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发布时间: 2025-05-31 17:27:18北京青年报社官方账号
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Republican senators' latest attempt to repeal Obamacare could be the most far-reaching of GOP efforts this year.Senators Lindsey Graham of South Carolina and Bill Cassidy of Louisiana last week released?a bill that would eliminate or overhaul major sections of the health reform law. The duo had been trying to garner interest in earlier versions of their bill for months, but hadn't gotten much traction.Now, however, Republicans likely have only two weeks left to use their 2017 budget reconciliation bill as a way to dismantle Obamacare with a simple majority in the Senate. The Graham-Cassidy bill is the only repeal effort left on the table, coming even as a bipartisan Senate committee is working on legislation to stabilize the Affordable Care Act.The Congressional Budget Office said Monday it may take several weeks for it to release an analysis of the Graham-Cassidy bill so it remains to be seen how many fewer people could be insured under it or what the impact on premiums may be.Here's what's in the bill:Repeal Obamacare individual and employer mandates: Obamacare levies penalties on most Americans who don't have health insurance and larger employers who don't provide affordable coverage for their workers. The bill would eliminate the penalty, retroactive to 2016.Repeals Obamacare subsidies and ends Medicaid expansion funding: The legislation would eliminate Obamacare subsidies that lower premiums, deductibles and co-pays in 2020. It would also jettison federal funding for Medicaid expansion, which 31 states use to provide coverage for residents with incomes up to about ,000.The legislation would turn the federal funding for Medicaid expansion and the subsidies into a block grant program. States would be given a lump sum of money and would have a lot of leeway over how to spend it.For instance, they could help enrollees pay their premiums and out-of-pocket costs or set up high-risk or reinsurance pools to help protect insurers from costly enrollees and entice them to stay in the individual market. States could use a portion of money to help those enrolled in Medicaid afford care.Graham and Cassidy say that this provision would return power to the states and allow them to create programs that fit their residents' needs. Also, it would equalize Medicaid funding across the states. The bill's authors note that four states get 37% of Obamacare funding.But Democrats and consumer advocates say that many states, particularly those that expanded Medicaid, would lose a lot of federal funding, making it harder for them to provide coverage or assistance to their residents. Also, they note, the block grant is only authorized through 2026, jeopardizing the continuation of funding after that.Loosens Obamacare's regulations regarding pre-existing conditions: The bill would also waive several key Obamacare protections for those with pre-existing conditions. While it would still require insurers to provide coverage to everyone, it would allow carriers to charge enrollees more based on their medical history. So younger, healthier folks could see their premiums go down, but sicker Americans could find themselves priced out of policies.The legislation also would eliminate Obamacare's essential health benefits provision, which mandates insurers cover an array of services, including hospitalization, maternity care, prescription drugs, mental health and substance abuse services. This could lower premiums somewhat and give consumers a wider choice of plans. But it would also make it harder for people to buy comprehensive policies so those with pre-existing conditions may not be able to find coverage that meets their health care needs.Revamps funding for Medicaid overall: The legislation would send the states a fixed amount of money per Medicaid enrollee, known as a per-capita cap, starting in 2020.States could also opt to receive federal Medicaid funding as a block grant for the non-disabled adults and children in their program. Under a block grant, states would get a fixed amount of federal funding each year, regardless of how many participants are in the program.States, however, cannot opt to receive block grant funding for elderly and disabled participants.Graham-Cassidy would also shrink the program even more over time by pegging the annual growth rate of funding for children and non-disabled adults to standard inflation after 2024, rather than the more generous medical inflation.Either per-capita caps or block grants would limit federal responsibility, shifting that burden to the states. However, since states don't have the money to make up the difference, they would likely either reduce eligibility, curtail benefits or cut provider payments. The block grant would be more restrictive since the funding level would not adjust for increases in enrollment, which often happens in bad economic times.Allows states to institute work requirements for Medicaid: States would now be able to require adult Medicaid recipients to work. The disabled, elderly and pregnant women would be exempt, however.Permits everyone in the individual market to buy catastrophic plans: Obamacare only allows those under age 30 to buy catastrophic policies, which usually have higher deductibles and fewer benefits. This legislation would allow anyone to buy these plans starting in 2019.Repeals a handful of taxes: The bill would repeal the tax on over-the-counter medicine, health savings accounts and medical devices, a levy unpopular on both sides of the aisle. But it keeps in place Obamacare's taxes on the wealthy, health insurers and others.Defunds Planned Parenthood: In keeping with longstanding Republican beliefs, the legislation prohibits federal funding for Planned Parenthood. But the restriction is only for a year, beginning when the bill is enacted.Increases maximum contributions to health savings accounts: Today, individuals can save up to ,400 and families can save up to ,750 a year tax-free in a health savings account. The bill would raise that limit to the annual out-of-pocket maximum for high-deductible plans. For 2018, that would be ,650 for individuals and ,300 for families. 6238

