Tm hiu

D LUT CHM SC SC KHE

ca Thng Vin

Sunday, July 9, 2017 1:26 AM

D Lut Chm Sc Sc Khe ca Thng Ngh Vin:

Ly i Bo Him Sc Khe ca 22 Triu Ngi M

Gip Gim 700 T ng Tin Thu cho Ngi Giu

Bc S Nguyn Thanh Tng

PIVOT-The Progressive Vietnamese American Organization

Vn Phng Ngn Sch Quc Hi (The Congressional Budget Office

-CBO), mt c quan chnh ph khng lin kt vi t chc no, c nhng
phn tch v nh hng ca lut lin bang thng c xem nh l chnh
xc nht, a ra nh gi v D Lut Chm Sc Sc Khe ca Thng
Ngh Vin (https://goo.gl/rZemDK). Phn tch ca CBO xc nhn quan nim
tng qut rng o lut l s ci cch thu gi mo gn cho n l ci cch
chm sc sc khe.
H.R. 1628, Better Care Reconciliation Act of 2017
goo.gl
CBO and JCT estimate that enacting the Better Care Reconciliation Act of
2017 would reduce federal deficits by $321 billion over the coming
decade and increase the number of people who are uninsured by 22
million in 2026 relative to current law.

D Lut Chm Sc Sc Khe ca Thng Ngh Vin l mt d lut ct

gim thu cho ngi M nh giu. N s a ti vic ct gim 700 t
ng thu, m vi 45% ca vic ct gim s i vo tay nhng ngi
kim hn 875 ngn ng mt nm. Nhng ngi nm trong mc cao nht
0.1% l nhng ngi kim t 5 triu ng tr ln mi nm, th h s c
gim thu gn nh l 250 ngn ng mi nm (https://goo.gl/CWch1x). 20%
nhng ngi M c li tc cao nht s c 67% ca s tin gim thu.

Sao chp t Trung Tm Chnh Sch Thu

https://goo.gl/Nk6HKt
 Gnh nng gim thu cho ngi giu s c ngi ngho v trung lu
M hng chu qua vic xa b hoc gim i bo him y t ca h, vi
22 triu ngi mt bo him y t trong nm 2026, a s ngi M khng
c bo him ln n 49 triu, hoc khong c 7 ngi M th 1 ngi
khng c bo him.

Hnh nh t fivethirtyeight.com
http://53eig.ht/2tdq

Ph bo him y t s tng ng k cho nhng ngi kim di $26500

mt nm T $400 tr ln cho mt ngi 21 tui, $900 cho mt ngi
40 tui, v $2000 cho mt ngi 64 tui. i vi mt ngi 64 tui, gi
bo him y t 16 ngn ng mt nm s chim hn phn na thu nhp
hng nm ca ngi . Ngay c nhng ngi kim mc thu nhp trung
lu in hnh, ngoi nhng ngi M trung lu rt tr, h c th b tr
thm tin bo him. c bit, im ny lm cho bo him y t khng hp
 ti tin cho ngi ngho v ngi trung lu M khng c bo him sc
khe ca ch i lm.

Hnh nh t Tin Tc NBC

https://goo.gl/JmDkvU

Nhng cng ty bo him y t s khng phi cung cp 10 li ch thit yu

bt buc bi o Lut Chm Sc Gi C Phi Chng (Affordable Care Act
-ACA). Do , ngi M phi tr thm tin nhng li nhn c t
chm sc sc khe hn.
Khong 15 triu ngi s b mt bo him Medicaid vo nm 2026.
Medicaid cung cp tip cn vi chm sc sc khe cho gn phn na s
 ph n mang thai v 60% tr em khuyt tt. N cng tr cho 2 phn 3
ngi M sng trong nh dng lo.

Hnh nh t New York Times

https://nyti.ms/2uakIRk

Khi Atul Gawande t n ngn gn, D Lut Chm Sc Sc Khe ca

Thng Ngh Vin s ly i Medicaid ca khong 750 ngn ngi
trao 33 t ng tin gim thu cho 400 ngi c thu nhp cao nht trong
quc gia
https://goo.gl/iVHNDz
Mt bi bo mi c xut bn ca Annals of Internal Medicine
(https://goo.gl/6NCHxY) cho thy rng ngi ta s b nguy c t vong cao. Da
vo nhng phn tch ca CBO, iu ny c ngha l khong 29 ngn
ngi M s cht nh l mt kt qu trc tip ca d lut ny. l
gp 10 ln s ngi cht trong v tn cng khng b 9/11 nm 2001.
 Kt qu l, D Lut Chm Sc Sc Khe ca Thng Ngh Vin b tt c
nhng t chc y t ln phn i:

