唐纳德·特朗普总统那套花哨的500美元《平价医疗法案》退款支票，已经开始寄往近一百万美国人的家中。随附的信件堪称特朗普式虚假信息的教科书级范例，也凸显了这场支票行动不过是伪装成民粹主义的廉价伎俩。
President Donald Trump’s gimmicky $500 Affordable Care Act refund checks have started arriving in the homes of nearly a million Americans. The letters that accompany them act as textbook Trumpian disinformation and underscore how the check campaign is a cheap trick masquerading as populism.
据《今日美国》报道，这些信件告诉收件人：“多年来，拜登政府为了运营HealthCare.gov而向你们多收了钱。这笔钱属于勤劳的美国人，而不是政府，现在，我正把它退还给你们！”信件还指出，这笔退款适用于那些未获得补贴以支付保险费用的美国人，并声称：“你们已经为这个有缺陷的系统缴纳了费用，现在终于能拿回一些东西了。”这正是典型的特朗普式宣传：信中内容确实包含少量真相，但其呈现方式极具误导性。
The letters as reported by USA Today, tell recipients, “For years, the Biden Administration overcharged you to fund the operation of HealthCare.gov. That money belongs to hard-working Americans, not the Government, and now, I am returning it to you!”It notes that the refund is for Americans who do not receive subsidies to help pay for their coverage, and states, “You have paid into this flawed System, and now you are finally getting something back.”This is classic Trump propaganda: There is a small element of truth to what the letter is saying, but it’s presented in a manner that dramatically misleads.
他的500美元支票并非真正的安慰，而是一场用来诱骗美国人的冷嘲式策略。
His $500 checks aren’t a salve, they’re a cynical ploy to bait Americans.
为了支付这些支票，特朗普动用了政府基金——该基金由健康保险公司缴纳，用于支持ACA医疗市场的运营，包括市场推广、宣传以及参保协助。这些费用部分转嫁到了消费者身上，因为它们迫使保险公司提高保费。
To pay for these checks, Trump tapped into a government fund paid into by health insurance companies for the purposes of running the ACA marketplace’s operations — including marketing, outreach and enrollment assistance. Those fees are passed along, in part, to customers because they cause insurers to push their premiums higher.
特朗普的说法中勉强算作事实的部分是，他确实动用了其第二任期之前积累的盈余资金来发放这些支票。但没有任何证据支持特朗普所谓的这笔资金源于拜登政府的“严重管理不善”——甚至也未必与拜登本人的行为有关。
The part that’s quasi-true about Trump’s claims is that he did tap into a surplus of funds predating his second term to send out these checks. But there’s no evidence of Trump’s claim that it was a product of“gross mismanagement” by Biden — or even necessarily a product of Biden’s actions at all.
据美联社报道：“凯撒家庭基金会（KFF）这一非营利医疗研究机构的ACA项目副总裁兼主任辛西娅·考克斯表示，特朗普所承诺的资金完全可能来自其首个任期内收取的费用。根据KFF的分析，他的第一届政府向保险公司收取的用户费用超过了支出，因此估计有10亿美元的资金未被使用。”因此，这笔盈余确实可能是在特朗普本人任内积累起来的，部分原因在于他在首个任期内大幅削减了旨在使ACA市场更便于公众使用的各项支出。当然，基金中有多余资金本身并不构成初步证据，证明存在某种不当行为。
As The Associated Press reported“Cynthia Cox, a vice president and director of the ACA program at the healthcare research nonprofit KFF, said it’s entirely possible that the funds Trump has promised came from fees collected during Trump’s first term. His first administration collected more user fees from insurers than it spent, resulting in an estimated $1 billion in unspent funds, according to KFF analysis.”So it indeed could be the case that the surplus was accumulated under Trump himself, partially because during his first term he sharply reduced spending on efforts that would make the ACA marketplace more accessible to the public. And, of course, having extra money in a fund is not prima facie evidence of some kind of malfeasance.
2026年9月14日：美联储加息似乎已成定局，特朗普仍坚持其备受质疑的5000美元支票承诺。尽管没有任何证据表明存在不当行为——而且这笔资金积累起来的部分原因可能正是特朗普本人的支出方式——但他仍试图将这些支票描绘成自己对抗拜登及某个神秘“体系”不当行为的英雄式干预。然而，特朗普计划中最厚颜无耻的部分在于，这些支票实际上转移了公众对其自身政党导致保费飙升这一角色的注意力。
Trump doubles down on dubious $5,000 check promise as Fed rate hike appears likely September 14, 2026 Even though there’s no evidence of nefarious action — and it’s possible the money piled up in part because of Trump’s own spending behavior — he wants to frame the checks as his heroic intervention against misbehavior by Biden and a shadowy “System.”But the most brazen part of Trump’s scheme is the way the checks function as misdirection from his own party’s role in skyrocketing premiums.
共和党去年拒绝延长ACA补贴，导致有资格获得特朗普500美元支票的人群中，其保费往往上涨了数千美元。对于许多即将收到特朗普这笔钱的人来说，这张支票甚至不足以支付一个月健康保险的费用差额。此外，正如《纽约时报》所指出的，由于补贴失效而被迫放弃ACA计划的约300万人，甚至没有资格领取这些支票。
The GOP’s refusal to extend ACA subsidies last year has caused the subset of people eligible for Trump’s $500 checks to see their premiums increase often by thousands of dollars For many people who are set to receive Trump’s money, this check won’t even cover the difference in cost for one month of health insurance. Furthermore, as The New York Times noted the roughly 3 million people who were priced out of using ACA plans together as a result of the lapsed subsidies are not even eligible for these checks.
如前所述，这些支票就像“父母在不开心的婴儿面前晃动玩具一样，挥舞着向美国人提供免费现金的念想，希望他们哪怕只是短暂地被吸引，既忘记过去，也无法想象未来。”尽管特朗普在信中声称自己正在“努力将美国人民放在首位”，但在这里，他并非英雄，而是反派。他推高了医疗成本，增加了医疗保险公司的利润，却从未提出过任何有效扩大美国人医保覆盖范围的建议。
wrote previously, these checks are “waving the idea of free cash for Americans like a parent might dangle a toy in front of an unhappy infant, hoping that for just a brief moment they will be transfixed, with no memory of the past or ability to imagine the future.”While Trump claims in his letter that he’s “fighting to put the American people FIRST,” he isn’t the hero here, he is the villain. He has increased healthcare costs, boosted profits of health insurance corporations and has never once promoted an effective idea for expanding coverage for Americans.
他发放的500美元支票并非慰藉，而是一种冷嘲热讽的伎俩，旨在诱骗那些不了解特朗普真实医疗政策体系的美国人投票给共和党。希望这种伎俩不会奏效。
His $500 checks aren’t a salve, they’re a cynical ploy to bait Americans who don’t understand Trump’s real healthcare policy regime into voting for the GOP. Let’s hope they don’t work.
文章：特朗普那些附在带有噱头性质的《平价医疗法案》退款支票上的信件，让这种做法显得更加冷血无情 MS NOW
The post The letters accompanying Trump’s gimmicky ACA refund checks makes them even more cynical MS NOW