Mashandiro Ehutano Hwehutano Hwekutonga Huchasimudza Mitengo Yekutanga Kwako
Sezvo zvirongwa izvi zvinofadza kune vaduku, vanhu vane hutano, kuchinja kunogona kukonzera kukwira kwepaimari yezvirongwa zvakakwana.
Musi waJanuary 11, 2018, hutungamiri hwake hwakabvumira nyika kuti iite basa rinodiwa pavakagamuchira Medicaid. Zvinenge gumi zvinokwidzirwa mvumo iyi. Vachapedza rubatsiro kune "vanogona" vagamuchiri kunze kwekuti vane basa, vatarisi, kana vari kuchikoro.
Icho chidimbu hachizokanganisa 95 muzana yeMedicaid vanogamuchira. Makumi makumi matanhatu kubva muzana vari vaduku kupfuura 18 kana kupfuura kudarika 65. Imwe 25 muzana inoshanda. Vanenge 10 muzana ndivo vane hurema, vatarisi, kana vadzidzi. Izvo zvinotarisirwa zvinokonzerwa nehope yevana vasina mwana vasina kuroorwa avo ACA yakawedzera zvikwereti.
Vatungamiri vakakurudzira nyika kuti ipe vashandisi vanoita imwe Medicaid inoshanduka. Semuenzaniso, nyika dzakabvunzwa kutenga mari yepaMedicaid yavakagamuchira. Zvimwe zvinoda kugadzirisa nguva inogamuchirwa inogona kuwana zvikwereti.
Kunyange zvakadaro zvimwe zvinoda kuongororwa zvinodhaka zvinodhaka.
Kudzokorora kweMandate
Musi waDecember 22, 2017, Mutungamiri Trump akasayina Mutero Wemitemo uye Jobs Act. Inodzokorora mutero weOamacare kune avo vasina kuwana hutano inshuwarisi. Izvi zvinobvisa zvinokurudzira vanhu vane utano kuti vawane inshuwarisi. IC CBO inofungidzira vanhu vane mamiriyoni gumi nemakumi maviri evanhu vanogona kuvhara kugoverwa.
Mari yekuchengetwa kwehutano ichakwira nokuti kuchava nevashoma vanhu vane utano vakabhadhara miriyamu. Utano hwehutano hwekambani huchasiyiwa nevarwere chete.
Kubviswa kwehurumende kunoreva kuti vashomanana vachawana kurapwa kana kurapwa kwezvirwere zvisingaperi. Mamiriro avo achaita kuti ave nehutano hwehutano. Vachashandisa dzimba dzinodhura dzinodhura sezvinofanira kutarisira kunyanya, kutumira mari kune vose. Chimwe chidzidzo chinotaura kuti premium ichakwira pakati pe35 ne94 muzana pamakore matatu anotevera. Zvikamu zveSouth neMidwest zvinotakura zvinokonzerwa nezvikwereti zvemitengo.
Trump's Executive Order Weakens Obamacare
Musi waOctober 12, 2017, Mutungamiri Trump akasayira mutemo mukuru wekugadzirisa Obamacare nenzira shanu. Iko kushanduka kwakatanga kushanda munaJanuary 2018.
Kutanga, mutemo unotungamira Munyori weBasa kuti awedzere ruzivo rwekushandira zvirongwa zvehutano . Iyi ndiyo mitemo yakagadzirirwa kutengesa mapoka, mabhizimisi maduku, uye mamwe masangano. Urongwa hunowedzera marudzi emapoka anogona kuita zvirongwa zvehutano. Iyo inovadzivisawo kuramba kuramba kuvhara kana kurayira zvakawanda kune avo vane mamiriro akambovapo. Izvo zvaizobvumira vanhu pahutano zvirongwa zvehutano kutenga mitemo kune dzimwe nyika.
Urongwa hunozadzisa mushandirapikirwa kuvimbisa mabhizinesi ehutano yehutano kutengesa mitemo mumativi ose enyika. Hurumende imwe neimwe ine mitemo yakananga. Izvo zvinoita kuti zvikwerere kumakambani ehurumende yveshuwarisi kuti aite mune dzimwe nyika dzakasiyana. Somugumisiro, kambani shanu dzinoshumira hafu yevanhu vemu inshuwarisi. Kuwedzera kukwikwidzana kunofanira kuderedza izvi makambani 'simba roga roga uye mari shoma.
