The unsustainable US health care system: A blueprint for change

Research output: Contribution to journalShort surveypeer-review

11 Scopus citations


As a family physician, I have become increasingly uncomfortable being associated with the US health care system. While shiny, new buildings go up each day, there is still little movement toward a model that will shore up the crumbling foundation. The current delivery system and financing structures are unsustainable. Inequitable distribution of resources continues, and an increasing number of American families do not have access to adequate care. In this essay, patient stories are woven into a narrative that highlights the magnitude of the problem at multiple levels of the system. My intent is not to compare stories, because we all have patients, friends, and family members who have been affected. The purpose of this essay is to encourage each reader to reflect on his or her own experiences and to present an imperative to lead change.

Original languageEnglish (US)
Pages (from-to)263-266
Number of pages4
JournalAnnals of family medicine
Issue number3
StatePublished - May 2008


  • Access to health care
  • Delivery of health care
  • Health care economics and organizations
  • Health care quality, access, and evaluation
  • Health policy

ASJC Scopus subject areas

  • Family Practice


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