This article analyzes the controversy surrounding Affordable Healthcare Act and the U.S. Supreme Court ruling, regarding it. Deeply reviews the issues faced by U.S. healthcare system and their effects on budget, deficits and national debt. Compares current scenario with the time when the act will be in full effect. Contrasts U.S. health care system with the other developed countries, in terms of cost, waiting periods and over all healthcare status of population, in different developed countries. Brings into focus the ever growing industry of medical tourism in United States.