Phakathi nezingxoxo zokuguqulwa kwempilo e-United States, abanye abantu basebenzisa leli gama elithi "imishanguzo yomphakathi" ukuze babesabe labo abacabanga ukuthi yingxenye yesisombululo sokuguqula ukubuyela kuhulumeni. Bakusho ukubandakanyeka okukhulu kukahulumeni kule nqubo futhi bazame ukuqhathanisa nekomunistimende, bafaka phambili ekungcolweni kwezenhlalakahle kanye nobukhomanisi emasiko aseMelika.
Ngabe kusho ukuthini imithi yomphakathi?
I-Socialized Medicine
Umqondo wezokwelapha ngokuphelele umphakathi uthi uhulumeni unikeza zonke izici zokunakekelwa kwezempilo:
- Ikhokhela konke ukunakekelwa.
- Isebenzisa abahlinzeki.
- Isebenza lezi zakhiwo.
Emazweni amaningi emhlabeni wonke - kufaka phakathi iCanada, i-Great Britain, iFinland neSpain - imithi yokwelapha umphakathi iyindlela esemqoka yokufinyelela kwezempilo ezakhamuzi eziningi.
Izincazelo ezinwetshiwe zemithi yokwelapha zisusa eyodwa noma ezimbili zezici ezibalwe ngenhla. Isibonelo, indima kahulumeni ingase ibe ukukhokha ukunakekelwa, kodwa ungaqashi abahlinzeki noma usebenzise lezi zakhiwo.
I-VA njengesibonelo se-Socialized Medicine e-US
Iqiniso liwukuthi i-United States isivele isebenzisa izinhlobo eziningi zemithi yokwelapha. Uhlelo lokunakekelwa kwezempilo lwe-Veteran's is isibonelo esisodwa, futhi ngezindlela eziningi, yisibonelo semithi yokwelapha ngokugcwele. Ama-Veterans angasebenzisa ngokunakekelwa kwezempilo ezinikezwe uhlelo.
I-veteran kungenzeka ingenele kancane noma ayikho izindleko zokunakekelwa ku-VA izakhiwo, nakuba lokhu kuxhomeke ekufanelekeleni nasekuneneni (ngokushintshwa). I-VA isebenzisa abahlinzeki. Odokotela basebenzela i-VA njengabasebenzi bombuso noma ngezindleko zemali noma inkontileka. I-VA iqhuba lezi zakhiwo, kubandakanya nezibhedlela, imitholampilo, nezindawo zokunakekelwa isikhathi eside.
Uhlelo lwezempilo lwe-VA luqhutshwa uhulumeni ngaphansi koMnyango Wezilwane Zase-United States kanye noNobhala Wezombusazwe, isikhundla seKhabhinethi esimiswe nguMongameli futhi samukelwa yiCongress. Isabelomali se-VA siyingxenye yesabelomali sesifundazwe. Okubaluleke kakhulu ukuthi kusetshenziswe kanjani nokuthi yiziphi izinsizakalo ezinikezwa yi-VA zibekwe ezweni lonke futhi zithinte ithonya lezombangazwe. Ngenkathi ama-scandals ephakama ukuthi i-VA inikeza kanjani ukunakekelwa, kuyisilinganiso sokuthi i-VA iphendula kanjani emphakathini, kuyilapho izinhlangano zokunakekelwa kwezempilo ezizimele zingadingeki zibonakale.
Ama-HMO njenge-Socialized Medicine
Ngisho nama-HMO (Izinhlangano Zokunakekelwa Kwezempilo) zihlangene, nakuba kungezona uhulumeni njalo. Uma isiguli sithatha i-HMO, i-HMO ibatshela ukuthi yiziphi odokotela abangabona nokuthi yiziphi izindawo okufanele zifinyelele kuzo ukunakekelwa. Lokhu kuyiqiniso kuma-HMO angasese, njengohlelo lwe-Kaiser eCalifornia. Kuyiqiniso nakuTricare, inhlangano yezokunakekelwa kwempilo kahulumeni wase-US esetshenziswa imindeni yempi kanye nempi yezempi.
Ukuguqulwa Kwesikhathi Esizayo kanye Nokwelapha Kwezenhlalakahle I-Rhetoric
I-mpikiswano mayelana nokulungiswa kwezempilo kuqhubeka emva kokuqaliswa koMthetho Wokunakekelwa Okunenzuzo ka-2010, futhi cishe akunakwenzeka.
Njengoba uhlola izinketho zokuguqulwa kwempilo , ukuqonda kahle ukuthi imishanguzo yezenhlalo - futhi ukwazi umehluko emkhatsini wezokwelapha zomphakathi, uhlelo olulodwa lwabazali (kuphela), kanye nokunakekela impilo yonke - kuzokusiza uqonde izinto ngokucacile.