Blue Shield of California Foundation, San Francisco, USA. peter.long@ blueshieldcafoundation.org
Health Aff (Millwood). 2011 Jan;30(1):63-70. doi: 10.1377/hlthaff.2010.0961.
The Affordable Care Act is the most fundamental legislative transformation of the US health care system in forty years. This analysis estimates that the act will provide health insurance for an additional 3.4 million people in California in 2016. This will mean that nearly 96 percent of documented residents of California under age sixty-five will be insured. Enrollment in Medi-Cal, the state's Medicaid program, is expected to increase by 1.7 million people, while 4.0 million people are expected to enroll in the state's planned new health insurance exchange. Employer-sponsored insurance and spending on health insurance will decline slightly. Low-income households will experience substantial financial benefits, but families at the highest income levels will pay more.
平价医疗法案是美国四十年来医疗体系最重要的立法改革。该分析预计，该法案将在 2016 年为加利福尼亚州额外提供 340 万人的医疗保险。这意味着近 96%的加利福尼亚州 65 岁以下有记录的居民将获得保险。加州医疗补助计划（Medi-Cal）的参保人数预计将增加 170 万人，而有 400 万人预计将参加该州计划中的新医疗保险交易所。雇主提供的保险和医疗保险支出将略有下降。低收入家庭将获得实质性的经济利益，但收入最高的家庭将支付更多的费用。
