Abezombusazwe kanye nama-pundits bangaphonsa imibandela efana nokunakekelwa kwempilo yonke jikelele kanye nemithi yokwelapha emphakathini njengokungathi ziyizilinganiso, kodwa imigomo ibhekisela ekuzondleni kwezinhlelo zezombusazwe nezomnotho ezihlukene ngokuhlinzeka ngezinsizakalo zezempilo.
Ukunakekelwa Kwezempilo Yonke
Ukunakekelwa kwezempilo jikelele kusho ukuthi zonke izakhamuzi zinamandla okufinyelela izinsizakalo zokunakekelwa kwezempilo eziyisisekelo.
Akusho ukuthi uhulumeni kuphela okhokhela lokho kufinyelela. Eqinisweni, iningi lamazwe emhlabeni wonke oqinisekisa ukuthi ukunakekelwa kwempilo yonke jikelele kuhlanganisa inhlanganisela yomphakathi kanye nobumfihlo. Ngaphezu kwalokho, ezimweni eziningi, abahlinzeki kanye nezinsiza kukhona izinsizakalo ezizimele.
Nakuba odokotela base-United States bangenqaba ukuphatha abantu abangakwazi ukukhokhela izinsizakalo zabo, ngaphansi kwe- Emergency Medical Treatment and Labor Act (EMTALA), amakamelo okuphuthumayo esibhedlela angeke abuze ngisho nangokwazi komuntu ukukhokha kuze kube yilapho umuntu ekhona ngokwemithi ukuqiniswa udokotela. Kodwa-ke, ochwepheshe abaningi abakholelwa ukuthi i-EMTALA ngokwayo ibonisa "ukunakekelwa kwempilo yonke jikelele."
Ngomqondo oqinile, ukunakekelwa kwempilo yonke jikelele kuqondene nokufinyelela ezinsizeni eziphuthumayo nezokuvikela. Ngaphansi kwalokhu kuchazwa, i-United States ijabulela ukunakekelwa kwempilo yonke. Kodwa-ke, leli gama livame ukuvinjelwa ekubhekiseni ukufinyelela komshuwalense wezempilo- noma kunjalo, i-United States ayijabuleli ukunakekelwa kwempilo yonke jikelele.
Ukunakekelwa kwezeMpilo ekhokhelwa yedwa
Qhathanisa ukunakekelwa kwendawo yonke ngehlelo lokukhokha olulodwa . Kuhlelo lokukhokha olulodwa, wonke umuntu uthola inkokhelo ekhokhela zonke izinsizakalo futhi uhulumeni uhlinzekela lokhu ukufinyelela. Njengokunakekelwa kwezempilo emhlabeni wonke, yize uhulumeni ekhokhela ukuhlinzekwa, abahlinzeki kanye nezinsiza ikakhulukazi izinsizakalo zangasese, ezingekho zikahulumeni-nakuba ezinye izinsizakalo zokunakekelwa kwezempilo zihamba ngohulumeni, njengezinhlelo zezempi zeTricare noma uhlelo lwezokwelapha lwe-Veterans.
Ezinkambisweni eziningi zokukhokha single, izakhamizi ngabanye abakwazi ukukhokhela ngaphandle kwe-pocket ngezinsizakalo ezingeziwe ngaphandle kokuqinisekiswa komunye umthetho.
I-Socialized Medicine
Imithi yokwelapha komphakathi ngomqondo wayo onzima kakhulu, iyisistimu ekhokhelwa uhulumeni oyedwa kanye nohlelo oluhlelekile. Esikhathini sendlela yokwelapha emphakathini, uhulumeni unikeza zonke izinsizakalo odokotela nabahlinzeki bakho, esibhedlela nakwezinye izikhungo, nakuzo zonke izinkokhelo zalawo masevisi. Ukuhumusha okunye okuguquguqukayo kwemithi yokwelapha kuvumela abantu abahlinzeka ngempahla kanye nezikhungo zangasese, kodwa lo mkhuba awuvamile; ngokuvamile, ukukhokha kwangasese kanye nabahlinzeki abazimele-inzuzo badikibala noma banqatshelwe.
Imidlalo Yelwimi
Umehluko phakathi kwemibandela yokunakekelwa kwempilo yonke jikelele , ukunakekelwa kwezempilo okukhokhwa yedwa kanye nemithi yokwenziwa komphakathi kucacile. Kodwa-ke, engxoxweni eqhubekayo mayelana nokuguqulwa kwezempilo, eqaliswa ukuhamba kweMpilo yokuVikela kanye nokuNakekelwa kokuNakekela okuNgenakaneliseka futhi nokuphikelela ngokusebenzisa "ukuchithwa nokufaka esikhundleni" imizamo yokuphathwa kweTrump yokuqala, izidakamizwa ziye zadlala ekutheni abantu babe nethemba nokwesaba ngokusebenzisa kabi ulimi.
Abaphawuli be-commentators ekhoneni elilodwa lokukhokhela umuthi oyedwa "ngemithi yomphakathi," umqondo ongachazwanga emcabangweni odumile kodwa ohlangene namazwe afana neCuba-uhulumeni wobushiqela wobandlululo-neChanada, enezintambo ezide kakhulu nokuzimela kwesiguli.
Amazwana abakwa-Commentary on the left-payer single-payer "ukunakekelwa kwempilo yonke jikelele," okubonisa ukuthi uhlelo olulodwa kuphela lokukhokha lungabonisa ukuthi i-label "yendawo yonke" ifaneleke kakhulu.