In 2009, the U.S. National Health Care Act failed to come to be debated in the house. Under the guidelines this Act would ratify, all medically needed medical care decided amongst physician and patient would be paid for automatically, directly by the Government of the United States. This Act would have called for the creation of a universal single-payer health care system. In place of the Act, the understanding was the way of the Patient Protection and Affordable Care Act (PPACA), which focuses on the growth of the private health insurance market, provide better coverage for those with pre-existing conditions, improve prescription drug coverage in Medicare and extend the life of the Medicare Trust fund and the amendment to this bill, the Health Care and Education Reconciliation Act of 2010. Without the correct access, those who need medical care would have to wait an excessive amount of time to receive the health care they need, and without proper health coverage, a person’s access is extremely limited. Both Medicare, and Medicaid programs effects the health spending growth. In 2014 the national cost for subsides provided to low and middle income people buying coverage through new health insurance exchanges. The national budget developments future increase in health spending based on Medicaid and Medicare generally low rates of growth of health spending in recent years. Most importantly if we believe health-spending growth will remain low, we may be content by letting current cost containment strategies play out. The opponent to these modifications in health care struggled to stir panic in the hearts of Americans by