Date of Award


First Advisor

Kathryn Boswell

Second Advisor

Francisca Oyogoa


In the past, health insurance has emerged in the wake of national crises (war, economic depression, etc.) leaving the general populace unable to meet out-of-pocket costs. Its evolution has trended towards more governmental support and intervention. Currently, that has not mitigated the influence of a private insurance market, nor resulted in a universal standard of care. The U.S shows high rates of uninsurance and affordability issues within the wider population. This is in contrast to other countries that do implement a universal healthcare system, and do not face the same level of affordability issues. To resolve this, the U.S must transition its current system toward a universal healthcare system. This can be done by maintaining a multi-payer system, but widening the reach of federal systems and lessening the influence of private insurers. This can begin by implementing reforms that reinforce and encourage standardization within the health system framework while maintaining community health centers to reach the populations the current system overlooks.

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