Iinkcukacha ngokukhawuleza malunga neSGR 'Doc Fix' Ingxabano
Ukuba uthe wazibuza malunga nawo onke amanqaku kwiindaba ezidlulileyo kwiminyaka embalwa edlulileyo malunga 'nokulungiswa kwe-doc' okanye 'ukulungiswa kwe-doc', okanye ukuxubusha kwe-SGR, sinethemba lokuba eli nqaku lingakunceda ukuba wenze yonke into.
Yintoni i-SGR?
I-SGR imele i-"Growth Rate Growth". I-American College of Physicians iwebhusayithi inikeza uluhlu olubanzi lwe-SGR, kwaye kutheni "ingxaki ephosakeleyo" eyenza ingxoxo eqhubekayo malunga nohlawula ugqirha .
Ngokutsho kwe-ACP kwi-intanethi, ifom ye-SGR "yenziwe yiCongress njengenxalenye yoMthetho oHloniphekileyo woHlahlo lwabiwo-mali ka-1997 (BBA).
Ifom ye-SGR ithintela ngqo ukuba bangaphi na oogqirha abahlawulwayo ekuphatheni izigulane ze-Medicare , abangaphezu kweminyaka engama-65. I-Medicare yinkqubo yomshuwalense exhaswa ngemali eyenzelwe urhulumente ukulungiselela ukukhupha abantu abaguga.
Ngubani owenza i-SGR Ingxabano Impembelelo kakhulu?
I-SGR kunye ne-Medicare ecutshulwa yinto enokubangelwa kuyo, iya kuba nefuthe kakhulu kwaye ichaphazeleke ngqo oogqirha abaphatha izigulane ezindala. Ukuba imeko ye-SGR ayisombululwanga, ukuhlawula iintlawulo kungabonakalisa kakhulu, kunokubangela ukuba amagqirha athile asebenze, oko kuya kubachaphazela kakhulu izigulane eziphezulu.
Kubagqirha abaninzi, uninzi lwazo lwaluquka iigulane zeMedare.
Ngako oko, ukugawulwa okugqithisiweyo kwiRedare reimbursements kwakuza kuthintela kakhulu impembelelo yabo yonke.
Isishwankathelo se-ACP yesimo se-SGR siyaqhubeka sithi:
Ifom ye-SGR ayinakulawula umthamo ... Iyancipha iintlawulo ngaphandle kokujonga umgangatho okanye ukusebenza kakuhle kwenkathalo enikezelwa ngumgqirha ngamnye.
Unyaka ngamnye ukususela ngo-2001, i-formula ye-SGR ekhoyo, ekhoyo, isongela ukunyanzelisa ukunyuka kwamaxabiso e-Medicare kwintlawulo yeshedyuli yokunyamekelwa kwabanikazi baseMelika. "
Iyintoni "i-Doc Fix"?
Iingxoxo ngokubanzi malunga nokuba ngaba umthetho awufanele uphitshiswe kwaye uthathe indawo, ukuze ugweme ukutyunjwa kwangomso, kodwa indleko yokwenza njalo iphezulu kakhulu. Isikhundla esisemthethweni se-ACP kukuba umthetho kufuneka uphitshiswe kwaye utshintshwe ngoluhlobo olungcono, olunokwenene nolulungeleyo lokuhlawula i-Medicare.
Iindleko zokwenza njalo ziza kuba malunga ne-138 yezigidigidi zeebhiliyoni, eziphantsi kwe-$ 245 billion ezilinganiselwa ngo-2012, ngokwe-ACP.
Ngenxa yokuba indleko yokuchithwa komthetho iphakamileyo, iCongress iyaqhubeka yenza ukulungiswa kwexeshana ukugqithisa ukulungiswa kwe-SGR kunye nokwehliswa kokuhlawula ngokulandelelanayo ngamnye kunyaka, oku kubiza ixesha elininzi kunye nemali. Kwakhona, kuba akusisisombululo esisigxina, umyalelo wesikhashana ushiya iinkqubo zamagqirha, kunye nokunyamekela kwezigulane, ukuxhoma emanzini ngamnye kunyaka xa ukulungiswa kwesikhashana kuphelelwa yisikhathi.
Sisiphi Isixazululo?
Yilapho impikiswano iphosa khona kwi-firestorm. Abanye abantu bacinga ukuba ukulungisa ngokukhawuleza ukulungiswa kwexeshana ngumpendulo kuphela, kuba ukuchithwa komthetho we-SGR kuyabiza kakhulu, kodwa ukushiya izinga le-SGR yedwa kuya kubangela ukukhwabanisa okukhuselekisayo kwagqirha, kungonakalisa abasebenzi ngokungahambisani.
Ingxaki eyinkimbinkimbi kakhulu, kwaye nayiphina isisombululo esisisigxina sinokuba neempembelelo ezingalindelekanga, njengokuba umthetho omkhulu unzima.