Latest news and features on health and wellness. The story of the American health and healthcare system is one of great strides and pitfalls, from the first hospital in Philadelphia almost 300 years ago to the promise of universal coverage today. The expansion of health insurance coverage through the Affordable Care Act has provided coverage for more than 20 million Americans, but significant disparities remain across racial groups, ages, and geographic areas. Health insurance coverage alone does not ensure access to care or improved health outcomes. Health insurance has become increasingly complex with the addition of new types of plans.