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Writer's pictureWarren Ray

How to Answer: “What Would You Change About the U.S. Healthcare System?” in a Medical Residency Interview

In a medical residency interview, you may be asked to share your perspective on the U.S. healthcare system and suggest improvements. This question gives you the opportunity to demonstrate your critical thinking skills, showcase your knowledge of the healthcare system, and explain how your personal experiences have shaped your understanding.


Addressing this question requires you to be thoughtful, respectful, and solution-oriented. While acknowledging the challenges, your response should highlight a specific area that can be improved and offer constructive solutions. The goal is not to criticize the system but to suggest meaningful changes that align with your values as a healthcare provider.


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This Blog Will Explore:


  • Key areas to consider when discussing changes to the U.S. healthcare system.

  • Structuring your answer to demonstrate thoughtfulness and professionalism.

  • The importance of aligning your suggestions with your medical experience and career goals.

  • How to address this question if you have international healthcare experience.

  • Providing practical, solution-oriented responses.


Understanding the U.S. Healthcare System’s Challenges


Before answering this question, it’s essential to familiarize yourself with the current challenges facing the U.S. healthcare system. Some of the most common issues include the high cost of care, unequal access, health disparities, and the administrative burden on both patients and healthcare providers. These problems often overlap and have a significant impact on the quality and accessibility of care in the U.S.


For instance, many candidates point to the fact that despite high spending, the U.S. often lags behind other developed nations in terms of health outcomes. This raises valid questions about the efficiency of the system. However, rather than just pointing out problems, it’s critical to propose well-reasoned solutions. For example, if you’ve observed that patients from underserved communities have trouble accessing care, you might discuss how expanding telemedicine services or increasing funding for rural healthcare providers could improve access.



How to answer questions about improving the U.S. healthcare system in a medical residency interview.


Structuring Your Answer


When responding to the question, it’s helpful to use a clear and organized framework. One approach is to break your answer into three parts:


  1. Identify the issue: Begin by acknowledging a specific challenge within the U.S. healthcare system. Focus on one or two key issues that resonate with you personally, such as the cost of care, health disparities, or access to preventive services.

  2. Explain the impact: Briefly explain why this issue is significant and how it affects patients, healthcare providers, or the system as a whole. This demonstrates that you have a deeper understanding of the problem.

  3. Propose a solution: Offer a constructive and realistic solution. This is where you can highlight your problem-solving skills and showcase your vision for improving patient outcomes. Tie your solution to your own medical experience or goals, making it personal and authentic.


Common Topics to Consider


There are several critical areas in the U.S. healthcare system that you might consider discussing. Below are some examples:


  1. Cost and Affordability: The high cost of healthcare in the U.S. is a major issue, particularly for those who are uninsured or underinsured. You could suggest reforms that focus on making healthcare more affordable for low-income populations, such as expanding government-subsidized healthcare programs or reducing prescription drug costs.


  2. Access to Care: Many Americans face barriers to accessing care, especially in rural and underserved areas. Expanding access to telemedicine, increasing funding for community health centers, or incentivizing physicians to work in underserved areas are all potential solutions.


  3. Preventive Care: A greater focus on preventive care can improve patient outcomes and reduce long-term healthcare costs. You might propose strategies to incentivize preventive care practices, such as wellness programs or early screenings.


  4. Health Disparities: Disparities in healthcare access and quality based on income, race, and geography remain a significant challenge. Suggesting initiatives to address these disparities, such as improving health education and increasing diversity in healthcare, can demonstrate your commitment to equality in care.


Example Response


To give you a clearer idea of how to frame your answer, here’s an example:



“One of the biggest challenges I’ve observed in the U.S. healthcare system is the lack of access to affordable care in underserved communities. This is particularly evident in rural areas, where there is often a shortage of healthcare providers, leading to delayed or inconsistent care. I believe that expanding telemedicine services could help address this issue by making it easier for patients to access care, regardless of their location. Additionally, providing incentives for healthcare providers to work in underserved areas could improve access to care and ensure that all patients receive the quality of care they need. My experience working in community clinics has shown me the importance of accessible healthcare, and I’m committed to finding solutions that reduce disparities in care.”

This response identifies the problem, explains its significance, and offers a practical solution, while also tying it back to the candidate’s personal experience.


Master the Conversation


As you prepare for your residency interview, it’s essential to think critically about the U.S. healthcare system and form a well-rounded opinion. Remember, your answer should be constructive and focused on solutions. By preparing in advance, you’ll be able to present a thoughtful and insightful response that demonstrates your knowledge of the system and your commitment to improving patient care.


If you want personalized guidance to craft your answer or need help refining your interview skills, OmniInterview can provide one-on-one coaching tailored to your needs. Book a Discovery Session today and let’s work together to ensure your interview is a success!


Five Title Options:


1. How to Answer “What Would You Change About the U.S. Healthcare System?” in Your Residency Interview

2. A Guide to Discussing U.S. Healthcare Challenges in Medical Residency Interviews

3. Answering Residency Interview Questions About the U.S. Healthcare System: A Step-by-Step Guide

4. Structuring Your Answer to “What Changes Would You Make to the U.S. Healthcare System?”

5. Tackle the U.S. Healthcare System Question with Confidence in Your Residency Interview


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