Icho chirongwa cheC Congressional yekudzorera Obamacare Chingaita Sezvakaita
March-May 2017: Mutsva wokutanga waiva America Health Care Act . Imba yacho yakaipfuura musi waMay 4, 2017. Yaiva nezvinhu zvakawanda zvisiri chikamu chezvikwereti zveSénate. Yakapa purogiramu yakatarwa yekwereti yakatarwa nezera, kwete mari . Iyi rubatsiro haisi yepamusoro pemari yezvirongwa, saka inogona kusimudzira mari kune vakawanda.
Chirongwa chacho chaisanganisira murwere uye Hondo Stability Fund iyo inobatsira purogiramu inoderedza ne20 muzana shure kwe2026. Izvo zvingadai zvakadhura hurumende yehurumende $ 100 mabhiriyoni kupfuura gumi. Nyika dzaiva nechisarudzo chekushandisa sangano rekugadzira nzvimbo dzakakwirira . Izvi zvinoreva kuti mari yepamusoro yevanhu vane mamiriro ezvinhu akambovapo.
Imba yepaImba ingadai yakabvumira nyika kuti dzisave nemitemo yakawanda yeAAC mune mamwe mamiriro ezvinhu. Mune hurumende iyo yakasarudza mitemo yeiiver, zvirwere zvisingaperi zvinorwara zvirwere zvinobhadhara mari yakakwirira.
Yakabhadharwa neMurengeti kuburikidza nechigadziro chebasa rekubatsira . Iri ndiro sarudzo Mutauriri Paul Ryan akatsigira kwemakore. Inotema mari yePlanned Parenthood neOmamacare mutero. Kurasikirwa kweAimamacare mari yaizowedzera $ 460 mabhiriyoni kune chikwereti kwemakore gumi.
Varongi vatsigiri havana kumbotsanangurira kuti chirongwa chavo chaisazowedzera sei kune chikwereti. Icho ndicho chikonzero chimwe chikonzero vazhinji vakachengetedza vakatsoropodza. Yakapfuura neDzimba asi ichiri kuunza muSeneti inobudirira.
June -July 2017: Kubva paImba yeAmerica Health Care Act, House Majority Leader Mitch McConnell vakakurudzira seneti yekutanga yeTrumpcare. I- Better Care Reconciliation Act yakabvumira kuti nyika isarudze kana kuchengetedza zvese zvakakosha zvoutano . Izvozvo zvingadai zvakabvumira makambani kubhadhara kune avo vane mamiriro akambovapo .
Chirongwa chacho chakapa mhosva avo vakasiya inshuwarisi yavo ndokuzoshandiswa pakuvhara mukati memazuva makumi matanhatu. Inoponesa makambani ehushuwarisi mamwe mari nokuderedza vanhu kuti vasangowana inshuwarisi pavanorwara. Asi hazvizogadziri vanhu vane utano hwakanaka kubva kurega kuputika kwavo kuparara, kuwedzera mari yevanhu vose uye kunyanya varwere.
Iri chirongwa chaizoderedza Medicaid kushandiswa kwemari kutanga muna 2020. Zvingadai zvakaderedza Obamacare zvikwereti zvemitero uye rubatsiro. ICOO inofungidzira kuti kudengesa kune rubatsiro uye Medicaid kunodzivirira vanhu vane mamiriyoni makumi maviri nematanhatu kubva kuwanishuwarenzi. Izvozvo zvingaderedza chikwereti ne $ 321 bhiriyoni pamakore gumi.
Sangano reSenate raizobvumira makambani kubhadhara vakwegura katatu kupfuura vaduku veAmerica, kubva kubva katatu zvakanyanya. Chirongwa chacho chaizotora Medicaid uye Title X kubhadharwa kweParamned Parenthood kutarisira utano hwehutano kwegore. Kunyange zvazvo mari yehurumende isati yamboshandiswa kubvisa pamuviri, maRepublicans anonetseka sangano rinoshandisa mari yekutsvakurudza inopikisa. Ichi chiito chaizowedzera Medicaid mari . Inogona kuwedzera huwandu hwevakadzi vanoda kubvisa pamuviri nekuti havana kumbobvuma kutarisirwa kusununguka kunopiwa nePlanned Parenthood.
Chirongwa chacho chaizobvisa mutero kune avo vasingatengi inshuwarisi .
ICOO inofungidzira kuti mari yepuraimisi iyo inenge iri 15 kusvika ku20 kubva kumusoro muna 2018 uye 2019. Inofanira kubvisawo mutero kune makambani asina kupa hutano inshuwarisi. Vashandi vakawanda vacharasikirwa nekuvharwa kana vashandi vasingamanikidzi kuipa.
