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The ACA overall has improved coverage and care of diabetes, with a significant portion of the 3.5 million uninsured US adults aged 18–64 with diabetes in 2009-10 likely gaining coverage and benefits such as closure of the Medicaid Part D coverage gap for insulin.
Because census data does not measure changes in individual households, it is not suitable for studying income mobility. [251] A major gap in the measurement of income inequality is the exclusion of capital gains, profits made on increases in the value of investments. Capital gains are excluded for purely practical reasons.
The New York Times reported in December 2017 that about 8.8 million persons signed up for ACA coverage via the marketplace exchanges for the 2018 policy period, roughly 96% of the 9.2 million who signed-up for the 2017 policy period. An estimated 2.4 million were new customers and 6.4 million returned.
Healthcare coverage is provided through a combination of private health insurance and public health coverage (e.g., Medicare, Medicaid). In 2013, 64% of health spending was paid for by the government, [40] [41] and funded via programs such as Medicare, Medicaid, the Children's Health Insurance Program, Tricare, and the Veterans Health ...
Trump's proposed 2021 budget includes a $1.9 trillion cut to anticipated future health care spending over the next ten years, including a $920 billion cut to Medicaid and a $451 billion cut to Medicare. The Republicans' idea is to reduce these programs' anticipated annual growth from 5.4 percent to 3.1 percent. [99]
It further recommends simplifying individual income taxes to two flat tax rates: 15% on incomes up to the Social Security Wage Base ($168,600 in 2024), and 30% above that. An unspecified standard deduction would be included, but most deductions, credits and exclusions would be eliminated. [ 115 ]