Amaqiniso Okusheshayo Mayelana neSGR 'Doc Fix' Ingxabano
Uma kwenzeka wazibuza zonke izihloko ezisezindaba ezindabeni ezimbalwa ezedlule mayelana 'nokulungiswa kwe-doc' noma 'ukulungiswa kwe-doc', noma ukuphikisana kwe-SGR, ngethemba lokuthi lesi sihloko singakusiza ukuba ube nomqondo konke.
Kuyini i-SGR?
I-SGR imelela "Isilinganiso Sokukhula Okuqhubekayo." I-American College of Physicians iwebhusayithi inikeza umbono ophelele we-SGR, futhi kungani kungumqondo "ongenalutho" obangela ukuphikisana okuqhubekayo mayelana nodokotela okhokhelwayo .
Ngokusho kwe-ACP ku-inthanethi, i-SGR "ifomula yenziwe yiCongress njengengxenye yoMthetho Wokulinganiswa Kwezezimali ka-1997 (BBA). I-formula ibeka ukukhula ekusetshenzisweni kwezinsizakalo zezokwelapha ngokuxhumanisa izibuyekezo ezibhekiswe kumazinga okukhula kwemali."
Umshini we-SGR uthinta ngqo ukuthi odokotela bakhokhelwa kangakanani ukuphatha iziguli ze-Medicare , ezingaphezu kweminyaka engama-65. I-Medicare yiluhlelo lomshwalense olutholakala ngohulumeni olwenzelwe ukusiza ukumboza abantu asebekhulile.
Ubani Ongayifaka I-SGR Impikiswano Impumelelo Kakhulu?
I-SGR kanye ne-Medicare yehlisa ukuthi kungenzeka ukuthi ibangelwa yiyo, ingabe iyothinta kakhulu futhi ithinte ngokuqondile odokotela abaphatha iziguli ezindala. Uma isimo se-SGR singaxazululwa, ukusikwa kwemali kungahle kube yingozi kakhulu, kungabangela ukuba odokotela abathile bangasebenzi, okwakuthiwa kuthinte kakhulu iziguli eziphezulu.
Kwabaningi odokotela, iningi lomkhuba wabo lingase lihlanganise neziguli ze-Medicare.
Ngakho-ke, ukunciphisa okukhulu ekubuyiselweni kweMedare kuzoba nomthelela omkhulu ekutholeni imali yabo yonke.
Isifinyezo se-ACP sesimo se-SGR siyaqhubeka sithi:
"Ifomula ye-SGR ayilawuli ivolumu ... Iyanquma ukukhokha ngaphandle kokubheka ikhwalithi noma ukusebenza kahle kokunakekelwa okuhlinzekwe udokotela ngamunye.
Unyaka ngamunye kusukela ngonyaka ka-2001, ifomula le-SGR elamanje, elinezifo ezinamandla liye lasongela ukubeka ukusikeka okuncane emalini yokukhokhelwa kwemithi odokotela e-Medicare yokunakekelwa okunikezwe abadala baseMelika. "
Kuyini "I-Doc Fix" Ingxabano Ngayo?
Le mpikiswano ikakhulukazi mayelana nokuthi umthetho kufanele ususwe noma ungeniswe yini, ukuze ugweme ukusikeka okuzayo, kodwa izindleko zokwenza kanjalo ziphakeme kakhulu. Isimo esisemthethweni se-ACP ukuthi umthetho kufanele ususwe futhi ushintshwe ngendlela engcono, engokoqobo, futhi ehlelekile yokukhokhwa kwemali ye-Medicare.
Izindleko zokwenza kanjalo zizoba yizigidi eziyizigidi eziyizinkulungwane eziyisishiyagalombili zamaRandi, okuyi-$ 245 billion elinganiselwa ku-2012, ngokusho kwe-ACP.
Ngenxa yokuthi izindleko zokuphinda umthetho ziphakeme kakhulu, iCongress iyaqhubeka nokwenza okwesikhashana ukulungiswa kokulungiswa kwe-SGR kanye nokwehliswa kokukhokha okulandelayo ngonyaka, okudinga isikhathi esiningi nemali. Futhi, ngoba akuyona isixazululo esingunaphakade, umthetho osesikhashana ushiya imikhuba yezidakamizwa, nokunakekelwa kweziguli eziphezulu, ukulenga ibhalansi minyaka yonke uma ukulungisa okwesikhashana kuphelelwa yisikhathi.
Iyini Isixazululo?
Yilapho impikiswano iphikisana nesiphepho somlilo. Abanye abantu bacabanga ukuthi ukulungisa ngokuphindaphindiwe izixazululo zesikhashana yimibuzo kuphela, ngoba ukuchithwa komthetho we-SGR kuyabiza ngokweqile, kepha ukushiya izinga le-SGR kuphela kungabangela ukukhwabanisa ukukhokhela odokotela, kungalimaza abasebenzi ngokungafani.
Kuyinkinga eyinkimbinkimbi kakhulu, futhi noma yisiphi isisombululo esingapheli singase sibe nemiphumela engalindelekile, njengoba umthetho omkhulu kunzima.