Enye yezinganekwane zasemadolobheni ezizungeze ukwemukelwa kanye nokuqaliswa kokuqala koMvikeli Wezokwelapha kanye noMthetho Wokunakekelwa Okunganakekelwa-okwakushiwo i-ACA noma i-Obamacare-ukuthi umthetho omusha ungaphika ukunakekelwa komdlavuza wabantu abadala asebaneminyaka engama-75 noma ngaphezulu.
Naphezu kokusatshalaliswa kwemithombo yezindaba kanye nokuhlelwa komphakathi, ukukhathazeka kwakungekho (futhi kusenjalo) kuyiqiniso. I-Care Affordable Act ayifuni noma ayenqaba ukunakekelwa komdlavuza kunoma ubani, kungakhathaliseki ubudala.
I-Politics Ye-Care Affordable Care Act
Ngesikhathi abaholi eCongress beqala ukusebenza ngomthetho owagcina waba yi-ACA, izinguquko eziningana zomncintiswano womthetho, ezakhiwe ngokushintshana kwemibango yabameli kusukela kumabili amaqembu, zangena kwiRekhodi ye-Congressional. Ngonyaka ka-2010, i-ACA-ekuqaleni kwakuyisimali esivela eNdlu yabaMemezeli esibhalwe i-HR 3590-sidlulisela iSenate ngenqubo enkulu-nje kuphela ebizwa ngokuthi "ukubuyisana" ngaphandle kokusekelwa kwamaRiphabliki asebandleni. Isayinwe nguMongameli uBarack Obama ngoMashi 23, 2010.
I-ACA ngumthetho omkhulu futhi onzima. Yandisa ukufaneleka kukaMedicaid uma izizwe zikhethe; ibeka izidingo ezintsha ezincane zokuthola umshuwalense wezempilo; kwakudinga ukuthi wonke amaMelika athenge ukukhokhelwa noma akhokhe imali; kwakudinga abaqashi besayizi elithile ukuthi banikeze ukwaziswa kwabasebenzi abathile; futhi wabeka eceleni imali yokukhokhela izinkampani zomshuwalense ezababhalisa "abagulayo" kunabanye.
Ngaphezu kwalokhu, i-ACA yandisa ububanzi bomnyango wezeMpilo wezeMpilo naseMisebenzini Yabantu base-United States futhi yandisa izinga lokubhekwa kombuso emakethe yomshuwalense wombuso.
Njengoba kuningi okuqhubekayo, akumangalisi ukuthi ezinye izingxenye zomthetho zabonakala zidumile futhi ezinye izingxenye zafakazelwa zingavunyelwe. Kodwa-ke, lapho umthetho usondela eduze kwendima futhi inzalo yophikisana nayo yaqala ukwanda, umgqa onzima kakhulu phakathi kwamaDemocrats owawuphikisana nomthetho namaRephabhuliki abawushushisa wona owachitha abezindaba nakwamakamelo ajwayelekile aseMelika.
Iqiniso Ukuhlola Igoli Lase-Urban
Amahemuhemu mayelana nokunakekelwa kwezempilo asezingeni eliphezulu avela kumthethosivivinywa onokuncintisana eNdlu yabaBameli, i-HR 3200. Izindaba zavela "ngamaphakheji okufa" kanye nokuqhathaniswa okungalungile neBrithani sikaZwelonke wezeMpilo (okubhekelela ukunakekelwa kwabagulayo ngezinga elithile) kwaqhakaza kwi-intanethi nakumsakazo wenkulumo.
Ulwazi olungelona iqiniso-olunikezwa ama-pundits namathekisthi angaziwa kahle okuthumela ama-imeyili aphikisayo ngokuthi "alwe" noma "ukusekela" i-Obamacare ngegalelo lezombangazwe-lafakazela kakhulu kangangokuthi iziphathimandla eziningana ezahlukahlukene zokuhlola iqiniso zilinganiselwe njenge-Snope, Politifact, FactCheck , neForbes.
Nakuba ezinye zezingcaciso ezingalungile zitholwa ngabathonya bezindaba abaxhomeke ngokufanele, ukuxakeka okukhulu komthetho kuhlangene nokuhlukunyezwa okufanayo ngabaxhasi abashiya umthetho, bashiya abaningi baseMelika badidekile ngokuthi yini i-Obamacare ezoyisho kubo. Akuzange kusize lapho esinye sezikhathi ezichasayo zempikiswano phezu komthetho kufika njengo-Rep. Nancy Pelosi (D-CA), owayenguSomlomo weNdlu ngaleso sikhathi, wacashunwa ngokungapheli emibonisweni yezindaba ze-TV ethi " sidinga ukudlulisa lo mthetho ukuze wazi ukuthi ungubani. " Ukucaphuna kwakhe kwakususwa ngaphandle komongo, kodwa umonakalo wenziwa.
Yini okugcoba abantu abane-Cancer
Ngaphansi kwe-ACA, izakhamizi eziphezulu ezikhetha ukukhokhelwa kweMediare zithola izinzuzo ezifanayo ezazithola ngaphambi kokuba umthetho usayinwe. Ngenxa yokuthi i-ACA igxile ekubhekaneni nomshuwalense wezentengiselwano kubantu abadala abasebenzayo, iMedare yayingatholakalanga kakhulu.
Kubantu baseMelika abanomdlavuza ababengakafanelekile ku-Medicare, i-ACA kungenzeka ukuthi isho ukuthi bayakwazi ukuthola umshuwalense wezempilo kanti ngaphambi kokuba bangenayo-noma ngokukhuliswa kweMedicaid noma ngezimali ezikhokhelwa noma ezixhaswe ngemali ezinikezwe ngomunye umbuso noma inhlangano yomshuwalense we-federal. Kodwa ngaphesheya kwalokhu kufinyeleleka ekufinyeleleni komshuwalense wezempilo, umthetho ngokwawo wawungathuli mayelana nezinzuzo ezintsha nezinciphise ukwelashwa komdlavuza.
Ngamanye amazwi: Umthetho awuzange ushintshe noma yini mayelana nokwelashwa komdlavuza kunoma ubani , nakuba abanye baseMelika ababengenakho ukuhlinzekwa komshuwalense manje sebefanelekile ngenxa yokwanda kweMedicaid kanye nokushintshaniswa komshuwalense.