Abstract
Health care in the United States is far more expensive than in comparable countries that provide universal access and equal or better levels of health care. There is no barrier to what is perceived as optimal care for those with sufficient income. However, for many, often the most vulnerable including the young, the poor, minorities and the elderly, it has become a choice of spending for bread, milk, and housing, or for a doctor's visit and a prescription, but not both. A consensus is developing that the current American system must be changed. Some have identified this situation as a crisis in health care. It is better characterized as a societal crisis.
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