a Department of Social Medicine, School of Medicine, Department of Health Policy & Management, Gillings School of Global Public Health , University of North Carolina at Chapel Hill , Chapel Hill , North Carolina , USA.
J Aging Soc Policy. 2018 May-Jun;30(3-4):244-258. doi: 10.1080/08959420.2018.1462682. Epub 2018 May 30.
The election of Donald Trump as president of the United States raises questions about the future of Medicare. How will Medicare fare under Republican-led government? There are several compelling reasons that the Trump administration and Congressional Republicans might avoid Medicare reform, including the political risks of taking on a popular program, the difficulties the party has encountered in trying to dismantle the Patient Protection and Affordable Care Act (ACA), the importance of older Americans to the GOP coalition, and President Trump's views about Medicare. However, because of fiscal pressures and the commitment of Speaker of the House Paul Ryan and other Republicans to entitlement reform, the GOP nonetheless could end up attempting to make major changes in Medicare. Alternatively, Republican efforts to repeal and undermine the ACA could unintentionally enhance the political fortunes of proposals to expand Medicare. Consequently, the fate of Medicare during the Trump administration remains highly uncertain.
唐纳德·特朗普当选美国总统引发了人们对医疗保险（Medicare）未来的质疑。在共和党领导的政府下，医疗保险会有怎样的表现？出于几个强有力的原因，特朗普政府和国会共和党人可能会回避医疗保险改革，包括对一项受欢迎的计划进行改革所带来的政治风险、该党在试图废除《病人保护与平价医疗法案》（ACA）方面遇到的困难、老年人对共和党联盟的重要性，以及特朗普总统对医疗保险的看法。然而，由于财政压力以及众议院议长保罗·瑞安（Paul Ryan）和其他共和党人对福利改革的承诺，共和党最终仍有可能试图对医疗保险进行重大改革。或者，共和党废除和破坏《平价医疗法案》的努力可能会无意间增强扩大医疗保险提案的政治命运。因此，特朗普政府时期的医疗保险的命运仍然高度不确定。