Sangano reSenate rakawedzera zvikwereti zvinogamuchirwa kuAalth Savings Account s . HSAs inowanikwa chete kune avo vane high-deductible inshuwarano zvirongwa. Izvi hazvibatsiri vanhu vasingakwanisi kuisa pariri mari muHSA. Zvinogona kubvumira munhu wose kutenga inshuwalano yehutano yakaipisisa . IAACA inobvumira vanhu kuti vatenge zvirongwa izvi kusvika kune makore makumi matatu. Havana kuvhara mabasa ekudzivirira asi hazvina mari.
Trump akanga akumbira Congress kuti ichinje ACA isati yaSeptember 30, 2017. Ndiyo zuva rekupedzisira Senate Republicans inogona kupedza musayori nehuwandu hunotora 51.
Vakaedza kudarika zvikwereti zvina, asi havana kumbotora mavhoti.
Senate inoda huwandu hwevhoti 60 kubvisa zvachose ACA. Madhimokero haazobvumi chiito chavakasika. Pane kudaro, Senate Republicans vaifanira kushandisa bhadha rekuyananisira rekubhadhara kubvisa kushandiswa kwemari uye zvikamu zvemari zveAACA. Vangokwanisa kuishandisa chete pamutemo waisina kuwedzera kune chikwereti kwemakore gumi anotevera.
Musi waJuly 18, 2017, McConnell akaziva kuti aisagona kuwana maPurovhesiti akakwana mavoti kuti apfuurire Better Care Act. Asi Mutungamiri Trump akaisa simba kuRipublican holdouts. Vakabvumirana kuti varege kubvumira mutemo wacho kuti uende mberi uchikurukurirana.
Nyaya 2017: Senate "inoparadzanisa" inopedza simba reAACA kuti vanhu vanofanira kutenga inshuwarisi. Zvingave zvakamira kuti zvikwanise makambani kupa mari yveshuwarisi. Zvaizove zvakabvisa mutero kune vashandi vezvipatara. Zvaizove zvakarongeka Planned Parenthood, Prevention uye Public Health Fund, uye Community Health Center Fund.
ICOO yaiwana iyo yaizosiya vanhu vane mamiriyoni 16 vasina inshuwarisi. Yakanyeverawo kuti bhiri iri raizowedzera zvikwereti ne20 muzana pagore. Izvozvo ndezvokuti makambani ehutano inshuwarhu acharasikirwa mari.
Musi waJuly 28, 2017, Senator John McCain , R-Ariz., Vakakanda chisarudzo chokurwisana ne "chikwereti chinyorwa." Akange asingabvumirwi nedzimwe nzira uye akakurudzira kudzokera kumutemo we bipartisan.
Svondo 2017: Senators Lindsey Graham, RS.C., naBill Cassidy, R-La., Vakakurudzira chikamu chekupedzisira chakakundikana. Iko Graham-Cassidy mushumo ingadai yakashandura Obamacare's Medicaid yemari mari uye rubatsiro rwehushuwarenzi kuti ipe zvikwereti zvemahofisi. Yakasiya iyo kusvika kumatunhu kugadzira zvirongwa zvavo zvehutano hwehutano nemari.
Izvo zvikwereti zvisingabhadharwi zvingadai zvisina kubhadhara kune vakawanda veAmerica seAACA inotengeswa nehuwandu hwezvematongerwo enyika. Izvo zvingabatsire dzimwe nyika apo zvisingabatsiri vamwe.
Mutemo uyu wakabvumira nyika kuti iite kuti vaMedicaid vaigamuchire vave nebasa kunze kwekuti vakanga vakwegura, vana, vakaremara, kana kuti vane pamuviri. Yakagura Medicaid mari inobviswa muna 2027.
Mutemo wacho unofarira kuti "kodzero dzevatongi. Izvo zvingave zvakaderedza mari yekuchengetwa kwehutano, sezvo makambani einishuwarenzi aingofanira kungoteerera mitemo yehurumende. Trump inofunga kuti zvikwereti zvingaita kuti mari yehurumende ibudirire. Icho chinorevawo kuti Medicaid inogona kukwikwidzana nedzimwe nyika dzinotangira. Ndicho chakakonzera kukanganisa kwenharaunda dzehutano hwehutano pasi pekuregererwa .
Asi vazhinji vanoti 'Vatungamiri veMedicaid vakanyevera kuti havasi vakagadzirirwa kuita chirongwa mubhadharo yemakore maviri eine nguva yekubatsira mabhii' asina kukwana mari.
Graham-Cassidy akabvisa mutero kune avo vasina kutenga inshuwarisi yakadzokazve kusvika muna 2016. The CBO inofungidzira kuti vanhu vanosvika mamiriyoni 14 vachabvisa inshuwarisi yavo.
