I-Medicare Iqhuba Okulungileyo Neyobubi
Ukuba uthetha kwezombusazwe ngqo, unokubona okulungileyo okanye okubi, omnyama okanye omhlophe, xa kuziwa kuMthetho woNonophelo ongenakuncedo, u-Aka Obamacare . Ehlabathini lenene, kukho amacala amabini kwi-mali.
I-Obamacare ijolise ukuthabatha i-$ 716 yezigidigidi ukusuka kwi- Medicare ukuya kwinqanaba leyilwayo. Lezo iidola azizange zithathwe ngokukhawuleza kodwa zafuneka zithathwe ngaphezu kweminyaka elishumi. Phakathi ko-2013 no-2022, i-Medicare kulindeleke ukuba ithathe izicwangciso kwiindawo ezilandelayo:
- Iibhiliyoni eziyi-260 zezigidi ezivela kwizibhedlele
- Izigidi ezili-156 zamaRandi ezivela kwi-Medicare Benevantage
- Iibhiliyoni ezingama-114 ezivela kwiiNkonzo ezithile ze-Medicare, Medicaid, kunye ne-CHIP
- Iibhiliyoni ezingama-66 ezivela kwiinkonzo zezempilo zasekhaya
- Iibhiliyoni ezingama-56 ezivela kwiintlawulo ze-Hospital (DSH) ezingenasiphelo .
- Iibhiliyoni ezingama-39 ezivela kwiinkonzo zononophelo ezinonophelo
- Iibhiliyoni ezingama-33 ezivela kwezinye iinkonzo
- Iibhiliyoni ezingama-17 ezivela kwiinkonzo zokubhedlele *
* Iibhiliyoni ezingama-25 ziyakususwa kwi-bhajethi ngenxa yezinye iindleko zokutshintsha imali kwiintlawulo ze-DSH kunye nelelo zeMedicaid kunye ne-CHIP.
Ukuthatha imali kwinkqubo eyodwa yokhathalelo lwempilo ukuxhaswa omnye uye waba nengxabano kwezopolitiko. Ngama-dollar ambalwa ukuxhasa i-Medicare, ngaba inkqubo ingahlala isebenzayo? Okubi kakhulu, ngaba kuya kuba buhlungu kumaMerika?
Nangona i-Obamacare idonsa kwiimali ezivela kwi-Medicare, yabuye yaqalisa utshintsho olwenziwe utshintsho olulungileyo kwimpilo yabantu abadala kunye nabo abakhubazekileyo .
- Ukunyamekela. U-Obamacare wamisela i-Medicare Wellness Ukutyelela njengenkonzo yenkululeko kwi-Medicare abaxhamli. Olu tyelelo lunikeza ixesha elinye kunye nogqirha wakho ukuphonononga imbali yakho yezonyango kunye nesidingo sokuvavanya ukuvavanya. Ukuba ugqirha wakho wamkela isabelo , ezininzi zezo vavanyo, kuquka ukuhlolwa kwimihlaza, kuya kuba sikhululekile.
- Iindleko zeziyobisi ezincinci . Iindleko zeCandelo D zaxoxwa phantsi phantsi kwe-Obamacare. Eyona nto ibalulekile kwesikhwama sakho, i-gap yokubhengezwa kwimiyalelo yesigqirha sesigqirha iya kuncipha ngokukhawuleza ide ivalwe ngo-2020. Ukuvala i-gap, eyaziwa nangokuthi "umgodi wenkxaso" , ingasindisa amashumi amawaka eedola kubadala kwiimithi ezininzi.
- Ukuphuculwa kwezempilo esibhedlele . U-Obamacare ubeke umthetho endaweni ebeka izibhedlele ezingenakuhlangabezana nemilinganiselo ethile esemgangathweni okanye ekhokelela ekufuneni ukuba ulandelwe ngexesha elifutshane . Oku kubangela izibhedlele ukuphucula umgangatho wokunyamekela, ukugcina unempilweni kwaye uphuma esibhedlele.
- Ukunciphisa ubuqhetseba beMedare . Amanyathelo athatyathwe ukunciphisa ukusetyenziswa gadalala nokukhwabanisa kwi-Medicare. Ngaphezulu kwee-4 billion zegali zigcinwe minyaka yonke ukususela ngo-2010 uMthetho wokuNakekelwa ongenakunyanzeliswa wenziwa ngo-2010, phantse kabini ukulondolozwa konyaka ngokumalunga neminyaka elandelwayo kuMthetho.
- Ukongezwa kweNgxowa-mali ye-Medicare Trust . I-Medicare Trust Fund kulindeleke ukuba isombulule iminyaka engama-13 ubude kunokuba ngaphambi kwe-Obamacare. Oku kuthetha ukuba i-Medicare inemali eyaneleyo yokuhlawula iipesenti ezili-100 zexesha elilindelekileyo kwiCandelo A ukuya kwi-2030. Ukulondolozwa kwiMedare phantsi koMthetho wokuNakekelwa ongenakuncedo kunene kwandisa ubomi be-Medicare.
Kungakhathaliseki ukuba ujonga njani, i-Medicare ithathe kokubili kokulungileyo nokubi kwi-Care Act. Yintoni ezayo yokunakekelwa kwempilo yexesha elizayo, kuya kufuneka silinde kwaye sibone.
> Imithombo:
> Boccuti B, uCasillas G. Efuna iSibhedlele seZibhedlele ezimbalwa: I-Programme Yokunciphisa iSibhedlele se-Medicare Hospital. I-Henry J. Kaiser Family Foundation. Ipapashwe ngoJanuwari 29, 2015.
> I-Ofisi yeBhajethi yeCongressal. Incwadi evela kuMlawuli uDorlas W. Elmendorf kuSomlomo weNdlu uJohn Boehner. Ipapashwe ngoJulayi 24, 2012.
> Van de Water, PN. I-Medicare ayiyiyo iNgqobhoko: Ukuguqulwa kwezeMpilo kuye kwaphucula iNgxowa-mali yeProgram. Iziko kwiBhajethi kunye nokuPhambili kwePolisi. Ukuhlaziywa ngoJulayi 30, 2015.
> I-White House. UMthetho woNonophelo ojongene noThathaka: Ukuqiniswa kweMpilo.