Seo U Lokelang ho se Tseba ka Meriana ea Mesebetsi
Mopresidente Trump o ile a etsa litšepiso mabapi le mokhoa oa letšolo ho boloka Medicare. Ha a sa ka a hlola a khaola Medicare melemo. Ka bomalimabe, ho fihlela joale, mantsoe a hae ha a lumellane le liketso tsa hae. GOP e na le Medicare le Medicaid li-crossairs tsa eona 'me e nka mehato ea ho fokotsa lichelete ho seo e se bonang e le merero ea litokelo. Sena ke seo u lokelang ho se tseba ka chelete ea Medicare e eang ka 2018 le ho feta.
Ke Eng e Nang le Tokelo?
Batho ba bangata ha ba bone Medicare e le "tokelo". Ha e le hantle, ba lefa lekhetho Lefapheng la Medicare Trust ka meputso ea bona ea lekhetho le tšepiso ea ho fihlella tlhokomelo ea bophelo bo botle ha ba se ba hōlile kapa ba lokela ho ba bokooa.
Leha ho le joalo, le hoja tokelo ea lentsoe e na le litlhaloso tsa pejorative tse ling, Medicare le Medicaid li na le mananeo a tokelo ea ho hlalosa. Ho ea ka dikishinari ea Merriam Webster, tokelo ke lenaneo la 'muso le fanang ka melemo ho litho tsa sehlopha se boletsoeng kapa ke chelete e tšehetsang kapa e abeloa lenaneo le joalo.
Ho utloisisa Letlōle la Medicare Trust
Ho na le matamo a mabeli a Medicare chelete. Ea pele ke Letlōle la Tšepo la Medicare la Hospital Insurance [HI], eo ho buuoang ka eona ka ho fetisisa e le Medicare Trust Fund. Letlōle lena le lefella litšebeletso tsa hau tsa Medicare Part A , e leng sebaka sa hau sa bolulo sepetlele, ho lula malapeng a nako e khutšoanyane ka mor'a ho lula sepetlele, tlhokomelo ea bophelo bo botle ba malapa le tlhokomelo ea bakuli.
Letlōle lena ke moo likoloto tsa hau tsa lekhetho li ea teng.
Ka bomalimabe, Inshorense ea Inshorense ea Lipetlele e lebeletsoe hore e be insolvent ka 2029 . Seo se bolela hore ha se na chelete e lekaneng ea ho lefella litšebeletso tsohle tseo li li etsang kajeno. Ka nako eo, e ka khona feela ho fumana karolo ea 88 lekholong ea lits'ebeletso tsena.
Lefapha la bobeli la Medicare Fund ke Tšepo ea Supplementary Medical Insurance (SMI) Trust.
Tšepo ena e itšetlehile ka li-premium tseo u li lefang bakeng sa Medicare Part B le Karolo ea D. Likarolo tsena tsa Medicare li lefa bakeng sa mosebetsi oa mali, maeto a ngaka, lithuto tsa litšoantšo, phekolo ea 'mele / mosebetsi / puo, meriana ea meriana, ho hlahlojoa ho thibela, ho buuoa (mekhoa e itseng), le lits'ebeletso tse ling tsa boithaopo.
Medicare, Lekhetho la Ts'ebetso, le Budget ea 2018 ea Lekhetho
Ka 2016, chelete eohle ea Lichelete tsa Bophelo ea Sechaba (NHE) e ne e le litšenyehelo tsa liranta tse limilione tse likete tse 3,3, e leng karolo ea 17.9 lekholong ea Gross Domestic Product (GDP).
Medicare ho sebelisa chelete e ka ba $ 672.1 limilione tse likete, e bontšang karolo ea 20 lekholong ea NHE le karolo ea 3.58 lekholong ea GDP. Chelete ea ho sebelisa chelete e ne e le $ 565.5 limilione tse likete, karolo ea 17 lekholong ea NHE, le karolo ea 3,03 lekholong ea GDP.
GOP e batla ho fokotsa hore na Palo ea lichelete e sebelisoa joang mananeong a tokelo.
E le ho finyella seo, ntlo ea baemeli ba US e ile ea fetisetsa qeto ea tekanyetso ea selemo sa 2018 ka August 2017. Lenaneng la likhetho, morero oa GOP o kenyeletse $ 487 limilione tse fokolang ho Medicare, keketseho ea lilemo tsa 65 ho ea ho 67 ho ea Medicare. ba lilemo li mashome le metso e 'meli, le tšebetso ea boipheliso ea Medicare ka lenaneo la voucher. Mabapi le Medicaid, menehelo ea federal e ne e tla fetoloa ho ea ka chelete ea lichelete kapa ho thibela meputso , ho fokotsa haholo chelete ea lenaneo ka hoo e batlang e le $ 1 trillion.
Qeto ea moralo e ile ea fetela Senate moo e ileng ea fetisoa ka la 19 October. Phetolelo e amohelehang ea Senate e khutlela Ntlong moo e ileng ea feta ka la 26 October. Hona joale, liphetoho tse hlophisitsoeng ho mananeo a tokelo ha li behe ka majoe hobane ha ho melao e tobileng ea ho e etsa. Litaba tsa GOP li rerile ho sebetsana le melao mabapi le litaba tsena selemong se secha. Ho e-na le hoo, seo selemo sa 2018 sa tekanyetso ea lichelete se entseng se ne se behile moralo oa Molao oa Lekhetho oa GOP.
Molao oa Lekhetho oa GOP
Molao oa Lekhetho oa GOP, oo hape o tsejoang e le The Tax Cuts le Jobs Act, o ile oa hlahisa phehisano e khōlō mabapi le ho khaola mekhoa ea lekhetho ho Maamerika a ruileng holim'a batho ba futsanehileng le ba bohareng.
