Abanakekeli bezeMpilo Bakhokhela inkokhelo eyodwa kuphela ngeMargin Small
Ukuguqulwa kokunakekelwa kwempilo kanye nesiphetho se-Care Affordable Act kuyisicoco esivumelana kakhulu eWashington, nasezweni lonke. Kusukela ku-ACA yasekuqaleni, eyaziwa nangokuthi i-Obamacare, yadluliswa ngo-2010, ochwepheshe abaningi bezempilo baye bazizwa behlulekile ngaphandle kwengxoxo, nakuba bekwenza imithi futhi banikeze ukwelashwa emigqeni yangaphambili usuku ngalunye, futhi babone umthelela wohulumeni ahlukahlukene izinqubomgomo eziphila ezigulini ngokuqhubekayo.
Yini Odokotela Abayicabangayo Ngenqubomgomo Yokunakekelwa Kwempilo?
Uma ochwepheshe bezezempilo bezobe bephethe ukuguqulwa kwezempilo, bangabhala kanjani inqubomgomo? Uhlobo luni lwesistimu abaqeqeshiwe bezempilo abacabanga ukuthi kuzophumelela kakhulu futhi kuphumelele e-United States? Kunzima ukuhlolisisa ochwepheshe bezempilo ngesihloko ngendlela eningi yesayensi, kodwa ukuhlola okuningiliziwe kubonisa ukuthi, njengabantu abaningi bezwe, ochwepheshe bezempilo baphinde bahlukanise ngalokho abazizwa ukuthi kuzoba izinqubomgomo ezinhle kakhulu zokuthuthukisa uhlelo lwezempilo lwezwe .
Iphuzu elilodwa labasebenzi abaningi bezokwelapha babonakala bevuma ukuthi umthetho-Graham-Cassidy-owawunqotshwa ngoSepthemba 2017 ngaphandle kokuya evoti-wawuyoba inhlekelele ohlelweni lwezempilo lesizwe. Izinhlangano eziningi zezokwelapha ezinkulu zakhishwa ngokushesha izitatimende zomphakathi ezilahla umthethosivivinywa we-Graham-Cassidy, kuhlanganise ne-American Medical Association, i-American Cancer Society, nokuningi.
Ucwaningo oluthile lwamanje abangaba ngu-900 ochwepheshe bezempilo, olwenziwa yi-MDLinx, iwebhusayithi ehlinzeka ngemfundo eqhubekayo kanye nezokwelapha kubachwepheshe bezezempilo, yembula ukuthi odokotela nabahlengikazi babonakala bejabulela uhlelo olulodwa lokukhokha, okuyisiguquko esibalulekile kusukela eminyakeni yamuva. Kulolu cwaningo, olwenziwe ngasekupheleni kuka-September 2017, ngemuva nje kokuba uBernie Sanders ehlongoze uhlelo lwakhe lwe "Medicare for All", amaphesenti angu-38 abaphendulile athola inkokhelo eyodwa kwi-ACA, eyathola ukwesekwa kwabangu-18 amaphesenti.
Kodwa-ke, inani elifanayo labaphenduli, (amaphesenti angu-38) akhethiwe "into entsha," uhlelo oluhluke ngokuphelele kusukela ohlelweni lwamanje kanye nezinketho ezihlongozwayo, lapho ebuzwa ukuthi yiliphi uhlelo abacabanga ukuthi lingcono kakhulu ekushintsheni kwezempilo. Amaphesenti angu-7 kuphela akhetha u-Graham-Cassidy njengendlela engcono kakhulu.
Yini Abachwepheshe BezeMpilo Abacabangela Ngokukhokha Okungashadile?
Ochwepheshe bezeMpilo babonise izinga eliphezulu lokusekela uhlelo olulodwa lokukhokha, naphezu kokuthi bakholelwa nokuthi kungabangela ukukhokhelwa okuphansi kwabasebenzi bezokwelapha. Phakathi kwalabo abaphenduliwe, amaphesenti angu-41 athi bacabanga ukuthi uhlelo lokukhokha olulodwa luyoholela ekutholeni imali "engaphansi kakhulu" njengempilo engcweti, kanti amanye amaphesenti angu-26 bacabanga ukuthi bazohola "kancane kancane" ngehlelo lokukhokha elilodwa. Amaphesenti angu-25 kuphela abaphendula athi bangase bathole imali efanayo, kanti amaphesenti angu-8 athi angalindela ukuthola imali ngaphezulu ohlelweni olulodwa lokukhokha.
