Name: 健保費1月1日飆漲！歐記健保（Obamacare）納保戶注意！ (Healthcare premiums to skyrocket Jan. 1 for Obamacare enrollees)
Uploaded: 2025-12-31T19:26:33.000Z
Duration: 10 min 59 s

Millions of Americans are now on the brink of seeing their health insurance costs skyrocket when extended subsidies for Obamacare users expire at the end of the day tomorrow.

數百萬美國人的健保費用即將飆漲，因為 Obamacare 用戶的延期補助將在明天結束。

情態副詞

Recently, CNN met one couple in New Jersey whose monthly premium will spike from $340 kind of manageable there, to almost $2,000 starting January 1st.

最近 CNN 採訪了新澤西州的一對夫婦，他們的月保費將從原本可負擔的 340 美元，在 1 月 1 日起飆升至近 2,000 美元。

They can't afford it and they say it means they'll have to be uninsured.

他們負擔不起，並表示這意味著他們將沒有保險。

They're there are 24 million Obamacare enrollees.

Over the last month on Capitol Hill, Democratic and Republican lawmakers tried to address the problem.

過去一個月，國會山上的民主黨和共和黨議員試圖解決這個問題。

But days before Christmas, the Republican led House and Senate adjourned and Congress left town without a deal.

但在聖誕節前幾天，由共和黨主導的眾議院和參議院休會，國會未達成協議就離開了華盛頓。

According to the latest polling from the nonprofit Kaiser Family foundation, most enrollees blame the president and Republicans for what happens after tomorrow, 34% faulting Trump, 29% Republicans, while 19% will blame Democrats.

根據非營利凱薩家庭基金會的最新民調，大多數註冊用戶將明天的狀況歸咎於總統和共和黨，34% 指責川普，29% 指責共和黨，而 19% 會指責民主黨。

Veteran pollster and communications strategist Frank Luntz is with us now.

資深民調專家兼傳播策略師法蘭克·倫茲現在和我們在一起。

Frank, Speaker Johnson and President Trump, and

法蘭克，強森議長和川普總統，以及

we hear it from Republicans over and over blaming Obamacare for this.

我們不斷聽到共和黨人將此歸咎於 Obamacare。

We should note fact checkers have found Obamacare didn't play that role in hugely increasing insurance premium costs.

我們應該注意到，查證者發現 Obamacare 在大幅提高保險費方面並未扮演這種角色。

But of course, we know that doesn't always factor into whether voters believe something or not.

但當然，我們知道這不一定會影響選民是否相信某件事。

All are voters buying this finger pointing on Obamacare?

所有這些選民都相信這種對 Obamacare 的指責嗎？

And they don't like it and they resent it.

他們不喜歡這樣，他們對此感到不滿。

And this is going to play a major role in the 2026 election.

這將在 2026 年選舉中扮演重要角色。

The shutdown that we experienced, the longest ever in American history, started off hurting Democrats more than Republicans, ended up hurting President Trump more than anybody else.

我們經歷的這次關閉，是美國史上最長的一次，起初對民主黨的傷害比共和黨大，最後對川普總統的傷害比任何人都大。

If the government does shut down because they still can't find a solution to this is going to be very painful for the Republican Party because as you note, every survey, every poll that's out there shows that Republicans will be hurt more by this than Democrats.

如果政府因為仍然找不到解決方案而關閉，這對共和黨來說將會非常痛苦，因為正如你所指出的，所有調查、所有民調都顯示，共和黨將比民主黨受到更大的傷害。

But in the end, it's not about polling, it's not about politics or about elections.

但最終，這與民調、政治或選舉無關。

In the end, we have a significant percentage, millions and millions of people who cannot afford their health care.

最後，我們有相當大比例，數百萬數百萬的人，他們負擔不起自己的醫療照護。

And this becomes an issue not just of affordability, but expense.

這不僅成為一個可負擔性的問題，更是一個費用的問題。

in the polling that we've done, the public thinks that American health care is simply too expensive and they will be grateful for any solution that brings down that cost.

在我們做的民調中，民眾認為美國的醫療照護實在太貴了，他們會感激任何能降低費用的解決方案。

Yet how on the hook are Republicans for providing that solution?

