Factbox: A look at U.S. healthcare spending as Obamacare repeal loomsNEW YORK (Reuters) - U.S. President Donald Trump and fellow Republicans in the House of Representatives have proposed a healthcare law to kick off their promise to repeal and replace Obamacare. Following are some questions and answers about healthcare spending and health insurance coverage in the United States as Republicans try to throw out President Barack Obama’s signature piece of domestic policy, the 2010 Affordable Care Act. Who is covered by what insurance?     The majority of America’s 323 million people are covered by either government or private insurance. Less than half of U.S. spending on healthcare is publicly financed, a contrast to the 72 percent average among member countries of the Organisation for Economic Co-operation and Development. A core goal of Obamacare was to cut into the numbers of uninsured and some 20 million people gained coverage under the law. - 155 million people are covered by employer-based health plans - 70 million people are in the publicly funded Medicaid program for the poor, including 32 million children - 56 million older or disabled people receive Medicare  - 15 million people are covered by military healthcare - 12 million people buy individual insurance on the online shopping exchanges created by Obamacare - 9 million people purchase unsubsidized health insurance directly - 6 million people are covered by the Indian Health Service, student health plans and other sources - About 28 million Americans remain uninsured The figures are government estimates. They do not add up to a total of 323 million because some people have more than one type of coverage.      How much does the country spend?     Spending on healthcare in the United States is about $3.5 trillion a year, representing about 18 percent of U.S. gross domestic product. Current U.S. government estimates are for that spending to outpace economic growth and rise to 20 percent of GDP by 2025. Healthcare spending has been rising faster than inflation. The government estimated it to have risen 4.8 percent in 2016 and that it will increase at an average rate of 5.6 percent through 2025.     What does America get for its money?     While U.S. healthcare spending as a percentage of GDP ranks higher than for any other OECD country, Americans’ life expectancy is near the bottom in a ranking of other OECD countries, behind countries such as France, Germany and Britain. The country’s obesity rate is the highest.      What was the impact of Obamacare?     As the Affordable Care Act was implemented over the past six years, it made sweeping changes to the health insurance system and implemented new taxes, so gutting the law will affect most Americans at some point.     The law set a series of minimum standards. It introduced free preventive care coverage, mandated most employers to offer insurance and individuals to buy it, expanded the Medicaid program to include people with higher incomes and created income-based subsidies for individuals to draw them into buying insurance. It prevented insurers from denying coverage to people based on their health status and allowed young adults to stay on their parents’ health insurance policies.     What sectors are feeling the impact now?     Republicans will tackle repealing Obamacare in multiple steps because while they control both chambers in Congress, they do not have the 60 seats in the 100-seat Senate needed to simply undo the law. The first step focuses on insurance sold to individuals and the Medicaid expansion, which could mean diminished payments to hospitals and doctors who benefited from the 20 million people covered by the ACA. They now face uncertain revenues and the possibility of increased bad debt as they lose paying patients. The impact on insurers is twofold: uncertainty over who will buy insurance could lead to them mispricing insurance plans and suffering financially as soon as this year. In the longer term, the retrenchment is changing the outlook for the growth rate of publicly backed healthcare.     Which publicly traded companies does this affect?     There are only a handful of publicly traded hospital companies, and the biggest one, HCA Holdings Inc, is not focused on states where Medicaid expanded, so it tends not to be involved. Tenet Healthcare Corp and Community Health Systems Inc are smaller hospital chains with high debt loads and their shares do tend to be affected by news about potential cuts to the numbers of Americans with publicly funded healthcare.     The insurers that specialize in Medicaid and government healthcare such as WellCare Health Plans, Molina Healthcare Inc and Centene Corp are small but tend to move on news that the Medicaid expansion may be repealed and on proposed changes in how the federal government pays its share of all Medicaid costs to the states. Anthem Inc is one of the biggest insurers selling plans on the individual exchanges and may see shares affected by news of rules that could affect who enrolls in insurance. Sources - Congressional Budget Office, U.S. Census Bureau, Centers for Medicare and Medicaid Services politicsNews
