This is a course about who gets what health services, when and how. Policies and laws governing what services are available and on what terms strongly influence health status at both the individual and population levels. This course examines the Constitutional, regulatory, political and socio-economic bases for the policies that determine access, quality, cost and equity in health services and population health programs. While the focus is principally on US examples, the course is structured on the World Health Organization's framework for organizing and analyzing national health systems, covering governance, financing, delivery systems, workforce, and human and other resources. The course combines intensive individual preparation for each class using both written and video materials, interactive class presentations and hands-on individual and group projects in laboratory sessions.