Physicians' reimbursements affect not only doctors and seniors and Medicare's price tag, but also the cost of the Affordable Care Act, which the Congressional Budget Office estimated would reduce the budget deficit by $143 billion over 10 years. Freeing Medicare physicians from future cuts could cost $250 to $400 billion over 10 years, depending on how much the government allows doctors' payments to rise.
医生退款影响的不仅是医生、老年人和联邦医保的价格,还会影响平价医疗法案(Affordable Care Act)的成本。国会预算办公室(Congressional Budget Office)估计,平价医疗法案在10年里会将预算赤字减少1,430亿美元。如果让联邦医保的医生不受减少退款的影响,10年内成本将增加2,500亿到4,000亿美元,具体取决于政府允许医生薪酬上涨多少。
If taxes didn't matter, why not just double them and get rid of the deficit? The answer is, of course, that taxes do matter. They affect individual and business decisions. States with high taxes, such as New York and California, see that their residents migrate to low-tax states, such as Texas and Florida. Countries with high tax rates find they are unsustainable because capital is global.
如果交多少税无关紧要,那为什么不干脆加倍征税、消除赤字?答案当然是,交多少税事关重大。这会影响个人和企业的决定。纽约和加州等税率高的州发现,这些州的居民会迁往税率低的州,比如得克萨斯和佛罗里达。而且因为资本是在全球流动的,高税率国家会发现这种做法不可持续。
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