医疗补助削减

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美国政府关门风险升级!民主党抛出重磅反提案,不谈判就关门
Jin Shi Shu Ju· 2025-09-18 09:33
AI播客:换个方式听新闻 下载mp3 "去问问共和党人,他们是否愿意让政府关门,"舒默告诉记者,并补充说共和党领导人"根本"没有请求 民主党人进行谈判。 民主党的法案将废除7月份为抵消特朗普标志性的4万亿美元减税和支出削减法案部分成本而颁布的医疗 补助(Medicaid)削减。此外,民主党人还在寻求长期延长即将到期的"奥巴马医改"(Obamacare)税 收补贴,这项提议可能耗资数千亿美元。舒默拒绝对这些补贴的成本发表评论。 如果"奥巴马医改"补贴不续期,许多美国人将在11月1日开始的明年保险开放注册期收到其医疗保险费 飙升的通知。民主党人提议的临时拨款法案将持续到10月31日,恰好在该开放截止日期之前,而共和党 的提案则将为政府提供资金至11月21日。 共和党人需要至少七名参议院民主党人的支持,才能在该院通过一项政府拨款法案。到目前为止,舒默 一直坚决反对共和党的法案。 与此同时,共和党领导人已表示,他们不打算将医疗保健作为临时拨款过程的一部分进行谈判。参议院 多数党领袖约翰·图恩早些时候告诉记者,任何附带重大医疗保健条款的短期支出法案反提案都是"完全 不严肃的",关于"奥巴马医改"补贴的讨论可以在以后进行 ...
没完整读过“大漂亮法案”?特朗普向共和党宣布“三不碰”,显然不清楚医疗补助削减
Hua Er Jie Jian Wen· 2025-07-03 04:40
Group 1 - The core issue revolves around President Trump's apparent lack of awareness that the spending bill he is advocating includes significant cuts to Medicaid, contradicting his stated "three no-touch" principles regarding Medicaid, Medicare, and Social Security [1] - The proposed legislation, referred to as the "Big Beautiful Bill," aims to cut Medicaid by $1 trillion, which is expected to result in approximately 11 million Americans losing coverage [1] - The Congressional Budget Office estimates that this bill will increase the national debt by $3.3 trillion over the next decade [1] Group 2 - The House of Representatives is currently reviewing the legislation, with the Republican Party able to afford only three dissenting votes; however, Congressman Thomas Massie has already indicated his opposition [2] - Massie and members of the House Freedom Caucus oppose the anticipated increase in national debt by $3.3 trillion [2] - Key provisions of the bill include extending the 2017 tax cuts set to expire this year, cutting Medicaid by $1 trillion, increasing the Department of Defense budget by $150 billion, and raising funding for Immigration and Customs Enforcement from $10 billion to over $100 billion [2]
美国参议院通过“大而美”法案,3.3万亿债务炸弹将引发众议院激战
Jin Shi Shu Ju· 2025-07-01 23:51
Core Points - The Senate narrowly passed a comprehensive tax and spending bill proposed by Trump, which is referred to as an "economic nuclear bomb" due to its significant tax cuts and social safety net reductions, while increasing military and immigration enforcement spending, leading to a projected $3.3 trillion increase in national debt [1][2] - The bill has been sent to the House for a final vote, but some Republican lawmakers have publicly opposed the Senate version [1] Summary by Sections Key Provisions of the Bill - Extension of Trump's 2017 tax cuts - New tax benefits for tip income and overtime pay - Increased budget for military and immigration enforcement - Reduction of approximately $930 billion in Medicaid and food assistance for low-income individuals - Repeal of several green energy incentives from the previous Biden administration - The bill highlights divisions among Republicans regarding the $36.2 trillion national debt and raises the federal debt ceiling by $5 trillion [2] Legislative Process and Challenges - The Senate passed the bill with a 51-50 vote, with Vice President Vance casting the tie-breaking vote; three Republican senators voted against it alongside all Democratic senators [3] - The final version included provisions to secure support from Senator Lisa Murkowski, such as additional food assistance for certain states and $50 billion in funding for rural hospitals [3] - The House, with a narrow Republican majority of 220-212, is expected to have a contentious vote, with Trump planning to engage deeply in lobbying efforts [3] Reactions and Implications - Billionaire Elon Musk criticized the bill for excessive spending and pledged to support challengers to current Republican lawmakers in the midterm elections [4] - Democratic leaders condemned the bill as the largest theft in U.S. healthcare history, claiming it would deprive hungry children of food [4] - The Tax Foundation indicated that the primary beneficiaries of the Senate version of the bill would be the top 1% of earners with incomes exceeding $663,000 in 2025 [5] - Independent analyses suggest that tightening food and healthcare eligibility will significantly reduce income for impoverished populations, with an estimated 12 million people losing healthcare coverage [6]
共和党分歧加剧,美参议院暂停审议“大漂亮”法案
Hua Er Jie Jian Wen· 2025-07-01 10:52
Core Viewpoint - The U.S. Senate has paused the deliberation of the "Big Beautiful" bill due to significant internal divisions within the Republican Party, with efforts ongoing to secure enough votes for passage [1][2]. Group 1: Legislative Process - The Senate's complex process requires handling all proposed amendments before a final vote on the bill can occur, with key amendments potentially influencing overall support [2]. - The Senate is expected to continue voting on numerous amendments, which are critical to determining the bill's fate [2]. Group 2: Internal Party Divisions - Key points of contention within the Republican Party include substantial cuts to social security spending, the retention of clean energy tax credits, and the overall fiscal deficit of the