Hape ho lekanngoa hore lekhetho le eketsa phaello ea naha ka $ 1.5 trillion ho feta lilemo tse 10.
Seo u se hlokang ho se utloisisa ke hore na molao o ama Medicare joang. Qalong, lekhetho la lekgetho la Senate ha le khaotse ho sebelisa chelete ea Medicare ka ho toba. U ke ke ua fumana mantsoe ao a ngotsoeng ka molao. Leha ho le joalo, e ntse e tla fella ka ho fokotsa bonyane $ 28 limilione tse likete ho tloha Medicare selemo le selemo lilemong tse leshome tse latelang.
E behe molato ka tokisetso ea PAYGO.
Molao oa "pay-as-you-go", molao oa bipartisan o entsoeng e le karolo ea Omnibus Budget Reconciliation Act ea 1990, o ne o etselitsoe ho boloka bofokoli bo le teng. E sebetsa ka tsela ena. Ha Congress e fetisa tekanyo efe kapa efe e eketsang ho fokotseha ha lilemo tse hlano ho isa ho tse 10 empa ha e kenyeletse ho fokotsa lichelete, PAYGO e kenella ka. Ka nako eo, tsamaiso e hlokahalang ho kenya chelete ea ho qeta mekhatlo e meng e sa amoheleheng ea federal (Medicare, Subsidies and Supports) , Lenaneo la Tlhabollo ea Likotsi le lekaneng la Mokhatlo oa Mesebetsi, Tšebelisano le Tšehetso bakeng sa Meetlo le Border Patrol, Tsamaiso ea Mesebetsi ea Mesebetsi, le mananeo a mang). Qeto ea hore na ka ho khetheha ho fokotsa chelete e ne e tla etsoa ka sequeter.
Ka bomalimabe, ke sona seo re se shebileng le Molao oa Lekhetho la GOP:
PAYGO e ne e tla hloka hore Congress e fokotse chelete e sebelisoang selemo sa selemo sa 2018 ka liranta tse limilione tse likete tse 136. Chelete e lumelletsoeng hore e khaoloe mananeong a boipheliso a seng a sa lefshoa ho hakanngoa hore ke $ 114 limilione tse likete. Seo se bolela hore chelete eohle e amohelehang e tla khaoloa mananeong ohle, ho akarelletsa le Medicare.
PAYGO e lumella mananeo a mang ho khaola ka karolo ea 100 lekholong empa Medicare e na le cap. Ho khaola ho Medicare ho lekanyelitsoe ho karolo ea 4 lekholong ea tekanyetso ea lenaneo. Bakeng sa 2018 e ka bang $ 28 limilione tse likete. Ka 2027, ka lebaka la theko ea lichelete le litšenyehelo tse ntseng li eketseha tsa tlhokomelo ea meriana, karolo ea 4 lekholong ea boleng e lebeletsoe ho nyolohela ho $ 56 limilione tse likete ka selemo.
Kaha GOP e ne e se e ntse e rerile ho fokotsa bohlokoa ho Medicare nakong ea Budget ea 2018 ea tefello ea lichelete, ho ke ke ha etsahala hore tsamaiso e tla sheba ho thibela litšebeletso tse hlokahalang tlas'a PAYGO. Esita le haeba ba batla, ba ke ke ba fetola kapa ba tlohela puso ea PAYGO ka qeto ea moralo. Ba ne ba tla tlameha ho fetola molao oa PAYGO ka boeena. Nakong ena, ha ho na litlaleho tsa hore tsamaiso e ikemiselitse ho etsa joalo.
Lentsoe le Tsoang ho
Ho sa tsotellehe litšepiso tse fapaneng, tsamaiso ea Trump e na le melao e tla fokotsa lichelete ho Medicare. GOP e hlalositse merero ea ho fetola Medicare joalokaha re e tseba. Selemo sa selemo sa 2018 sa Lekhetho la Lichelete se ikemiselitse ho fokotsa chelete ea Medicare, ho eketsa lilemo tsa ho lefa bakeng sa tlhokomelo, le ho fokotsa lenaneo ka lenaneo la voucher. Molao oa Lekhetho oa GOP o tla khaola Medicare chelete ka bonyane $ 28 limilione tse likete selemo ho qala ka 2018.
> Mehloli:
> Litla-morao tsa Molao o neng o tla hlahisa likhaello ka $ 1.5 Trillion ka nako ea 2018-2027. Ofisi ea Budget ea Congressional. https://www.cbo.gov/publication/53319. E hatisitsoe ka la 14 November, 2017.
> FY 2018 Khaolo ea Budget ea Ntlo le Tlhahiso ea Bona ho Baholo. Komiti ea Naha ea ho Boloka Tlhokomelo ea Sechaba le Meriana. http://www.ncpssm.org/PressRoom/NewsReleases/Release/ArticleID/1712/FY-2018-House-Budget-Resolution-and-Its-Effect-on-Seniors. E hatisitsoe ka la 2 August, 2017.
> Melao ea PAYGO e ka ama Phetoho ea Lekhetho joang. Komiti ea Chelete ea Boipheliso ea Muso e ikarabellang. http://www.crfb.org/blogs/how-paygo-rules-could-affect-tax-reform. E hatisitsoe ka la 18 October, 2017.
> Meriana e Fanoa Joang? Medicare.gov. https://www.medicare.gov/about-us/how-medicare-is-funded/medicare-funding.html.
> Lethathamo la Lipatlisiso tsa Bophelo ba Sechaba. Litsi tsa Medicare le Medicaid Services. https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/nationalhealthexpenddata/nhe-fact-sheet.html. E fetotsoe ka la 6 December, 2017.