As compared to the most of European nations where healthcare insurance is compulsory, the United States of America has not implemented the compulsory healthcare insurance. In the USA, there were no proposals which were implemented for the purpose of compulsory health care insurance(Long 2009). The country at the present moment has a well-developed and enhanced private health insurance system. A possibility to choose the most appropriate insurance plans is rendered by the voluntary health insurance plans. Americans physicians protested at the time when this system was implemented in some of the European nations; they were against this system as it would result in an interference in the incomes.
A significant role has been played by American Medical Association (AMA) in refusing any kind of attempts which have been made to nationalize the system of healthcare in the USA. It was insisted by the opponents of AMA that the healthcare programs must be nationalized and it was because of the same that in this filed Medicare has become the first success. It is the first program to belong to the category of unified national state programs which render funding for healthcare of the elderly individuals(Gruber 2002). For those who stood for the application of the unified healthcare system which was sponsored by the government, Medicare became the first success. The years of private healthcare at the same time has proven that this system to be rather effective. In order to reconstruct this kind of system and also to formulate a system which only has one player, it would require much effort and time. There is a possibility that private firms will make a fierce resistance to any changes as they control healthcare system at the moment. If the US switches to single player system them they would lose their income. All essential medical aid to every citizen of the nation in such a system. One of the biggest example of this is Canada where this model has been very successful. In USA, the universal single player program (Medicare) has been very effective.