在参议院财政委员会首席共和党议员罗恩·怀登（R-俄勒冈州）的带领下，参议院民主党人于周五公布了他们重塑美国长期护理体系的目标，该体系既包括居家护理也包括养老院。 © Natasha Kaiser 在一份信息征询请求（RFI）中，怀登表示：“自国会通过一项全面的、系统层面的长期护理基础设施和融资投资以来，已经过去了几十年。而系统层面的投资正是所需的。”
Presented by Coalition to Strengthen Americas Healthcare Healthcare Healthcare The Big Story Senate Democrats unveil new plans for strengthening Medicare Led by Sen. Ron Wyden (R-Ore.), ranking member of the Senate Finance Committee, Senate Democrats on Friday published their aims of revamping the long-term care system in the U.S., encompassing both home care and nursing homes. © Natasha KaiserIn a request for information (RFI), Wyden stated, "It has been decades since Congress enacted a comprehensive, system-level investment in long-term care infrastructure and financing. And a system-level investment is what is needed."
该文件在某种程度上是民主党人希望在医疗保险领域实现目标的蓝图，前提是他们在即将到来的中期选举中重新夺回国会。他们名单上的首要目标是让所有美国人都能普遍获得长期护理服务。 “在95次倾听会议中，参议院民主党人反复听到建立长期护理全覆盖的重要性。民主党人的目标是确保长期护理体系服务于所有人，无论年龄、残疾状况、诊断、功能需求还是人生阶段，”RFI 中写道。
The document serves as something of a blueprint for what Democrats hope to achieve in the Medicare space if they reclaim Congress in the upcoming midterms. At the top of their list is the goal of making long-term care universally available to all Americans. "Throughout 95 listening sessions, Senate Democrats heard repeatedly about the importance of establishing universal coverage for LTC.
根据联邦长期护理保险计划，2025年全国养老院半私人房间的平均费用为112,4201美元。怀登的RFI指出，许多家庭“花光”积蓄以符合医疗补助居家和社区服务的资格，也就是说，他们将超过一定门槛的收入用于医疗费用，以便获得这些福利。 “参议院民主党人决心为所有有需要的美国人提供公平且负担得起的居家护理保障，全面提升长期护理质量，并确保有足够的优质工作岗位来满足这一需求，”怀登在一份声明中表示。“这始于倾听全国各地对本文件中提出的想法的意见。”
Democrats’ goal is to make sure that the LTC system serves all people across age and disability, and across diagnoses, functional needs, and life stages," the RFI read. According to the Federal Long Term Care Insurance Program, the national average cost of a semi-private room in a nursing home was $112,4201 in 2025. Wyden's RFI noted that many families "spend down" to qualify for Medicaid Home and Community-Based Services, essentially spending income that rises above a certain threshold on healthcare costs in order to qualify for these benefits. "Senate Democrats are determined to deliver an equitable and affordable home care guarantee for all Americans in need, improve the quality of long-term care across the board, and make sure there are workers in good jobs to meet that need," Wyden said in a statement.
我期待看到富有创意、健全且周全的回应，将需要长期护理的美国人置于核心位置。”欢迎订阅《国会山报》医疗保健通讯，我们是纳撒尼尔·韦克塞尔和约瑟夫·崔 — — 每周我们都会跟踪华盛顿最新动态如何影响您的健康。有人把这份通讯转发给您了吗？点击此处。
"That starts by hearing from all corners of the country on the ideas put forward in this document. I look forward to creative, robust and thorough responses that put Americans who need long-term care at the center.”Welcome to The Hill’s Healthcare newsletter, we’re Nathaniel Weixel and Joseph Choi — every week we follow the latest moves on how Washington impacts your health. Did someone forward you this newsletter? here.