那麼共和黨在提供這個解決方案上，又有多大的責任呢？

Because when we talk to them, they talk a lot about Republican proposals to address the cost of health care.

因為當我們跟他們談的時候，他們會大力談論共和黨提出的降低醫療照護費用的方案。

And yet it's been 15 years since Obamacare passed.

而且歐巴馬健保通過至今已經 15 年了。

And, and you have these subsidies about to expire and ratcheting up the pressure.

而且，而且這些補助金快要到期了，壓力也越來越大。

Well, the pressure is significant and in the end it doesn't matter whether it's the subsidy.

嗯，壓力很大，最後補助金是不是補助金並不重要。

The public does not know the details of this and frankly, they don't really care if they can afford their healthcare, they're grateful if they can't, they're angry, they're pissed off.

民眾不清楚這些細節，老實說，他們不太在意，只要能負擔得起醫療費用就好，如果付不起，他們就會生氣、會抓狂。

And that is what both sides need to hear, that Democrats are wrong, are wrong for pushing a government oriented solution.

這就是雙方都需要聽到的，民主黨錯了，他們推動政府導向的解決方案是錯的。

Republicans are wrong for pushing free market both.

共和黨錯了，他們推動自由市場的方案也是錯的。

We don't want government bureaucrats determining our health care.

我們不希望政府官僚來決定我們的健保。

We don't want insurance company bureaucrats.

我們也不希望保險公司的官僚來決定。

We simply want to have the choice and the control, the affordability and delivered by the doctors and hospitals that we trust.

我們只希望有選擇權和自主權，有可負擔的費用，並且由我們信任的醫生和醫院來提供。

They said there was going to be this expensive when Obamacare was passed back, as you say, a dozen years ago.

他們說，就像你說的，在歐巴馬健保通過的十幾年前，就會這麼昂貴了。

And because Republicans are in charge, they will be expected to have that solution.

而共和黨現在掌權，大家也預期他們會提出解決方案。

Bush's advisor, former adviser Karl Rove, put out his perspective on the political year that was 2025, writing Americans would be much more likely to support Mr.

他的顧問，前顧問卡爾·羅夫，對2025年的政治年景提出了他的看法，他寫道，如果川普總統解釋他的做法並請求大家耐心等待他的政府進行必要的改革，美國人會更傾向於支持他。

Trump if he explained what he's doing and ask for patience as his administration makes necessary changes.

總統們的表現最好，是在承諾較少但交付更多，也就是反過來。

Presidents do best when they under promise and over deliver the opposite.

過度承諾卻交付不足會激怒選民。

Over promising and under delivering angers voters.

他們常常會在投票箱裡發洩怒氣。

They often take out their anger at the ballot box.

如果川普總統和共和黨不想讓選民在期中選舉時在投票箱裡發洩怒氣，他們該怎麼做？

What does President Trump and Republicans have to do if they don't want voters to take that out on them at the ballot box come the midterms?

好，我們來談談健保，並繼續討論這個話題。

Well, let's talk about health care and stay on that topic.

they provide a little bit more limited care, but

they give people the choice and control that they want and need.

它給了人們他們想要和需要的選擇與掌控權。

And that is a solution because it makes health care much more affordable.

這是一個解決方案，因為它讓健保變得更實惠。

But they're not doing a good enough job explaining that the party is divided right now.

但他們沒有足夠好地解釋，黨內現在是分裂的。

And the fact is the only thing that's less popular right now, the Republican Party is the Democratic Party.

事實是，現在唯一比共和黨更不受歡迎的，就是民主黨。

Polls, including yours, show Democrats at an all time low in terms of public support.

民調，包括你的民調，顯示民主黨在公眾支持度上創下新低。

Right now, it's a pox on both your houses.

And I've cleaned up my language there because the public is tired of both sides yelling at each other, blaming each other while things get worse.

而且我已經把我的說話方式改得比較溫和了，因為民眾已經厭倦了兩黨互相叫囂、互相指責，而事情卻越來越糟。

As many of us prepare to ring in the new year, millions of Americans under the Affordable Care act are bracing for their health insurance costs to surge on January 1.

