WEEKLY ADDRESS: Affordable Care Act is Making a Difference for Millions of Americans(January 23, 2016)

奧巴馬每周電視講話：《平價醫保法》改變千萬美國人民的生活

WASHINGTON, DC — In this week’s address, the President discussed the progress we’ve made because of the Affordable Care Act. As the law’s coverage provisions have taken effect, 17.6 million Americans have gained coverage, and the nation’s uninsured rate now stands at its lowest level ever. The deadline to sign up for 2016 health coverage on the Marketplace is quickly approaching on January 31, and the President encouraged even more Americans to join the more than 11 million people who have already signed up so far this year – and who are enjoying the financial security and peace of mind that comes with knowing you have affordable, portable health coverage. 

華盛頓：在本周的講話中，奧巴馬總統介紹了《平價醫保法》實施以后所取得的成就。該法對參保覆蓋率的規定生效之后，共有1760萬人獲得醫保，全國的未參保率也降到歷史最低水平。2016年，在醫保市場申請加入醫療保險的最后期限是1月31日，即將到期，總統也鼓勵更多美國人民參與進來，與其他1100多萬今年已經登記的人一起參加醫保，由于有了這些價格合理、使用便捷的醫療保險，人們就可以得到經濟上的保障和心靈上的平和。

Hi, everybody.  When I took office seven years ago this week, more than 15% of Americans went without health insurance.  For folks who did have coverage, insurance companies could deny you coverage or charge you more just because you’d been sick.  And too many Americans gave up their dreams of changing jobs or going back to school because they couldn’t risk giving up their employer-based insurance plan.

大家好。7年前的這個時候，我入主白宮，當時，全美超過15%的人沒有醫療保險。而對那些有保險的人來說，保險公司也可以因為你曾經的病史拒絕賠付或收取更多保費。太多太多的美國人因此放棄了更換工作、返校進修等等實現人生夢想的機會，因為他們不敢冒險放棄雇主提供的保險計劃。

We’ve changed that.  As the Affordable Care Act has taken effect, nearly 18 million Americans have gained coverage.  In fact, for the first time ever, more than 90 percent of Americans are covered.  Up to 129 million Americans with pre-existing conditions can no longer be denied coverage or be charged more just because they’ve been sick.  137 million Americans with private insurance are now guaranteed preventive care coverage.  We’ve done all this while cutting our deficits and keeping health care inflation to its lowest levels in fifty years.  And we’ve begun filling the gaps in employer-based care so that when we change jobs, lose a job, go back to school, or start that new business, we can still get coverage.

現在，一切都改變了。隨著《平價醫保法》的實施，將近1800萬美國人民得到了保障。而且歷史上首次實現了超過90%的美國人民參保。將近1。29億有既往病史的美國人曾經被拒保或多收保費的情況成為了歷史。1。37億擁有商業保險的人也得到了預防保健保險。而取得這些成果的背后，伴隨的是財政赤字的不斷削減以及醫療保險通脹保持在50年來的最低水平。同時我們也在逐步縮小雇主提供的保險保障留下的缺口，當人們更換工作、失去工作、返校進修或開辦企業的時候，依然可以得到保障。

If you want to know how important that is, just ask an American like Heather Bragg.

如果你們想知道這些有多重要，可以去問問Heather Bragg這樣的美國人。

Heather’s a small business owner in Bluffton, South Carolina.  Last year, she wrote me a letter and told me how, for years, her family had depended on her husband’s job for their insurance.  But thanks to the Affordable Care Act, her husband Mike had the freedom to switch jobs and join Heather at the small business she’d launched a few years ago.

Heather是南卡萊羅納州布拉夫頓的一位小企業主。去年，她給我寫了一封信，告訴我多年來，她們一家都靠她丈夫工作上提供的保險。但由于有了《平價醫保法》，她的丈夫Mike也可以自由更換工作了，并與Heather一起經營她幾年前開辦的企業。

Through the Health Insurance Marketplace, they found better coverage that actually saved them hundreds of dollars a month.  Today, Heather only pays about ten dollars for the asthma inhaler she needs.  “For the first time,” Heather wrote, “we’re not living paycheck to paycheck; we’re able to pay our bills and put some money back into savings.”  And because Mike doesn’t have to work nights or weekends anymore, he can coach their son’s soccer team and tuck the kids in at night.  And you can’t put a price on something like that.

在醫療保險電子市場上，他們找到了一份更好的保險計劃，為她們每月節省好幾百美元。今天，Heather只需要為治療她的哮喘病支付十幾美元。她寫道：“我們第一次過上不用擔心一個賬單接著一個賬單的緊巴巴的生活；現在我們完全可以應付日常支出，還能存下一些錢。”而且由于Mike再也不用晚上或周末加班了，他也可以指導他兒子參加足球隊的訓練，晚上陪著孩子共進晚餐。而這些都是無法用金錢來衡量的。

If you haven’t looked at your new coverage options, you’ve still got time to get covered on the Health Insurance Marketplace for 2016.  You have until January 31 – next Sunday – to enroll.  Just go to HealthCare.gov, CuidadoDeSalud.gov, or call 1-800-318-2596.  Most folks buying a plan on the Marketplace can find an option that costs less than $75 a month.  Even if you already have insurance, take a few minutes to shop around.  In fact, consumers who switched to a new plan for 2016 ended up saving an average of more than $500.

如果你之前沒有檢查過你的保險計劃，你現在還有機會在醫療保險電子市場上找到2016年的合適的保險計劃。直到1月31日，也就是下個星期日，都可以在線注冊。你可以登錄HealthCare。gov或者CuidadoDesalud。gov，或者撥打電話18003182596。大部分人都可以在電子市場上找到合適的保險，每月的支出不會超過75美元。即便你已經有了保險，你也可以花點時間去轉轉看看。2016年，如果消費者更換了新的保險計劃，平均每年可以節省500多美元。

That’s what the Affordable Care Act did.  This is health care in America today.  Affordable, portable security for you and your loved ones.  It’s making a difference for millions of Americans every day.  And it’s only going to get better.  Thanks, and have a great weekend.

這些都是《平價醫保法》的成果。這也是美國醫療保險的現實狀態。給你們和你們所關愛的人提供價格合理、使用便捷的安全保障。給千百萬美國人民的每一天的生活帶來巨大的改變。大家的生活會越來越美好。謝謝大家，周末愉快！

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