Abangcali bezeMpilo Abanelungelo lokuhlawula omnye Umyinge omncinci
Ukuguqulwa kwezempilo kunye ne-Future of Careable Affordable Act iyisifundo esicatshulwa ngokutsha eWashington, nakulo lonke ilizwe. Ukususela ekubeni i-ACA yasekuqaleni, eyaziwa ngokuba yi-Obamacare, yadluliswa ngo-2010, abaninzi abaqeqeshi bezempilo baye baziva bengashiywe ngaphandle kwengxoxo, nangona baqhuba unyango kwaye banikezela unyango kwimida yangaphambili imihla ngemihla, kwaye babone impembelelo karhulumente Imigaqo-nkqubo kwimpilo yesigulane ngokuqhubekayo.
Ziziphi iidorha zicinga malunga neNkqubo yoLondolozo lweMpilo?
Ukuba ngaba ootitshala bezempilo babefanele baphathe i-reform of health, babeya kubhala njani umgaqo-nkqubo? Luhlobo luni lwenkqubo abaqeqeshi bezempilo abanokucinga ukuba baya kusebenza kwaye bavelise eMelika? Kunzima ukuphonononga abaqeqeshi bezempilo ngokubhekiselele kwinqanaba lezenzululwazi, kodwa uphando oluninzi lubonisa ukuba, njengabantu abaninzi belizwe, abaqeqeshi bezempilo bahlukana kwizinto abaziva ukuba ngaba yimigaqo-nkqubo ephambili yokuphucula inkqubo yezempilo yonqulo. .
Enye inqaku labasebenzi bezempilo abanokubonakala bevuma ukuba i-Bill Graham-Cassidy-eyayihlaselwa ngoSeptemba 2017 ngaphandle kokuza kuvota-yayiza kuba yintlekele kwinkqubo yezempilo yesizwe. Iinkampani ezininzi zonyango ezinkulu zakhawuleza zikhupha izitatimende zoluntu ezichasa umthetho-mthetho we-Graham-Cassidy, kuquka ne-American Medical Association, i-American Cancer Society, kunye nokunye.
Olunye uphononongo olutshanje olulinganiselwa kuma-900 ootitshala bezempilo, olwenziwa yi-MDLinx, iwebhusayithi eyenza imfundo eqhubekayo kunye neendaba zonyango kubaqeqeshi bezempilo, ibonisa ukuba oogqirha kunye nabakliniki babonakala bekhetha inkqubo enye yokuhlawula, eyona nto iguqukayo kwiminyaka yamuva. Kwaloo uphando, olwenziwa ngasekupheleni kukaSeptemba 2017, kungekudala emva kokuba uBernie Sanders ecetyise "icebo layo lonke" isicwangciso, ama-38 ekhulwini abaphenduliweyo abathandana nomvuzo omnye kwi-ACA, eyafumana inkxaso evela kuma-18 ekhulwini kwabaphenduli.
Nangona kunjalo, inani elifanayo labaphendulayo, (iipesenti ezingama-38) ezikhethiweyo "into entsha," isicwangciso esihluke ngokupheleleyo kwiinkqubo ezikhoyo kunye nezikhetho ezicetywayo, xa bebuzwa ukuba yintoni inkqubo abacinga ukuba iya kuba yinto engcono yokulungiswa kwempilo. Iipesenti ezi-7 kuphela zakhetha uGraham-Cassidy njengona khetho olufanelekileyo ngokubanzi.
Ziziphi Iingcali Zonyango Zicinga Ngomvuzo Wokuphela?
Abaqeqeshi bezempilo baye bachaza izinga eliphezulu lokuxhasa umrhumo omnye, nangona kunjalo bakholelwa ukuba kunokubakhokelela ekuhlawuleleni abaphantsi kwezonyango. Phakathi kwabo baphendule, ipesenti ezingama-41 zathi bacinga ukuba enye inkqubo yokuhlawula iya kubangela ukuba "imali encinci" ibe yimpilo engcali, kwaye amanye ama-26 ekhulwini bacinga ukuba baya kuzuza "ngokuncinane" kunye nenkqubo yokuhlawula omnye. Iipesenti ezingama-25 kuphela zabaphenduli babecinga ukuba baya kuzuza malunga nomlinganiselo ofanayo, ngelixa iipesenti ezi-8 zithi ziyakulindela ukufumana imali engaphezulu kwinkqubo enye yokuhlawula.
