This upper division course introduces students to U.S. health system and its public health and health care components. The course explores the history of these systems in the U.S., their current status in terms of financing and law, and the role of health policy in system change. The course begins with an overview of the U.S. health care system and a comparison to other systems around the world. We then explore the history of the U.S. system, in terms of its public health and health care components, and its current state, including recent developments in both public health and health care. The course ends with an examination of the role of health policy in systems change. As part of this tour of the U.S. health system, students will learn about the role of government and private organizations in both public health and health care.