This session exposes the facts about the state of America's healthcare, facts that are critical for healthcare providers, especially those in technology-based fields like radiology, to understand. First, it revisits and analyzes the documents and statistics often cited as evidence that medical care in the United States is substandard and a poor value relative to that of other countries. Second, it provides evidence to answer the paramount question when considering quality of healthcare, 'Where do you want to be if you are sick?' The facts- as documented in scientific and medical journals- about access to medical care and medical care quality in the most important diseases in the United States are compared with other countries having nationalized health systems often held up as models for US health system reforms. Third, the important components of Obamacare and their impact will be reviewed. Last, specific alternative reforms to reduce the cost and fix the inadequacies of this country's health care without jeopardizing its distinction are outlined.