21st Century Health Policy and Assessing Quality in Health Care Name Institution 21st Century Health Policy and Assessing Quality in Health Care While the U.S healthcare system is the most expensive in the world, it faces significant challenges and consequently needs effective reform to be effective. The focus of such reforms should be on the increasing number of underprivileged 46 million American who are uninsured (Halloran, 2013). The U.S in the only developed nation without a comprehensive cover for all its population and there is therefore an urgent need to come up with steps, which will ensure that the poor have access to affordable health services while at the sometime ensuring that the services are of high quality resulting to better health outcomes. The first towards ensuring the poor can access healthcare is through an increase in funding to go towards their cover. With the increasing number of poor people, the government must find ways through which more funding can be allocated towards the provision of healthcare services to the uninsured (Kenneth, 2010). While the U.S. healthcare expenditure per person is the highest in the world, its quality and poor health outcomes puts into question the relevance for such high