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加州全民健保案通过率100% 但实践可能性0%(图)

加州参议院已通过《SB562加州全民健保提案》,外界预估此案也会在民主党绝对多数的加州众议院内通过,就算此案在议会全面通过下,也获得州长签署生效。但如何执行、钱从哪来?将成为此案无法解决的问题,且全面、无条件开放为非法移民(专题)医疗卖单,也让许多加州人担忧,这将造成全世界的重病患飞抵加州享用此健保福利。

  医疗保险问题成为美国政坛近年关注的重要议题。网络图

  众所周知,美国的医疗费用高昂,且健保体系充满着许多弊端。但在新任的川普政府誓言要废除奥巴马全民健保案之际,加州参议员代表洛杉矶的拉拉(Ricardo Lara)和代表圣地亚哥的阿特金斯(Toni Atkins),在今年三月提出《SB562加州全民健保提案》。

  该案通过后,将让加州政府成为单一支付系统,为全加州民众,这包括数百万的非法移民,来提供免费的健保。提案中建议州政府设立专门机构,用以取代私人的健保公司。新提案更建言,加州人将无需缴纳保费和自付额,所有医疗账单的高额成本,将由政府拨款和增加其他项目的税赋来负担。

 

  提出《SB562加州全民健保案》的两名参议员拉拉(Ricardo Lara/前排黑衣者)和阿特金斯(Toni Atkins/前排灰衣者),与其支持者合影。网络图

  该案在上周四(6月1日)已获在加州参议院,以23票赞成对14票反对和3票弃权的情况下通过。多数观察家认为,在民主党绝对多数的加州众议院中,该案应也可能顺利过关。在没把话说死下,加州州长布朗已多次在不同场合中,对询问他就此提案观点的人回应「钱从哪来?」因此该案就算可通过加州议会,但能否获州长签署生效,并未打包票。

  且一周多前参议院拨款委员会公布《SB562加州全保案》的预算评估,初步估计若该案执行一年将耗费加州4000亿元税款。而加州的企业和上班族都将因此增税15%,全民加税来养非法移民的概念,已让许多任务薪阶层的民众产生反弹。

  美国华人政治联盟主席且从事保险业的丁言愉认为,从奥巴马健保、川普健保到加州全宝等健保案,都脱离不开执行面有困难的问题。他已务实的角度建议,美国若要实施全民健保,最适用且可行的模式,就是复制现有的「红蓝卡耆老健保系统」(Medicare)。

  丁言愉解说,起源于退伍军人健保的耆老健保体系,是自1965年约翰逊总统签署生效,已运作了半个世纪的Medicare系统,虽然并非最完美的健保体系,但对比当前残破不堪,且保费节节高涨令民众难以负担的健保改革方案,Medicare体系的运作算是实际可可令人接受的模式。

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