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.

Conversations between immigrant parents and their Americanized children are often difficult conversations to approach. Children are expected to know what they want to do with the rest of their lives from a young age. Sometimes, what the child wants to do does not align with what their parents want them to do. It is hard to approach those conversations about pursuing higher education, especially when the response is an unknown variable. This research study aims to determine how those conversations about higher education were viewed from the standpoint of the young adult child. It investigates young adults whose ages span from 18 to 24 and how those conversations they had when they were younger impacted who they became. Using data collected from twelve interviewees whose gender, age, and ethnicity varied, this study examines specific instances in those conversations about higher education between the young adult and their immigrant parents and the main factors behind some shared experiences. I discuss those factors, as well as limitations within the study, and provide future direction recommendations.