Kammala jumla mai zuwa: Yayin da muhawarar kiwon lafiya a Amurka ta kai saman "ajandar manufofin cikin gida" na Amurka a lokacin
Gasar shugabancin Amurka ta 2008 tare da haɗuwa da "farashin farashi" a cikin tsarin kiwon lafiya da kuma karuwar yawan jama'ar Amurka ba tare da inshorar lafiya ba saboda asarar aikin yi a lokacin koma bayan tattalin arziki, abin da ake kira "al'umma" tsarin kiwon lafiya na Kanada - tare da jerin abubuwan da ake jira na dogon lokaci - ya zama wata hujja ta Jamhuriyar Republican game da sake fasalin kiwon lafiyar Obama. The Huffington Post ya bayyana shi a matsayin "American siyasa na Kanada kiwon lafiya". A 2009 "Huffington Post" labarin, ya bayyana yadda Amurka kamfanonin inshora sun damu da cewa ba za su zama kamar riba idan ya kiwon lafiya da sake fasalin da aka aiwatar.