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.

Health care reforms is one of the biggest issue for voters. With our aging population, complexity of illness and growing cost of health care, the government need a new approach to delivery of health care system. There is still a large population that are uninsured. There is mounting recognition that our country’s health system is greatly influenced by social determinants, socio-economic status, and environmental factors. The American people continue to face increase cost of health care and insurance premiums continues to increase. Per Cunningham (2010), the percentage of people with a high financial burden increased from 14.4 percent in 2001 to 19.1 percent—nearly one of five Americans—in 2006. The increase in financial burden between 2004 and 2006 (16.4%) occurred at a time when the economy was expanding. “These costs in turn impose a burden on all segments of society—the individuals who pay taxes and premiums, the governments whose budgets are strained by Medicare and Medicaid, and the businesses whose competitiveness is undermined by high health insurance rates” (Daniels & Roberts, 2008). Some evidence have indicated that Patient Center Medical Home models give better quality of care, patient satisfaction with care, care coordination its and better access to care. This model provides the patient not only with a primary care physician but multidisciplinary team with personalized coordinated care across conditions, episodes of care, different providers and settings over time. According to Shortell & Gillies, (2010), the four key elements