过去，补贴仅限于收入在联邦贫困线100%到400%之间的人群，但新冠疫情之后，拜登政府提出的《美 国救援计划》取消了收入上限要求。 当地时间11月23日，美媒援引知情人士消息称，美国总统特朗普计划最早在周一（24日）公布一项新的 医疗保健政策框架，其中包括将原定于年底到期的《平价医疗法案》（ACA）补贴延长两年，并对参 保资格实施新限制。 上述知情人士透露，特朗普的计划将包括设置新的收入上限，以确定参保者是否有资格获得《平价医疗 法案》税收抵免，同时还将设定最低保费支付标准。 而特朗普政府如今拟议的政策框架预计将把补贴范围限制在收入不超过联邦贫困线700%的个人，并要 求国会划拨一定的资金用于削减分摊费用。 在收入端，该计划将强制要求所有人每月至少缴纳部分保费，以应对另一项允许许多低收入美国人免费 获得保险的增强条款所引发的欺诈浪潮。 此前，许多保险经纪人和代理人在投保人不知情或未经其同意的情况下，将其纳入《平价医疗法案》并 赚取佣金。白宫认为，要求低收入参保者至少支付部分保费，可以减少此类行为的发生。 有媒体指出，民主党人已经计划在明年中期选举中利用这一后果打击共和党。 这不禁让人想起2018年中期选举时的 ...

Core Points - The U.S. government shutdown has entered its second week, with President Trump indicating potential negotiations with Democrats on healthcare, but the "reopen first, negotiate later" stance creates uncertainty [1] - The ongoing impasse has led to hundreds of thousands of federal employees being furloughed, increasing political pressure on lawmakers as payroll dates approach [2] Healthcare Subsidies as Core Disagreement - The Senate rejected the House-passed temporary funding bill for the fifth time, with a vote of 52-42, failing to meet the required 60 votes [3] - Democrats insist on including Affordable Care Act (ACA) subsidy provisions in any temporary spending bill, which are set to expire at the end of 2025, and demand the repeal of Medicaid cuts from Trump's second-term spending bill [3] - Republicans are employing a "carrot and stick" strategy, suggesting future discussions on ACA subsidies while pressuring key Democratic senators representing large numbers of federal employees [3] White House's Firm Stance - Trump's economic advisor warned of "severe measures" if the Senate vote fails, hinting at potential layoffs of federal employees who are currently on unpaid leave [4] - Trump has previously indicated that he would take the opportunity to fire thousands of federal workers if the government shuts down [4]

Core Points - The White House budget chief, Ras Watt, plans to quickly lay off federal workers, indicating a hardline strategy by Republicans to pressure Democrats to end the government shutdown [1][2] - The Trump administration is using the shutdown to reduce the size of the federal government, including suspending $18 billion in federal funding for infrastructure projects in New York City [2] - There is a push from moderate Republicans and Democrats in the Senate to find a temporary solution to reopen the government, focusing on a short-term spending bill and negotiations over healthcare subsidies [3][4] Group 1 - Ras Watt informed House members that some federal agencies will begin layoffs within one to two days, although specific details on which agencies or positions are affected were not disclosed [2] - The Trump administration has cited concerns over diversity and equity practices as reasons for the layoffs, which directly impact Democratic leaders from New York [2] - The management and budget office has called for federal agencies to prepare plans for large-scale layoffs beyond traditional furloughs to achieve its goal of reducing the federal bureaucracy [2] Group 2 - Republican House Speaker Mike Johnson stated that the government shutdown provides an opportunity to make changes that would not be possible without Democratic votes [3] - Vice President J.D. Vance downplayed the plans to cut services during the shutdown, emphasizing the desire to maintain essential government services [3] - The challenge for both parties is to garner enough support to pass a "clean" spending bill, with recent votes showing some Democrats breaking ranks to support Republican initiatives [5] Group 3 - Republicans are confident they can pressure enough Democrats to support reopening the government, with discussions ongoing about healthcare subsidies as a bargaining chip [6] - The government is likely to remain closed for at least a few days, with the House scheduled to recess and Senate leaders planning to return for voting if the shutdown continues [6] - Historical context is provided, noting previous government shutdowns during Trump's first term, particularly the significant one in late 2018 over border wall funding [6]

Core Points - The U.S. government is on the brink of a shutdown due to failed negotiations between the two parties regarding funding, causing market anxiety and pushing gold prices above $3,800 per ounce [1][2] - The existing federal funding will run out on Wednesday, leading to potential furloughs for hundreds of thousands of federal employees and disruptions in public services if no agreement is reached [2][4] - The political deadlock is exacerbated by strong partisan positions, with both parties blaming each other for the impasse [5][6] Funding Negotiations - Key discussions involving President Trump and congressional leaders failed to yield any agreement, with Republicans proposing a "Continuing Resolution" to extend current funding levels until November 21, which Democrats rejected unless it included healthcare subsidy extensions [5][6] - The Republican majority in the Senate (53 to 47) requires at least 60 votes to pass any funding bill, necessitating support from at least seven Democratic senators [6] Market Reactions - The political uncertainty and a weakening dollar have driven gold prices to surge, with a notable increase to $3,871 per ounce before settling around $3,800 [2][8] - Year-to-date, gold prices have risen by 45%, influenced by high government debt, persistent inflation, and doubts about the dollar's status as the primary reserve currency [9] Investment Trends - Institutional and central bank buying has contributed to the rise in gold prices, with significant inflows into gold ETFs and record net long positions by speculative investors [10] - The recent surge in gold prices is attributed to a "fear of missing out" (FOMO) among hedge funds, alongside central banks increasing their gold reserves as a hedge against dollar risks [10]