Problem: The World Health Organization (2021) uses several metrics to determine the level of healthcare quality in each country help. These include process, access, administrative efficiency, equity, and healthcare outcomes. Despite the wealth of the United States, what are the drivers contributing to the low ranking of the US healthcare system? What are the social determinants of health (SDH)? Why are they important? In alignment with the social work profession's mission and core values, what are the fears and hopes for the future of the U.S. healthcare delivery system?