Summary question: what factors are contributing to the destruction of the American health care system?The health care system in the United States is one of the most common forms of health care more complex. What makes the system complex is that several factors come into play. For example, several players and payers are involved in the system. This includes doctors, health service administrators, insurance companies, large employers and finally the government Shi & Singh, 2012). Each of these actors and payers gets involved to protect their own economic interests. Hospitals, for example, want to maximize reimbursement from private and public insurers. Insurance companies and managed care organizations are concerned about how they can maintain their share of the health insurance market, while doctors seek to maximize their revenues and interfere as little as possible with their way of doing business. practice medicine (Shi and Singh, 2012). It is obvious that the health system is not central. In other words, there is no particular government department or agency that is unilaterally responsible for administering the healthcare system as is the case in other developed countries where they have a payer system unique, which is the government. Instead, the United States has a privately funded health care system. According to Shi and Singh (2012), 54% of total healthcare expenditure is financed by the private sector through employers, while the remaining 46% is financed by the government. The lack of centrality in tracking total expenditures across overall budgets or monitoring the availability and use of services, coupled with the fact that most hospitals and clinics are now privately owned, may be potential. ..... middle of document...... Reference: Center for Medicare and Medicaid Services. Retrieved from http://www.. Cms.gov/research-statistics-data-and-systems/statistics-trends-and reports/national health expenditure data/downloads proj 2011 pdl.pdf.).Bipartisan Policy Center. (2012). What drives health care spending in the United States? The unsustainable growth of health care costs in the United States. Retrieved from http://www. Bipartisanpolicy.orgFeldstein, J.P. (2011). Health Policy Issues: An Economic Perspective (5th ed.). Chicago, IL: HAP and AUPHA. Goodman, L. and Norbeck, T. (2013). Who is responsible for rising health care costs? Retrieved from http://www. Forbes.comShi, L. and Singh, A.D. (2012). Providing Health Care in America: A Systems Approach (5th ed.). Burlington, MA: Jones & Bartlett. Sperling, L. (2010). Price of Prescription Abuse. Retrieved from http://www. Herald Tribune.com