美国总统演讲 | 速速加入医保 If You Haven't Got Covered, Now It's Your Chance
摘要: 2015年11月7日,美国总统奥巴马在每周电台演讲中呼吁尚未参保的美国民众利用开放注册期加入《平价医保法案》(ACA)下的医疗保险市场,强调该法案已使1760万美国人获得医保覆盖,未参保率降至历史最低水平,并指出当前是获取可负担、高质量医保的关键时机。
- 截至2015年,《平价医保法案》已帮助1760万美国人获得医疗保险,全国未参保率下降45%,首次超过90%人口拥有医保。
- 开放注册期期间,民众可通过HealthCare.gov比较并选择月费低于75美元的保险计划,部分人还可获得税收抵免。
- ACA禁止保险公司因既有健康状况(如糖尿病、癌症)或性别而拒绝承保或收取更高费用。
- 预防性医疗服务(如体检和疫苗接种)在ACA下不再产生额外自付费用。
- 奥巴马发起“健康社区挑战”活动,鼓励20个参与城市的居民积极参保,承诺访问参保比例提升最高的城市。
小白老师说:今天的听力素材选自美国总统每周电台演讲,奥巴马呼吁尚未参加医保的人赶紧加入。请大家先阅读中英文摘要,然后点击下方条形框播放音频。后面附有演讲原文,请下拉浏览。
美国总统奥巴马每周电台演讲 2015.11.07
Weekly Address: If You Haven’t Gotten Covered, Now It’s Your Chance
奥巴马: 还未参加医保的人请抓紧机会
本周讲话中, 奥巴马总统强调降低未参加医疗保险人数的重要性。自《平价医保法案》实施以来, 拥有医保的人比以前多了很多。现在美国的未参保率下降到历史最低水平。如今, 医保价格更低了, 购买更方便了, 服务质量也更高了,但依然还有很多人没有参保。奥巴马鼓励还没有保险的人抓紧时间获取自己的医疗保险保障。
In this week’s address, the President discussed the importance of reducing the number of people without health insurance. Because of the Affordable Care Act, more people now have the security of health insurance than ever before. As the law’s coverage provisions have taken effect, 17.6 million Americans have gained coverage, and the nation’s uninsured rate now stands at its lowest level ever. The ACA is working, making health care more affordable, accessible, and of higher quality for millions of people.
But there are still Americans around the country who are eligible for Marketplace coverage yet remain uninsured. The President encouraged those who do not have health insurance at this point, especially those whose communities are part of the Healthy Communities Challenge, to go online, take advantage of the open enrollment period that began this past weekend, and sign up for health care coverage.
原文
Hi, everybody. For decades, too many working Americans went without the security of health insurance – and their financial well-being suffered because of it.
We’ve begun to change that. As the Affordable Care Act has taken effect, we’ve covered 17.6 million Americans. Since 2010, the uninsured rate has decreased by 45%. And for the first time, more than 90% of Americans are covered.
If you haven’t gotten covered yet, or if you care about someone who hasn’t gotten covered yet, now’s your chance. It’s open enrollment season for the Health Insurance Marketplace.
What that means is, with a few clicks on HealthCare.gov, you’ll find private insurance companies competing for your business. You can compare plans and choose the one that’s right for your family. In fact, most Americans will find an option that costs less than $75 a month. Even if you already have insurance through the Marketplace, check it out. Shopping around can save you a lot of money – last year, consumers who shopped saved almost $400.
Take the story of a man named Phil Viso, who emailed me earlier this year. Phil’s a software developer from my hometown of Chicago. Last winter, he had an idea for a new app and decided to start his own company. And that can be scary when you need to get your own insurance. But Phil logged on to HealthCare.gov, answered a few questions, picked a plan, and even found out he was eligible for a tax credit that saved him money.
Here’s what he wrote: “I’m still sort of in shock about how great the experience of signing up for health care was…I will have a lot to worry about over the course of the year as I try to get my app released, but thankfully, good health care will not be one of those worries.”
After he sent me that email, Phil ended up getting a new and better job anyway. But that’s the whole point of health insurance. Peace of mind. And under the Affordable Care Act, if you want to change jobs, go back to school, or chase that new idea, you can do it without worrying about going broke if you get sick. If you’ve got a pre-existing condition – diabetes or cancer or heartburn or a heart attack – you can no longer be charged more or denied coverage. You can no longer be charged more just for being a woman. And preventive care like checkups and immunizations now come with no additional out-of-pocket costs.
What we’re talking about is no longer just a law, and it’s certainly not the myths and scare tactics that the cynics have peddled our way for years. This is reality. This is health care in America. And the bottom line is, Americans like it. They’re happy with their plans and their premiums.
So join them. Give it a shot. Check out HealthCare.gov, CuidadoDeSalud.gov, or call 1-800-318-2596 to find a plan that’s right for you or someone you care about.
And by the way – if you live in one of the 20 cities participating in our Healthy Communities Challenge, I want to see how many of your neighbors you can get signed up. I’ll come visit the city that enrolls the highest percentage of folks who aren’t covered right now. That’s a promise.
After all, this country is at its best when we look out for each other. And together, we can help more Americans get the security that they and their families deserve.
Thanks everybody. Have a great weekend.
常见问题
谁有资格在Health Insurance Marketplace注册医保?
居住在美国、不是被监禁者、且不符合Medicaid等其他公共医保资格的个人,通常可在Marketplace注册;许多低收入者还可获得保费税收抵免。
开放注册期是什么时候?
根据2015年演讲内容,开放注册期于当年11月初开始,具体日期每年可能调整,需参考HealthCare.gov官方公告。
已有保险的人还需要重新注册吗?
是的,即使已有Marketplace保险,也建议每年重新比较计划,因为新选项或补贴变化可能带来显著节省——2015年数据显示消费者平均节省近400美元。
ACA如何保护有既往病史的人?
《平价医保法案》禁止保险公司因申请人患有糖尿病、癌症等既有疾病而拒绝承保或提高保费。