美国诊所将提供医保说明

HOUSTON — The debate over the Affordable Care Act, also known as Obamacare, continues. But the White House says improvements to the website have dramatically boosted enrollment. In some places, trained counselors are helping people navigate the website and they also help enrollees understand how such insurance works.

Most Americans get their health insurance through their employers. But, despite being employed, Marcela Gonzalez does not have health insurance. She is seeking help at a Houston clinic operated by a non-profit organization.

The Affordable Care Act's website has been plagued with problems since its launch in October. So Gonzalez was unable to enroll in a program the first time she tried.

"The system was very slow, and we had another appointment, and I came back and we worked on it, but the system had the same problem again," she said.

But persistence eventually paid off.

"On the third appointment, we finished with everything. I was in the system and enrolled," said Gonzalez.

Irma Pettway, who helped Gonzalez with her application, said enrollees also need help understanding insurance jargon like co-pay, out-of-pocket expense and deductible. "As we go through the whole application process, we are continually educating them about every step of the way.

That's necessary because many poor people served by the clinics have never had health insurance, according to the non-profit organization's marketing director, Marisa Ponti.

"Harris County, which is in the city of Houston, is the most uninsured county in the whole United States. So for us, any program that will increase access to health care is welcome," she said.

Opposition Republicans say the program is causing insurance companies to drop thousands of people from their current plans, however, and ultimately will prove too expensive.

House Speaker John Boehner says it should be scrapped. "The president's health care law continues to wreak havoc on American families, small businesses and our economy, and it is not just a website. This bill is fundamentally flawed.

Ponti says Obamacare, for all its flaws, should be given a chance. "It takes time for people to assimilate all this information, and I think the problems will be tweaked [fixed] as we go along and we all are learning. So we just need to be patient.

The health care law could face an even bigger challenge if too few young, healthy people enroll, though, offsetting the cost of insuring the poor and chronically ill.

A poll released by the Harvard Institute for Politics shows that 57 percent of Americans between the ages of 18 and 29 disapprove of the law.

Obama, however, remains confident that younger people will come around and enroll in large numbers before the deadline at the end of March next year.