On one hand, even with the additional $85 billion added by House leaders to help older people pay for their insurance premiums, many moderates feel the age-based tax credits in the bill replacing those in the Affordable Care Act are too small, particularly for people in their 50s and early 60s. The CBO estimated that under the original version of the House bill, premiums for a 64 year-old with an income of $26,000 a year could rise from $1,700 currently to more than $14,000.
【 在 theboxer (boxer) 的大作中提到: 】 The history of insurance consisted of the development of the modern business of insurance against risks, especially regarding cargo, property, death, : automobile accidents, and medical treatment. The industry helps to eliminate risks (as when fire insurance companies demand the implementation of safe practices and the installation of hydrants ), spreads risks from the individual to the larger community, and provides an important source of long-term finance for both the public and private sectors. The insurance industry is generally profitable and provides attractive employment opportunities for white collar workers. 保险的本意就是要spreads risks from the individual to the larger community。 ...................
”Allow insurers to price policies based on health status in some cases. The current law does not and the original GOP bill would not allow insurers to set premiums based on health status. But the amendment would allow it for those who do not maintain continuous coverage, defined as a lapse of 63 days or more over the previous 12 months. Such policyholders could be charged higher premiums for pre-existing conditions for one year. After that, provided there wasn’t another 63-day gap, the policyholder would get a new, less expensive premium that was not based on health status. This change would begin in 2019, or 2018 for those enrolling during special enrollment periods.“
最新的医保法案里对这俩有啥规定和改进，俺不知道，也没看到任何新闻提到。
俺不靠这吃饭，所以也没看那俩法案原文。抱歉抱歉。
Medicaid的，估计50 60多被trumpcare华丽丽踹下船的人大部分需要看专科医生，弄不好需要住个院什么的。而住院，Medicaid只能去county hospital了，county hospital什么样子就不多说了。
care的是50 60岁的有preexisting conditions 的人，medicaid如废纸一般，medicare又不达年龄，等于是说自找生路去吧，生死在天。
。但他的cabinet那么多人啊，就提出这么一个明摆着糊弄人的care plan, 到还有这么多人维护不提意见也是另一番生态。对preexisting conditions和50 60岁人的当垃圾
一般的处理态度是绝对不能容忍的。
healthcare所有的议员和他们家庭亲戚都用制订的trumpecare, 这样才能制定
出合理的healthcare.
不均摊这个保险当然不存在了，商业行为保费增加也没有问题啊，因为整个成本增加了，不然这个保险运转不下去的
如果不允许人没保险，那就是Obama医保，现在快濒死。
现在的政策其实还是年轻人补贴老年人，稍微好一点而已。
最后每个老人都有年轻的时候，但不是每个年轻人都有老了的时候。
要交40年保险，对60岁的人来说只需要再交10年。
均摊的结果就是60岁的人的保费应该是30岁的人的4倍，没毛病。
currently to more than $14,000.
保险公司买保险是个人自愿, 是个人企业商业行为. 但政府如果这么搞的话就不是自愿了. bamacare一直被指责的地方就是强迫. 而且强迫的时候别人宁可交罚款也不买. 为什么? 因为你给的保险条款太差劲啊.
每个公司给保险的钱统一上交统一管理
换工作保险的连续性和原公司新公司无关
现在人在公司买医保，公司补贴一部分。如果你在公司选择不买，这公司补贴的你也拿不到全部。所以几乎所有人就都选择买。
这就造成了对失业者的不公平。
能不能让其他国家的医生也进入市场？
难道中国医生看不了美国人的病？
三四倍。
后来奥黑驴把大头全偷去豢养寄生虫了，劳动人民的保费应该高到和Cobra相当了。
”Allow insurers to price policies based on health status in some cases. The current law does not and the original GOP bill would not allow insurers to set premiums based on health status. But the amendment would allow it for
those who do not maintain continuous coverage, defined as a lapse of 63 days or more over the previous 12 months. Such policyholders could be charged
higher premiums for pre-existing conditions for one year. After that,
provided there wasn’t another 63-day gap, the policyholder would get a new, less expensive premium that was not based on health status. This change
would begin in 2019, or 2018 for those enrolling during special enrollment
periods.“
具体而言，就是如果你在前12个月中超过63天没有保险，而你有pre-existing
condition，保险公司可以抬高一年的费用。但是一年以后，这个pre-existing
condition就不会在计算保费中起作用了。
如果你一直工作有保险，失业后就去买trumpcare或者用COBRA，没有造成保险中断，那么pre-existing condition应该是没有影响的。
当然具体最后如何实施还要拭目以待，再说如果真的很糟糕以后换个总统还可以改回来。