Chapter 3 - the politics of health care in the u. s. Modern american health care system forged by political choices. Every presidential administration in the past 80 years has proposed major changes in health policy. 3 main dimensions of the u. s. health care system. Reliance on the private market; government subsidizes care for the least well-off. Mixture of government-run care for low-income residents with a private system. Treatment and payment are managed by different collections of institutions. Government-provided care (e. g. , veterans health administration, state and local governments run public clinics and hospitals for those who can"t otherwise afford care) 70% nonprofit - universities, religious institutions, charities, nonprofit networks. 30% for-profit - drug industry almost entirely private; in other countries the government purchases and distributes prescription drugs. U. s. system lags behind almost every wealthy nation in health outcomes but leads the world in health innovation. President truman called for universal coverage; congress buried the issue.