Penn State International Law Review

First Paragraph

The United States has the disturbing distinction that it, alone among Western democracies, permits a sizeable percentage of its population to go entirely without health insurance coverage. It has left the world wondering why and how a civilized nation develops a health care system that embodies no social definition of equity, makes feeble attempts to contain costs, leaves thirty-seven million citizens with no health insurance at all and millions more with inadequate coverage. The dilemma 'is further complicated by the irony that the health care system in America today assures that those who need coverage the most have the hardest time getting it.