Ingxoxo zorhulumente kunye neenkampani zoshishino lwezobisi ziyakunciphisa iindleko?
Iindleko zamachiza ziya kunyuka. Ngo-2014, amaMerika achitha ngaphezulu kweepesenti ezili-12 kwiidakamizwa zonyango ngaphezu ko-2002. Ukuba kunjalo, ngaba nantoni na ongayenza ukuhlawula imali emininzi yakho ? Ngaba ikhona na indlela urhulumente anokunceda ngayo ?
Ixabiso lentengiso yeeNkampani
Zininzi izinto ezibangele ukwanda kwemali kwiidakamizwa zonyango. Ngamanye amaxesha, kunokubakho imiba yokuvelisa ekunciphiseni ukuba unyango olunjani.
Ngamanye amaxesha, isilwanyana sinokuphela kwendlela yaso yokuphatha imeko ethile. Kule meko, kunokufuneka ukwanda kweemfuno kunye neendleko ezongezelelweyo ezihambelana neziyobisi.
Iinkampani zamachiza nazo zinokunyusa amaxabiso eziyobisi ngenzuzo. I-Turing Pharmaceuticals yabangela ingxabano ngo-2015 phezu kweDaraprim (pyrimethamine), amayeza asetyenziselwa ukunyanga i - toxoplasmosis kunye neyezinye izifo eziphazamisayo. UMartin Shkreli, i-CEO yenkampani, wathengela ilungelo lobume beli chiza waza wandisa inani leyeza kunama-5,500 ekhulwini, ukusuka ku-$ 13.50 ukuya kwi-$ 750 ipilisi.
Iinkampani zamachiza zithi amaxabiso aphezulu ayimfuneko ukuxhasa imali yophando kunye neeprojekthi zophuhliso. Ngaphandle kophando oluqhubekayo, abantu banokufumana izifo ezinokuguga.
Iidakamizwa Iindleko eziphantsi kwamazwe angaphandle
KwiZizwe eziManyeneyo, akukho migaqo ekhoyo ukukhusela i-surge kwiindleko zeziyobisi zonyango.
Urhulumente wesigqeba ushiya imilinganiselo yentengo ukuya kwintsebenziswano yobudala kunye nokuncintisana kwemakethe.
Iindleko zeziyobisi zilawulwa ngokwahlukileyo kwihlabathi jikelele. Yingakho udla ngokubona ukuba elinye iilisi ezithengiswa kumaMerika zibiza iindleko ezincinci kwamanye amazwe.
| Iziyobisi | Khanada | iunited Kingdom | eunited States |
|---|---|---|---|
| Advair (i-asthma) | $ 74.12 | $ 46.99 | $ 309.60 |
| Crestor (i-cholesterol ephezulu) | $ 32.10 | $ 25.80 | $ 216.00 |
| Humira (kwi-rheumatoid arthritis) | $ 1,164.32 | $ 1,157.53 | $ 3,430.82 |
| Januvia (ngesifo sikashukela) | $ 68.10 | $ 48.00 | $ 330.60 |
| I-Lantus (yesifo sikashukela) | $ 67.00 | $ 63.65 | $ 372.75 |
Abanye abantu bacinga ukuba kungcono ukuthenga iziyobisi ezivela kwamanye amazwe njengendlela yokunciphisa iindleko kodwa i-Medicare ayiboni loo ndlela. I-Medicare ayiyi kuhlawula nayiphi na imithi ethengwe ngaphandle kwe-United States.
Abantu abakwiMicrothera abanakukwazi ukusebenzisa iiConpons zeMithi
Iinkampani ezininzi zezobisi zihlawulisa amaxabiso aphezulu kodwa ziphikisana neendleko ngokunikela ngamachiza kunye neefowuni. Ingxaki kukho imigaqo ekhuselekileyo ekuthintela abantu abaninzi ukuba basebenzise ezo izaphulelo.
Kukho umyalelo ochasene nokukhawuleza kuMthetho woKhuseleko loLuntu. Ithi umntu okanye inhlangano ayikwazi ukubonelela ngeenkonzo kumntu ngokubuyisela okanye ukuhlawula imali eya kuthatha imali kwiinkqubo zikaRhulumente. Amachiza, ngelanga, awela kulolu hlobo. Oko kuthetha ukuba nabani na osebenzisa i-Medicare abakwazi ukuzisebenzisa ngokunjalo kwezi izaphulelo zemithi.
