Better is Possible: ACP's Vision for the U.S. Health Care System

A comprehensive, interconnected set of policies to guide the way to a better U.S. health care system for all.

The ambitious new vision begins with a call to action that challenges the U.S. not to settle for the status quo, but to implement systematic health care reforms. An additional set of ACP policy papers, published in Annals of Internal Medicine, address issues related to coverage and cost of care, health care payment and delivery systems, barriers to care and social determinants of health, and more. 

Call to Action

Envisioning a Better Health Care System for All
This overview paper seeks to answer the question, “What would a better health care system for all Americans look like?’ In a series of vision statements, ACP lays out recommendations for comprehensive reform.

Policy Papers

Coverage and Cost of Care
ACP recommends transitioning to a system that achieves universal coverage with essential benefits and lower administrative costs through two potential approaches.

Health Care Delivery and Payment
ACP recommends that health care delivery and payment be redesigned to support physician-led, team-based care delivery models in providing effective, patient-and-family centered care, and more.

Watch a conversation with the authors of this paper.

Reducing Barriers to Care
ACP calls for ending discrimination and disparities in access and care based on personal characteristics, correcting workforce shortages including the under-supply of primary care physicians, and understanding and ameliorating social determinants of health, and more.


ACP Leaders Urge Consideration of Presidential Candidates’ Proposals for a Better U.S. Health Care System
In an opinion piece published in Annals of Internal Medicine, ACP leadership compares the proposals of President Donald Trump and former Vice-President Joe Biden, to ACP’s comprehensive framework for improving health care in the U.S.

The US Health Care System is Ill and Needs a Bold New Prescription
This editorial from ACP leadership provides background and reasoning about why a new vision is needed to guide the U.S. health care system.

ACP's Endorsement of Single-Payer Reform: A Sea Change for U.S. Health Care
This editorial provides support for single-payer reform and compares U.S. health care to Canada’s health care.

“Original Sin” and U.S. Health Care Reform
This editorial says that leaving any American uninsured is a fundamental failure of the U.S. health care system.

Health Is More Than Health Care
This editorial supports ACP’s push for equitable health care and addresses social determinants of health.

A New Vision for Quality and Equity
This editorial walks through how to measure, incentivize, and improve health care quality and equity to achieve ACP’s new vision.

Additional Resources

Better Is Possible: ACP’s Vision for the U.S. Health Care System
In this webinar, ACP leadership explain specific policy recommendations to change the status quo.

High-level Overview of ACP's New Vision
This document provides a quick reference for discussing the New Vision and can be used as a handout, as needed.

Where Does ACP Stand on Medicare-for-All?
This ACP Advocate Blog post, written by Bob Doherty, ACP Senior Vice President of Government Affairs and Public Policy, clarifies ACP's support of a single-payer health care system.

Join the Conversation

  • Engage on social media by using #ACPVision4HealthCare.
  • Email your thoughts, questions, and suggestions to us at