In today’s society, public perception of the U.S. health care system is widespread. Many people are satisfied with the advancements that we have made in the medical community. Less than one hundred years ago, health care was non-existent. Today, it is one of the leading industries in our country and worldwide. However, many people criticize where health care is going. They believe that doctors are giving up quality care and replacing it with the quantity served. This paper will describe the changes that have occurred and are occurring in the US health care system. Beginning with the health care environment, we will see that although we are downsizing some subdivisions, at the same time we are increasing access to health care by providing a variety of different services. Next, the rapid increase in medical insurance since the mid-1900s will be discussed. Medicare and Medicaid were created under the Social Security Act. Since then, medical care to elderly and to the poor in our community has improved drastically. Finally we will discuss why the public perception of a growing medical community is sometimes negative. There are steps that need to be taken to keep the pace of change in our health care system to match the changing needs of our community.