Health care prices have continued to consume the national budget, even for individuals, with the cost of health care increasing with rapid economic growth as l Development money was used for health care. National Health Insurance (NHI) costs have gradually increased in the recent past, causing major concern about the impact on individuals, service providers, government, the United States government has adopted the individual approach which is capitalistic in nature, thus encouraging private insurance. suppliers to compete to attract customers (Ubokudom, 2012). Directing and regulating the industry has been almost difficult due to the changing environment, political input and health stakeholders who have required citizens and employers to have a view of the applied costs. The U.S. insurance industry has been influenced by market forces, like any other commercial product regulated by profit-minded players. This article evaluated the different value processes adopted by stakeholders throughout history to determine the current NHI standards. Debates over health reforms have been the main avenue for change over the years, but have failed due to constantly evolving stakeholder positions. The U.S. government has worked to achieve an integrated model of insurance administration that would enhance efficiency and improve access. good administration that controls costs within health care facilities. The Patient Protection and Affordable Care Act of 2010 aims to, among other relevant emerging issues in health care, broadly expand access to health insurance (Ubokudom, 2012); emphasis was placed on cost containment, accountability, high quality coordinated care, comparison with Israel's NHI program gave surv...... middle of paper ...... The right to medical care for citizens' labor groups were divided at that time with the examples of the AFL-CIO, the United Auto Workers supporting the president, but the UAW helping employers pay for health care benefits. resulting health (Starr, 2013). Better working conditions for employees led unions to believe that they could negotiate more for the well-being of their members in the future. This was a mistake because it gave opportunists time to exploit citizens' health insurance coverage. Some lobbying groups, including the American Hospital Association (AHA), Chamber of Commerce, and American Bar Association, favored only private voluntary insurance (Starr, 2013). Unions and businesses developed the employer-based private insurance system that exists today. Political ideologies have prevented the progress of the NHI society. The phenomenon appeared in the period 1960-1965..