Ukongezelela, abaphenduli babuzwa malunga nefuthe lenkqubo enye yokuhlawula kwiinkalo ezahlukeneyo zenkqubo yonakekelo lwezempilo. Abamangalelwa babonise ukuba inkqubo enye yokuhlawula iyakwenza ulawulo lwecandelo loshishino lwezonyango olulawulwayo, kodwa ukuba liphinde likhawuleze ugqirha, kwaye mhlawumbi ibenqande abafundi ukuba bangene esikolweni sezokwelapha okanye bangene kwibala lemithi.
Iimpendulo ezivela kumagqirha kunye neekliniki zahluke ngokubanzi xa zibuzwa malunga nexesha elinokuthi i-systemer single payer iphunyezwe eUnited States. Phantse iipesenti ezingama-27 bacinga ukuba akuyi kuze kubekho inkqubo yokuhlawula omnye; Iipesenti ezingama-22 ziqikelele ukuba inkqubo enye yokuhlawula iya kuphunyezwa kwiminyaka emihlanu nje; Iipesenti ezingama-35 ziqikelele inkqubo enye yokuhlawula kwiminyaka elishumi, kwaye enye iprojekthi yeepesenti ye-16 ukufika kwenkqubo enye yokuhlawula omnye ungaphantsi kweminyaka eyi-25.
Umhlawuli wodwa kunye noNonophelo lweMonde
Xa ebuzwa ukuba inkqubo enye yokuhlawula iyakuchaphazela njani umgangatho wokunyamekela isigulane, malunga neepesenti ezingama-35 zeengcali zempilo zivakalelwa kukuba umgangatho uya kuphucula, ngelixa malunga neepesenti ezingama-45 zivakalelwa kukuba umgangatho wokunyamekela uya kunqumla ngomnye umrhumo.
Iipesenti ezingama-18 eziseleyo zavakalelwa kukuba akukho nto ingatshintshwa kumgangatho wokunyamekelwa owenziwe phantsi kwenkqubo yokuhlawula omnye.
Abaqeqeshi bezeMpilo babecala ngokukhawuleza malunga nempembelelo yenkqubo enye yokuhlawula ngokusebenza kweenkqubo zonyango-iipesenti ezingama-46 zivakalelwa kukuba inkqubo enye yokuhlawula iyakwandisa ukusebenza kakuhle, kwaye iipesenti ezingama-40 zivakalelwa kukuba ziya kunciphisa ukusebenza kakuhle. Ipesenti ezili-14 ezisele zivakalelwa kukuba inkqubo enye yokuhlawula ayinakuguqula izinga lokusebenza kakuhle kwinkqubo yezempilo.
Xa kubuzwa ukuba umvuzo omnye unokuchaphazela njani imali yokuchitha imali kwi-health care e-US, ngaphezu kwehafu (51 ekhulwini) kuthiwa iya kuncipha, kwaye ama-34 ekhulwini labaphenduli bathi umvuzo omnye unokunyusa imali yokuchitha imali nganye.
Uphando olwenziwe ngamagqirha angaphezu kwe-1 aqhutywe nguMerritt Hawkins kunye nama-Associates, ugqirha oqeshwe ngokuqinileyo, wafumanisa ukuba ama-56 ekhulwini abaphendulayo nawo axhasa inkqubo enye yokuhlawula, eyona nto yayingumngcipheko omkhulu xa kuthelekiswa nophando oluqhutywe ngumbutho ngo-2008, apho Iipesenti ezingama-58 zichasene nenkqubo yokuhlawula omnye, ngo-CNN.