I-Medicare Yenza Okuhle Nebi
Uma ukhuluma kwezombangazwe eziqondile, ungase ubone okuhle noma okubi kuphela, omnyama noma omhlophe, uma kuziwa kuMthetho Wokunakekelwa Onganakekelwayo, i- Obamacare . Ezweni langempela, kunezinhlangothi ezimbili kuhlamvu lwemali.
I-Obamacare ihlose ukuthatha amaRandi ayizigidi eziyizinkulungwane ezingu-716 kusukela eMedarele ukuya ezinyathelweni zomthethosivivinywa. Lawo madola akufanele athathwe ngaso sonke isikhathi kodwa kufanele adonseke ngaphezu kweminyaka eyishumi. Phakathi kuka-2013 no-2022, i-Medicare kulindeleke ukuthi ithathe izicucu ezindaweni ezilandelayo:
- $ 260 billion kusuka ezinsizeni ezibhedlela
- US $ 156 billion kusuka ku-Medicare Advantage
- $ 114 billion kusuka eminye imibandela ye-Medicare, Medicaid, ne-CHIP
- $ 66 billion kusuka ezinsizeni zezempilo ekhaya
- US $ 56 billion kusuka ekukhokheni okungabonwayo esibhedlela (DSH) *
- $ 39 billion kusuka ezinsizeni zokunakekela abanekhono
- $ 33 billion kusuka kwamanye amasevisi
- $ 17 billion kusuka ezinsizeni zokugula *
* US $ 25 billion angasuswa kulolu bhajethi ngenxa yezinye izinguquko zokuchitha imali ezikhokhelwa izinkokhelo ze-DSH kanye nezinhlinzeko ze-Medicaid ne-CHIP.
Ukuthatha imali ohlelweni lwezempilo olulodwa ukuxhasa esinye sekuphikisana emibuthanweni yezombusazwe. Ngama-dollar ambalwa ukukhokhela i-Medicare, ingabe uhlelo luhlala lusebenza? Okubi nakakhulu, ingabe izolimaza abaseMelika?
Yize i-Obamacare idonsela imali evela kuMedare, iphinde isetshenziselwe izinguquko ezenze izinguquko ezinhle kakhulu kubantu abadala kanye nalabo abakhubazekile .
- Ukunakekelwa kokuvimbela. U-Obamacare wamisa uMnyango WezeMpilo Ukuvakashelwa njengenkonzo yamahhala kwalabo abahlomulayo. Ukuvakasha kukunika isikhathi esisodwa ngodokotela wakho ukuze ubuyekeze umlando wakho wezokwelapha kanye nesidingo sokuhlola ukuvivinya kokuvikela. Uma udokotela wakho esamukela isabelo , eziningi zalezo zivivinyo, kuhlanganise nokuhlolwa komdlavuza, kuzophinde kube mahhala.
- Ukunciphisa izindleko zemithi . Izindleko zeNgxenye D zaxoxwa ngaphansi kwe-Obamacare. Okubaluleke kakhulu esikhwameni sakho, igebe lokubheka ekuthengeni izidakamizwa zemithi lizokwehliswa kancane kancane kuze livalwe ngo-2020. Ukuvala igebe, eyaziwa nangokuthi "umgodi we-donut" , ungagcina amashumi ezinkulungwane zamaRandi kubantu abadala emithini eminingi.
- Ukunakekelwa kwezempilo okuthuthukisiwe . U-Obamacare uye wabeka umthetho endaweni lapho kuhlawuliswa izibhedlela ezingenazo izinyathelo ezithile zekhwalithi noma eziholela ekudingeni ukuba urejiswe esikhathini esifushane . Lokhu kukhuthaza izibhedlela ukuthuthukisa ikhwalithi yokunakekelwa, ukugcina uphephile futhi uphume esibhedlela.
- Ukunciphisa ukukhwabanisa kwemithi . Izindlela zithathwe ukunciphisa ukuxhashazwa nokukhwabanisa ku-Medicare. Ngaphezu kwezingu-$ 4 billion ezigcinwe minyaka yonke kusukela uMthetho Wokunakekelwa Onganakekelwa wenziwa ngonyaka ka-2010, cishe kabili ukulondolozwa kwonyaka uma kuqhathaniswa neminyaka eyandulela uMthetho.
- Ukwandiswa kweSikhwama se-Medicare Trust . I-Medicare Trust Fund kulindeleke ukuthi ixazululwe iminyaka engama-13 ngaphambi kokuba i-Obamacare. Lokhu kusho ukuthi i-Medicare inemali eyanele yokukhokhela amaphesenti angu-100 okulindelwe iNgxenye A izindleko kuze kube ngu-2030. Ukulondolozwa kweMediare ngaphansi koMthetho Wokunakekelwa Okungenakusiza kunenjongo yokwandisa impilo ye-Medicare.
Kungakhathaliseki ukuthi uyibheka kanjani, i-Medicare ithathe kokubili okuhle nokubi kuMthetho Wokunakekelwa Onganakekelwayo. Yikuphi ukuguqulwa kokunakekelwa kwempilo esikhathini esizayo kuletha, kuzodingeka silinde futhi sibone.
> Imithombo:
> Boccuti B, uCasillas G. Efuna ukuguqulwa kwezibhedlela ezimbalwa: Uhlelo lokunciphisa isibhedlela se-Medicare Hospital. I-Henry J. Kaiser Family Foundation. Kushicilelwe ngoJanuwari 29, 2015.
> Ihhovisi le-Budget ye-Congressional. Incwadi evela kuMqondisi uDouglas W. Elmendorf kuSomlomo weNdlu uJohane Boehner. Ishicilelwe ngo-Julayi 24, 2012.
> Van de Water, PN. I-Medicare ayikho emthethweni: Ukuguqulwa kwezeMpilo kuye kwathuthukisa uhlelo lwezimali. Isikhungo kuBelget and Priorities Policy. Kubuyekezwe ngo-Julayi 30, 2015.
> I-White House. Umthetho Wokunakekelwa Onganakekelwayo: Ukuqinisa Imithi.