Kudzokorora kwezvinhu zvisingakwanisi kutarisira basa (Obamacare)
Chii chiri kuitika: Vatungamiri veC Congressional vari kutaura pamusoro pekugadza mutemo pakati pemwedzi waFebruary unogona kubvisa ACA, asi iyo fomu ipi iyo inodzingwa inogona kutora hairi pachena.
Karen Pollitz, mukuru pamwe chete naKaiser Family Foundation, vanoti zviri pachena kuti "zvinoda kuti vanhu vawane inshuwarisi yehutano uye izvo zvinoda kuti vashandi vakura vaupe" zvichange zvabviswa pakarepo, apo zvimwe zvidimbu zvemurairo zvicharamba zviripo kusvikira sangano rinotsiviwa rinogamuchirwa. Ukuwo rumwe rutivi, Devon Herrick, nyanzvi yezvehutano hwehutano paNational Center for Policy Analysis, aongoronga kufunga tank, anotenda kuti maRepublicans acharamba achichenjerera. "VaRepublican Republic havagoni kubvisa Obamacare pasina rubatsiro rwemauto masere kana gumi," anodaro.
Zvinorevei kwauri: Kana uye iyo apo ACA yakabviswa, vanhu vane hutano panguva ino vari kutenga inshuwarano yehutano vanofunga kuti mutoro unorema unogona kuderedza kugoverwa kwavo pasina kupiwa mhosva. Zvichienderana nehuwandu hunoita, kuwandisa kwevanhu vasina-avo-vane hutano pane inshuwarano yehutano huchaita kuti vatungamiri vezvehutano vawedzere kuwedzera mitengo yavo.
Pakazosvika 2018, nyanzvi dzinofanotaura kuti makambani mazhinji einishuwarenzi angangobva kubva pamusika.
Iwe unogona here kuita chimwe chinhu kugadzirira? "Izvi zvakafanana nekugadzirira kwechando - zvinogona kuwira kana kuti hazvisi," anodaro Pollitz. "Vanhu vakanakisisa vanogona kuita ikozvino ndeye kugoverwa kwavanowanikwa kune avo vaine kodzero yekubhadhara uye mari yekubatsira [nenzira yebatsiro] ivo vane kodzero yekuita pasi pemutemo wezvino."
Kudzorerwa kweAACA
Chii chiri kuitika: Zvirongwa zvitatu zvakasiyana zvekutora chikamu cheAACA zvakatenderedzwa nevatungamiri vePublican party uye Congress. Imwe hurongwa inobva kuSenators Richard Burr (R-NC) uye Orrin Hatch (R-UT), uye Congressman Fred Upton (R-MI); imwe inobva kuPamba Mukuru Paul Ryan (R-WI); uye chechitatu inobva kuCongressman uye HHS Nomumwe Tom Price (R-GA). Hatizivi chaizvo kuti chirongwa chekugadzirisa chinenge chichiita sei, asi pane zvimwe zvinhu zvakajairika.
Zvinorevei kwauri: ACA yakaratidza pfungwa ye "hutano hunobatsira" - huwandu hwehurumende hunobatsira hunofanirwa kupiwa neurongwa hwehushandi hwehushuwarisi - kusanganisira mabasa ehutano, hutano hwepfungwa, kutarisira pamuviri, mishonga yemishonga uye kuberekwa. Zvitatu zveRepublican zvigadziriswa hazvirevi rudzi urwu rwehutano hunobatsira, kuitira kuti iwe unogona kurasikirwa nezvinhu zvakasiyana zvehuwandu hwako, uye dambudziko rinogona kukonzera mari yakakwirira yepamusoro-soro nekuda kwezvikwereti zvakakwirira.
Kune rumwe rutivi, iwe ungangodaro uchibhadhara mari yepamwedzi yepamwedzi kubva pakuvhara kuduku kunodiwa, uye iwe haungamanikidzi kubhadhara kugoverwa kwausingafungi kuti iwe unoda kana kubhadhara chirango kana iwe ukasununguka. IAACA inoratidzawo kuti vatengi vanogona kudii kubhadhara kuburikidza nekubviswa kwavo, uye zvirongwa zvitatu izvi zvinopedza zvigaro zvekugoverana mitemo.
Izvo zvinogadziriswa zvirongwa zvinokurukura kuchengetedza mamiriro ezvinhu akagara akambovapo, asi chete kune vanhu vanogara vachichengetedzwa-kureva kukanganisa kungareva kurega kana kubhadhara mitengo yakakwirira. Pakupedzisira, vazhinji vemamiriyoni 150 eMamerica pasi pezera remakore makumi matanhatu nemashanu nehutano hwehutano huchiwana basa, "anodaro Pollitz. Asi chimwe chimiro chezvikwereti zvitatu izvi zvinogona kupedza kana kupedza kubhadhara mitero iyo hurumende inopa hutano hwehutano hwevashandi. Izvozvo zvinogona kutungamirira vatori kugura kana kupedza zvikomborero kana kuchinja zvakanyanya mutoro unorema kwauri.
Kukwanisa Kupiwa Mhosva
Chii chiri kuitika: Mugovera waMeyi, mutongi wehurumende akatonga-achifarira House Republicans - kuti Obama kutonga pasina mari mari iyo Congress yakanga isina kumbobvumirwa kubhadhara chikamu cheAACA. Mari iyo yakabhadhara yaiva yekubhadhara mari-kubhadhara mari yekuderedza mapepa uye kubhadhara kune vanyori vanobhadhara mari; vanenge 60 muzana yevanhu vari mumusika iye zvino vanovagamuchira.
