閱讀材料必須大量精讀做筆記詞匯句式邏輯表達(dá)內(nèi)涵然后一鼓作氣背誦之沒有input哪有output nyt obamas move on health law seems to calm democrats

Obama’sMoveonHealthLawSeemstoCalmDemocratsByASHLEYPARKERandROBERTPEARNovember15,2013WASHINGTON—

PresidentObama,tryingtoquellagrowingfurorovertherolloutofhisheathcarelaw,bowedtobipartisanpressureonThursdayandannouncedapolicyreversalthatwouldallowinsurancecompaniestotemporarilykeeppeopleonhealthplansthatweretobecanceledunderthenewlawbecausetheydidnotmeetminimumstandards.ThedecisiontoallowthepoliciestoremainineffectforayearwithoutpenaltiesrepresentedtheObamaadministration’shurriedlydevelopedefforttoaddressoneofthemajorcomplaintsaboutthebeleagueredhealthcarelaw.ItseemedforthemomenttocalmrisingangerandfearofapoliticalbacklashamongcongressionalDemocratswhohadbeenthreateningtosupportvariouslegislativesolutionsopposedbytheWhiteHousebecauseoftheirpotentialtounderminethelaw.SenateDemocraticleaderssaidtheydidnotseetheneedforanimmediatelegislativefix—avictoryforWhiteHouseofficialsworriedthatmomentumwasbuildingintheDemocraticallycontrolledSenatetowardconsiderationofameasuretoforcethechange.TheRepublican-controlledHouseisstillsettovoteFridayonabillbyRepresentativeFredUpton,RepublicanofMichiganandchairmanoftheEnergyandCommerceCommittee,thatwouldallowAmericanstokeeptheirexistinghealthcoveragethrough2014withoutpenalties—aswellasallownewpeopletocontinuetobuytheplans,somethingtheWhiteHousesaidwouldeffectivelyguttheAffordableCareAct.Thepresident’sannouncementonThursdayseemedtolimitDemocraticdefections,withonlytwodozenorsoHouseDemocratsnowexpectedtosupportMr.Upton’sbill.Withoutthepresidentialaction,officialssaid,scoresofDemocratsmighthavejoinedRepublicansinapprovingtheUptonmeasure.Itremainedunclear,however,justhowmuchimpactthefixdeliveredbyanapologeticMr.Obamawouldactuallyhave.Thoughhisproposalgrantsdiscretiontoinsurerstoallowpeopletostayontheirexistingplans,thereisnoguaranteethatinsurerswilldoso,orthatthestateswillallowsuchrenewals.Somestateinsurancecommissionerscaughtoff-guardbytheannouncementsaidtheydidnotintendtoallowinsurerstoreinstatethepolicies.TheObamaannouncementalsometacoolreactionfromtheindustry.“Changingtherulesafterhealthplanshavealreadymettherequirementsofthelawcoulddestabilizethemarketandresultinhigherpremiumsforconsumers,”saidKarenM.Ignagni,thepresidentofAmerica’sHealthInsurancePlans,atradegroup.“Premiumshavealreadybeensetfornextyearbasedonanassumptionaboutwhenconsumerswillbetransitioningtothenewmarketplace,”shesaid.“Ifnowfeweryoungerandhealthierpeoplechoosetopurchasecoverageintheexchange,premiumswillincrease,andtherewillbefewerchoicesforconsumers.”Republicansportrayedthepolicyswitchasanefforttoshiftblametoinsurancecompanies.SpeakerJohnA.Boehnerdismissedthepresident’sactandsaidtheWhiteHousecouldnotbetrustedontheissue.