However , some areas were more affected than others .
Few areas of the US health care system were left untouched , making it the most sweeping health care reform since the enactment of Medicare and Medicaid in 1965 .
Some areas were more affected than others .
Few areas of the US health care system were left untouched , making it the most sweeping health care reform since the enactment of Medicare and Medicaid in 1965 .