Enye yeengcamango zasezidolophini ezizungeze ukuthotyelwa kunye nokuphunyezwa kwangoko kweSifo soKhuseleko kunye noMthetho wokuNakekelwa kweMpilo ongenakunciphisa- i-ACA okanye i-Obamacare-yinto yokuba umthetho omtsha ungakhanyela unyango lomntu oneminyaka engama-75 okanye ngaphezulu.
Nangona i-media hype ne-partisan incidental, ukuxhalabisa kwakungekho (kwaye kusenjalo). UMthetho woNonophelo ongenakunqwenelekayo awunakucatshulwa okanye wenqaba ukunakekelwa ngumhlaza kunoma ubani, kungakhathaliseki ubudala.
Izopolitiko zoMthetho wokuNakekelwa onoxanduva
Xa iinkokheli zaseCongress zaqala ukusebenza kumthetho ekugqibeleni waba ngu-ACA, iinguqulelo ezininzi zomgaqo-mthetho, eziphuhlisiwe ngokutshintshana imibambano yamalungu omthetho avela kumabini amaqela, zangena kwiCompleal Record. Ngo-2010, i-ACA-ekuqaleni yayiyilwayo ephuma kwiNdlu yabameli abhale i-HR 3590-yadlulisela iNational Senate inkqubo ebizwa ngokuthi "ukuxolelana" ngaphandle kwenkxaso evela kumaRiphabliki. Isayinwe nguMongameli uBarack Obama ngoMatshi 23, 2010.
I-ACA ngumthetho omkhulu kwaye unzima. Yandisa ukulungeleka kweMedicaid ukuba i-ekhethiweyo yonyulwe; isetyenziselwe iimfuno ezincinane zokubambisa i-inshurensi yezempilo; Kwakudinga ukuba bonke abakwaMerika bathenge ukuhlawula okanye bahlawule intlawulo; Kwakudinga abaqeshi besayizi esithile ukuba banikeze ukunika ingxelo kubasebenzi abathile; kwaye ibeka bucala imali yokuhlawula iinkampani ze-inshorensi "ezibhalwe ngabagulayo" kunabanye.
Ngaphezulu koko, ii-ACA zandisa ubukhulu beSebe lezeMpilo lezeMpilo zaseMzantsi Afrika kunye nokwandiswa kwinqanaba lolawulo lwentlangano kwiimarike ze-inshorense yomhlaba.
Xa kuninzi kangaka, akuyikumangalisi ukuba ezinye iinxalenye zomthetho zibonakaliswa kwaye ezinye iindawo zazingabonakali. Nangona kunjalo, xa umthetho weza kufutshane kunye nomdla wokubambisana nawo waqala ukwandisa, umda onzima phakathi kwamaDemokhrasi awamisela umthetho kunye namaRiphablikhi awamchasayo awaphalaza kumajelo kunye nakwiindawo zokuhlala eziMerika.
IQiniso lokuPhonononga iLogenda yeDolophu
I-rumour malunga nokunyanzeliswa kokunyamekela kwabadala kuvela kwintlawulo ephakamileyo ekhuphisanayo kwiNdlu yabameli, HR 3200. Iindaba zavela malunga "neepaneli zokufa" kunye nokuthelekiswa okungekhoyo neBritan yeNational Health Service (eqhuba ukunyamekela isigulo esiphathelene nokugula kwesinye iqondo) kwi-intanethi nakwintetho yomsakazo.
Iingcaciso ezingenakunyani-ezihanjiswa ngama-pundits kunye nama-fundraisers angenakunyakazisa ukuba athumele i-imeyli yama-alarm ukuba "balwe" okanye "inkxaso". I-Obamacare ngegalelo lezopolitiko-yabonakala ngokugqithiseleyo ukuba amagosa athile ahlukeneyo angama-check, ayenziwa njenge-Snope, Politifact, FactCheck , kunye neForbes.
Nangona ezinye zeengcaciso ezingenangcaciso zivela kubakhokeli beendaba ezixhasayo ngokufanelekileyo, ubunzima obunzima bomthetho obunxulumene nokuphambaniswa okufanayo nabaxhasayo abashiya umthetho, bashiya abaninzi baseMelika badidekile malunga nokuba yi-Obamacare yayiya kuthetha ntoni kubo. Akuzange incede xa elinye lexesha elichazayo lempikiswano phezu komthetho liza njengo-Rep. Nancy Pelosi (D-CA), owayengumlomo weNdlu ngelo xesha, wacatshulwe ngokungapheli kwiimboniselo zeendaba zeTV ethi " kufuneka sidlule lo myalelo ukuze siyazi ukuba ungubani. " Ukucaphuna kwakhe kwathathwa ngaphandle komxholo, kodwa umonakalo wenziwe.
Yintoni i-Obamacare ejongene nabantu abaneCarcer
Ngaphantsi kwe-ACA, abahlali abakhulu abakhetha ukhetho lwe-Medicare bafumana ezifanayo iintlawulo ezifunyenwe phambi kokuba umthetho usayinwe. Ngenxa yokuba i-ACA igxile kwi-inshorensi yoshishino lwentsebenziswano yabantu abadala, i-Medicare yayingakhange ilandelwe.
KubaMerika abanomdlavuza abangazange bafanelekile kwi-Medicare, i-ACA isenokuthi ifikelele kwi-inshurensi yezempilo kodwa ngaphambi kokuba ingaba-mhlawumbi ngenxa yokwandiswa kweMedicaid okanye ngokuxhaswa kwemali ehlawulwa okanye ehlawulwa ngenye yelizwe okanye yomshuwalense. Kodwa ngaphaya kwalolu phuculo lokufikelela kwi-inshorensi yezempilo, umthetho ngokwawo wawungacacile malunga neentlobo ezintsha kunye nezincinci zonyango lomhlaza.
Ngamanye amazwi: Umthetho awuzange utshintshe nantoni malunga nokunyangwa komhlaza kunoma ubani , nangona abanye baseMelika ababengenakho i-inshorensi yokubhengezwa ngoku bafanelekile ngenxa yokunyuka kweMedicaid kunye ne-inshurensi.