Abezopolitiko kunye neepundits banokugxotha imigaqo njengononophelo lwempilo kunye nonyango kunye noluntu olufana noluntu , kodwa imimiselo ibhekiselele ngendlela eyahlukeneyo yezopolitiko nezoqoqosho ekuboneleleni ngeenkonzo zezempilo.
Nonyango lwezeMpilo
Ulondolozo lwempilo lwabantu bonke lithetha ukuba wonke ummi unokukwazi ukufikelela kwiinkonzo zonyango zempilo.
Akuthethi ukuba kuphela urhulumente ohlawula loo mpahla. Enyanisweni, ininzi lamazwe ehlabathini lonke eliqinisekisa ukuba ulondolozo lwempilo jikelele lusebenzisa udibaniso loluntu noluntu. Ukongezelela koko, kwiimeko ezininzi, ababoneleli kunye nezibonelelo ziinkonzo ezizimeleyo.
Nangona oogqirha baseUnited States bangenqaba ukuphatha abantu abangenakho ukuhlawula iinkonzo zabo, phantsi koMthetho oPhezulu woPhilo lweZonyango kunye neMisebenzi ye-Labor (EMTALA), amagumbi okuphuthuma esibhedlele akanakuze abuze malunga nokukwazi komntu ukuhlawula emva kokuba umntu sele unyango luzinzileyo ngugqirha. Nangona kunjalo, ezininzi iingcali azikholelwa ukuba i-EMTALA ngokwayo ibonisa "ukunakekelwa kwezempilo jikelele."
Ngengqiqo eqinileyo, ukunakekelwa kwezempilo jikelele kwinto yonke malunga nokufikelela kwiimeko eziphuculweyo kunye neenkonzo zonyango zokukhusela. Ngaphantsi kwenkcazo, iUnited States inonophelo loluntu lwempilo. Nangona kunjalo, eli gama lisoloko linyanzelwe ukufikelela kwi- inshurensi yezempilo -yiphi imeko, i-United States ayinakuyinyamekela ngononophelo lwempilo jikelele.
Ukunakekelwa kweMpilo yeeNyanga
Ukunyamekelwa kwendalo yonke kunye nenkqubo yokuhlawula omnye . Kwi-system-payer system, wonke umntu ufumana inqaku elihlawulela ngokupheleleyo kuzo zonke iinkonzo kwaye urhulumente unikezela olu fi kelelo. Njengoko kunye nokunakekelwa kwempilo kwintlalo yonke, nangona urhulumente ehlawula ukuxhaswa, ababoneleli kunye nezibonelelo ziinkonzo ezizimeleyo, ezingekho zikarhulumente-nangona ezinye iinkonzo zonyango zikarhulumente, njengendlela yolawulo lwezempi okanye inkqubo yezoLimo lweMotsha .
Kwiinkqubo ezininzi zokuhlawula omnye, abemi ngabanye abakwazi ukuhlawula i-pocket yeenkonzo ezingaphezulu ngaphandle kokuqinisekiswa ngumthetho.
LwezoLuntu
Iyeza elinobudlelwane oluneenkcukacha ngokugqithiseleyo, lusetyenziswe ngumbuso onokuhlawula omnye kunye nomgaqo-nkqubo. Kwimodeli yezobuhlobo, urhulumente unikezela zonke iinkonzo kubagqirha kunye nababoneleli, kwizibhedlele nakwezinye izibonelelo, kunye nazo zonke iintlawulo zeenkonzo. Ezinye iinguqulelo ezidlulileyo zonyango oluntu zivumela ababoneleli nabazimeleyo, kodwa loo mkhuba ayiyinto eqhelekileyo; ngokuqhelekileyo, intlawulo yabucala kunye nabazimeleyo abazibonelela ngenzuzo bayadangala okanye bavumelekile.
Imidlalo yeMilwimi
Ukwahlukana kwentsingiselo phakathi kwemiqathango yempilo yonkqantosi, ukunakekelwa kwempilo yomntu omnye kunye neyeza eluntwini lucacile. Nangona kunjalo, kwingxoxo eqhubekayo yokuguqulwa kwezempilo, eqaliswe ngendlu yoKhuselo lweMonde kunye noMthetho woNonophelo oNgenakunqwenelekayo kunye nokuqhubeka "ngokuchithwa nokutshintsha" iinzame zokulawulwa kweTrump yokuqala, iipundits ziye zadlala kwiintembeko zabantu kunye noloyiko ngokusetyenziswa kakubi ulwimi.
Abachazi-mboniso kwi-right-payer-single payer kunye "namayeza anxulumene noluntu," ingcamango engaqondwanga kakubi kwiingcamango ezidumiweyo kodwa ixhunyaniswa namazwe afana neCuba-ulawulo lokunyanzelisa ubuhlanga-neCanada, eyaziwa ngokuba yimigca emide kunye nokuzimela kwesigulane.
Abaxeli bamaphepha kwi-conflate yokushiya yedwa kunye "nonyango yonakekelo lwempilo," ebonisa ukuba kuphela inkqubo yokuhlawula enye inokubangela ukuba i-ileyibhile "efunyenweyo" iyimfuneko.