Has it ever happened that America is one of the richest nations, but fails to provide an adequate health care system? The reason why many Americans around us are dying is because they don't have access to health care, because they simply don't have any health insurance. Now, in 2016, news is circulating on health insurance about a candidate Senator Bernie Sanders attempting reform to expand Medicaid; even further, by introducing the option of single-payer health care for all uninsured citizens. With the development of better health insurance, living standards may improve, health care will be more affordable, and annual mortality is expected to decrease; therefore, it should be granted to every citizen. Buerhaus of Economics of Health Care and Nursing mentioned that the family's contribution will then have to be much larger and disproportionate to the income they don't have, which can complicate other money-related issues. . According to the study conducted five years ago, after the entry into force of private health insurance, since the adoption of the Affordable Care Act or Obamacare, 16.4 million uninsured people have had access to a health coverage (Assistant Secretary for Public Affairs). If we have low cost insurance with a high coverage health system, such as single payer qualifying for government funded program; since we will know the real support of health insurance. Although insured citizens pay an additional cost, policyholders do not receive full coverage. Health insurance should be more efficient, with coverage and costs affordable for everyone based on their income level. Single-payer health care must be more affordable for everyone; in addition, it can reduce unnecessary deaths, particularly due to lack of health (David Cecere). The number of deaths per year could decrease if we had single-payer health insurance, with better coverage and affordability, available to all citizens. “There was an old observation: lack of health insurance could lead to deaths every thirty minutes at the Institute of Medicine” (David Cecere). The problem is that uninsured people face higher risks of death than privately insured people; it should not be a priority when it comes to matters of life and death. Since the Affordable Care Act and Obamacare were successful, the number of people who should be insured may increase through single-payer health care, a government-funded program; instead, the costs are borne by citizens. The more people with health insurance, the fewer health-related deaths will be counted each year.