bill [1][2]. - Eight Republican senators are currently considered potential dissenters, with Rand Paul and Thom Tillis being the most prominent opponents [1]. Group 3: White House Involvement - The White House is actively lobbying for votes, with President Trump personally making calls and warning of historical tax increases if the bill fails [3]. - Treasury Secretary Mnuchin is optimistic about the bill's approval in the near term, while Senate Majority Leader John Thune remains cautious about progress [3]. Group 4: Clean Energy Subsidies - The current version of the bill proposes significant reductions in subsidies for clean energy, which has led to dissatisfaction among some Republican senators [4]. - A proposed amendment aims to relax the completion deadline for projects seeking subsidies, but this could provoke backlash from fiscal conservatives [4]. Group 5: Healthcare Funding Controversies - The bill's proposed cuts to Medicaid have sparked controversy, particularly among rural representatives concerned about hospital closures [6]. - A Republican senator's amendment to increase funding for rural hospitals was rejected by Democrats, highlighting the contentious nature of healthcare provisions in the bill [6]. Group 6: Final Amendments and House Considerations - The Republican leadership is preparing a "last resort amendment" to balance internal party opinions before the final vote, which must also consider the House's acceptance of any changes [7]. - The House previously passed its version of the bill by a narrow margin, and the Senate's more aggressive cuts to Medicaid could complicate support from moderate Republicans in the House [7].
马斯克批美国税改法案“荒谬可笑、充斥着政治操弄”,白宫回应:不影响特朗普立场
Mei Ri Jing Ji Xin Wen· 2025-06-03 23:31
Core Viewpoint - The article discusses the criticism from Elon Musk regarding President Trump's large-scale tax and spending bill, which Musk describes as absurd and politically manipulated, warning that it could significantly increase the budget deficit to $2.5 trillion and burden American citizens with debt [1]. Group 1: Tax and Spending Bill - The large-scale tax and spending bill, referred to as the "beautiful bill," has been passed by the House of Representatives and is set for Senate review [1][6]. - The bill plans to reduce taxes by $4 trillion over the next decade while cutting at least $1.5 trillion in spending [1][6]. - Critics argue that the bill will severely impact healthcare policies and significantly increase federal debt [1][6]. Group 2: Elon Musk's Criticism - Musk expressed disappointment that the "beautiful bill" contradicts the efforts of the Office of Government Efficiency, which aims to reduce costs [4]. - He stated that the Office of Government Efficiency has become a scapegoat for all layoffs, indicating a disconnect between government actions and accountability [3][4]. - Musk humorously questioned whether a bill can be both "big" and "beautiful," highlighting skepticism about the bill's effectiveness [4]. Group 3: Political Reactions - Senator Joni Ernst faced backlash during a town hall meeting for her comments regarding cuts to healthcare subsidies, which some audience members claimed would lead to deaths [5][6]. - Ernst's subsequent apology was perceived as sarcastic, reflecting the contentious nature of the bill and its implications for public health [6].
特朗普减税法案陷僵局,共和党内讧,“地方税扣除”吵翻天
Hua Er Jie Jian Wen· 2025-05-20 21:13
Core Points - The tax reform legislation is facing a stalemate due to Republican representatives from high-tax states insisting on raising the SALT deduction cap, which has led to difficulties in passing the bill [1] - Trump attempted to persuade key Republican members from blue states to drop their opposition to the tax reform bill but was unsuccessful [1] - The current proposal suggests increasing the SALT deduction cap from $10,000 to $30,000, which some Republican members still find insufficient [1] - A proposal to raise the cap to $40,000 for individuals earning $751,600 or less was made, but it only applies for four years before decreasing for lower-income groups [1][2] - Trump expressed frustration with the SALT group, suggesting they wait until after the tax legislation is passed to push for further increases [3] - The bill also faces opposition from conservative Republicans who demand deeper cuts to Medicaid and nutrition programs [4] Group 1 - The tax reform bill is stalled due to demands from Republican members from high-tax states for a higher SALT deduction cap [1] - Trump met with Republican members to persuade them to support the tax reform but did not succeed [1] - The proposed increase of the SALT deduction cap is still considered inadequate by some Republican members [1] Group 2 - A new proposal to raise the SALT cap to $40,000 for certain income brackets was introduced but has limitations [1][2] - Trump suggested that Republican members from high-tax states should wait for the tax legislation to pass before seeking further increases [3] - Conservative Republicans are pushing for more significant cuts to Medicaid and nutrition programs, complicating the tax reform bill [4]