The proposal would also dramatically cut taxes for businesses and individualsa move itclaims could be paid for by eliminating exemptions and deductions. It also rehashes Mr Ryansscheme to stop the government paying directly for health care for the elderly via Medicare,and instead hand out that could be used to buy private insurance. But to ease suspicionsthat this is simply a ruse to foist rising costs on blameless grannies, Mr Ryan now says thatthe vouchers could be used to remain in a version of the current Medicare programme; this,however, may cost people money if competition from private providers succeeds inundercutting Medicare.
这项提案也会大幅度削减企业所得税和个人所得税并宣称会通过消除免税额和扣除额来补偿这部分税款。在这项提案中,瑞恩先生改变了原计划阻止政府通过医疗保险向老年人直接支付医疗保健费用,而是建议发放可以用来购买私人保险的抵用券。但是为了避免让人怀疑这是蒙骗无辜老人钱的伎俩,瑞恩先生现补充说抵用券可能以一种形式存在于目前的医疗保险规划中。然而,如果私人保险企业之间的竞争促使他们廉价出售医疗保险,可能会让人们花很多钱。
The non-partisan Congressional Budget Office calculates that the proposed spending cuts areeven more swingeing this time round. Only Social Security would remain on its present trajectory. The projected growth in Medicare would be crimped,while outlays on Medicaid, the government health-care scheme for the poor, would behalved as a share of GDP by 2050. Everything else would be cut by over two-thirds.
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