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Rap superstar Kanye West has qualified to appear on Oklahoma’s presidential ballot, the first state where he met the requirements before the filing deadline.But confusion remains over whether he’s actually running.A representative for West filed the necessary paperwork and paid the ,000 filing Wednesday afternoon, which was the deadline for a spot on the state’s Nov. 3 presidential ballot, said Oklahoma Board of Elections spokeswoman Misha Mohr. He was one of three independent presidential candidates to pay the filing fee prior to the deadline, she added. The others were concert pianist Jade Simmons and cryptocurrency entrepreneur Brock Pierce.The filing came a day after New York Magazine’s “Intelligencer” quoted West adviser Steve Kramer saying “he’s out” and noting that the staff he had hired were disappointed.However, TMZ reported that the West campaign had filed a “Statement of Organization” Wednesday with the Federal Election Commission, stating that a Kanye 2020 committee would serve as principal campaign committee for a West candidacy.West has already missed the deadline to qualify for the ballot in several states, and it’s unclear if he is willing or able to collect enough signatures required to qualify in others.West, who is married to reality television star Kim Kardashian West, initially announced his candidacy on July 4. Days later, he told Forbes magazine that he, who once praised President Donald Trump and said the two share “dragon energy,” was “taking the red hat off” — a reference to Trump’s trademark red “Make America Great Again” cap.West, who said that he had been diagnosed with bipolar disorder, told the magazine that he planned to model his White House on the fictional land in “Black Panther” if he won the presidency, adding “Let’s get back to Wakanda.” 1816

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President Donald Trump took action Wednesday to make it a little easier for the nation's military spouses to find employment as their families deploy domestically and abroad.The President signed an executive order aimed at increasing opportunities for military spouses to obtain federal jobs and encouraging agencies to increase their use of the noncompetitive hiring authority for military spouses. Trump said he hoped the executive action would encourage private-sector businesses to follow suit in their hiring practices.Speaking to a crowd of military spouses at the White House, the President said, "Your support is essential to making our military the mightiest fighting force in the world and getting stronger all the time."He continued, "We can never repay you for all that you do. We know what you do, and your spouse knows what you do. We can never repay you for that, but we can and we will give you the opportunities you deserve."The unemployment rate for military spouses is 16%, four times the national average for female adults, a statistic the President noted.A survey of military families released last June from Hiring Our Heroes, a US Chamber of Commerce foundation, found that unemployment and underemployment are major challenges for the spouses of service members, 92% of whom are female. Among military spouses who are employed, 14% are in part-time jobs and half of that part-time group wants full-time work.Trump promised, "We are going to change that, and we are going to change it as quickly as we can. It will go fast."While many military spouses choose "portable" career paths like teaching or nursing or law, those often have state-specific licensing requirements that present barriers with each new move.The Trump administration is building on the work begun by former first lady Michelle Obama and former second lady Jill Biden, who through their Joining Forces initiative called on US governors to streamline licensing and credentialing for the military community."Even though all 50 states have addressed this issue in some way, we know that there are still plenty of gaps and challenges that we need to work on, so as far as I'm concerned, our work here definitely isn't finished," Michelle Obama told the Military Times in 2016.The licensing barriers sometimes force spouses to choose between advancing their own careers and moving from place to place with their service member husband or wife."We're working with states across the country to encourage them to remove licensing barriers so that spouses who work in careers such as teaching, nursing and law, many others, also can get a job in their profession no matter where they move," Trump said Wednesday.The administration has been working to address the challenges of military spouse employment for several months. Counselor to the President Kellyanne Conway and senior adviser Ivanka Trump held a listening session with military spouses last August, and they have since had meetings on the topic.The White House's own Office of Public Liaison Deputy Director Jennifer Korn, who was present for the signing of the executive order Wednesday, is the wife of a Marine."One of the biggest challenges is, do I leave my career or do I leave my husband?" Korn said at the listening session last year."At different points of my career, I have left my career. A couple times, me and my husband have lived apart, at one point three years apart while he was on back-to-back deployments. It's very difficult if you have to choose." 3519

  

Quick thinking and response by Independence, Ohio police officer Andrew March, made all the difference in the world for a woman police say was attempting to take her own life, on the I-480 bridge on April 20.Officer March responded at 9:30 AM, after getting information from Cleveland police, that the woman could be on the bridge.Independence police dash camera video shows Officer March quickly jumping out of his cruiser, and then jumping up to grab the woman's leg, pulling her down to safety."I was just thinking get there fast, and if she's climbing up, make sure she gets back down safely on the right side," said March."I just grabbed whatever is available and start pulling and hopefully and would get her to safety."March credited higher safety fencing, installed along the I-480 bridge by the Ohio Department of Transportation two months ago, with giving him more time to get to the scene."It definitely made a difference, if it would have been the old fencing, she probably would have made it over the top," said March.Independence Police Chief Michael Kilbane told News 5, he and police chief's in Valley View and Garfield Heights, started working with State Representative Marlene Anielski (R-Walton Hills) last year to get the safety fencing improved."She really lobbied ODOT hard to get this done, and actually made them make it a priority," said Kilbane.Kilbane praised ODOT and said he hopes the safety fencing posted at other northeast Ohio bridges will be examined in the future."Again it if can just prevent one of them, or buy some time for somebody to get there and talk them out of it, or help them.  I think it's well worth the investment," said Kilbane.ODOT told News 5 it will install a 10-foot safety fence along the Lorain Road bridge, over the Rocky River, later this summer.Meanwhile, March told News 5 he doesn't feel like a hero, that he was just doing his job.Chief Kilbane disagrees."Andrew March is a hero," said Kilbane."I know he's a modest kid, but he saved a life today." 2054

  

Renee Baio has revealed that she has microvascular brain disease.The wife of actor Scott Baio shared the news after a follower on Twitter asked about her health."Besides having 2 meningioma brain tumors, in Oct 2017 I also learned I have Microvascular Brain Disease," she wrote.The disease impacts the small blood vessels in the brain, If left untreated, it "can contribute to mental decline, strokes, walking and balance problems, and dementia," according to Healthline. Besides having 2 meningioma brain tumors, in Oct 2017 I also learned I have Microvascular Brain Disease. @Jerseyshore06— Renee Baio (@MrsScottBaio) March 10, 2018 647

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