factor a look healthcare spending obamacare repeal loomsnew york reuters president donald trump fellow republicans house representatives proposed healthcare law kick promise repeal replace obamacare following questions answers healthcare spending health insurance coverage united states republicans try throw president barack obama signature piece domestic policy affordable care act who covered insurance the majority america million people covered either government private insurance less half spending healthcare publicly financed contrast percent average among member countries organisation economic development a core goal obamacare cut numbers uninsured million people gained coverage law million people covered health plans million people publicly funded medical program poor including million children million older disabled people receive medical million people covered military healthcare million people buy individual insurance online shopping exchanges created obamacare million people purchase subsidized health insurance directly million people covered indian health service student health plans sources about million americans remain uninsured the figures government estimates they add total million people one type coverage how much country spend spending healthcare united states trillion year representing percent gross domestic product current government estimates spending outrage economic growth rise percent gdp healthcare spending rising faster inflation the government estimated risen percent increase average rate percent what america get money while healthcare spending percentage gdp ranks higher oecd country americans life expectancy near bottom ranking oecd countries behind countries france germany britain the country obesity rate highest what impact obamacare as affordable care act implemented past six years made sweeping changes health insurance system implemented new taxes getting law affect americans point the law set series minimum standards it introduced free preventive care coverage mandated employers offer insurance individuals buy expanded medical program include people higher incomes created subsidies individuals draw buying insurance it prevented insurers denying coverage people based health status allowed young adults stay parents health insurance policies what sectors feeling impact republicans tackle repealing obamacare multiple steps control chambers congress seats senate needed simply undo law the first step focuses insurance sold individuals medical expansion could mean diminished payments hospitals doctors benefited million people covered aca they face uncertain revenues possibility increased bad debt lose paying patients the impact insurers twofold uncertainty buy insurance could lead mispricing insurance plans suffering financially soon year in longer term retrenchment changing outlook growth rate publicly backed healthcare which publicly traded companies affect there handful publicly traded hospital companies biggest one ca holdings inc focused states medical expanded tends involved tenet healthcare corp community health systems inc smaller hospital chains high debt loads shares tend affected news potential cuts numbers americans publicly funded healthcare the insurers specialize medical government healthcare welfare health plans moving healthcare inc center corp small tend move news medical expansion may repealed proposed changes federal government pays share medical costs states anthem inc one biggest insurers selling plans individual exchanges may see shares affected news rules could affect enrolls insurance sources congressional budget office census bureau centers medical medical services politicsnews
Your task is to classify the provided input as real or fake news. Label 0 is meant for fake news, Label 1 is for real news. TEXT: Factbox: A look at U.S. healthcare spending as Obamacare repeal loomsNEW YORK (Reuters) - U.S. President Donald Trump and fellow Republicans in the House of Representatives have proposed a healthcare law to kick off their promise to repeal and replace Obamacare. Following are some questions and answers about healthcare spending and health insurance coverage in the United States as Republicans try to throw out President Barack Obama’s signature piece of domestic policy, the 2010 Affordable Care Act. Who is covered by what insurance?     The majority of America’s 323 million people are covered by either government or private insurance. Less than half of U.S. spending on healthcare is publicly financed, a contrast to the 72 percent average among member countries of the Organisation for Economic Co-operation and Development. A core goal of Obamacare was to cut into the numbers of uninsured and some 20 million people gained coverage under the law. - 155 million people are covered by employer-based health plans - 70 million people are in the publicly funded Medicaid program for the poor, including 32 million children - 56 million older or disabled people receive Medicare  - 15 million people are covered by military healthcare - 12 million people buy individual insurance on the online shopping exchanges created by Obamacare - 9 million people purchase unsubsidized health insurance directly - 6 million people are covered by the Indian Health Service, student health plans and other sources - About 28 million Americans remain uninsured The figures are government estimates. They do not add up to a total of 323 million because some people have more than one type of coverage.      How much does the country spend?     Spending on healthcare in the United States is about $3.5 trillion a year, representing about 18 percent of U.S. gross domestic product. Current U.S. government estimates are for that spending to outpace economic growth and rise to 20 percent of GDP by 2025. Healthcare spending has been rising faster than inflation. The government estimated it to have risen 4.8 percent in 2016 and that it will increase at an average rate of 5.6 percent through 2025.     What does America get for its money?     While U.S. healthcare spending as a percentage of GDP ranks higher than for any other OECD country, Americans’ life expectancy is near the bottom in a ranking of other OECD countries, behind countries such as France, Germany and Britain. The country’s obesity rate is the highest.      What was the impact of Obamacare?     As the Affordable Care Act was implemented over the past six years, it made sweeping changes to the health insurance system and implemented new taxes, so gutting the law will affect most Americans at some point.     