CULTURE ~ shared attitudes, values, goals, practices & social norms that characterizes a group of people VALUES & NORMS - INDIVIDUALISM ~ personal independence and self-reliance - FREEDOM & EQUALITY ~ personal freedom and equality under the law - DIVERSITY ~ U.S. is a melting pot of different races, ethnicities, and cultures - PRIVACY ~ belief that individuals have the right to control their personal information, space, and intrusions from others. US GEOGRAPHY'S IMPACT TO HEALTHCARE TYPICAL U.S. ADDRESS ~ Street name - house no. - city - state - zip code *change in address can disqualify member's enrollment, update member address in SSA so they'll be able to re-enroll* 1. Access 2. Competition 3. Health disparities and chronic conditions 4. Medicaid expansion 5. Cost of living STROKE BELT ~ Alabama, Arkansas, Georgia, Indiana, Kentucky, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, Virginia (healthcare costs and premiums in these areas are higher bcos of diabetes and obesity)