The American health care system remains one of the most highly funded systems in the world but with dismal performance. Since the early 20th century, there has been several government efforts aimed at structuring a health care system that serves the wider public. Unlike other developed countries which have put in place a universal health care system, United States lags behind in provision of affordable, accessible and quality care to its citizens especially those coming from low income areas. Despite several enactments to the constitution, it has become difficult for the country to achieve affordable health care which has remained under the control of the private sector. One of the sweeping enactments which were aimed at changing the landscape of health care system in the United States was the Balanced Budget Act of 1997. However, this act also proved to be one of the most controversial generation political heat and a backlash in the health care system.