Almost 90 percent of the $2.8 trillion spent on health care in this nation in 2012 was used to provide medical services to individuals. High costs, unequal coverage and access, stresses on many caregivers, tradeoffs among quality and cost and access, and growing political tensions afflict U.S. health care. These problems affect all of us who work in public health. This course analyzes these problems, their causes, and ways to solve them. Specifically, how can our vast human and financial resources be marshaled and managed to improve health care delivery for all Americans? To answer this question, the course examines how people are covered, how care is organized and delivered, how money is raised and caregivers are paid, management, politics, ethics, and more. It considers hospitals, physicians and other caregivers, long-term care, prescription drugs, and mental health. NOTE: This course meets the health policy and management MPH core requirement. It is the prerequisite for most others in the department. Peace Corps/MI students who are not HPM concentrators, students studying on F-1 or J-1 visas, students who are not permanent residents of the U.S. and who are not Health Policy and Management concentrators, and all International Health concentrators may substitute IH704.