Asi hurumende inogona kuita zvakasiyana. Iyo huru makambani ndiyo chete inobatana nemashandiro ekushanda mumigwagwa yehurumende pasi pemutemo wezvino. Kana zvikava nyore nyore kuti vaite kudaro, vangasimudza mitengo. Kunyanya kutyisa ndezvekuti mitemo mitsva haizove yakanyatsorongedzwa. Vatungamiri vaizovadzinga kubva kumitemo yeAgordable Care Act uye kubva kumaresi ehurumende.
Somugumisiro, zvirongwa izvi hazvifaniri kupa zvikamu 10 zvinokosha zveAACA.
Vaizogadzirisa nguva yeupenyu nemiganhu yegore negore. Zvirongwa izvi zvingaita sezvakaitwa pakutanga kwema1990. Vakasiya 398 000 vanhu vane $ 123 mamiriyoni muzvikwereti zvisina kubhadhara .
Kana mutemo uyu watanga kushanda, unogona kukanganisa vanhu kubva kune inishuwarenzi inowanikwa pakugoverana. Vaizoenda kumapurani ehurumende yepasi, kunyange zvazvo vachipa zvishoma. Izvo zvirongwa zveAACA-zvinotenderera zvinenge zvichisimbiswa nevarwere. Izvozvo zvakafanana nekubvunza auto inshuwarisi makambani kuti vatsigire ivo chete vakambova mumatokari emotokari. Izvi zvinomanikidza makambani einishuwarenzi kuti arere mitero kana kuti aende kunze kwekugoverana.
Mutemo wacho unogonawo kuchinja avo vane mapurani anotsigirwa nekambani. IAACA inobvumira vashandi kusarudza chirongwa chekuparidzira kubva chero nyika. Izvozvo zvakanga zvisina basa apo ACA yakaronga zvirongwa zvose kuti zvive nezvakafanana. Asi vashandi vanogona kukwira kune zvirongwa zvitsva vasina zvishoma nokuti vanobhadhara zvishoma.
Chechipiri, utungamiri hweTrump hunokumbira Munyori weBasa kuti asunungure mitemo pamiganhu yehutano kwenguva pfupi . Pasi pe Obamacare, idzi mitemo inogona kuramba isati yasvika kwemwedzi mitatu. Trump inoda kuti vapedze kusvika kumwedzi gumi nemaviri. MunaFebruary 2018, kutonga kwaTrump kwakaronga zvirongwa zvekuisa shanduko iyi kushanda.
Chechitatu, mutemo unokumbira Munyori Webasa kuti abvumi vashandise kushandisa mari yekutengesa mari ye " pretx dollars ". Izvi zvinobatsira vashandi kubhadhara mari ipi zvayo yekurapa. Pasi peObamacare , vashandi vaigona kungobhadhara mitemo yehutano inosangana nemitemo yayo.
Chechina, mutemo unotumira chidzidzo kuti uwane nzira dzekugadzirisa kusunganidzwa mukati meinishuwarenzi uye zvipatara zvezvipatara.
Chechipiri, inotungamirira masangano kuti awane dzimwe nzira dzekuwedzera kukwikwidzana uye kusarudzwa mune zveutano.
Alexander- Murray Plan
Musi waOctober 12, 2017, Mutungamiri Trump akarega kubhadhara vatsigiri vekuchengetedza avo vakagadziriswa zvigadziriswa uye zvikwereti zvemamiriyoni matanhatu evanhu vanowana mari shoma. Hed akatongesa Congress kuti isasarudze mari yekuvhara mari idzi ACA. Chimwe chidzidzo chakaratidza kuti rubatsiro rwakabvumidza makambani einishuwarenzi kuvhara 3.2 mamiriyoni evanhu. Vaizopawo mari yakakwana yekuderedza mari yemari yega yega yega yega 20-40 muzana.
