There are reports that indicate that the rising US deficit could derail President Barack Obama's healthcare reforms. It has been said that even if Obama's 2010 Patient Protection and Affordable Care Act could not seam through, there are chances that there would be desired level of innovations in delivering medical care and the creation of state health insurance exchanges for extending coverage to the uninsured.

However, there are lingering fears that there could be some roadblocks if the fiscal pressures are not being dealt with utmost perfection. "If the plan is what's on the table now, which is cut, cut, cut - shift the burden to poor people and taxpayers, take away benefits, take away Medicaid coverage - things will get worse", said Dr. Don Berwick, who was once part of Obama's healthcare reforms but was forced to move out as Republicans blocked his Senate confirmation.

It has been known that the Affordable Care Act is solely based to extend healthcare coverage to more than 30 million uninsured Americans, but now it would be under threat from the running crisis.

There is need to bring positive changes in America's $2.6 trillion healthcare system so that incentives could be increased. There has been stern opposition to the law from Republican from the very beginning and had been trying to derail the law since then.

A lot depends on how Supreme Court takes the law that would make all Americans buy insurance followed by what voters think about it when election would be held to control the White House and Congress between Republicans and Democrats.

There are many healthcare officials who are of the say that this law has the potential for a long term impact on healthcare costs and must be given the desired level of support.