a Department of Gerontology, John W. McCormack Graduate School of Policy Studies , University of Massachusetts Boston , Boston , Massachusetts , USA.
b Gerontology Institute, John W. McCormack Graduate School of Policy Studies , University of Massachusetts Boston , Boston , Massachusetts , USA.
J Aging Soc Policy. 2018 May-Jun;30(3-4):259-281. doi: 10.1080/08959420.2018.1462683. Epub 2018 Jul 6.
This paper discusses Republican efforts to repeal the 2010 Patient Protection and Affordable Care Act (ACA) over President Trump's first year in office (2017) and their impact on near-elderly Americans (50-64 years old). We describe how the ACA's provisions for strengthening health care coverage were particularly advantageous for near-elderly Americans: The law shored up employer-sponsored health care, expanded Medicaid, and-most important-created conditions for a strong individual health insurance market. We then describe Republican efforts to undermine the ACA in the years immediately following its passage, followed by detailed discussion of Republican proposals to repeal and replace the ACA during 2017. We conclude by discussing factors informing the fate of Republican legislation in this area, the potential consequences of the legislation that ultimately passed, and the prospects for future attempts to repeal and replace the ACA through the legislative process.
本文讨论了共和党在特朗普总统上任第一年（2017 年）期间为推翻 2010 年《患者保护与平价医疗法案》（ACA）所做的努力及其对接近老年的美国人（50-64 岁）的影响。我们描述了 ACA 加强医疗保健覆盖范围的规定对接近老年的美国人特别有利：该法律支持了雇主赞助的健康保险，扩大了医疗补助，并最重要的是为强大的个人医疗保险市场创造了条件。然后，我们描述了共和党在该法案通过后的几年中破坏该法案的努力，接着详细讨论了 2017 年期间共和党提出的废除和取代 ACA 的建议。最后，我们讨论了影响该领域共和党立法命运的因素、最终通过的立法的潜在后果，以及通过立法程序未来试图废除和取代 ACA 的前景。
