Indlela Uhulumeni Wokuzimela Ekhaya Osebenza Ngayo
Ezweni eliphelele, abantu babezohamba babone udokotela ngaphambi kokuba badinga ukunakekelwa esibhedlela. Kuyoba khona izinyathelo zokunakekelwa okuvimbelayo ukuze kuncishiswe ingozi yokuba isifo esingapheli somuntu singangeni ekulawuleni. Izikhungo ze-Medicare neMedicaid Services (CMS) ziye zahlela ukuthuthukisa ukunakekelwa ngenkathi kunciphisa ukuvakashelwa kwamakamelo okuphuthumayo kanye nokuvunywa kwezibhedlela.
Lapho Imithi Yamanje Ihluleka Abakhulile
Ngo-2010, abangaphezu kwesigamu samaMelika babenezinkinga ezimbili okungapheliyo kanye nenani elikhuphuka laba ngaphezu kwamaphesenti angama-63 kulabo abaneminyaka engaphezu kwengu-65 ubudala kanye namaphesenti angama-83 kulabo abangaphezu kuka-85. Inkathazo akubona wonke umuntu ongathola ukunakekelwa badinga ehhovisi likadokotela.
Kulabo abangabuthakathaka noma ababhekene nombhede, labo okungenzeka badinga ukunakekelwa kwezokwelapha kakhulu, kungase kube inselele ngokomzimba ngisho nokushiya ikhaya labo. Kwabanye, ukubunzima kwezimo zabo eziningi kungase kudingeke ukuthi kube isikhathi eside kunokuvakashela ihhovisi leminye imizuzu engu-15 kuya kwezingu-20. Udokotela angadinga ukuba eze izikhathi eziningana ukuze abe nesikhathi esanele sokuxazulula zonke izinkinga.
Ezweni langempela, odokotela balwela ukulingana neziguli ezingaphezu kwamashejuli abo omatasa. Uma iziguli zingakwazi ukubonwa, iziguli zizithola zihlala ekamelweni eliphuthumayo zizama ukuthola ukunakekelwa okuphuthumayo, ukunakekelwa okubiza kakhulu kunalokho okungahlinzeka ngesilungiselelo sesipiliyoni.
Ukubuya kwe-Call House
Ngomthetho we-Care Affordable Act (u- Obamacare ) ngo-2010, izigidi zabantu baseMelika abangazange baqiniseke manje banokuthola ukunakekelwa kwezempilo. Ehlanjelwe isikhathi, odokotela bazama ukubona iziguli eziningi ngesikhathi esingaphansi ukuhlangabezana nesidingo. Lokhu kushiya isikhathi esincane sokushaya izingcingo. Ngo-2013, amaphesenti angu-13 kuphela odokotela bomkhaya enza ucingo endlini kunoma yikuphi isonto elinikeziwe futhi amaphesenti amathathu kuphela abanjelwa endlini emibili ngesonto.
I-Care Affordable Act yasiza ekusebenziseni uhlelo lwe-Independence ekhaya lwasekhaya lokukhuthaza odokotela ukuba benze izingcingo zendlu. Odokotela abagcina imali yeMedare ngenkathi bethuthukisa izinga lokunakekela bazohlanganyela emabhonasi ezimali.
Lolu hlelo lweminyaka emithathu lomshayeli lwamabhanoyi lubhalise imikhuba engu-17 ehlukene ezweni lonke ukuhlinzekela ukunakekelwa kwekhaya kwabeMediare abahlomulayo ababephethe izifo eziningi ezingapheliyo. Ukuze ubhalise, umkhuba ngamunye kwakudingeka ukondle ekhaya okungenani iziguli ezingama-200 ze-Medicare ngodokotela noma umhlengikazi . Loluhlelo oluphelele luwunakekele abahlomula abangaphezu kuka-8,400 Medicare.
Izinzuzo zezingcingo zeNdlu
Ukuzimela Kwekhaya kubonise imiphumela emihle ngonyaka walo wokuqala, kulondoloze amaRandi ayizigidi ezingu-3,07 ngeMedric beneficiary kanye no-R25 million. Emisebenzini engu-17 yokuhlanganyela, imali engu-12 ilondolozwe iziguli zazo, izibalo ezingu-9 zokuthola amabhonasi wezimali futhi zonke ziphuthumayo izinga lokunakekela iziguli okungenani izigaba ezintathu eziyisithupha. Imikhuba emine kuphela ehlangabezana nemigomo yazo zonke izinyathelo eziyisithupha zekhwalithi.
Okubaluleke nakakhulu, izimpilo zalezi ziguli zathinteka kangcono. Kwakukhona izibalo zokufunda ezibhedlela ezimbalwa , ukulandelwa okuthuthukisiwe ngemuva kokuhlala esibhedlela, ukubuka kabanzi kwemithi kanye nokwenyuka kokusetshenziswa kwezinsizakalo zesibhedlela ngezimo zokunakekelwa okungapheli.
Lena akuyona okokuqala izingcingo zendlu ezibonisiwe ukunciphisa izindleko nokuthuthukisa ukunakekelwa. Ucwaningo lwe-2014 ku -Journal of the American Geriatrics Society lubuyekeze uhlelo lokushaya indlu olukhathalela iziguli ezingu-722 ngaphezu kweminyaka emibili. Ukulondolozwa kwesiguli ngasinye kunenani elilinganiselwa ku-$ 4,200 ngonyaka ngezivakashi ezincane nezivakashi eziphuthumayo ngamaphesenti angu-9 kanye namaphesenti ayishumi ngokulandelana.
Izingcingo zezindlu zenza umehluko. Njengoba uhlelo lwezokuzimela lwasekhaya lwase-Independence luqhubeka olunye iminyaka emibili, bheka ukuthola odokotela abaningi ekhaya eliseduze nawe.
Imithombo:
Amasevisi we-Medicare neMediicaid Services. Imodeli yokukhokha ye-Care Affordable iphesisa imali engaphezu kwamaRandi ayizigidi ezingu-25 ngonyaka wokusebenza wokuqala. https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2015-Press-releases-items/2015-06-18.html. Ishicilelwe ngo-Juni 18, 2015.
Amasevisi we-Medicare neMediicaid Services. Izimo Eziphuthumayo Phakathi Kwalabo Abahlomulayo, i-Chartbook: I-2012 Edition. https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Chronic-Conditions/Downloads/2012Chartbook.pdf.
UDe Jong KE, Jamshed N, Gilden D, Kubisiak J, Bruce SR, Taler G. Imiphumela ye-Primary Based Based Care in Medicare Izindleko zabadala abaphezulu. I-Journal ye-American Geriatrics Society. Okthoba 2014, 62 (10): 1825-1831. http://onlinelibrary.wiley.com/doi/10.1111/jgs.12974/full.