In October 2004, CESR published The Right to Health in the United States of America: What Does it Mean?, a report on how the U.S. health care system falls short of international standards for the right to health. The report demonstrates that the U.S. health care delivery system is structurally flawed in ways that compromise the quality, adequacy, availability, and accessibility of people’s health in the United States. The report argues for a rights-based system of healthcare in the U.S.: instead of reducing medical services to their profitability, a rights-based approach calculates success by the care provided to patients.