This in turn will add to the removal of health and wellness differences, reduction in the size of chronic illness, as well as improvements in diagnosis and lifestyle in those with well established illness. Nevertheless, there is a lack of standardization in the collection of language, race, and also ethnic culture information at the federal, state, and local levels. This absence of standardization develops problem in identifying variations as well as appropriately targeting quality improvement efforts. Studies such as the BRFSS, NHANES, and also NHIS routinely collect self-reported several race data on people, as well as accumulate ethnic background data independent of race.