“Promiseafterpromisefromthisadministrationhasturnedouttobenottrue,”Mr.Boehnersaid.“Sowhenitcomestothishealthcarelaw,theWhiteHousedoesn’thavemuchcredibility.Now,let’sbeclear.TheonlywaytofullyprotecttheAmericanpeopleistoscrapthislawonceandforall.Thereisnowaytofixthis.”Still,thepresidenttoldreportersattheWhiteHouseonThursdaythatthechangesshouldallowmanypeopletoretaintheirhealthcareplansforayeardespitehavingreceivedletterssayingtheycouldnolongerkeeptheirinsurance.“Thisfixwon’tsolveeveryproblemforeveryperson,butit’sgoingtohelpalotofpeople,”saidMr.Obama,whorepeatedlytookpersonalresponsibilityformisrepresentingthelawandsayingAmericanswholiketheircoveragewouldbeabletokeepit.“IcompletelygethowupsettingthiscanbeforalotofAmericans,particularlyafterassurancestheyheardfrommethatiftheyhadaplanthattheylikedtheycouldkeepit,”Mr.Obamasaid.“AndtothoseAmericans,Ihearyouloudandclear.IsaidthatIwoulddoeverythingwecantofixthisproblem.AndtodayI’mofferinganideathatwillhelpdoit.”Thepresident’splanwouldapplyonlytopeoplewhohavepoliciesthatarebeingcanceled.Thosecurrentlywithoutinsurancewouldnotbeabletobuytheoldplans.JeremyW.Peters,MichaelD.ShearandJonathanWeismancontributedreporting.迫于兩黨壓力，奧巴馬在醫(yī)改政策上做出讓步ASHLEYPARKER,ROBERTPEAR2013年11月15日華盛頓——奧巴馬總統(tǒng)醫(yī)改法案的實(shí)施，引發(fā)了越來越炙烈的怒火。為了安撫情緒，奧巴馬周四屈服于兩黨的壓力，宣布在政策上讓步。一些醫(yī)療保險(xiǎn)計(jì)劃由于達(dá)不到奧巴馬醫(yī)改的最低標(biāo)準(zhǔn)，按照新的醫(yī)保法案本會(huì)被撤銷，但這項(xiàng)政策調(diào)整決定，允許保險(xiǎn)公司暫時(shí)讓客戶繼續(xù)持有從前的保險(xiǎn)計(jì)劃。奧巴馬政府決定，允許這些保單的效力再持續(xù)一年，而不需要繳納罰款。這項(xiàng)決定顯示出，奧巴馬政府正在倉(cāng)促制定方案，來應(yīng)對(duì)人們對(duì)腹背受敵的醫(yī)改法案所抱怨的其中一個(gè)嚴(yán)重問題。此舉當(dāng)前似乎平復(fù)了國(guó)會(huì)民主黨人的憤怒，也緩和了白宮對(duì)國(guó)會(huì)民主黨人倒戈的擔(dān)憂，他們?cè){要支持若干項(xiàng)白宮反對(duì)的立法方案。而白宮之所以反對(duì)這些立法舉措，是因?yàn)樗鼈兛赡軙?huì)破壞奧巴馬的醫(yī)改法案。參議院民主黨領(lǐng)袖表示，他們不認(rèn)為有必要立即采取立法措施進(jìn)行補(bǔ)救。這對(duì)于白宮官員來說是一個(gè)勝利，因?yàn)樗麄円欢葥?dān)心在民主黨控制的參議院里，考慮通過立法強(qiáng)制做出改變的呼聲正在增強(qiáng)。共和黨控制的眾議院仍計(jì)劃在周五對(duì)密歇根州共和黨人、能源和商務(wù)委員會(huì)(EnergyandCommerceCommittee)主席弗雷德·厄普頓(FredUpton)提出的一項(xiàng)議案進(jìn)行投票。該議案允許美國(guó)人繼續(xù)當(dāng)前投保的醫(yī)療保險(xiǎn)，直到2014年，而無需繳納罰款，而且還允許新參保者繼續(xù)購(gòu)買這些保單。白宮表示這樣的舉措實(shí)質(zhì)上會(huì)破壞《合理醫(yī)療費(fèi)用法案》(AffordableCareAct)。奧巴馬周四宣布的決定似乎防止了民主黨議員的倒戈，現(xiàn)在估計(jì)只有20多名民主黨眾議員會(huì)投票支持厄普頓的議案。官員表示，如果奧巴馬沒有采取這樣的行動(dòng)，就會(huì)有數(shù)十名民主黨人與共和黨一道，投票支持厄普頓的議案。然而尚不清楚心懷愧疚的奧巴馬所提出的舉措能夠產(chǎn)生多大的影響。盡管他的提議允許保險(xiǎn)公司讓人們繼續(xù)現(xiàn)有的保單，但并不能保證保險(xiǎn)公司一定會(huì)這樣做，也不能保證州政府允許續(xù)約。白宮宣布的舉措讓一些州的保險(xiǎn)監(jiān)管部門措手不及，它們表示不打算允許保險(xiǎn)公司恢復(fù)那些保險(xiǎn)計(jì)劃。保險(xiǎn)業(yè)界似乎也對(duì)奧巴馬宣布的舉措反應(yīng)冷淡。行業(yè)組織美國(guó)醫(yī)療保險(xiǎn)計(jì)劃(America’sHealthInsurancePlans)的負(fù)責(zé)人凱倫·M·伊尼亞尼(KarenM.Ignagni)說，“在醫(yī)保方案都已經(jīng)達(dá)到法律要求的情況下，再改變規(guī)則，可能會(huì)擾亂市場(chǎng)，導(dǎo)致消費(fèi)者需要繳納更高保費(fèi)?！薄拔磥硪荒甑谋ＹM(fèi)已經(jīng)制定好了，依據(jù)是對(duì)消費(fèi)者何時(shí)會(huì)轉(zhuǎn)移到新市場(chǎng)的預(yù)期，”她說?！叭绻F(xiàn)在比較年輕、