The law set a series of minimum standards. It introduced free preventive care coverage, mandated most employers to offer insurance and individuals to buy it, expanded the Medicaid program to include people with higher incomes and created income-based subsidies for individuals to draw them into buying insurance. It prevented insurers from denying coverage to people based on their health status and allowed young adults to stay on their parents’ health insurance policies.     What sectors are feeling the impact now?     Republicans will tackle repealing Obamacare in multiple steps because while they control both chambers in Congress, they do not have the 60 seats in the 100-seat Senate needed to simply undo the law. The first step focuses on insurance sold to individuals and the Medicaid expansion, which could mean diminished payments to hospitals and doctors who benefited from the 20 million people covered by the ACA. They now face uncertain revenues and the possibility of increased bad debt as they lose paying patients. The impact on insurers is twofold: uncertainty over who will buy insurance could lead to them mispricing insurance plans and suffering financially as soon as this year. In the longer term, the retrenchment is changing the outlook for the growth rate of publicly backed healthcare.     Which publicly traded companies does this affect?     There are only a handful of publicly traded hospital companies, and the biggest one, HCA Holdings Inc, is not focused on states where Medicaid expanded, so it tends not to be involved. Tenet Healthcare Corp and Community Health Systems Inc are smaller hospital chains with high debt loads and their shares do tend to be affected by news about potential cuts to the numbers of Americans with publicly funded healthcare.     The insurers that specialize in Medicaid and government healthcare such as WellCare Health Plans, Molina Healthcare Inc and Centene Corp are small but tend to move on news that the Medicaid expansion may be repealed and on proposed changes in how the federal government pays its share of all Medicaid costs to the states. Anthem Inc is one of the biggest insurers selling plans on the individual exchanges and may see shares affected by news of rules that could affect who enrolls in insurance. Sources - Congressional Budget Office, U.S. Census Bureau, Centers for Medicare and Medicaid Services politicsNews
Your task is to classify the provided input as real or fake news. Label 0 is meant for fake news, Label 1 is for real news. TEXT: factor a look healthcare spending obamacare repeal loomsnew york reuters president donald trump fellow republicans house representatives proposed healthcare law kick promise repeal replace obamacare following questions answers healthcare spending health insurance coverage united states republicans try throw president barack obama signature piece domestic policy affordable care act who covered insurance the majority america million people covered either government private insurance less half spending healthcare publicly financed contrast percent average among member countries organisation economic development a core goal obamacare cut numbers uninsured million people gained coverage law million people covered health plans million people publicly funded medical program poor including million children million older disabled people receive medical million people covered military healthcare million people buy individual insurance online shopping exchanges created obamacare million people purchase subsidized health insurance directly million people covered indian health service student health plans sources about million americans remain uninsured the figures government estimates they add total million people one type coverage how much country spend spending healthcare united states trillion year representing percent gross domestic product current government estimates spending outrage economic growth rise percent gdp healthcare spending rising faster inflation the government estimated risen percent increase average rate percent what america get money while healthcare spending percentage gdp ranks higher oecd country americans life expectancy near bottom ranking oecd countries behind countries france germany britain the country obesity rate highest what impact obamacare as affordable care act implemented past six years made sweeping changes health insurance system implemented new taxes getting law affect americans point the law set series minimum standards it introduced free preventive care coverage mandated employers offer insurance individuals buy expanded medical program include people higher incomes created subsidies individuals draw buying insurance it prevented insurers denying coverage people based health status allowed young adults stay parents health insurance policies what sectors feeling impact republicans tackle repealing obamacare multiple steps control chambers congress seats senate needed simply undo law the first step focuses insurance sold individuals medical expansion could mean diminished payments hospitals doctors benefited million people covered aca they face uncertain revenues possibility increased bad debt lose paying patients the impact insurers twofold uncertainty buy insurance could lead mispricing insurance plans suffering financially soon year in longer term retrenchment changing outlook growth rate publicly backed healthcare which publicly traded companies affect there handful publicly traded hospital companies biggest one ca holdings inc focused states medical expanded tends involved tenet healthcare corp community health systems inc smaller hospital chains high debt loads shares tend affected news potential cuts numbers americans publicly funded healthcare the insurers specialize medical government healthcare welfare health plans moving healthcare inc center corp small tend move news medical expansion may repealed proposed changes federal government pays share medical costs states anthem inc one biggest insurers selling plans individual exchanges may see shares affected news rules could affect enrolls insurance sources congressional budget office census bureau centers medical medical services politicsnews