The article examines the main problems and disproportions in the US health care system, which were clearly revealed during the Covid-19 pandemic. There were analyzed the main measures taken by the administration of Democratic President J. Biden to overcome the pandemic and his plans to reform health care and health insurance. The author revealed that the market principles of health care and health insurance do not cope with critical situations and are not able to ensure the availability of medical care in the country, and therefore the strengthening of the role of the federal government in these sectors of the economy is necessary for the development of human capital.