Iindleko ze-Obamacare Zingakanani?

Funda ukuba Kutheni uMthetho ononophelo loNonophelo ongenakuthi ungabongezeleleki kuMatyala

Ngaba i- Obamacare idibanisa kwinqanaba, okanye liyanciphisa? Iimpendulo zinokudideka kakhulu. Uqikelelo lubonisa ukusindisa i-$ 143 yezigidigidi kwii-10 ezizayo ukufaka i-$ 1.76 yezigidigidi. Kwaye ke kukho ibango lokuqala likaMongameli uBhabheli lokuba uMyalelo woKhuseleko kunye noMncedisi wokuNakekelwa ongenakuncedisa uza kufaka i-$ 940 yeebhiliyoni kwi-matyala. Ngubani o lungile? Bonke ba. Nasi isizathu.

Indlela i-Obamacare inciphisa ngayo amatyala nge $ 143 Billion

I- Ofisi engabandakanyeki kwi- Ofisi yeBhajethi ye-Congressional yathi i-ACA iya kunciphisa ityala nge $ 143 billion.

Yongezelela iindleko zombini yomthetho ophunyeze i-Obamacare. UMthetho woKhuseleko weMonde kunye noMthetho woNonophelo ojongene noThathaka (uMthetho kaRhulumente 111-148) uchaze isicwangciso. UMthetho WezoMpilo kunye noMthetho Wokubuyisana Kwezemfundo (uMthetho kaRhulumente 111-152) udlulisele iirhafu ezintsha kunye nokunciphisa uhlahlo lwabiwo-mali kwezinye iindawo, ezithintela iindleko zesicwangciso. Nantsi indlela i- Obamacare yentlawulo echaphazele ngayo.

Nantsi isishwankathelo seerhafu zerhafu ezibekwe ngu-Obamacare, eziza kuzisa imali engaphezulu kwama-567 biliyoni ngenzuzo:

1. Intlawulo ye-inshurensi yebhedlele - i-$ 212 billion.
2. Intlawulo yokungathobeli-$ 64 billion.
3. Intlawulo ye-inshurensi ye-Cadillac-$ 32 billion.
4. Isixhobo sonyango kunye neerhurensi zerhafu - $ 107 billion.
5. Ukunyusa umlinganiselo wokunciphisa unyango ukuya kuma-10 ekhulwini-$ 104 yezigidigidi.

Kwakhona, kukho iinkalo ezintlanu apho ukugcinwa kweendleko zeeRandi ezingama-477 zeebhiliyoni zaphunyezwa:

1. Ukunciphisa uxhaso lweziyobisi kwizinto ezibutyebi-i-$ 87 billion.
2. Ukunciphisa iintlawulo ze-DSH zesibhedlele - $ 37 billion.
3. Ukunciphisa iintlawulo ze-Medicare-$ 197 billion.

1. Ukunciphisa iintlawulo ze-Medicare Benevantage - $ 135 yezigidigidi.
2. Imali mboleko yemfundo ngqo. Ukuphelisa iindleko zomsebenzi wesikhwama somntu wabucala, uSallie Mae - $ 20 billion.

Xa iyancitshulwa iindleko zeeRandi ezili-940 zeebhiliyoni, ukuphulukana kwakuza kuyancitshiswa ngama-104 eebhiliyoni. Oku bekuya kuphinda kwongezwe kwintsilelo xa iTrump isisusile kwaye satshintsha indawo ye-Obamacare .

Uphi i-CBO ifumana enye i-$ 40 yezigidigidi ekulondolozeni? Ukususela kwisicwangciso soburhulumente bombuso ukubonelela ngomshuwalense wexesha elide , ukuba i-CBO ingacinga ukuba iyanciphise iindleko zeMedicaid nge-$ 40 billion. Ngelishwa, ngokukhawuleza kwabonakala ukuba ukunakekelwa kwexesha elide kwakubiza kakhulu, kwaye le nkqubo yachithwa. (Umthombo: " Matshi 20 Ingxelo ," i-CBO.)

