The American healthcare system is in a state of crisis, and through it, the ethical protocols of the medical profession have been called into question. The 50.7 million uninsured Americans, the rising cost of insurance for individuals and small businesses, hospital inefficiencies and scandals, and the ambiguous relationship shared by the legal and medical professions have made healthcare delivery increasingly difficult for neurosurgeons and other medical professionals to perform their jobs. By scrutinizing the current status of the healthcare system with an understanding of ideals, ethics and the realities of America’s healthcare crisis, adjustments can be made and the integrity of the medical profession can be maintained.