But when one looks at the 1.3% annual growth rate of after-tax real income that the CBO calculates for the bottom quintile, 0.9 percentage points comes from the growth of the health-care financing programs Medicare, Medicaid, and the State Children’s Health Insurance Program. The CBO counts all of that growth as an increase in poor US households’ after-tax real income.
但你可以看看CBO对最底层五分之一人群真实税后收入年增长率（1.3%）的分解。0.9个百分点来自医疗保险（Medicare）、医疗补助（Medicaid）和州学生医保计划（State Children’s Health Insurance Program）的增加。CBO将这些计划的增加全部计为美国穷人家庭真实税后收入的增长。但美国穷人无法花这笔钱，因此在计算的时候应该打个折扣。