The book focuses on healthcare policies under the Clinton, G.W. Bush Junior and Obama administrations. It examines the major legislation adopted at the end of the XX and the beginning of the XXI century. The author analyses the role of the federal government in the evolution of the healthcare system. The book examines economic, social, and financial context of the major decisions in this area. It also deals with politics and debates of healthcare reforms. The book’s major focus is on the failure of the healthcare reform under the Clinton administration and the historic significance of the Obama’s healthcare reform. Research of the international experience of healthcare reforms, including those in the Unites States, is important for designing and implementing efficient policy in this area in Russia.