The United States healthcare system does not perform as well as other countries including Germany and England, despite spending the most money on healthcare. It is well-established that there have been attempts at reform in the U.S. healthcare system multiple times in the past. This research paper describes the health care systems in the U.S., Germany, and England to analyze the strengths to create practical healthcare reform ideas for the U.S. This was done by describing each of the country's health care systems in detail, including the history of each country's health care system, the quality of care, the access to care, and the funding of the health care system. Based on this analysis of these health care systems, recommendations for health care reform are provided for the U.S. with revisions to the Affordable Care Act.

COVID-19 has been challenging for nearly everyone in different ways. Healthcare organizations have had to quickly change policy, modify operations, reorganize facilities, hire, and train staff to overcome COVID-19 related challenges to be able to still provide care for patients, all while being mindful of the protection of their staff. Some healthcare organizations have responded particularly well, perhaps due to preparedness, planning, or exceptional leadership in times of crisis. To explore this, we invited seven healthcare system leaders from three different organizations in Arizona to talk about how they overcame challenges at the beginning of this pandemic with effective strategies and any leadership tips they had for the future. After the interviews were conducted, the interviews were transcribed, coded qualitatively, and separated into themes and categories to analyze their answers to the questions asked. The results and conclusions included strategies such as having open and honest communication, teamwork, rapidly developing communicating policies, and widely adopting new work practices like Telemedicine, Zoom, and working at home as crucial. This report is designed to assist in aiding and inspiring future or other leaders to be better prepared for solving various challenges with other emergencies that arise in the future.

It is estimated that about one in six children aged 3 to 7 have one or more developmental disabilities (DD) in the United States. These conditions can include ADHD, cerebral palsy, Autism spectrum disorder, vision impairment, hearing loss, learning/intellectual disabilities, and other developmental delays. Many children with developmental disabilities are also at a higher risk of being undernourished or lacking nutrition. Inadequate nutrient intake, feeding problems/disorders, and motor dysfunctions associated with DD are often related to poor nutritional status. However, there are many other social factors, that are often overlooked, which can contribute to the overall poor nutritional status of children with developmental disabilities. This thesis aimed to take a holistic look at the physical, environmental, and social determinants of health that affect the nutritional status and mealtime success of children with developmental disabilities using an intersectional approach. The research also includes a synthesis of interviews collected from parents of children with DD, social workers, occupational therapists, and speech and language therapists in order to survey what challenges children with developmental disabilities face during mealtime, nutritional challenges from parents/professionals, and assessment of nutritional programs available in the community.