Musi waOctober 17, 2017, Senators Lamar Alexander, R-Tenn., NaPatty Murray, D-Wash., Vakazivisa bipartisan mutengo wekuchengetedza Obamacare kubva mukurwisana kwezvino. Basa raAlexander-Murray ringadai rakaramba richibatsirana kusvika muna 2019. Rakaedza kudzorera $ 106 mamiriyoni ekusimudzira kushandiswa kwehutano inshuwarisi . Vatsigiri vanogona kupa zvirongwa zvinotyisa kune avo makumi matatu kana kupfuura. Yakasunungura zvinodiwa zvehurumende kugamuchira 1332 waivers. Yakaida inishuwarenzi mitemo yekuvhara zvinyorwa zvinokosha zvaOmamacare pasina kuwedzera mitengo yevaya vakambovapo . Alexander-Murray haana kubvumirwa.
Pane imwechete Trump yakamira kubhadharwa, makambani einishuwarenzi akati vaifanira kusimudza premium clients ne20 muzana. Kuti vachengetedze ivo mukutengeserana, nyika inofanirwa kubvumirana nehuwandu inowedzera. Somuenzaniso, Kentucky, Mississippi, neVirginia vakabvuma 25 muzana yehuwandu yekuwedzera. Iyo ACA rubatsiro inogona kuvhara iyo kuwedzerwa kwevanhu vakawanda. Asi izvozvo zvinowedzera kukanganisa. Hurumende yeBongress inofungidzira kufamba kwaTrump kunotora hurumende mari inosvika $ 194 mabhiriyoni mumakore 10 anotevera.
Zvimwe Zvigumisiro zveTrump Kurasika ACA
Trump yakakumbira Congress kuti ipe urongwa hwekushandura Obamacare . Kubvira muna 2017, ivo vakaronga nzira dzakawanda. Hapana mumwe wavo anogona kuwana mavhoti akakwana kuti apfuure.
Musi waSeptember 22, 2017, Mutungamiri weTrump akazivisa kuti yaizovhara kushandiswa kweinishuwarenzi yehutano kwemaawa gumi nemaviri pazuva rokutanga rokunyoresa, kuNyeve 1, 2017. Raizovhara kugoverana kubva pakati pousiku kusvika masikati " yokunyora kusununguka kunze kweDecember 10, 2017.
Mutungamiri weTrump anochera mari uye vashandi vanodiwa kubatsira vanhu kupinda. Inodhura $ 5 mamiriyoni pakushambadzira. Yakatumirawo mitemo yakaipa pamusoro peAACA kuYouTube neIndaneti. Kunyange zvakadaro, vanhu vane mamiriyoni 8.7 vakasainira kugoverwa mumasangano makumi mana nemakumi matatu nematanhatu ekuparadzana kwehurumende. Yaiva mamiriyoni 0,5 pasi pe 2016.
Mutungamiri wenyika anorayira Internal Revenue Service kubvumira vanhu kuti vashandise kana vasina kuwana inshuwarisi .
Mumazuva ake zana okutanga , Mutungamiri Trump akasayira mutemo mukuru kuti "kuderedza mutoro" weOmbamacare . Yakarayira masangano kuti aite zvaaikwanise mukati memutemo uripo kuti asimudze mitemo yeAACA.
Maitiro aTurump Anokubata Iwe
Kana uine hutano, zviito zveTump zvinogona kuderedza mari yako. Chokutanga, iwe hauchafaniri kubhadhara chikwereti pasi peurongwa hwemitero mutsva. Chechipiri, iwe unogona kutenga hurongwa hwenguva pfupi kana yehurongwa hunodhura zvishoma asi hahupi hupi hupi hwe 10 ACA inobatsira. Kana iwe ukarwara, unogona kudarika chirongwa chegore negore kana kuti nguva yeupenyu. Zvino iwe unotofanira kutenga inshuwarisi yeObamacare kune mutengo wakakwirira kwazvo.
Kana iwe uine chirwere chisingaperi, mari yako inomuka. Ndiko nokuti iwe uchafanira kuvimba neAACA zvirongwa zvekugoverana. Sezvo vashandi vane utano vakasiya zvirongwa izvi, makambani achasimudza mitengo kuti varambe vachibetsera.