就在我們許多人準備迎接新年之際，根據《平價醫療法案》的數百萬美國人，正準備迎接1月1日保險費用飆漲。

Extended subsidies for Obamacare will expire after Congress failed to find a solution despite weeks of back and forth talks on Capitol Hill.

由於國會未能找到解決方案，儘管在國會山進行了數週的來回談判，《平價醫療法案》的延長補助金將在年底到期。

And for many, the reality now means pay a lot more for health care or go without it.

對許多人來說，現在的現實是，要嘛為健保支付更多費用，要嘛就沒有健保。

Joining us now is someone facing this dilemma, Jeremy Coolish.

現在加入我們的是一位面臨這種困境的人，傑瑞米·庫利什。

Jeremy, thank you so much for taking time to talk about your situation.

傑瑞米，非常感謝你撥冗談談你的情況。

I think this really illustrates for people what folks are going through.

我認為這真的能讓大家瞭解人們正在經歷什麼。

And let's start first with why you qualified for the ACA subsidy to begin with.

首先，我們來談談你一開始為何符合ACA補助資格。

I was I'm a software developer and had for the past six years was in a senior position at the Census Bureau on a long term contract until May.

我是一名軟體開發人員，過去六年一直在人口普查局擔任高階職位，簽有長期合約，直到五月。

And that contract was canceled by the Trump administration as part of the downsizing efforts.

這份合約被川普政府以縮減規模的措施取消了。

And that thrust me into a very difficult job market that I am still navigating and still seeking my next opportunity.

這讓我進入了一個非常困難的就業市場，我仍在摸索並尋找下一個機會。

There have been a lot of stressful things about that.

But the healthcare plan that I got through the marketplace and the subsidies that allow me to afford it have really been a blessing.

但我透過市場買到的健保計畫，以及讓我負擔得起的補助金，真的像是恩賜。

Somebody helped me find the plan I like and it was a great plan.

有人幫我找到了我喜歡的計畫，而且是很棒的計畫。

I'd love to be able to stay on it if the opportunity were there.

如果還有機會，我很希望能繼續使用它。

But yeah, that's a lot longer affordable.

但說真的，這樣負擔起來更輕鬆。

Yeah, that's so talk about that when you're talking about it's not affordable.

對啊，當你說它負擔不起的時候，就是這樣說的。

What were you paying per month and what would it go to without the subsidy?

你每個月付多少錢？如果沒有補助金，會變成多少？

So I've been paying $392 a month for my current plan, which is quite a good plan.

我現在的計畫每個月付 392 美元，這是一個很不錯的計畫。

And it's enabled me to really ensure continuity of care for a couple chronic conditions I have in the my wife has as well.

這讓我能夠確保我跟我太太的幾種慢性病的持續照護。

The plan, when I saw last I saw on the marketplace without subsidies, it would be something like $1608, give or take.

我上次在市場上看到的計畫，沒有補助金的話，大概是 1608 美元左右。

And I can't imagine who could afford that, who is in the position to be needing subsidies.

我無法想像誰能負擔得起，誰又需要補助金。

So because my situation is still very fluid, I have no demonstrable income that I can show when working, you know, through determining what benefits are available to me.

因為我的情況還很不確定，我沒有辦法證明我有收入，當我工作時，你懂的，來決定我能獲得哪些福利。

And that enabled my wife and I go on to Medicaid.

這讓我和我太太能夠去申請Medicaid。

I'm very grateful for it and Medicaid is extremely important, of course.

我真的很感激，當然Medicaid非常重要。

But it's, you know, it's a disruption of my care.

但你知道，這打亂了我的治療。

And there I am actually going to be getting a procedure tomorrow that I had planned for January.

我明天就要進行一個手術，這是早就計畫在1月做的。

I was lucky to be able to that there was a cancellation.

我很幸運能等到一個取消的時段。

It's a long awaited maintenance procedure.

這是一個期待已久的維護性手術。

You have to get it in on the last day of the year under the old program.

你必須在舊計畫的最後一天完成。

And that's incredibly stressful if you have chronic conditions and I mean you have care, which is something.

如果你有慢性病，這壓力真的很大，而且你有需要治療，這很重要。