Ngethuba leengxoxo zengxelo yokunakekelwa kwempilo e-United States, abanye abantu basebenzisa igama elithi "itekisi eluntwini" ukuze batyhawule abo bacinga ukuba yingxenye yesisombululo sokulungisa ukubuyela kurhulumente. Bachaza kakhulu ukubandakanyeka karhulumente kwinkqubo kwaye bazame ukulifanisa ne-communism, baxhomekeke ekugwenyweni kwentlalo-ntlalo kunye nobukhomanisi kwiinkcubeko zaseMerika.
Kuthetha ukuthini unyango loluntu?
LwezoLuntu
Ingcamango yonyango epheleleyo yentlalo kuthetha ukuba urhulumente unikezela zonke iinkalo zempilo:
- Ihlawulela zonke iinkathalo.
- Iqesha ababoneleli.
- Iqhuba izixhobo.
Kwamazwe amaninzi kuwo wonke umhlaba-kuquka iKhanada, iGrithani, iFinland neSpain - unyango oluntu lugxininiso lokufikelela kwezempilo kubantu abaninzi.
Iinkcazo ezongeziweyo zonyango lonyango zisusa enye okanye ezimbini kwizinto ezibhalwe ngasentla. Ngokomzekelo, inxaxheba karhulumente inokuba kukuhlawula ukunyamekela, kodwa ungabasebenzisi ababoneleli okanye usebenzise izixhobo.
I-VA njengomzekelo weMicrosoft Medicine e-US
Inyaniso kukuba, iUnited States sele isetyenzisile iindidi ezininzi zeyeza. Inkqubo yokunakekelwa kwempilo ye-Old Veteran ngumzekelo omnye, kwaye ngeendlela ezininzi, ngumzekelo wonyango olupheleleyo loluntu. Amanqatha angasebenzisa inzuzo yezempilo enikezelwa yinkqubo.
Umntu okhuselekileyo unokuthi angenise imali encinci okanye akukho nkonzo yokunyamekela kumaziko e-VA, nangona oku kuxhomekeke ekufanelekeni kunye nemali engenayo (ngokutshintsha utshintsho). I-VA isebenzisa ababoneleli. Oogqirha basebenzela ii-VA njengabasebenzi baseburhulumenteni okanye kwiintlawulo okanye kwisivumelwano. I-VA iqhuba izixhobo, kubandakanya izibhedlele, iikliniki kunye neendawo zokunakekelwa kwexesha elide.
Inkqubo yokunakekelwa kwezempilo ye-VA ilawulwa nguRhulumente phantsi kweSebe lase-United States leMantshi oMantloko kunye noNobhala weMicimbi yeMantshi, isikhundla seKhabhinethi esimiselwe nguMongameli kwaye ivunyiwe yiCongress. Uhlahlo lwabiwo-mali lwe-VA luyingxenye yesabelomali sesigqeba. Okuphambili kwindlela esetyenziswe ngayo kwaye zeziphi iinkonzo ezinikezelwa yi-VA zibekwa ngokusemthethweni kwaye zixhomekeke kwimpembelelo yezopolitiko. Nangona i-scandals ivela kwindlela i-VA inika ngayo ngononophelo, ngumlinganiselo wendlela i-VA ephendula ngayo kuluntu, ngelixa iinkqubo zonyango zempilo yabucala zingabonakali.
Ii-HMO njenge-Socialalized Medicine
Kwaye i- HMOs ( IiNkxaso zoLondolozo lwezeMpilo) zintlalo, nangona kungekho rhoqo nguRhulumente. Ukuba isigulane sithatha inxaxheba kwi-HMO, ngoko i-HMO ibatshela ukuba oogqirha bayakubona kwaye zeziphi iinkonzo kufuneka zifikelele kuzo. Oku kuyinyaniso kwi-HMO zangasese, njenge-Kaiser system eCalifornia. Kwakhona kuyinyaniso kwi-Tricare, eyinkqubo yoononophelo lwempilo karhulumente waseburhulumenteni yase-US esetyenziswa yimindeni yemikhosi kunye nemikhosi yomhlalaphantsi.
Ukuguqulwa kwexesha elizayo kunye noLuntu lweMpilo lweMpilo
Ingxoxo malunga nokulungiswa kwempilo yezempilo iyaqhubeka emva kokuphunyezwa koMthetho wokuNakekelwa ongenakuncedo ka-2010, kwaye akunakwenzeka ukuphela.
Njengoko uhlolisisa ukhetho lokunakekelwa kwezempilo , ukuqonda kakuhle ukuba yintoni iyeza eluntwini - kwaye ukwazi ukungafani phakathi kweyeza zentlalo, inkokhelo eyodwa (kuphela) inkqubo kunye nonyango yononophelo jikelele- kuya kukunceda uqonde izinto ngokucacileyo.