There are definitely cultural aspects of growth and development for every phase or cycle of our lives. In Chapter 3, the goal of Healthy People 2020 is to improve cost effectiveness of healthcare and the compliance of healthy behaviors by understanding and meeting the cultural needs of Americans. How does cultural competence impact healthcare in regards to the various cultural groups? Is healthcare family centered based on the culture of the group and it’s family structure? Keep in mind that the family is a social system that involves interaction with and commitment to its own group members.