Ukwengeza, abaphenduliwe babuzwa mayelana nomthelela wesistimu eyodwa yokukhokha ezicini ezihlukahlukene zesistimu yezokunakekelwa kwezempilo. Abaphendulile babonise ukuthi uhlelo olulodwa lokukhokha lungenza ukuphathwa kocwaningo lwezokwelapha lukwazi ukuphathwa kangcono, kodwa lungase lusheshise umhlalaphansi odokotela, futhi mhlawumbe ngisho nokuvimbela abafundi ukuba bangene esikoleni sezokwelapha noma bangene emkhakheni wezokwelapha.
Izimpendulo ezivela odokotela kanye nodokotela bezohlukahluka kakhulu lapho bebuzwa ukuthi kungenzeka isikhathi esingakanani sokuthi uhlelo lokukhokha olulodwa lusetshenziswe e-United States. Cishe amaphesenti angu-27 acabanga ukuthi ngeke kube khona uhlelo olulodwa lokukhokha; Amaphesenti angu-22 abikezela ukuthi uhlelo olulodwa lokukhokhela luzosetshenziswa phakathi neminyaka emihlanu nje; Amaphesenti angu-35 abikezela uhlelo olulodwa lokukhokha phakathi neminyaka eyishumi, kanti amanye amaphesenti angu-16 ahlela uhlelo lokukhokha olulodwa phakathi neminyaka engu-25.
Ukukhokha Okungashadile Nokunakekelwa Kwesineke
Lapho ebuzwa ukuthi uhlelo olulodwa lokukhokha lungathinta kanjani izinga lokunakekelwa kwesiguli, cishe amaphesenti angama-35 ochwepheshe bezempilo abonakala sengathi izinga lizophuthuka, kuyilapho cishe amaphesenti angaba ngu-45 anomuzwa wokuthi ukunakekelwa kuzokwehla ngesistimu eyodwa yokukhokha.
Amaphesenti ayisishiyagalolunye ayisishiyagalolunye abaphendulile aba nomuzwa wokuthi ngeke kube khona ushintsho emkhakheni wokunakekelwa okuhlinzekwe ngaphansi kohlelo olulodwa lokukhokha.
Ochwepheshe bezezempilo behlukaniswe ngokulinganayo mayelana nomthelela wendlela eyodwa yokukhokha ekusebenzeni kwehlelo lokunakekelwa kwezempilo-amaphesenti angu-46 banomuzwa wokuthi uhlelo olulodwa lokukhokhela luyokwandisa ukusebenza kahle, kanti amaphesenti angu-40 anomuzwa wokuthi uzokwehlisa ukusebenza kahle. Amaphesenti angu-14 asele anomuzwa wokuthi uhlelo olulodwa lokukhokha ngeke lushintshe izinga lokusebenza kahle ohlelweni lwezempilo.
Lapho ebuzwa ukuthi umkhokhi oyedwa ongathinta kanjani imali ngayinye yokusetshenziswa kwezempilo e-US, abangaphezu kwesigamu (amaphesenti angu-51) bathi kuzokwehla, kanti amaphesenti angama-34 abaphendulile athi umkhokhi oyedwa uzokwandisa ukusetshenziswa kwemali ngayinye.
Ucwaningo olwenziwa odokotela abangaphezu kuka-1 000 oluqhutshwa nguMerritt Hawkins no-Associates, udokotela oqoqayo oluqinile, bathola ukuthi amaphesenti angu-56 abaphendulile nawo asekela uhlelo olulodwa lokukhokha, okuyinto eguquguqukayo kakhulu uma kuqhathaniswa nohlolo olwenziwa yi-firm in 2008, lapho Amaphesenti angu-58 aphikisana nenkokhelo eyodwa, ngokusho kwe-CNN.