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.

The United States has the most expensive healthcare system in the world, but their health status indicators are only average at best when compared with the less costly health systems of other countries (Shortell, Gillies, & Wu, 2010). There is an intense pressure to provide more cost effective delivery systems in the U.S. due to the failure of HMOs and PPOs, which have not decreased costs as desired (Shortell, Gillies, & Wu 2010). One main issues prompting a need for...