 Naturalized citizens, on the other hand, generally receive the same level of health care access as U.S.-born citizens, implying that health care usage becomes more available with acculturation.The health care system in the United States is made up of both public and private insurers, with the private sphere generally dominating in providing coverage.Despite this, the federal government remains important given its role in determining public health benefits—for instance, Medicaid, the United States health program for families and individuals of low income.