Musi waSeptember 22, 2017, Senator McCain akavhara Graham-Cassidy mushumo. Akati haawanikwani ruzivo pamusoro pekuti mutemo uyu unobata sei vanhu nokuti wakakurumidza kuburikidza nekusangana nenguva yekupedzisira.
Nzira yekuti Obamacare Repeal Ichakubatsira Iwe
VaRepublicans vanogona kudzorerazve kuedza kubvisa nekugadzirisa zvirongwa zveOmbamacare muna 2018. Kana zvakadaro, vanofanira kuendesa zvido zvavo kune hurumende yaMay kuitira chero shanduko dzinoitika munaJanuary 2019. Nyika dzine chibvumirano chekupedzisira sezvo ivo vane mhosva yekushandiswa.
Kana kudzokorora kwaitika, mari yezvirongwa zveumwe munhu yaizowedzera kune vanhu vakawanda. Sangano re Commonwealth Fund neRand Corporation yakawanikwa yakawana kuti chiyero chepurogiramu chinokwira kubva $ 3 200 kuenda ku $ 4 700.
Aya mapurisa eC Congression angaderedza mari yako kana:
- Iwe une bhizinesi duku. Iwe haungatorizve kubhadhara chikwereti kana usingakwanisi kupa inshuwarisi.
- Iwe une kambani yemichina yezvokurapa kana tanning salon. Iwe haungatorizve kubhadhara Obamacare mutero.
- Kudzokorora kunogona kukukanganisa iwe kana iwe uri mune imwe yenyika dzinoderedza 10 zvakakosha zvinobatsira. Inogona kuderedza mari yako kana iwe uine utano kana udiki.
Vaizowedzera mari yako kana:
- Iwe une chirwere chisingaperi.
- Iwe uri mukuru. Makoronga eC Congression anopa makambani einishuwarenzi kuti akwanise kutengesa vakwegura katanhatu izvo zvavanotengesa vaduku. Obamacare yakagadzirisa izvozvo kusvika katatu. Zvaunotora zvinogona kuwedzera kana iwe uri mukuru uyo anorasikirwa neMedicaid pasi peurongwa. Vakawanda vakwegura vanoda Medicaid kuti vawane mari yeMedare yekunze.
- Iwe unova nepamuviri. Vakawanda vehurumende vanogona kuderedza izvi kubva kune zvinokosha zvinobatsira.
- Unoda kubvisa pamuviri. Zvirongwa izvi zvinorambidza makambani emishuwarenzi akatengeswa pamakwikwi kubva pakuvhara kubvisa pamuviri.
- Kambani yako yakangopa kugoverwa nokuti ACA yakaritora.
- Iwe uri mumwe wevanhu vane mamiriyoni 22 vakagamuchira rubatsiro kana kuti kuwedzerwa kweMedicaid.
- Iwe unoshandisa maitiro ehutano hwepfungwa nehutsika, kusanganisira zvinodhaka zvekare. Urongwa hweHurumende hunosanganisira $ 2 bhiriyoni kuti ubhadhe nyika kune kurapa zvinodhaka. Izvo hazvina kukwana kugadzirisa matanho kuMedicaid uye makambani einishuwarenzi anosiya kugoverwa kwezvibasa.
- Iwe unosarudza kudzokera zvakare kune inshuwarhu yehutano mushure mekupera kwemazuva makumi matanhatu. Iwe unofanirwa kubhadhara 30% yepamusoro kuwedzera.
- Iwe uri chirwere chePlanned Parenthood. Sangano reSenate rinorasikirwa nesangano kwegore rimwe chete.
Background
Mapoka makuru emapatara anopikisa zvirongwa zveRepublicans. Vanoziva kuti imba yavo yepamhanho mari inowedzera kana kuchengetedzwa kwekuchengetedza kunowedzerwa Medicaid inodzingwa. Utano hwehutano hwehutano, America's Health Insurance Plans, inopesana chero kuderedza kushandiswa kweMedicaid mari. Kuwedzera kwe ACA kwakavaunza vatengi vakawanda vatsva.
Indasitiri yehutano yehutano ichapomera mhosva kune chero chirongwa chavasingatsigire. Imhizha iyi yakaita basa rinokosha pakuumba Obamacare. Semuenzaniso, chaiva chekuita basa romumwe munhu . Makambani einishuwarenzi haazogadzirisa avo vanorwara kunze kwekuti hurumende ichitema kuti hutano hwakabatwawo.
Kuti unzwisise ACA zviri nani, ona bhuku rangu, "The Ultimate Obamacare Handbook."