The private sector is made up of hospitals which are privately sponsored by an organization or an individual. The health care system is a composition of profitable and non-profitable individuals. This paper will look at the quality of healthcare delivery systems in the United States. The government in the US is in charge of insurance and the health care delivery systems. The insurance payment systems are under standardized; this affects the nature of quality patients receive. In addition, the healthcare system is controlled by different individuals. Hagan and Encinosa (2008) noted that sectors which are private are in charge of health care delivery, insurance, and payments. Furthermore, it offers largest insurance covers, services involving payments and health care delivery. Most employees have health insurances from the private sectors as well as individuals who have medical insurance, and they are attended to by private health facilities. Citizens who are classified as low-income individuals have access to the government’s health insurance policies. As a result of the steep competition between the public and the private sector has made it hard for individuals of a nation to access health care. For instance, both the insurance services and the health care costs are high. Due to this, the government offers health care services to its citizens through public county clinics and government hospitals (Hagan & Encinosa, 2008). In spite of citizens in the US paying extra for their health care, the US has been ranked last on various measures of performance in the health system compared to Canada, Netherlands, Australia, Germany, United Kingdom and Germany. The US is sixth when it comes to health accessibility, quality, efficiency as well as ability and equity of its citizens to depend on. Furthermore, the US stands out of acquiring good health care dollars in spite of having room for its improvement for her to be ranked last in the health care levels after spending $7,290 per capita in the year 2007 compared to Netherland which spent $3,837 per capita and was ranked first. However, it has been stated that US citizens often get sick compared to other industrialized countries hence spending more for their health care services and they do receive through treatments (Live Science Staff, 2010) In addition, patients in the US with chronic diseases do report to have been received wrong medication or medication doses which are wrong, and are delayed to know or be notified of their medical results which are abnormal. The US is ranked last in her efficiency are as a result of low level on administrative expenditures, utilization of information technology and re-hospitalization. On the other hand, adults in the US with chronic diseases do visit the department of emergency rather than see a regular doctor who can treat them compared to patients in Germany and Netherland.