I cannot tell you how to answer this question, but I can recommend to you some places to look to for guidance in your writing. There are three major components to healthcare systems. (Remember, healthcare is not synonymous with insurance.) quality universality cost effectiveness Now, we cannot ever have all three. This is absolutely impossible. If we increase universality, we will decrease either quality or cost effectiveness or both. If we increase quality we will decrease universality or cost effectiveness or both. If we increase cost effectiveness, we will decrease universality or quality or both. This is something you must consider when answering this question. What three components do you think are most important? As to the American system. It is high quality (people come here from all over the world for healthcare). However, it is definitely not cost effective. Some would say it is not universal. However, these people often confuse insurance for healthcare. Our system requires universal care. Everyone can get care at a hospital. Not everyone can go other places, but as long as everyone is legally bound to be cared for it is considered "universal". There is not, however, universal primary care. It is universal tertiary