public and the practice of internal medicine and its subspecialties, drafted this paper. The Health and Public Policy Committee of the ACP, which is charged with addressing issues that affect the health care of the U.S. Part 3 describes how an emphasis on value-based care can reduce costs. Part 2 presents 2 potential approaches to achieve universal coverage. Part 1 of this paper discusses why the United States needs to do better in addressing coverage and cost. Major changes are needed to a system that costs too much, leaves too many behind, and delivers too little.
Administrative barriers divert time from patient care and frustrate patients, clinicians, and policymakers. The United States spends far more on health care administration than peer countries. public insurance programs is a perennial concern.
Employer-sponsored insurance is less prevalent and more expensive than in the past, and in response, deductibles have grown and benefits have been cut. Many Americans cannot afford health insurance, and even those with insurance face substantial cost-related barriers to care. Although the United States leads the world in health care spending, it fares far worse than its peers on coverage and most dimensions of value.
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