Regarding health systems, their main objective is to improve health. To do just that requires not only goodness, but also fairness. Goodness can be thought of as a health system responding well to what people expect of it; whereas fairness means it responds equally well to everyone, without discrimination. Obviously, many Americans would disagree that the current U.S. health care system is capable of accomplishing such a feat, which is why health care reform has taken center stage in American politics. Concerning access to health care, while well-placed Americans have primary physicians who are in ...