Collins Sara R, Doty Michelle M, Garber Tracy
Commonwealth Fund, USA.
Issue Brief (Commonw Fund). 2010 Dec;105:1-20.
The Patient Protection and Affordable Care Act, which will provide health insurance to nearly all U.S. citizens and improve the quality of health insurance, will particularly benefit adults ages 50 to 64, a group suffering from extended unemployment and a loss of employer health benefits. Several early provisions that go into effect in 2010, including preexisting condition insurance plans, will provide transitional assistance for adults who have struggled to gain health insurance. The biggest improvements will come in 2014 through a significant expansion in eligibility for Medicaid and the creation of health insurance exchanges with subsidized private insurance for people with low and moderate incomes. Of the 8.6 million adults ages 50 to 64 who were uninsured in 2009, up to 6.8 million may gain subsidized insurance through Medicaid and the exchanges and 1.4 million with higher incomes will have access to comprehensive health plans with new consumer protections.
《患者保护与平价医疗法案》将为几乎所有美国公民提供医疗保险并提高医疗保险质量，这将使50至64岁的成年人尤其受益，这一群体长期失业且失去了雇主提供的健康福利。2010年生效的几项早期条款，包括已有病症保险计划，将为那些难以获得医疗保险的成年人提供过渡性援助。最大的改善将在2014年实现，届时医疗补助的资格将大幅扩大，还将设立医疗保险交易所，为中低收入人群提供补贴的私人保险。在2009年没有保险的860万50至64岁成年人中，多达680万人可能通过医疗补助和交易所获得补贴保险，140万收入较高的人将能够获得具有新的消费者保护措施的全面健康计划。
