Healthcare inequalities refer to the differences in health status or the distribution of healthcare resources in different groups. Health inequalities arise from the social conditions around people; this can be the conditions people are born in, the conditions they grow, and live in, including the work environment where people spend time. Health inequalities bring out unfairness, which the government can work on addressing through different strategies and policies. The leading causes of health inequalities include unequal distribution of wealth, unequal distribution of power, and unequal distribution of income. Over the recent years, there have been a number of reforms in the healthcare sector; these reforms are meant to address the health care inequalities experienced and offer fairness through quality healthcare services to all individuals in the society. Both the federal government and the state insurance exchanges have been involved in the healthcare reforms (Mezzina, 2018). This has resulted in the many healthcare coverage expansions and also the Medicaid expansion in the United States. The health care expansions aim to reduce healthcare inequalities by extending health coverage to low-income earners in America. The reforms additionally aim at narrowing the gap in accessing quality healthcare services between the low-income earners and other Americans. Health inequalities have adverse effects on society in general; this includes social and economic impacts on the affected individuals and society in large. Statistics indicate that every single day, about 16 000 die before the age of five years (Dickman, Himmelstein & Woolhandler, 2017). They die out of health issues that are attributed to health inequalities. Children from poor societies are at a higher risk than children from wealthy families and societies. It is such inequalities that need to be addressed to promote health in all societies irrespective of the residents’ income state. The healthcare reforms aim to change the health framework and how it works to ensure that it is made better for the Americans. The healthcare system in American has a lot of faults in matters of inequality; this has continued to adversely affect healthcare delivery in America hence the need to create reforms that will address such issues (Dickman, Himmelstein & Woolhandler, 2017). However, both the federal and state government insist that healthcare reforms are not issues that can be addressed overnight hence the need to be patient as the reforms continue to unfold. There is a need for ongoing healthcare reforms for various reasons. One of the critical issues that have pushed for healthcare reforms is the need for quality health care services at an affordable cost. Healthcare has been a big concern to most Americans due to the high costs associated with healthcare services. The quality of healthcare has also been a big concern with most Americans insisting on better services from what they have been receiving. This is crucial for improving the health of the entire American population and ensuring all Americans have access to quality and affordable healthcare. There is also a need for healthcare reforms to make healthcare more accessible to the American people. For a long time, healthcare services were not accessible to individuals who did not receive healthcare insurance coverage from their employers (Rotarou & Sakellariou, 2017). A lot of people had no proper knowledge of health insurance resulting in a lot of health insurance scamming and loss of many to a lot of people. Therefore, there is a need for ongoing health reforms to address this issue and make healthcare accessible to all individuals by allowing people to buy health insurance at affordable rates.