From the Obama administration’s health care reform legislation to now，it has been four years，but the prospect of its reform is still uncertainty，and controversy continues all the time. China，as the biggest developing country in the world，is also facing the serious challenge of health care reform. The Obama administration’s health care reform provides a good reference and revelation for our country，systematically analyze the Obama administration’s health-care reform，summarize its success and failure，on the basis of combining the situation of our country’s reality，will help the further health care reform in China avoid detours.