Mari yehutano yehutano ichakwira nokukurumidza kudarika pasi peBhoamacare. NeAACA, mari yakasimuka yakapoteredza 5 muzana pagore. Muna 2014, vakawedzera 5.3 muzana. Muna 2015, vakasimuka 5.8 muzana. Muna 2007, vakasimuka 6.5 muzana. Kubva muna 2000 kusvika muna 2004, mari yekuchengetedza hutano yakasimuka 7 muzana gore negore. Obamacare akabatsira vamwe vanhu kuwana mari shoma yekuchengetedza vasati vada mari yakakura yekuchengetedza mumba.
Urongwa hwaTrump hunogonawo kuwedzera kune chikwereti. Sezvo inshuwarisi mari inomuka, ndizvo zvichaita mari yekubhadhara mari. Izvo zvinowedzera kukanganisa uye chikwereti .
Background
Kuwedzera kweAACA kwakaita kuti hurumende yebasa rehutano ive nevatengi vatsva. Inopikisa chero kuchinja kunotora vatengi kure. Nokuda kwechikonzero ichocho moga, vanopesana nezvimwe zvirongwa zveTrump.
Mapoka echipatara anopikisa zvirongwa zveTrumps nezvezvikonzero zvakananga. Havadi kuti imba yavo yepamhanho inowedzera kuwedzera. Vanoziva kuti izvo zvaizoitika kamwechete nekuchengetedzwa kwekuchengetedza pasi pekuwedzerwa Medicaid yakabviswa.
Utano hwehutano hwehutano, America's Health Insurance Plans, inopesana chero kuderedza kushandiswa kweMedicaid mari. Shanduro yacho yaizopomera mhosva kune chero chirongwa chavasingatsigiri. Yakaita basa rinokosha pakuumba Obamacare. Semuenzaniso, chaiva chekuita basa romumwe munhu . Makambani einishuwarenzi haazogadzirisa avo vanorwara kunze kwekuti hurumende ichitema kuti hutano hwakabatwawo.
Trump Inopikira Pasingaregi Muzvirongwa Zvemazuva Ano
Muna March 2017, Trump akazivisa kuti aida kubvumira Medicare kutaurirana nemitengo yakaderedza yemishonga nemakambani emishonga. Kuita izvi, Congress yaizofanira kuchinja chiito chakagadza Medicare Part D. Yakarambidza Medicare kubva kutaurirana. Makambani ekushandisa zvinodhaka akati aida kudzivirirwa ikoko kupa mari yekutsvakurudza nekuvandudzwa kwemishonga matsva. ICBC inowanikwa kuti Medicare haizochengetedzi zvakawanda nekukurukurirana. Ndiko kuti makambani ehutano inshuwarano anototanga kuita zvakawanda zvekutaurirana.
Munguva yakapfuura, Trump yakataura pfungwa idzi dzinotevera, asi hadzisi mune imwe yemazano ehurumende.
1. Ramba uine maHirvere uye Social Security mazano anobatsira . Izvi zvikomborero chikamu chebhadharo inotarisirwa . Yakasikwa pamberi peMabasa eCongress uye haigoni kuchinjwa nemutungamiriri wenyika. Zvaisazogadzirisa dambudziko rekuwedzera kwehutano hwekutarisira.
2. Kupa chikwata che "market-based" chirongwa . Trump pakutanga aida kupa mhando yezvisarudzo zvakafanana neHeral Employees Health Benefits Program. Muna 2016, akarayira kuwedzera Medicare. Ndizvo zvaive muhutano hwekutanga hwehutano hwehutano hwehutano . Vakawanda vanopesana nehuwandu hwekushambadzira , kunyanya kana vakaiona sechiratidzo chekusarudzira. Icho ndicho chikonzero chimwe chekukundikana kweHillarycare .
3. Vanoda vatsigiri vehutano kutumira mitengo yemabasa avo . Iko kunobvumira vanhu kutengesa zvakanakisisa kukosha. Mukukwikwidza kunofanira kutengesa mitengo pasi.
4. Bvumira vatengi kutenga mishonga kune dzimwe nyika . Mukukwikwidza kunofanirwa kuendesa pasi mutengo wemishonga
Zvimwe Zvigadziriswa Pfungwa: Kuenda kune dzimwe nyika | Jobs Growth | NAFTA | National Debt
Kuti unzwisise ACA zviri nani, ona bhuku rangu, "The Ultimate Obamacare Handbook."