RT Journal Article SR Electronic T1 The Unsustainable US Health Care System: A Blueprint for Change JF The Annals of Family Medicine JO Ann Fam Med FD American Academy of Family Physicians SP 263 OP 266 DO 10.1370/afm.837 VO 6 IS 3 A1 DeVoe, Jennifer YR 2008 UL http://www.annfammed.org/content/6/3/263.abstract AB As a family physician, I have become increasingly uncomfortable being associated with the US health care system. While shiny, new buildings go up each day, there is still little movement toward a model that will shore up the crumbling foundation. The current delivery system and financing structures are unsustainable. Inequitable distribution of resources continues, and an increasing number of American families do not have access to adequate care. In this essay, patient stories are woven into a narrative that highlights the magnitude of the problem at multiple levels of the system. My intent is not to compare stories, because we all have patients, friends, and family members who have been affected. The purpose of this essay is to encourage each reader to reflect on his or her own experiences and to present an imperative to lead change.