If you work within the health care system in the U.S., you will be working in the only developed country that does not provide universal health care for all of its citizens. Roughly 10 percent, or 30 million, Americans don’t have health insurance. The belief system in the U.S. is that health care is a privilege and not a right. All other developed countries believe that health care is a right for all citizens. The conflict theory, a macro theory based on class struggle and exploitation, addresses the reasons behind the large number of uninsured Americans. This theory views the U.S. health care system as a capitalistic model that seeks profit over the greater good of all citizens. In Chapter 14, you will read about the medical industrial complex, the multi-billion-dollar enterprise consisting of doctors, hospitals, nursing homes, insurance companies, drug manufacturers, and hospital supply and equipment companies, that you will likely work within. The foremost goal of these corporations is to be profitable and increase their market share. The health care industry is a lucrative business. In 2015, the CEO of Regeneron Pharmaceuticals earned $47 million and the Cigna Health Insurance CEO earned $17 million. The Marxian conflict theory describes capitalism as a system that creates haves and have nots, exploitation, and a struggle for scarce resources. The health care system is not immune from these characteristics. The conflict theory argues they have become deeply embedded within the social structures of our nation.