Hirsch Joshua A, Rosenkrantz Andrew B, Nicola Greg N, Harvey H Benjamin, Duszak Richard, Silva Ezequiel, Barr Robert M, Klucznik Richard P, Brook Allan L, Manchikanti Laxmaiah
NeuroInterventional Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Department of Radiology, NYU Langone Medical Center, New York, New York, USA.
J Neurointerv Surg. 2017 Jun;9(6):595-600. doi: 10.1136/neurintsurg-2017-013136.
On 8 November 2016 the American electorate voted Donald Trump into the Presidency and a majority of Republicans into both houses of Congress. Since many Republicans ran for elected office on the promise to 'repeal and replace' Obamacare, this election result came with an expectation that campaign rhetoric would result in legislative action on healthcare. The American Health Care Act (AHCA) represented the Republican effort to repeal and replace the Affordable Care Act (ACA). Key elements of the AHCA included modifications of Medicaid expansion, repeal of the individual mandate, replacement of ACA subsidies with tax credits, and a broadening of the opportunity to use healthcare savings accounts. Details of the bill and the political issues which ultimately impeded its passage are discussed here.
2016年11月8日，美国选民将唐纳德·特朗普选为总统，并使多数共和党人在国会两院获得席位。由于许多共和党人竞选公职时承诺“废除并取代”奥巴马医改，此次选举结果引发了人们的期待，即竞选言论将导致医疗保健方面的立法行动。《美国医疗保健法案》（AHCA）代表了共和党废除并取代《平价医疗法案》（ACA）的努力。AHCA的关键要素包括对医疗补助扩大计划的修改、废除个人强制参保条款、用税收抵免取代ACA补贴，以及扩大使用医疗储蓄账户的机会。本文将讨论该法案的细节以及最终阻碍其通过的政治问题。
