The answer is, better than even many supporters realize.
答案是,好得甚至超乎很多支持者的想象。
Start with the act’s most basic purpose, to cover the previously uninsured. Opponents of thelaw insisted that it would actually reduce coverage; in reality, around 15 million Americans havegained insurance.
先来看法案最基本的目标,即覆盖之前没有保险的人群。该法案的反对者坚持认为它会减少参保人数;事实是1500万美国人已经因之获得医疗保险。
But isn’t that a very partial success, with millions still uncovered? Well, many of those stilluninsured are in that position because their state governments have refused to let the federalgovernment enroll them in Medicaid.
但还有数百万人没有覆盖,是不是就只能说不算完全成功呢?呃,那些依然没有享受医疗保险的人中,有很多是由于当地州政府拒绝联邦政府把他们纳入联邦医疗补助(Medicaid)。
Beyond that, you need to realize that the law was never intended or expected to covereveryone. Undocumented immigrants aren’t eligible, and any system that doesn’t enroll peopleautomatically will see some of the population fall through the cracks. Massachusetts has hadguaranteed health coverage for almost a decade, but 5 percent of its nonelderly adultpopulation remains uninsured.
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