Bc S: Hip Hi Y Khoa Hoa K (American Medical Association), Vin

Hn Lm ca Bc S Gia nh (American Academy of Family Physicians),
Vin Hn Lm ca Bc S Nhi Khoa (American Academy of Pediatrics),
i Hc Hoa K ca Bc S (American College of Physicians), i Hi
Bc S Sn Ph Khoa Hoa K (American Congress of Obstetricians and
Gynecologists), Hip Hi Bc S Chnh Hnh Hoa K (American
Osteopathic Association), Hip Hi Bc S Tm Thn Hoa K (American
Psychiatric Association), Hi Bc S Cp Cu Hoa H (American College
of Emergency Physicians), Hip Hi Cc Trng Cao ng Y Khoa Hoa
K (Association of American Medical Colleges)
Bnh Vin: Hip Hi cc Bnh Vin Hoa K (American Hospital
Association), Lin on cc Bnh Vin Hoa K (Federation of American
Hospitals).
Nhng t chc khc bao gm nhng ngi ng h bnh nhn: Hip Hi
Y T Cng ng Hoa K (American Public Health Association), Hip Hi
Nhng Ngi V Hu Hoa K (American Association of Retired Persons),
Hip Hi Tim Mch Hoa K (American Heart Association), Hip Hi Phi
Hoa K (American Lung Association), v nhng t chc khc.

Mc d hin gi c s Thng Ngh S ng Cng Ha phn i

thng qua D Lut Chm Sc Sc Khe ca Thng Ngh Vin, nhng
Ngi ng u Lnh o Thng Vin Mitch McConnell l ngi lm
tha hip gii c kh nng thuyt phc nhng Thng Ngh S h
o ngc v tr ca h, c bit l i vi nhng Thng Ngh S no
 by t s nghi ng mnh m v ACA chng hn nh Thng Ngh S Ted
Cruz v Rand Paul. V th, nhng ai ng h quyn ca nhng ngi M l
c sng v c sc khe tt th nn tip tc c v d lut khng thng
qua, lm nhng hnh ng nh sau:

Nu bn sng ti Alaska, Arizona, Louisiana, Maine, Nevada, West

Virginia, hy gi Thng Ngh S ca bn v s dng thng tin sau y c
th ni chuyn qua Twitter hoc ng trn Facebook:
Nu ti @lisamurkowski b phiu thun, th 62,500 ngi Alaska s
mt bo him y t. Sng Alaska? Xin hi c y #ProtectOurCare: 202-
224-6665

.@JeffFlake, gii thch vi 465,200 ngi sng Arizona rng ti sao bn

s b phiu ly i bo him y t ca h ch v mun cho ngi giu
c gim thu nhiu. #ProtectOurCare
C phi 343,000 ngi sng Lousiana mt bo him y t vt qua
Kimmel Test @BillCassidy khng? Xin ni cho ng y bit, cu tr li l
khng. Hy gi: 202-224-5824
.@SenatorCollins c th l l phiu quyt nh cho vic 23 triu ngi
M mt bo him y t v 116 ngn 800 ngi Maine hay khng. BY
GI HY GI: 202-224-2523
Khng phi 138 ngn 100 ngi Nevada mt bo him y t l qu nhiu
sao? Hy gi @SenDeanHeller by gi: 202-224-6624 #ProtectOurCare
Ti Pha Ty Virginia, 122 ngn 800 ngi s mt bo him y t nu
@sencapito b phiu thun bi b vic chm sc sc khe. Sng Pha
Ty Virginia? Hy gi: 202-224-6472 #ProtectOurCare
 Nu bn khng sng nhng tiu bang , xin vui lng truyn thng tin
trong blog ny, c bit l i vi nhng hnh ng nu trn, n cho bn
b ngi thn ca bn ang sng ti nhng tiu bang hoc gi cho ai c
bn b v ngi thn ang sng ti nhng tiu bang .
Tt c chng ta c th lm vic sau y:
Ni ra v chia s cu chuyn ca bn ti sao Thng Ngh S nn b phiu
chng bi b chm sc sc khe. #LivesOnTheLine
B xc ng bi nhng cu chuyn c chia s trong #LivesOnTheLine
hashtag. Chm sc sc khe cu sng mng ngi, v mi ngi u ng
c chm sc.
y chnh l n. Nu chng ta khng hnh ng #ProtectOurCare,
Thng Ngh S c th ly n i. BY GI HY GI: 866-426-2631.

S ngi M s cht t vic thng qua D Lut Chm Sc Sc Khe

ca Thng Ngh S, gp 10 ln hn s cht do nhng cuc tn cng
khng b ti t M trong 17 nm qua! Hng triu ngi M s chu
ng nhng bnh tt khng c cu cha v s cng thng do khng
c bo him y t v ni s hi tht s b ph sn khi h hoc ngi thn
b bnh. Tt c ch ngi M giu c c th tr nn giu c hn. Xin
lm iu g m bn c th.