Date of Award

Spring 2013

Degree Name

Bachelor of Arts


Public Policy and Law

First Advisor

Edward Cabot

Second Advisor

James Hughes


The American health care system is in a serious crisis. We have very high health care expenditures, but receive very low quality health outcomes. It is time for America to address the problems of our health care system head on, starting with the fee-for-service reimbursement structure and the fragmented care delivery system. This paper provides a comparative analysis of the systems in place in France and Japan to draw conclusions about possible solutions for the United States. This paper also discusses successful health care institutions within America and why they work. Finally, the potential results of the Affordable Care Act are discussed.


Senior thesis completed at Trinity College for the degree of Bachelor of Arts in Public Policy and Law.