特朗普提出计划,用现金支付、限制药品价格和降低保险费来取代ACA补贴。 Trump unveils plan to replace ACA subsidies with cash payments, capping drug prices and cutting premiums.

2026年1月15日, 总统唐纳德·特朗普(Donald Trump)揭幕“大医保计划”, 提议向美国人直接支付现金, 以支付医疗保险费用。 On January 15, 2026, President Donald Trump unveiled "The Great Healthcare Plan," proposing direct cash payments to Americans to help cover health insurance costs. 该计划旨在用个人付款取代联邦对保险人的补贴,提高价格透明度,并将药品价格限制在其他发达国家的水平上。 The plan aims to replace federal subsidies to insurers with individual payments, increase price transparency, and cap drug prices at levels in other developed countries. 它还力求取消对保险经纪人和药店经理的付款,降低保险费,扩大消费者选择范围。 It also seeks to eliminate payments to insurance brokers and pharmacy managers, reduce premiums, and expand consumer choice. 关于筹资、资格和执行的细节仍然不清楚,该提案尚未在国会提出。 Details on funding, eligibility, and implementation remain unclear, and the proposal has not yet been introduced in Congress. 这项宣布是在参议院就延长可负担护理法补贴问题进行投票之前宣布的。 The announcement comes ahead of a Senate vote on extending Affordable Care Act subsidies.