When the US federal government’s pandemic health emergency declaration expires, millions of Americans are at risk of losing healthcare coverage through Medicaid with potentially devastating consequences.

當(dāng)美國(guó)聯(lián)邦政府的新冠疫情公共衛(wèi)生緊急狀態(tài)到期時(shí)，數(shù)百萬美國(guó)人將面臨失去醫(yī)療補(bǔ)助計(jì)劃提供的醫(yī)保的風(fēng)險(xiǎn)，后果可能是毀滅性的。

According to an analysis by the Kaiser Family Foundation, an estimated 5.3 million to 14.2 million could lose their Medicaid coverage when the Covid-19 public health emergency ends on 15 July if it is not extended.

凱澤家庭基金會(huì)的分析顯示，新冠疫情公共衛(wèi)生緊急狀態(tài)在7月15日到期時(shí)如果不再延期，據(jù)估計(jì)將有530萬至1420萬名美國(guó)人不再享受醫(yī)療補(bǔ)助計(jì)劃提供的醫(yī)保。

During the pandemic, the federal government required states to continuously enroll Medicaid recipients into the program, providing $100.4 bn in new funds to cover the costs of doing so, halting coverage gaps and loss of eligibility for those who rely on healthcare coverage through Medicaid.

在疫情期間，美國(guó)聯(lián)邦政府要求各州不斷吸收民眾參加醫(yī)療補(bǔ)助計(jì)劃，并提供1004億美元(約合人民幣6764億元)的資金來支付所需費(fèi)用，通過醫(yī)療補(bǔ)助計(jì)劃來彌合醫(yī)保鴻溝，同時(shí)暫時(shí)保留那些不符合醫(yī)療補(bǔ)助條件者的醫(yī)保資格。

Medicaid enrollment is estimated to reach 110.2 million people by the end of fiscal year 2022, with enrollment expected to decline significantly when continuous enrollment ends.

據(jù)估計(jì)，醫(yī)療補(bǔ)助計(jì)劃將會(huì)在2022財(cái)年結(jié)束前覆蓋約1.1億人，當(dāng)擴(kuò)員計(jì)劃終止時(shí)參保人數(shù)將會(huì)顯著減少。

Federal government subsidies to make healthcare plans more affordable on the insurance marketplace are expected to end on 31 December 2022, making health insurance plans more expensive, possibly resulting in more Americans losing health insurance coverage because they can’t afford it.

此外，美國(guó)聯(lián)邦政府為保險(xiǎn)市場(chǎng)上的健康險(xiǎn)項(xiàng)目提供的補(bǔ)貼將于2022年12月31日終止，這將使健康險(xiǎn)的保費(fèi)變得更貴，從而可能導(dǎo)致更多美國(guó)人因無力支付而失去醫(yī)保。

Zachary Fusfeld of Philadelphia, Pennsylvania, a PhD candidate in epidemiology at Drexel University, is anticipating the loss of his Medicaid coverage when continuous enrollment ends, because his university stipend increase will put him over the income limit.

來自美國(guó)賓夕法尼亞州費(fèi)城的扎卡里·富斯菲爾德是德雷塞爾大學(xué)流行病學(xué)的博士生，他在醫(yī)療補(bǔ)助擴(kuò)員計(jì)劃終止時(shí)將會(huì)失去醫(yī)保，因?yàn)榇髮W(xué)助學(xué)金的增加將會(huì)使他的支出超過收入上限。

A type one diabetic who suffers from other illnesses, Fusfeld said he will have to rely on his student healthcare and pay out of pocket for copays on medications, medical supplies, and doctor visits when his Medicaid coverage ends later this year, the costs of which are not affordable and not covered by his pay increase.

身為一個(gè)同時(shí)患有其他多種疾病的1型糖尿病患者，富斯菲爾德表示，今年晚些時(shí)候醫(yī)療補(bǔ)助計(jì)劃的醫(yī)保終止時(shí)，他只能完全依靠自己的學(xué)生醫(yī)保，開藥、購(gòu)買醫(yī)療用品、就醫(yī)時(shí)都必須自掏腰包。這些費(fèi)用是他增加的收入所無法覆蓋的，也不是他負(fù)擔(dān)得起的。

He recently required surgery on his ankle and is worried about affording the physical therapy he requires, though he noted there are many people who are facing the loss of Medicaid and don’t have any sort of supplemental insurance coverage as he does.

近期他的腳踝需要手術(shù)，因此他擔(dān)心他付不起自己所需的理療費(fèi)用，不過他注意到有很多人也即將失去醫(yī)療補(bǔ)助，但卻不像他那樣有任何補(bǔ)充醫(yī)療保險(xiǎn)。

Dylan Brown of New Jersey is disabled and relies on Medicaid for a home aide he requires around the clock to be able to get out of bed, dress and feed himself. He constantly worries about losing his Medicaid and Social Security disability insurance due to income and asset eligibility requirements and is very concerned about losing Medicaid when continuous enrollment ends.

美國(guó)新澤西州的迪倫·布朗是殘疾人，他靠著醫(yī)療補(bǔ)助計(jì)劃才能雇得起一個(gè)全天護(hù)理員，幫他起床、穿衣、吃飯。他一直在擔(dān)心因?yàn)槭杖牒唾Y產(chǎn)不符合條件而失去醫(yī)療補(bǔ)助和社會(huì)安全殘障保險(xiǎn)，他也很擔(dān)心在醫(yī)療補(bǔ)助擴(kuò)員計(jì)劃終止時(shí)會(huì)失去醫(yī)保。

Without Medicaid, he would have to rely on his parents, who work full-time, to provide the care he needs and pay out of pocket for care to the extent his family could afford it. These options, Brown argued, aren’t feasible as he is planning to start law school this fall at Rutgers University, and his parents shouldn’t have to uproot their lives to help him function, which is the responsibility of Medicaid.

沒有了醫(yī)療補(bǔ)助計(jì)劃，他只能依靠他有全職工作的父母來提供他所需要的護(hù)理，并自掏腰包雇傭自己的家庭能負(fù)擔(dān)得起的護(hù)理員。布朗指出這些選項(xiàng)都不可行，因?yàn)樗��?jì)劃今年秋季開始在羅格斯大學(xué)讀法學(xué)院，他的父母本不該為了幫助他正常生活而把自己的生活搞得天翻地覆，這應(yīng)該是醫(yī)療補(bǔ)助計(jì)劃的責(zé)任。

"There shouldn’t be a cutoff date. There’s no reasonable argument for not giving disabled people the care they need to survive,” added Brown. “Regardless of what you’re feeling on whether people should have free healthcare, the disabled need it. There are no alternatives for us. It’s Medicaid or bust, and when the Medicaid rules are this convoluted and hard to keep track of, it almost feels like a full time job just keeping my benefits.”

布朗說：“醫(yī)療補(bǔ)助擴(kuò)員計(jì)劃不應(yīng)該有截止期。沒有理由不給殘疾人提供他們賴以生存的護(hù)理服務(wù)。不論你覺得人們是否應(yīng)該享有免費(fèi)醫(yī)保，殘疾人肯定是需要的。我們別無選擇。沒有醫(yī)療補(bǔ)助計(jì)劃我們就完蛋了，如果醫(yī)療補(bǔ)助計(jì)劃的規(guī)則如此晦澀又朝令夕改，想要保住這一福利簡(jiǎn)直像干一份全職工作一樣費(fèi)勁�！�

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