers for Medicare & Medicaid Services. (2020). National Health Expenditure Data. Retrieved from
– Hartman, M., Martin, A., Nuccio, O., Catlin, A., & National Health Expenditure Accounts Team. (2020). National Health Care Spending In 2018: Growth Driven By Accelerations In Medicare And Private Insurance Spending. Health Affairs, 39(1), 8-17.
– World Health Organization. (2019). World Health Statistics 2019: Monitoring Health for the SDGs. Retrieved from

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