2017年07月18日

健康保険のないアメリカの大人の数は今年、200万人になる。

The Number of U.S. Adults Without Health Insurance Has Risen by Two Million This Year
Ricardo Alonso-Zaldivar / AP
Jul 10, 2017

健康保険のないアメリカの大人の数は今年、200万人になる。

Protestors Rally Against Health Care Bill At Marco Rubio's Miami Area Office

(WASHINGTON) — The number of U.S. adults without health insurance has grown by some 2 million this year, according to a major new survey that finds recent coverage gains beginning to erode. The new numbers highlight what's at stake as Congress returns to an unresolved debate over Republican proposals to roll back much of former President Barack Obama's health care law.

erode:侵食される
at stake:問題となっている・危険にさらされている

The Gallup-Sharecare Well-Being Index, published Monday, found that the uninsured rate among U.S. adults was 11.7% in the second three months of this year, compared with a record low of 10.9% at the end of last year. Though small, the change was statistically significant, survey analysts noted. While "Obamacare" has remained politically divisive, it had helped drive the uninsured rate to historic lows as some 20 million people gained coverage. Senate Majority Leader Mitch McConnell, R-Ky., plans to check vital signs on his GOP bill as senators trickle back to Washington from a July 4 break that many spent listening to constituents vent about health care.

divisive:意見不一致を起こす
trickle:少しずつ流れる
vent:感情を発散させる

McConnell is seen as a master legislative strategist, but there's no sign he's secured enough votes to pass a bill. He can only afford to lose two out of 52 Republican senators. The Congressional Budget Office has estimated that at least 22 million more people would become uninsured under Republican legislation.

afford:出来る状態にある

McConnell has been considering easing some of the bill's Medicaid cuts, beefing up health care tax credits to help people buy private insurance and adding billions of dollars to counter the opioid epidemic. That might comfort GOP moderates. To placate conservatives, McConnell is weighing demands to make it easier for insurers to offer skimpier policies.

beefing:強化する
Medicaid:メディケード, (公費)医療補償(制度)〘低所得者身体障害者に対する公的医療扶助(制度) 
opioid:《生化学・薬学》オピオイド モルヒネ様作用を示す合成麻酔薬(強力な鎮痛薬)
epidemic:伝染病
placate:なだめる
skimpier:不十分な

He's also admonished fellow Republicans that they may find themselves negotiating with Democratic leader Sen. Chuck Schumer of New York if they don't close ranks. In that case, McConnell said he'd aim for a limited package propping up troubled insurance markets around the country.

close ranks:陣営を固める
propping:テコ入れする

The Gallup-Sharecare survey serves as a kind of early indicator, publishing several months before the nimblest government surveys. The most recent government report found that progress reducing the number of uninsured stalled in 2016, after five consecutive years of coverage gains under Obama. 

Read More: President Trump's Latest Health Care Push Could Repeal Obamacare and Do Nothing Else Peering at this year, Gallup-Sharecare found an erosion of progress, with the number of uninsured edging up again. It estimated nearly 2 million dropped out of coverage. The losses were concentrated among younger adults and people buying their own health insurance policies, the survey found. That may be a reflection of rising premiums and dwindling choices in the insurance markets created under Obama.

nimblest:敏捷な・如才のない
stalled:止まる
Repeal:撤回する
Peering :凝視する
edging:少しずつ上昇する

Also, President Donald Trump has branded his predecessor's leading domestic achievement a "disaster" while pursuing its repeal. Insurers say Trump administration actions are contributing to double-digit premium increases for next year. Gallup-Sharecare found that the uninsured rate rose by 1.9 percentage points among adults aged 18-25 since the end of last year, and 1.5 points among those aged 26-34.

Participation by young adults is considered vital for keeping health insurance premiums in check. But young adults are also likely to enjoy good health and may not recognize value in having coverage. The Gallup-Sharecare survey is an ongoing effort based on interviews with about 500 people a day. It was previously called the Gallup-Healthways Well-Being Index.Results are based on telephone interviews conducted April 1-June 30, with a random sample of 45,087 adults, aged 18 and older, living in all 50 U.S. states and Washington, D.C. The margin of error is plus or minus 1 percentage point.

トランプの健康法案はメディケイドの削減を緩和したり、税額控除を検討したり、伝染病治療の予算を計上したりしようとしているが、結局、医療保険が値上がりすることになり、若者の加入者が減少するだろう。そのため、200万人の保険未加入者が増加することになるだろう。この法案を通すためには法律の改悪内容を是正しなければ通らないだろう。

水曜日。今日は海野塾がある。ではまた明日。


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海野 恵一
1948年1月14日生

学歴:東京大学経済学部卒業

スウィングバイ株式会社
代表取締役社長

アクセンチュア株式会社代表取締役(2001-2002)
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