Nhoroondo yeBBC pamusoro pezvikwereti zveAmamacare, Kuchengetedza uye Kushanda Pfuma

Ndiani Chaizvo Anokonzera Obamacare?

Dare reBongress reBongress rakarondedzera kukanganiswa kwevarwere mukudzivirirwa uye kuchengetedzwa kwezvakagadziriswa mutemo muna 2010 muna March 2010. Gwaro reBBC rakapinda mitemo miviri yakagadza ACA. Yakarongedza Murwere Kudzivirira uye Affordable Care Act (Mutemo 111-148) uye Health Care uye Education Reconciliation Act (Mutemo 111-152).

Gwaro reBodO rinoti ACA yakaderedza kusara kwebhajheti ye $ 143 mabhiriyoni kubva muna 2010-2019.

keptics yakati purogiramu ye $ 940 mabhiriyoni yakawedzera mabasa aisagonawo kuchengetedza mari. Asi zvizhinji zvekuchengetedza ndezvokuti Obamacare akave nechokwadi kuti 95 muzana yevagari vemuUnited States vane inshurensi yehutano hwehutano.Itakaderedzwa mari yekuchengetedza hutano nekuita utano hwekuchengetedza hwekuchengetedza huripo hwemamiriyoni makumi maviri nematatu vasina nhuwarisi. Havana kuzofanira kumirira kusvikira chirwere chavo chikava chakanyanya kukanganisa zvokuti vakashandisa chipatara chemapurisa chinotarisirwa semugove wavo mukuru wekutarisira.Akatadzisa kuwedzera kwehutano hwehutano hwehutano hwevanhu vose.

Obamacare mitero nemimwe mari inobvisawo mari yepurogiramu. Heano chidimbu chezvinhu zvose izvo ACA yakachengetedza mari.

Kuderedza Mishonga YeMedare ne $ 335 Bhiriyoni

Gore roga rega, Medicare inobvumirana nezvimwe zvikwereti zvekubhadhara kwehupfumi hwehutano kune vanopa utano hwehutano. Kuvandudzwa kwegore negore kwakaderedzwa ne21 muzana, kuchengetedza $ 196 biliyoni. Mapoka echipatara akabvuma kusiya chikamu che $ 155 mabhiriyoni.

Vaitarisira kuita $ 170 mabhiriyoni nekubata varwere vashoma vasina kuvimbiswa.

Imwe $ 136 mabhiriyoni yakave yakachengetedzwa kuburikidza nekuderedza kuwedzerwa kweMedare Advantage. Iri urongwa hwehutano hwehutano hunofukidza mumwe wevashanu vakura. Medicare Inobatsira mari inodarika 13 muzana kupfuura yaMedare. Kuponesa kwakatanga muna 2011.

Chengetedza Mahomwe Akawedzerwa Kumakambani Emishonga Net $ 107 Billion

Makambani ekushandisa zvinodhaka aizorayirwa mari yakakwirira kuti abatsire kuvhara "munharaunda" mu Medicare Prescription Drug Part D zvigaro. Medicare yakangobata $ 2 840 yekutanga muzvinodhaka zvinodhaka zvinodhaka. Pamberi paObamacare, murwere akabhadhara chikamu chezana kubva ku $ 4,550, mushure mokunge Medicare yakavharwa zvakare zvakare. IAACA yakabatsira kubhadhara mari yebato remari: $ 250 murwere muna 2010, 50 muzana muna 2011, uye 100 muzana muna 2020.

Imari yezvemishonga yekambani yezvinodhaka yakarongedzwa kuwedzera $ 84.8 mabhiriyoni mumari inopfuura makore gumi. Vakatsigira mari yekurapa mishonga, kuchengetedza Medicaid $ 38 bhiriyoni.

Imposesa Mutengo Wemitero Pamusoro Pepamusoro Yemainishuwarenzi Plane Wedzera $ 32 Billion

Muna 2018, makambani einishuwarensi achabhadhara 40 muzana yemadhora emitero pazvinonzi "Cadillac" yepamusoro-purogiramu yemishonga inshuwarano yehutano.

Mutero Mukuru-Imari Mhuri Wedzera $ 210 Bhiriyoni

Mishonga yemitero pamari uye mari inowanikwa muhomwe yakasimudzirwa mamiriyoni mashanu emhuri dzinowana mari yakawanda muna 2013. Izvo zvinosanganisira vanhu vanosvika mamiriyoni vanoita mari inodarika madhora 200 000 uye mamiriyoni mana vakaroorana vanoshandisa pamwe chete vanoita kudarika madhora 250 000. Vachabhadhara 3.8 muzana muMederalare mitero pazvikamu, zvikwereti, kubhadhara, uye mvumo. Vachabhadharawo 2.35 muzana muMedarere mitero yemitero, kubva pa1,45 muzana.

Vashandi Vematero Wedzera $ 65 Bhiriyoni

Vashandi vane vashandi vanopfuura 50 vanofanira kupa inshuwarisi yehutano. Kana zvisina kudaro, vanobhadhara mutero we $ 2,000 pamushandi wegore negore kana mumwe wavo achigamuchira mari yehurumende yekutenga inshuwarhu yehutano. Vanhu vanofanira kutenga kutenga kana kutarisana nemamwe mafisi emitero. Izvo zvakatanga muna 2015.

Dzidzo Kuchengetedza $ 19 Bhiriyoni

IAACA yakabvisa Sallie Mae semudzimai wepakati ari kutungamirira mari yekubhadhara mari yevadzidzi. Pane kudaro, Dhipatimendi reZvese inokweretesa zvakananga kuvadzidzi. Kubva panguva iyoyo, mari yezvikwereti zvine hurumende yehurumende yakawanda. Pakanga pane mari yakawanda yekuwedzera chirongwa chePell Grant ne $ 36 biliyoni.

March 2012 Update

Muna Kubvumbi 2012, CBO yakabudisa tsanangudzo yakaratidza kuti ACA inodhura $ 50 mabhiriyoni pasi pepakutanga fungidzirwa. Izvozvo ndezvokuti CBO yaitarisa pa2012-2021, makore gumi-makore aive makore maviri kubva pakuongorora kwekutanga.

Mari inobva kuAACA inowedzera kupfuura nguva, ichiwedzera kupfuura chero mari.

Migumisiro yeDare Repamusorosoro

Musi waJune 28, 2012, Supreme Court yakatsigira vazhinji veAACA. Iro yakabvumira nyika kuti dzirambe mari yehurumende kuti iwedzere Medicaid kuti iise vamwe vanogara mari shoma. Somugumisiro, CBO inofungidzira kuti vanhu vashoma mamiriyoni matatu vaizova nenishuwarenzi. Izvozvo zvakachengetedza $ 84 mabhiriyoni pakati pe2012 uye 2022.

Nokuda kwekuti ndiani anokweretesa Obamacare, ona bhuku rangu The Ultimate Obamacare Handbook (2015 - 2016) .