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发布时间: 2025-05-31 13:45:36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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RAMONA (KGTV)— Representative Duncan Hunter -R (CA-50) kicked off his Memorial Day weekend in Ramona, at a town hall-style meeting. He and his father, former Congressman Duncan Hunter Sr. - R were guest speakers at "The Border: Then and Now!" event, hosted by a conservative group, American Liberty Forum- Ramona. The elder Hunter remembered San Ysidro during his early years in Congress in the 1980s and 1990s. "The border was a no-man's land. And everybody knows that here, that you didn't go to the border when it was close to being dark," Hunter Sr. said. Border Patrol statistics showed in 1986, San Diego agents apprehended nearly 630,000 people attempting to cross the border illegally. But double-layer fencing dropped that number to close to 32,000 arrests in 2016. They also argued that crime numbers dipped, and the economy boomed in that time. Because of these, both Hunters said they support the President's Border Wall plan. "If you can move troops to Syria, then you can move troops to the border, and build a wall on the border, and say it is in the interest of national security," the current Congressman said. But Friday, a federal judge temporarily blocked the President's plan to transfer military funds to build more border fencing. This was something that the Congressman did not agree with. "His lawyers need to fight it. They need to do it now, and it should go up to the Supreme Court," Hunter said. Hunter also told the audience at Ramona MainStage that he is on board with the President's new merit-based immigration policy. "You get to come here, if you're worth having here," Hunter Jr. said. "I know that sounds mean, but just because you want to come here from another country, doesn't mean you get to."When asked about agricultural and construction jobs, Hunter Jr. admitted that they need to work on special provisions."We understand the needs especially in California and other agricultural states, where they need people to work here, and most Americans don't want those jobs, and they're not going to to do those jobs," Hunter said. "So how do you do that? how do you do it so that the people who are coming here can't be taken advantage of, so they have to go home and check in?" he asked. 2235

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President Donald Trump tweeted early Friday morning he and first lady Melania Trump have tested positive for the coronavirus. "Tonight, @FLOTUS and I tested positive for COVID-19," Trump tweeted. "We will begin our quarantine and recovery process immediately. We will get through this TOGETHER!"The president confirmed late Thursday that Hope Hicks, a senior White House staffer who serves as counselor to the president, was infected with the coronavirus."The White House medical team and I will maintain a vigilant watch and appreciate the support provided by some of our country’s greatest medical professionals and institutions," Dr. Sean Conley, physician to the president, said. "Rest assured, I expect the President to continue carrying out his duties without disruption while recovering and I will keep you updated on any future developments."While Conley is optimistic for the president's recovery, according to CDC guidance, given Trump's weight and age, he is at an enhanced risk of complications from the coronavirus. "Hope Hicks, who has been working so hard without even taking a small break, has just tested positive for Covid 19. Terrible! The First Lady and I are waiting for our test results. In the meantime, we will begin our quarantine process!" Trump tweeted Thursday evening.Her infection was first reported by ABC News and Bloomberg.Hicks was on board Air Force One during Trump’s trip to Minnesota yesterday, and to Cleveland on Tuesday. Photos taken by the Associated Press on Wednesday show Hicks was in close proximity of several other senior staffers, including Jared Kushner, Stephen Miller and Dan Scavino. ABC News reported that Hicks was on board the presidential helicopter Marine One with the president on Wednesday. None of the staffers were seen wearing a mask entering Marine One. Earlier this week, Trump mocked his opponent Joe Biden in the presidential debate for his use of a mask."Tonight as an example, everybody had a test and you've had social distancing and all of the things that you have to," Trump said on Tuesday. "But I wear a mask when needed. I wear masks. I don't wear masks like him. Every time you see him he has a mask. He could be speaking 200 feet away and he shows up with the biggest mask I've ever seen."Trump said on Fox News late Thursday evening that he is awaiting test results to find out if he has the virus."I'll get my test back either tonight or first thing tomorrow morning," Trump told Fox News.ABC News said that Hicks was among a “tight group of advisers” to contract the coronavirus.“The President takes the health and safety of himself and everyone who works in support of him and the American people very seriously,” White House spokesperson Judd Deere said in a statement on Thursday. “White House Operations collaborates with the Physician to the President and the White House Military Office to ensure all plans and procedures incorporate current CDC guidance and best practices for limiting COVID-19 exposure to the greatest extent possible both on complex and when the President is traveling."Despite Hicks' diagnosis, Trump remained out of the White House on Thursday. The CDC states that those who have been in close contact with someone who has the coronavirus should quarantine for 14 days. Trump was originally going to meet with supporters on Friday in Washington before heading to Florida for a Make America Great Rally. Those events have been canceled, according to the White House. It's unclear how long President and first lady Trump will quarantine. First lady Melania Trump also tweeted about her diagnosis."As too many Americans have done this year, @POTUS & I are quarantining at home after testing positive for COVID-19," the first lady said early Friday morning. "We are feeling good & I have postponed all upcoming engagements. Please be sure you are staying safe & we will all get through this together." 3926

  

President-elect Joe Biden announced on Wednesday his first significant staff decision since being projected as the winner of last week’s presidential election.Biden chose longtime aide Ron Klain to be the White House chief of staff come January. According to the Biden campaign, Klain served as a senior adviser to the Biden for President campaign. Klain was previously Biden’s chief of staff as vice president.Klain also took on a number of roles within the Democratic administrations, including serving as the White House Ebola response coordinator in 2014 and 2015 under President Barack Obama.Previously, Klain was a key figure in the Clinton administration, serving as Vice President Al Gore’s chief of staff and a counselor to Attorney General Janet Reno.“Ron has been invaluable to me over the many years that we have worked together, including as we rescued the American economy from one of the worst downturns in our history in 2009 and later overcame a daunting public health emergency in 2014,” Biden said in a statement. “His deep, varied experience and capacity to work with people all across the political spectrum is precisely what I need in a White House chief of staff as we confront this moment of crisis and bring our country together again.”Biden is expected to begin announcing members of his cabinet in the coming weeks. 1350

  

President Donald Trump heard a series of heartfelt stories and pleas for change during a meeting Wednesday with people affected by some of the nation's highest-profile deadly school shootings, including the 1999 Columbine High School shooting, the 2012 Sandy Hook Elementary School massacre and last week's shooting at Marjory Stoneman Douglas High School in Parkland, Florida.Andrew Pollack, a father of one of the 17 victims who died in last week's Florida shooting, said he was speaking Wednesday because his daughter couldn't."We as a country failed our children," he said. "This shouldn't happen."  626

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