An 11-nation survey from The Commonwealth Fund returned results indicating that adults in the United States are more likely to go without health care because of cost than adults in 10 other industrialized nations. The survey also indicates that US adults have greater difficulty paying their medical bills, encounter higher medical bills even when insured and have disputes with their insurers more often over unpaid services. Reportedly, one-third of US adults went without recommended care as compared with 5 to 6% of adults in the Netherlands and UK. One-fifth of US adults had problems paying their medical bills versus 9% in France and 2% in the UK. The findings of the survey are discussed in a new Health Affairs “Web First” article which highlights the needs for healthcare reform and the Affordable Care Act.