除此以外,你还要知道这项法案从来没有准备或指望覆盖到所有人。无证移民没有享受医保的合法身份,而且任何一个不能实现自动注册的系统都会有所遗漏。马萨诸塞州承诺医保全覆盖已经十年了,但依然有5%的非老年人口没有参保。
Suppose we use 5 percent uninsured as a benchmark. How much progress have we madetoward getting there? In states that have implemented the act in full and expanded Medicaid,data from the Urban Institute show the uninsured falling from more than 16 percent to just 7.5percent — that is, in year two we’re already around 80 percent of the way there. Most of theway with the A.C.A.!
如果以5%的未参保人口比例为基准。我们已经取得多大进步?美国城市研究院(Urban Institute)的数据显示,在全面施行该法案和扩大联邦医疗补助的州,未参保人口比例从高于16%降低到只有7.5%——也就是说,在医保改革实施第二年,我们就达到了目标的80%。《合理医疗费用法案》的目标已经接近实现!
But how good is that coverage? Cheaper plans under the law do have relatively largedeductibles and impose significant out-of-pocket costs. Still, the plans are vastly better thanno coverage at all, or the bare-bones plans that the act made illegal. The newly insured haveseen a sharp drop in health-related financial distress, and report a high degree of satisfactionwith their coverage.
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