This applies to all nations with America not left out of the list. The system of healthcare provision to the American people is a problem, which was replicated over past generations of the American history and requires the attention of the involved parties. The United States healthcare system is broken down and no one has the idea of how to fix it. Although the country is an economic giant and a superpower, the situation in the health sector is wanting. A fortunate portion of the American population has insurance cover mostly from their employment that covers their healthcare related costs (Liberty, 2012). However, most of the American people are not lucky enough to have healthcare coverage and as a result, they tend to suffer as they lack the essential access to the services. It is this situation that created questions such as “why do we keep using the health care system if it does not work?” “Do we need a universal health care system to act as a single payer and cover the American people in their attempts to get health care services?” These concerns facilitated the drafting of the Patient Protection and Affordable Care Act (PPACA) a United States federal statue that was signed into law on March 23, 2010 by President Barrack Obama. The act commonly referred to as Obamacare or the Affordable care Act (ACA) is the most significant overhaul of the regulations of the system of healthcare of the country since the Medicaid passing in 1965.the ACA established minimum standards in the policies of health insurance (Pipes, 2013). The guaranteed issue in the act the denial of coverage to individuals by insurers based on pre-existing conditions. This means all applicants with the same age and in the same geographical location offer the same insurance premium prices. The act mandates every individual without insurance cover that is from the employer, public or Medicaid sponsored to secure a private-insurance cover unless the individual is in financial constraints or is a member of a religious denomination that is recognized and does believe in insurance covers. Failure to comply makes a person liable to a fine. Health insurance exchanges that will serve as an online marketplace for small businesses and individuals to compare and buy policies should commence operations in every state according to the act. The exchanges will provide subsidies on a sliding scale from the federal government for families and individuals with low-incomes ranging from 100% to 400% of poverty level created by the federal government (Liberty, 2012). The act also expanded the eligibility for Medicaid to individuals and families with incomes going up to 133% of the federal poverty level with the inclusion of a 5% income disregard. The employer mandate subjects employers who do not provide health care insurance to at least 50 employees to a tax penalty if there are provisions of subsidies in health care for full-time employees through tax deductions by the government. The reforms in the system of Medicare payment aim at promoting efficiency in the delivery system of health care through restructuring reimbursements of Medicare to bundled payments and not fee-to-service (Pipes, 2013). It seeks to provide access to Americans to affordable health insurance of high quality while reducing the ever-growing health care bill of the American
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