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On March 23, 2010 President Barak Obama signed the health insurance reforms adopted in the Patient Protection and Affordable Care Act (PPACA), and the subsequent reconciliation bill, which are to be phased in over the next 10 years. Most provisions will not take effect until January 1, 2014. However, some new provisions must be implemented when plans renew after September 23, 2010. The new healthcare reform was passed with strong partisan support and faced significant opposition due to ideological and political differences and the expected outcomes of its implementation. In this presentation the author will provide some background about the American healthcare system and some proposals and ideas to reform the system. Then author will discuss the main theme of Obama’s healthcare reform and some expected positive and negative outcomes of such reform. The Supreme Court rulings on June 28, 2012 on the future of Obama’s Health Care Reform and the Trump Administration effort to repeal the reform will be discussed.