In the USA health inequalities continue to be a problem. In the USA you have to buy private medical insurance from a company. For example, the Blue Cross. This means that people in poverty do not have any medical insurance and so receive very basic medical care. It is estimated that up to 40 million Americans do not have adequate medical cover. This has led to huge inequalities in some parts of the USA which at times can be related to race with black people and the hispanic community being more likely to suffer from poverty and not be covered by private medical insurance.