In this election year, affordable health care is among the top issues for voters. Recognizing the need for action, the Republican and Democratic nominees have made health care reform a centerpiece of their respective presidential platforms. Each believes his approach will work best to expand health insurance coverage, reduce costs and improve quality for the world’s most costly health care system. Of greatest concern are the 47 million Americans without health insurance—half of whom are minorities. As the U.S. grows more racially and ethnically diverse, so, too, does the significance of disparities in chronic disease rates, shorter life spans and access to affordable, high quality health care. High uninsured rates and racial/ethnic disparities are the primary reasons why the United States lags behind the world’s most developed countries on most indicators of health status.