- My study of universal healthcare was motivated by the juxtaposition of social welfare and self-interest in the United States. Unlike most other industrialized countries—whom have adopted either a multi-payer or single-payer system of universal healthcare—the United States is situated uniquely, from both a philosophical and political standpoint. Among others, it was Adam Smith who emphasized the importance of rational self-interest in a capitalist economy. It is fascinating to consider universal healthcare in the United States because of our fixation with self-interest at the expense of the common good, and in which cases it is appropriate. Consequently, the United States has created a social safety net to accommodate for certain human rights, but not all. This thesis examines the intersection of the American politics and universal healthcare. Adam Smith’s ideology played a crucial role in shaping our system of governance, and it was my goal to better explain why providing an adequate standard of medical care, as a right, to every American is not the current practice, and why it is impractical this is the case. After review of existing literature, I also concluded a multi-payer universal healthcare system is the most practical path forward for the United States.