The American health care system is radically different from those to which residents of Europe or other continents are accustomed. Despite significant financial investments in health care, the quality of medical services and public health indicators do not rank Americans at the top of the ratings. It is worth saying that for the USA, one of the most developed countries on the planet, there is a unique situation – for a long time, there was no law in the country according to which every citizen should have compulsory medical insurance. In other words, in case of damage to health, the patient paid for services at higher rates.
The Affordable Care Act (Obamacare) was the first major health care reform in half a century to include universal health insurance. The main objective of the restructuring was to help more citizens to obtain health services and medicines through insurance and to obtain a policy even for diagnosed diseases. At the same time, the economic impact of the reform included, in addition to the introduction of compulsory health insurance, an increase in its availability and quality, as well as subsidies for poor citizens.
The creation of accessible medicine implies that a higher flow of patients will be attracted to clinical organizations, but the number of doctors does not change significantly. Furthermore, many people with chronic and, in particular, fatal diseases have required increased care. In other words, Obamacare has generated a situation in which practicing nurses take more responsibility to relieve some of the burdens on the attending physicians.