Kukho Oku kuninzi Kunokuba Ukhuseleko Lonyango nje
Jonga ukuhlaziywa ngo-2012 ngezantsi.
Ingaba ungenayo i- Medicare inzuzo , okanye umgaqo-nkqubo owaqala ukusebenza ngo-2008 uya kukuchaphazela. Umgaqo-nkqubo omtsha uthetha "akuze kubekho imicimbi" esityalo ngexesha lokuhlala esibhedlele. Xa umgaqo-nkqubo usuqalisile ukusebenza, u-Medicare wayeka ukuhlawula ezinye zeengxaki ezibangelwa esibhedlele esibhedlele.
Iziganeko ezingazange zibandakanyiwe kwi-List of Medicare ziinkathalo ezifana nokuhlinzwa okungalunganga, ukuxilongwa kunye nohlobo olusilungileyo lwegazi, izilonda zogonyamelo (i-bedsores), ukuwa okanye ukuxhatshazwa, kunye nokusuleleka kwe-nosocomial (izifo ezifunyanwa esibhedlele) ezinxulumene nophando okanye ii-catheters.
Ezi sibhozo zivela kwi- uluhlu lwama-28 alukho nzekayo , oko kuthiwa, ngokuba akufanele kwenzeke nasiphi na isigulane.
Ukongezelela, ukuba akukho nzekayo eyenzekayo, i-Medicare ithi isigulane asihlawulwanga unyango olongezelelweyo olufunekayo ukujongana nesiganeko. Yonke into ithetha ukuba, ewe, isibhedlele kuya kufuneka ukuba ikhuphe iindleko ezongezelelweyo ezivela kwiingxaki ezongezelelweyo isigulane sele sihlupheke.
Ngokukhawuleza, kukho iindlela ezininzi kule nqubo ye-Medicare ayizange ibe ngumgaqo wesiganeko kuya kusithintela:
- I-Medicare ithi isizathu sayo esisodwa somgaqo-nkqubo omtsha kukuphucula ukhuseleko kunye nokuxabisa izigulane. Ngokuqinisekileyo, izibhedlele ziza kufuneka ziqale ukukhangela iinkqubo ezikhuselekileyo zokuqinisekisa ukuba izigulane azikhathazeki kwezi ngxaki, ukuba kungekho esinye isizathu kunokunciphisa izindleko zesibhedlele.
- Abaqinisekisi bempilo bahlala belandela u-Medicare, kwaye baninzi bazimisele ukuphumeza umgaqo ofanayo. Kulo lonke ilizwe, abo baso-bhenkethi bayazisa izibhedlele ezingayi kuhlawula iimpazamo zebhedlele, kwaye kwiimeko ezininzi, uluhlu lwabo lweempazamo lubanzi ngakumbi. Oko kuthetha ukuba ezo nkampani ze-inshorensi zempilo ziya kulondoloza indleko yokugula okuqhubekayo kwinxalenye yabathengi babo. Nangona kunjalo, ngelixa sithembela ukubona iipriyamu zinciphisa, mhlawumbi kuninzi ukulindela iindleko eziphantsi zokudluliselwa kubathengi.
- Kufuneka kube nefuthe elikhulu kwi-budget ye-Medicare. Ngo-2007, ezo sibhozo azizange zize zenze iindleko zee-bhiliyoni ezingama-22 kwiindleko. Njengabahlawuli berhafu, sifanele sivuyiswe ukubona le mizamo kungekhona nje egameni lethu ukhuseleko njengezigulane kodwa nakwiimbumba zethu.
- Ubuncinane ubuninzi bama-20 baqwalasela umgaqo ofanayo kumagulane aseMedicaid. Phantse amazwe athile asele aqalise inkqubo ethile ye-non-pay-for-never--events.
Ngaba Ngokwenene Konke NgoKhuseleko LoMonde?
Uninzi lwezigulane zikhuthaza kwaye izigulane zivuya kakhulu! Ngokuqinisekileyo, lo mgaqo-nkqubo uza kwenza izigulane zizibhedlele zikhusele. Kwaye kutheni kungabikho ukuba isibhedlele sifanele sinikezele iimpazamo zabasebenzi kwaye sihlawule loo mali? Siza kusindisa imali, nayo. Yeyona ngcamango enkulu!