U-Obama wathi Kubiza i-$ 940 Billion

Xa uMongameli uBrazil wasayina i-ACA ngoMatshi 23, 2010, uthe wayeza kubiza i-$ 940 yezigidigidi kwiminyaka yokuqala yeshumi ( FY 2010- FY 2019). I-CBO yenza ukuba uqikelelo lwalo lugqityiwe ngoMatshi 18, 2010. Kwiintsuku ezimbalwa emva koko i-CBO yanciphisa ixabiso layo eliyi-$ 938 yezigidigidi ngokusekelwe kuhlalutyo olunzulu. Uqikelelo luvela kwiindawo ezintlanu zeendleko ezingakhange zihlawulwe ngokuthe ngqo ngemali:

1. Ukwandisa iMedicaid kunye ne-CHIP - $ 434 yezigidigidi.
2. Iimpawu zerhafu kumashishini amancinci ahlinzeka ngomshuwalense-i-$ 40 billion.
3. Ukumisela i- inshurensi yezempilo- i-$ 358 yezigidigidi.
4. Iingxowa-zerhafu zabangenako ukuthenga i-inshurensi-i-R10 000 billion.

Ukufumana oku ngakumbi malunga nale nkqubo, khangela iBill Bill . (Imithombo: " Matshi 18 Ingxelo ," " uMatshi 20 Ingxelo ," i-CBO.)

I-CBO yathi Ixabiso lika-1.76 i-Trillion

Ngo-Matshi 2012, i-CBO ihlaziywe i-Obamacare ixabiso lentengo kwi-1.76 trillion.

I-Ofisi yeSigqeba soLwabiwo-mali se-Senate ibixelele ukuba oku kwakuphindwe kabini ngaphezu kohlobo lwe-CBO lwangaphambili lwama-dollar ayi-940 yezigidi. Ingaba iindleko ze-Obamacare ziphuma ngaphandle kolawulo? Ngaba abaxhasi be-Obamacare bawadukisa ngamabomu? Hayi kwaye akukho.

Okokuqala, ukulinganiselwa kwe-CBO yokuqala kwakuyi-FY 2010-FY 2019, iminyaka engama-10. Ukuhlaziywa kwe-CBO ehlaziyiweyo kwakuneminyaka engama-11 yobudala obuqala iminyaka emibili kamva, ngo-FY 2012-FY 2023. Amalungiselelo axabisekileyo kakhulu e-Obamacare awazange asebenze ngo-2014. Iindleko ezinkulu kakhulu kwandisa iMedicaid kunye ne-CHIP ukubandakanya abantu abangenayo imali ephantsi. Nantsi ukuphuma:

1. Ukwandisa iMedicaid kunye ne-CHIP - $ 931 yezigidigidi.
2. Amakhredithi amashishini amancinci - i-$ 23 billion.
3. Ukubeka iingxoxo kunye nokubonelela ngemali yengeniso kulabo abangenako ukuthenga iinshurensi (idibene) - i-$ 808 yezigidigidi.

(Umthombo: " Ngomhla ka-13 kuMatshi 2012 ," i-CBO. "Uhlalutyo loMthetho wezeMpilo ka-Obama," iKomidi yohlahlo lwabiwo-senethi, ngoJuni 28, 2012. "Hayi, i-Obamacare Costs ayingekho kabini," Uhlolo lweSizwe, Matshi 20, 2012.)

I-Obamacare Imibuzo ebuzwa rhoqo

• I-Trumpcare vs Obamacare: Yiyiphi Engcono Kuwe?
• I-ACA iyakuthinta njani?
• Ingaba isebenza kanjani?
• Inyaniso NgoBamacacare
• Ndiya kuthatha ixesha elingakanani?
• Yintoni Eyona Ncoko Yobamacare?
• Kutheni ukuguqula impilo, kunjalo?

Ukugcina imali kwi-Obamacare, funda yam incwadi ethi Ultimate Obamacare Handbook (2015 - 2016) .