For almost fifty years following the launch of "Ronald Reagan Speaks Out Against Socialized Medicine," there was a persistent struggle in America against government-controlled healthcare, which Reagan warned would undermine freedoms. Despite attempts by leaders like Jimmy Carter in the 1970s and Hillary Clinton in the 1990s to implement healthcare reforms, they ultimately did not succeed.

In 2010, however, President Barack Obama managed to push through the Affordable Care Act, commonly known as Obamacare, despite significant public opposition. This was possible due to narrow support from a Democrat-majority Congress, marking a pivotal moment in the ongoing debate over healthcare in America, as highlighted in Ted Cruz's book, "A Time for Truth: Reigniting the Promise of America."