Anyone familiar with the inner workings of the health care system in the United States—or the nonsystem, as some might call it—knows it is broken. It is not broken in the sense that care is not delivered.
It is broken because care is often ineffective, too expensive, sometimes unsafe, and unavailable to many. In the last decade, thousands of books, reports, and articles have been published documenting these and other relevant facts supporting the need for reform of the US health care system. At the same time, almost everyone agrees that the ideal health care system would be a formal system of universal coverage in which care is high-quality, rich in data, and efficient.
The bottom line is that there seems to be general consensus on where the health system needs to go but very little agreement on how it should get there and who is going to pay for it.
Campbell EG. Health Care Reform Now: A Prescription for Change. JAMA. 2008;299(5):579-580. doi:10.1001/jama.299.5.579