根据周五发布的一份报告，“奥巴马医改”参保者的健康保险保费可能连续第二年出现两位数涨幅。
Obamacare enrollees could see their health insurance premiums rise by double digits for a second year in a row, according to a report published Friday.
健康研究机构凯撒家庭基金会（KFF）发现，2027年“奥巴马医改”健康保险的平均成本将上涨13%，此前2025年至2026年费率已飙升26%。
Health research group KFF found the average cost of Obamacare health insurance will rise by 13 percent in 2027, following a 26 percent hike in rates from 2025 to 2026.
KFF的这一测算基于特朗普政府当天早些时候公布的新数据，其中列出了联邦健康保险市场覆盖的30个州在2027年的价格。这些新费率在周日2027年参保期开启前出炉。
KFF made these calculations was based on new data the Trump administration shared earlier in the day, which listed 2027 prices for the 30 states with federal health insurance marketplaces. These new rates came ahead of the opening of the 2027 enrollment period on Sunday.
据联邦政府今年早些时候的估计，约有1920万美国人参加了“奥巴马医改”计划。KFF 5月的一项分析显示，在连续四年创下入保纪录后，2026年该计划的参保人数出现下降。
Around 19.2 million Americans are enrolled in Obamacare plans, according to an estimate from the federal government earlier this year. A KFF analysis from May found that enrollment in this program fell in 2026 after four consecutive years of record growth.
作为打击所谓大规模欺诈行动的一部分，特朗普政府已实施新的参保障碍。今年早些时候，在共和党议员反对民主党主导的延长推动下，“奥巴马医改”的增强版保费税收补贴到期失效。
President Trump’s administration has implemented new barriers to enrolling in these programs as part of its efforts to crackdown on alleged widespread fraud. Earlier this year, Obamacare’s enhanced premium tax subsidies expired after Republican lawmakers opposed a Democrat-led push to extend them.
根据KFF的分析，在特朗普第一任期内，“奥巴马医改”保费成本于2017年平均上涨20%，2018年平均上涨34%。
Under the first Trump administration, Obamacare premium costs rose by an average of 20 percent in 2017 and 34 percent in 2018, according to KFF’s analysis.
预计2027年“奥巴马医改”保费涨幅与其他健康保险项目的预期涨幅相似，联邦和雇主计划预计在同一时期将上涨约10%。
The estimated Obamacare premium cost increases for 2027 are similar to changes anticipated in other health insurance increases programs, with federal and employer plans expected to increase by around 10 percent in this timeframe.
随着生活成本上涨持续在民调中高居榜首，成为激励美国人在本次中期选举中投票的首要关切，医疗费用已成为中期选举的关键议题。
Health care costs have become a key issue in the midterm elections, as the rising cost of living continues to poll highest among the top concerns motivating Americans’ votes in this election.
KFF 本月早些时候发布的一项调查发现，十分之六的选民表示担心自己负担不起健康保险和自付医疗费用。受访者将医疗费用与汽油价格并列，视为本次选举周期中最重要的可负担性问题。
A KFF survey published earlier this month found six in 10 voters said they were concerned about being able to afford their health insurance and out-of-pocket medical bills. Respondents ranked health care costs on par with gas prices as the most important affordability issue this election cycle.
特朗普政府已试图在大选日前回应这些担忧。总统宣布联邦政府将向近 100 万名美国人发放一次性 500 美元支票，政府称这些人为“奥巴马医改”支付了过高费用。
The Trump administration has sought to address these concerns ahead of Election Day. The president announced the federal government would disburse one-time $500 checks to nearly 1 million Americans the administration said were overcharged for Obamacare.
本月早些时候，政府还开始向 2000 多万名参加 Medicare B 部分（医疗保险 B 部分）的老年人每人发放 90 美元，总额约 20 亿美元。
Earlier this month, the administration also began sending out $90 each to over 20 million seniors enrolled in Medicare Part B — totaling around $2 billion.
民主党誓言，如果重新夺回国会控制权，将把恢复“奥巴马医改”补贴和医疗保健税收抵免作为首要议题。
Democrats have vowed to make restoring Obamacare subsidies and health care tax credits a top issue if they regain control of Congress.