美国国家公共电台 NPR What's Next For The Affordable Care Act? Your Questions Answered

 

RACHEL MARTIN, HOST:

The Republican Congress is working to repeal¹ and replace the Affordable² Care Act also known as Obamacare. Many of us are confused about what's exactly going on. We asked you to post your questions on Twitter and Facebook, and this morning, we're going to answer a couple of them. We've got Julie Rovner of our partner, Kaiser Health News, in the studio to help us out. Hi, Julie.

JULIE ROVNER, BYLINE³: Hi, Rachel.

MARTIN: All right, let's start with a question many listeners posed about the Affordable Care Act. This is listener Steva Stowell-Hardcastle from Lewisburg, Pa.

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STEVA STOWELL-HARDCASTLE: I'm confused about what parts of the ACA have been repealed⁴ and when those changes take place.

MARTIN: All right. So, Julie, has anything changed yet?

ROVNER: Not in 2017. There have been some small changes that were made to the law over the previous seven years but nothing big...

MARTIN: The big repeal hasn't happened.

ROVNER: The big repeal has not happened yet, despite what your social media might say or what some headlines have intimated. What has happened is that the Republican Congress has taken the first step to enable a repeal of part of the law. So they passed a budget resolution that said that there will be legislation down the line. We haven't seen that legislation yet. And also, Congress can't repeal the entire law because of the way the budget rules work. So whatever they're going to do, they can't make the entire thing go away unless they had 60 votes in the Senate, which they don't have.

MARTIN: All right. So let's get to our next question, which is really the big one - several listeners posed this. Listener Kathryn Henry from Iowa City, Iowa, has this question.

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KATHRYN HENRY: If the ACA is repealed, what will happen to people like me who have purchased health insurance for 2017 through healthcare.gov and when?

MARTIN: Kathryn has Obamacare, and she's not sure what's going to happen - a lot of people in this situation.

ROVNER: That's right, and no one is really sure what's going to happen. But people who purchased coverage⁵ for this year, for 2017, are probably fine. Republicans say that they want to have what they call a smooth transition so that people will not have, you know, what Speaker Paul Ryan called, you know, have the rug pulled out from under them.

MARTIN: Even Donald Trump⁶ has said he doesn't want there to be a gap in care.

ROVNER: That's correct. The problem with that is that insurers are already reacting to we don't know what the rules are going to be for 2018, and they're already announcing that they're not going to offer coverage in 2018 in the individual market. We're only talking about 5 percent of the population here. But they're talking about dropping out because they don't know what the rules are going to be and because they have to tell the government whether they're going to participate in May. So Congress really only has until May or - unless they want to extend that deadline. That's the confusion. So the uncertainty⁷ means that we don't know really what it's going to look like in 2018. Unless something dramatic happens, people should be OK for 2017.

MARTIN: So people like Kathryn literally⁸ have to just wait and see. They can't do any planning for years ahead.

ROVNER: No, that's right, and the insurers can't do any planning for years ahead, which is one of the insurers' issues. They want Congress to act fast so they at least know what the rules are going to be for next year. And no one knows yet.

MARTIN: Julie Rovner of our partner Kaiser Health News, she will be back next week to answer more of your questions about the ACA. You can tweet those questions - @MorningEdition. Use the hashtag #ACAchat. Hey, Julie, thank you so much.

ROVNER: Thank you.

1 repeal   

n.废止，撤消；v.废止，撤消

参考例句：

• He plans to repeal a number of current policies.他计划废除一些当前的政策。
• He has made out a strong case for the repeal of the law.他提出强有力的理由，赞成废除该法令。

2 affordable   

adj.支付得起的，不太昂贵的

参考例句：

• The rent for the four-roomed house is affordable.四居室房屋的房租付得起。
• There are few affordable apartments in big cities.在大城市中没有几所公寓是便宜的。

3 byline   

n.署名；v.署名

参考例句：

• His byline was absent as well.他的署名也不见了。
• We wish to thank the author of this article which carries no byline.我们要感谢这篇文章的那位没有署名的作者。

4 repealed   

撤销，废除( repeal的过去式和过去分词 )

参考例句：

• The Labour Party repealed the Act. 工党废除了那项法令。
• The legislature repealed the unpopular Rent Act. 立法机关废除了不得人心的租借法案。

5 coverage   

n.报导，保险范围，保险额，范围，覆盖

参考例句：

• There's little coverage of foreign news in the newspaper.报纸上几乎没有国外新闻报道。
• This is an insurance policy with extensive coverage.这是一项承保范围广泛的保险。

6 trump   

n.王牌，法宝；v.打出王牌，吹喇叭

参考例句：

• He was never able to trump up the courage to have a showdown.他始终鼓不起勇气摊牌。
• The coach saved his star player for a trump card.教练保留他的明星选手，作为他的王牌。

7 uncertainty   

n.易变，靠不住，不确知，不确定的事物

参考例句：

• Her comments will add to the uncertainty of the situation.她的批评将会使局势更加不稳定。
• After six weeks of uncertainty,the strain was beginning to take its toll.6个星期的忐忑不安后，压力开始产生影响了。

8 literally   

adv.照字面意义，逐字地；确实

参考例句：

• He translated the passage literally.他逐字逐句地翻译这段文字。
• Sometimes she would not sit down till she was literally faint.有时候，她不走到真正要昏厥了，决不肯坐下来。