Ngokukhawuleza . Igama lokulumka liyadingeka kuba akulula kangako njengoko livakalayo.
Ingxaki yokuqala yile. Kungenxa yokuba akukho siganeko sinalo igama, akuthethi ukuba ayikaze kwenzeke. Iingcali zisitshilo ukuba ezininzi iintsholongwane zoluhlu alukhuselwanga, ngokukodwa iingxaki ezinjengezintlu zokulala okanye izifo ezisekelwe kwi-catheter.
Ukongezelela, ezinye izibhedlele zizabalazela ukufikelela kwimigangatho njengoko kunjalo. Ewe, abaninzi baya kwenza umgudu wokuphelisa uninzi lweziganeko ezingaze zenzeke, kodwa ziya kufuneka zithathe iindleko zeengxaki ezenzekayo. Abo bangakwazi ukujongana neengxaki zentlawulo bangaphuma kwishishini. Abanye baya kuphakamisa amanani anokunyuswa, ngenxa yeminye iminikelo kwizigulane zabo ukuba i-Medicare ayifuni.
Izigulane eziqilileyo ziyazi ukuba, utshintsho lomgaqo-nkqubo olukhulu luba nemiphumo engalindelekanga. Ngawo onke ama-pluses angabangela umgaqo-nkqubo omtsha, izigulane kufuneka ziqaphele iingxaki ezinokuthi zenze iindleko zethu nakwiimpawu zobomi.
Nazi ezinye iingxaki ezimele zijonge njengokuba umgaqo-nkqubo we-Medicare Never Event 2008 ungena, kwaye izibhedlele zizama ukulungelelanisa:
- Izibhedlele zingadinga ukuba izigulane zihlolwe ngakumbi phambi kokungeniswa ukuba zibonise ukuba zinezifo okanye ezinye iingxaki ngaphambi kokuba zifike. Uvavanyo olongezelelweyo lubiza ixabiso elongezelelweyo, okwenyani, kwaye lindlela nje yokukhusela. Akuyi kubakho inzuzo kumguli.
- Umguli okhulelwe okanye olimele unokukhutshwa ngokukhawuleza. Ukuba kufuneka aphinde abuyiselwe emva koko, isibhedlele siyakwazi ukubonakalisa, ngokusebenzisa ezo zivavanyo zokungena ezongezelelweyo, ukuba wafika ngxaki. Oko kuthetha ukuba i-Medicare iya kugqiba ukuhlawula oko, kodwa isigulane siza kuthunyelwa ubuncinane kabini, ngelixa sisalimala okanye sigula.
- Izigulane zingenakudliwa ngokungadingekanga kwi-antibiotics ukukhusela usulelo, okukhokelela ekuchaseni ngakumbi, okukhokelela kwiziganeko ezingakumbi emva kweentsholongwane ezingenakuphathwa.
- Izigulane zinokuhlawulwa kwi-extra-of-pocket eyongezelelweyo "eyongezelelweyo" engagqunywanga yi-inshurensi nantoni na, kwaye ingafanelekanga.
Ngaba kukho naziphi na iingxaki eziza kwenzeka kuwe, uya kufuna ukuzibika kwi-Medicare. Kuhlala kubonakala ukuba siya kuba nendlela yokuzikhusela kubo. Njengoko ixesha liqhubeka kwaye ezinye ziyaziwa malunga nalo mgaqo-nkqubo omtsha, ndiya kugcina le ndawo yokuxhotyiswa kweMonde.
Ukuhlaziywa ka-2012
Ngokweqendu loMthetho woNonophelo olungabonakaliyo (ukulungiswa kwempilo kwezempilo), izibhedlele ngoku zifunwa ukuphonononga nokubika amava kunye nokwaneliseka. Le yenye indlela yokubonakalisa ukukhanya okufunekayo ukugcina izibhedlele zijolise ekunyamekelweni komgangatho kwizigulane zabo. Funda kabanzi malunga namava omgulane kunye novavanyo olwanelisayo, okanye ufunde indlela yokuzalisa uphando lwenzululwazi olwanelisayo apha .