Hezvino maitiro aya ave achiita sei mukuita: Iti iwe unotenga chirongwa che "sirivha" (ine deductible ye $ 2,000 kana $ 3,000 pamunhu). Iyo kambani yeinishuwarenzi inokutengesa kwauri pamutengo iwoyo, asi inogumbura mapurogiramu epurogiramu kumusoro (kune avo zvakafanana kune imwe yegoridhe kana kuti platinum level), uye hurumende inobhadhara kambani yveshuwarensi kumashure musiyano. Vakasarudza kuita basa iri, Pollitz anotsanangura, nokuti inenge iri musoro wehurumende kunyora cheki imwe chete nguva dzose kuenda kwachiremba kana kuti maitiro aitwa. "Makambani einishuwarenzi ari kukutengesa Cadillac pamutengo weGolkswagen uye gare gare inotorazve hurumende," anodaro Pollitz.
Asi mutongi akabvuma kuti Obama hurumende haina simba rekubhadhara makambani einishuwarenzi ndokuraira kuti hurumende irege. Mutongi akarega kurongedza - kureva kuti haisi kushanda - ichimirira kukwidza, uye nguva yekupedzisira yekudarika iyo chikumbiro musi waFebruary 21. Kana chibvumirano chacho chichiri pamutemo chikwanisa kusvika kuDare Repamusorosoro mumakore anoda kusvika maviri.
Zvinorevei kwauri: Kana kutonga kwasimbiswa, makambani einishuwarenzi mumusika aigona kungofanana-vangadai vachirasikirwa nemari nokukurumidza nekuda kwekuti ivo vaizopa zvirongwa zviri nani zvekudhura mari uye hazvizobhadharwi. Somugumisiro, vanogona kuwedzera mahara avo kana kusiya misika pamugumisiro. Congress inogonawo kusarudza kukodzera mari yacho, asi iyo inewo zvinetso zvayo. Uye, Herrick anoti, chirevo ichi chinogona "kushandiswa sechinhu chakanaka kana zvichiitika pakuwana chirongwa chekugadzirisa."
Medicare Reform
Chii chiri kuitika: " Donald Trump atoti haadi kuti chero ani zvake agunise Medicare," anodaro Joseph Antos, nyanzvi yehutano hwehutano paAmerican Enterprise Institute. "Handioni chero kuchinja kukuru kwepurogiramu yaMedare , asi ndaigona kuona zvimwe zvigadziriswe zvine chokuita neMedare Advantage ." Vanopfuura 30 kubva muzana veMederal beneficiaries vari pari zvirongwa zveMedare Advantage pachake. Antos anofunga kuti kuchinja kwakagadzirwa nehutungamiri hutsva kunogona kukurudzira makwikwi kuburikidza nekubhadhara mari-ye-service Medicare zvirongwa (izvo vanhu vakawanda vanozonyora mubasa racho pavanosvika 65) zvakananga kushandiswa nemazano ekurapa Medicare Advantage.
Zvinorevei kwauri: Kunyanya kukwikwidzana kunowanzounza hutano hwakanaka. Uye kana iwe ukasarudza kuenda neMurongwa weMedare Advantage, zvingave zvakanyanyisa kutarisa kutarisira kwaunowana, Herrick anorondedzera. Asi pane zvingave zvishoma zvingatarisirwa zvikwereti - uye chirongwa chinogona kuva nyore kunzwisisa.
Medicaid
Chii chiri kuitika: Medicaid ikozvino inotungamirirwa nehurumende uye yakabhadharwa nehurumende dzose uye federal government. Nyika inopa zvikwereti kune hurumende, uye hurumende inowedzera kana kuti isina kupa zvichienderana nehurumende. Somuenzaniso, mune dzimwe nyika dzakashata seCalifornia neNew York, hurumende yehurumende inobhadhara chikamu makumi mashanu pamadhora. Munyika dzine urombo, Alabama kana Mississippi, hurumende yehurumende inowanzosvika pamasendi makumi manomwe, anodaro Antos.
Ihu hutsva hutungamiri hunofanirwa kupa humwe humwe humwe hutengo huripo hwemari - nzvimbo yekubatsira - inotarwa nehuwandu hwevanhu. Izvozvo zvinopa hurumende huzhinji rusununguko rwekuita zvirongwa zvavo, asi panguva imwechete inoisa kumanikidzirwa kuti vasimbise mari. Chimwe chezvinhu izvi ndezvekuwedzera kweMedicaid. Makumi makumi matatu nemaviri anotaura (kana iwe uchiverenga DC) yakawedzera purogiramu pasi pe ACA, ichiwana 100 muzana yekubhadhara kwemakore mashomanana, uye 90 muzana ikozvino. VaRepublicans vangangoderera zvakaderera iyo peresenti, zvinoreva kuti mamwe mazwi aizodzokorora zvakare purogiramu yavo yekuwedzera - uye vamwe vanhu vangarashikirwa nekukodzera.
Zvinorevei kwauri: Pasi pemari yepurogiramu muhurumende imwe neimwe zvinoreva kuti zvingave zvisisati zviri nyaya isina kumira kuenda, ichiti, nzvimbo inoparidzirwa pakati peusiku, anodaro Antos. Vatsigiri vangave vakamanikidzwa kuita zvisarudzo zvisingabatsiri, sekuita kugadza kuti vaone vanachiremba mumakiriniki, pane ER. Vamwe vabatsiri vanogonawo kurasikirwa kukodzera zvichienderana nesarudzo imwe neimwe yehurumende pamusoro payo purogiramu yekuwedzera kwayo. Uye sezvo mitemo ichange iine hurumende-ne-nyika, anodaro Herrick, hurumende dzehurumende dzinogonawo kubvisa kukodzera kwekutadza mitemo yehurumende, sekusabhadhara mari yekubhadhara panguva.
NaHayden Field