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The savings would help offset the cost of subsidizing coverage for the uninsured.
A major goal of the law was to cover some 30 million more people by expanding Medicaid and subsidizing coverage for middle-income people.
The fight over abortion arises because, under the bill, the federal government would take on new responsibilities for health care, subsidizing coverage for millions of people.
That suggests a bill requiring people to have insurance (to prevent freeloading), regulating insurers (to prevent them from cherry-picking the healthy), subsidizing coverage for the uninsured and small businesses and including no new government-run insurance program.
Employers that are shifting costs to their retirees often present the change as a benefit: although the company is no longer subsidizing coverage, premiums are usually lower than for individual policies, and the retirees do not have to worry about being rejected by insurers because of their age or prior health problems.
The Affordable Care Act, known as Obamacare, expanded on the social insurance concept, with the goal of subsidizing coverage to make it universally affordable.
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Beneficiaries would pay monthly premiums, but like Mr. Bush, Mr. Gore would subsidize coverage for the low-income elderly.
But people who are just above the poverty line or in the middle class can get subsidized coverage.
And if the new enrollees were young and healthy, their premiums could subsidize coverage for the old and the sick.
Large companies would either have to offer health benefits or pay into a pool that would finance subsidized coverage.
"In a high-spending state like Massachusetts, the health care system has the resources to subsidize coverage of the uninsured".
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com