This is very bright representation of the achievements related to the Affordable Care Act in the U.S. or so called Obamacare formally written by the current U.S. President Barack Obama. Two options were argued then: 1) Obama is a not a scientist, and is that all right to publish such an article at the scientific journal (http://www.latimes.com/opinion/op-ed/la-oe-berezow-hartsfield-obama-jama-20160718-snap-story.html) in sense of the integrity of the research community?! I would also remind that few U.S. senators are used to be and prefer to publish their papers not in JAMA, but in N Engl J Med in very similar fashion. This is a point when Politics invades the Advocacy and Science. One-sided commentary is perfectly fine for the campaign trail, but it has no place in a scientific journal. Frankly, this report was accompanied with few Editorials to set it up in scientific manner, and I believe it was perfectly harmonized. To me personally, this anti-Obama comments look very exaggerated, but what is the truth that the scientific community was generally irritated talking about scenario of the peer-review evaluation for such a paper and copyright. Another question - can JAMA reject such a paper? Well, this is truly multi-dimensional issue, and position of JAMA must be endorsed by the U.S. scientific biomedical community, I trust. 2) New President-Elect Donald Trump has an idea to degrade the ACA. But why?! Trump would literally repeal it (https://www.donaldjtrump.com/positions/healthcare-reform), and believe that politics of Obama "has tragically but predictably resulted in runaway costs, websites that don’t work, greater rationing of care, higher premiums, less competition and fewer choices. " Trump proposed: A. Completely repeal Obamacare. No person should be required to buy insurance unless he or she wants to. B. Modify existing law that inhibits the sale of health insurance across state lines. C. Allow individuals to fully deduct health insurance premium payments from their tax returns under the current tax system. D. Allow individuals to use Health Savings Accounts (HSAs). E. Block-grant Medicaid to the states. F. Remove barriers to entry into free markets for drug providers that offer safe, reliable and cheaper products. Well, let's look at the Trump's America in the near future. Reforms of Obamacare and generally of the U.S. Insurance System were urgently required and most probably Trump has a real chance to upgrade the System.