阅读材料必须大量精读做笔记词汇句式逻辑表达内涵然后一鼓作气背诵之没有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.迫于两党压力，奥巴马在医改政策上做出让步ASHLEYPARKER,ROBERTPEAR2013年11月15日华盛顿——奥巴马总统医改法案的实施，引发了越来越炙烈的怒火。为了安抚情绪，奥巴马周四屈服于两党的压力，宣布在政策上让步。一些医疗保险计划由于达不到奥巴马医改的最低标准，按照新的医保法案本会被撤销，但这项政策调整决定，允许保险公司暂时让客户继续持有从前的保险计划。奥巴马政府决定，允许这些保单的效力再持续一年，而不需要缴纳罚款。这项决定显示出，奥巴马政府正在仓促制定方案，来应对人们对腹背受敌的医改法案所抱怨的其中一个严重问题。此举当前似乎平复了国会民主党人的愤怒，也缓和了白宫对国会民主党人倒戈的担忧，他们曾威胁要支持若干项白宫反对的立法方案。而白宫之所以反对这些立法举措，是因为它们可能会破坏奥巴马的医改法案。参议院民主党领袖表示，他们不认为有必要立即采取立法措施进行补救。这对于白宫官员来说是一个胜利，因为他们一度担心在民主党控制的参议院里，考虑通过立法强制做出改变的呼声正在增强。共和党控制的众议院仍计划在周五对密歇根州共和党人、能源和商务委员会(EnergyandCommerceCommittee)主席弗雷德·厄普顿(FredUpton)提出的一项议案进行投票。该议案允许美国人继续当前投保的医疗保险，直到2014年，而无需缴纳罚款，而且还允许新参保者继续购买这些保单。白宫表示这样的举措实质上会破坏《合理医疗费用法案》(AffordableCareAct)。奥巴马周四宣布的决定似乎防止了民主党议员的倒戈，现在估计只有20多名民主党众议员会投票支持厄普顿的议案。官员表示，如果奥巴马没有采取这样的行动，就会有数十名民主党人与共和党一道，投票支持厄普顿的议案。然而尚不清楚心怀愧疚的奥巴马所提出的举措能够产生多大的影响。尽管他的提议允许保险公司让人们继续现有的保单，但并不能保证保险公司一定会这样做，也不能保证州政府允许续约。白宫宣布的举措让一些州的保险监管部门措手不及，它们表示不打算允许保险公司恢复那些保险计划。保险业界似乎也对奥巴马宣布的举措反应冷淡。行业组织美国医疗保险计划(America’sHealthInsurancePlans)的负责人凯伦·M·伊尼亚尼(KarenM.Ignagni)说，“在医保方案都已经达到法律要求的情况下，再改变规则，可能会扰乱市场，导致消费者需要缴纳更高保费。”“未来一年的保费已经制定好了，依据是对消费者何时会转移到新市场的预期，”她说。“如果现在比较年轻、