Iikhonkoni kunye nevawutsha zikhuthaza abantu ukuba bachithe imali kwimithi ebiza kakhulu. Emva kokuba izaphulelo zingasabikho, urhulumente uya kushiywa ukuba ahlawule ngenye indlela eyindleko kunokuthi isigulane sasebenzise imithi ebiza ngaphantsi. Umthetho ochasene nokukhawuleza uhlose ukukhusela urhulumente kwimisebenzi yobuqhetseba kodwa ekugqibeleni ukuxhamla abathengi.
Ukusebenzisana neNkampani yeMachiza
Ukuba izigulane azikwazi ukufumana izaphulelo ngokukodwa kwiinkampani zonyango, ngaba urhulumente kufuneka axoxisane ngamaxabiso angaphantsi kweziyobisi egameni lawo? Impendulo emangalisa kukuba sele iyenzile. Kwi-Medicaid, iinkampani zigunyaziwe ukubonelela ngeziphumo zexabiso lezidakamizwa. Kulawulo lwee-Veterans (VA), iinkampani zonyango kufuneka zihlawulise intengo ephantsi kakhulu ayinikezela kunoma ubani kwicandelo labucala. Akumangalisi ukuba unyango olunikezwa ngala maphulo asemanyeneyo aluhlambuluki kunamayeza.
Kutheni le nto ayinakuyenza kwi-Medicare nayo?
I-Medicaid ine-formulary eyodwa kwilizwe ngalinye.
I-VA ine-formulary eyodwa. Oku akunjalo xa kuza kwi-Medicare. Icandelo D izicwangciso zezilwanyana zonyango zilawulwa ngamashishini e-inshurensi yabucala kwaye inkampani nganye ineefomula ezininzi kunye neendleko ezahlukileyo ezixhomekeke kuwo ngamnye. Okubaluleke ngakumbi, aba bhorensi bazimisele ukwenza inzuzo.
Oku kubangela umngeni urhulumente. Okokuqala, kuya kufuneka ukuba utshintshe umthetho okhoyo ongabandakanyi urhulumente ekungeneni kwi-Medicare yexabiso leziyobisi. Okwesibini, kufuneka inqume indlela yokuqhuba ngokuthathethwano. Urhulumente angakwazi njani ukulawula ngokufanelekileyo kwiinkampani ezininzi xa izidakamizwa ezahlukeneyo zibandakanyeka kwi-formulary nganye? Ngaba ingatshintsha indlela ama-formularies adalwe ngayo? Ngaba ingaba ifuna i-formulary yendalo yonke? Ziziphi iintlobo zamachiza okufanele zilawulwe? Ingaba kufuneke ukulungiswa kwakhona kweCandelo D inzuzo?
Le ngxabano eqhubekayo kunye nenye ephakanyiswayo kwimibutho yezopolitiko. I-Congressional Budget Office iphakamisa ukuba ukuhanjiswa kweerhafu akuyi kubachaphazela kakhulu imali. Akusiyo impendulo abaninzi baseMerika bafuna ukuva. Abaninzi abakhulileyo banzima ukufumana amayeza ngexesha elifanelekileyo ebomini babo xa befuna unonophelo lwezempilo. Kufuneka kwenziwe into ekunciphiseni iindleko zokunyuka kwezidakamizwa kwilizwe lethu.
Imithombo:
Kubanski J, Neuman T. Ukufuna ukugcina imali kwi-Medicare Iintengiso zeeDrug. I-Henry J. Kaiser Family Foundation. http://kff.org/medicare/issue-brief/searching-for-savings-in-medicare-drug-price-gotions/. Ipapashwe ngoFebruwari 9, 2016.
I-Langreth R, i-Migliozzi B, i-Gokhale K. I-US ibeka ezininzi izinto eziphezulu kwizidakamizwa eziphezulu kunezinye iilizwe. Bloomberg. http://www.bloomberg.com/graphics/2015-drug-prices/. Ipapashwe ngoDisemba 18, 2015.
Ofisi yoMphathi Jikelele. I-Pharmaceutical Manufacturer Copayment Coupons. http://oig.hhs.gov/fraud/docs/alertsandbulletins/2014/SAB_Copayment_Coupons.pdf. Epapashwe ngoSeptemba 2014.
I-Pollack A. Iidakamizwa iphuma kwi-13.50 iThebhulethi ukuya kwi-$ 750, ngobusuku. ENew York Times. http://www.nytimes.com/2015/09/21/business/a-huge-overnight-increase-in-a-drugs-price-raises-protests.html?_r=0. Ipapashwe ngoSeptemba 20, 2015.
Shih C, Schwartz J, Coukell A. Ubungayi kuthetha njani uRhulumente ngeCandelo leMicandelo yeDare D? IBlog Blog. http://healthaffairs.org/blog/2016/02/01/bonisa-kuza-kunxibelelwano- nxu lumano-. Ipapashwe ngoFebruwari 1, 2016.