IntroductionHealthcare reform has been a topic of discussion in the United States since the early 19th century. According to Wikipedia, the first health care proposal at the federal level was the 1854 bill proposed by Dorothea Dix. The bill passed both houses of Congress, but was vetoed by President Franklin Pierce. At the time, the president argued that the federal government should not engage in social welfare, believing it was the states' responsibility (Wikipedia.com). The United States has struggled to develop a comprehensive national health plan for all its citizens. There are many obstacles to pass regarding legislation for a comprehensive plan. National healthcare has been discussed, debated, studied, hoped for and discouraged. Funding a national health plan by the federal government is a tall order. We will try to identify some of the most important factors involved in the national health debate. This article will highlight key facts related to the history of the idea of ​​national healthcare in the United States, attempts to introduce and pass laws. Healthcare reform is a controversial topic in governments around the world, especially with each country trying to create development that establishes good policies and guidelines to ensure medical safety and protection of its citizens. From a general perspective, health care reform is a phrase used to describe major health policy creations, primarily by government policies that affect the delivery of health care within the government's jurisdiction. According to Harrington & Crawford (2004), healthcare reforms attempt to achieve any or all of the following: • Increase the percentage of ...... half of the document ......ds and approaches the Research Triangle Institute. David, A. L. (2008). The development of American public health. Washington: Proquest.Harrington, C. & Crawford, C. (2004). Health policy: crises and reforms in the US healthcare system. New York: Jones & Bartlett Learning. The Washington Post staff. (2010). Landmark: The inside story of America's new health care law and what it means for all of us. New York, NY: Public Affairs. Weissert, C. & Weissert, W. (2006). Governing health: the politics of health policy that governs health. New York: JHU Press. Yeboah, D. (2007). Impact of demographic variables on the demand and supply of healthcare services in the United Arab Emirates. Arabic Studies Quarterly, 29(1): 61-70.Wikipedia.org. (n.d.) Retrieved March 2, 2014, from http://en.wikipedia.org/wiki/History_of_health_care_reform_in_the_United_States