Ga ɗaya daga cikin alamomi da yawa game da yadda tsarin kula da lafiya na Amurka ya karye: Bindigogi yana da sauƙi kuma mai arha don samun dama fiye da jiyya ga raunukan da suke haifarwa. Wani wanda ya tsira daga harbin jama'a na baya-bayan nan a Half Moon Bay, California, rahoton ya ce wa Gwamna Gavin Newsom cewa yana bukatar ya ci gaba da zama a asibiti a takaice yadda ya kamata domin gujewa wani gagarumin lissafin magani. A halin da ake ciki dai, wanda ake zargi da aikata laifin da alama bai samu cikas ba a yunkurinsa na neman hanyar doka makamin mai sarrafa kansa su aikata munanan tashin hankali.
Amurkawa suna cikin ruɗani na tsare-tsaren inshora masu zaman kansu na masu aiki, tsare-tsaren kiwon lafiya ta hanyar kasuwan yanar gizo da gwamnati ke gudanarwa, ko kula da lafiya da gwamnati ke gudanarwa (ga waɗanda suka yi sa'a don cancanta). Matsakaicin ɗaukar hoto da farashin tsare-tsare sun bambanta sosai ta yadda ko da mutum yana da inshorar lafiya da wuya a sami garantin cewa ba za a sami kuɗin daga aljihun da ke da alaƙa da samun kulawa ba.
Ba abin mamaki bane sai na baya-bayan nan Gallup zabe game da kiwon lafiya ya tabbatar da abin da zaɓen farko suka ce: yawancin Amurkawa suna son gwamnatinsu ta tabbatar da ɗaukar lafiya ga kowa. A haƙiƙa, kusan kashi uku cikin huɗu na dukkan 'yan jam'iyyar Democrat suna son tsarin gwamnati.
Gallup kuma samu cewa adadin mutane da yawa sun daina magance matsalolin kiwon lafiya saboda tsadar kulawa. Kashi 2022 cikin 12 na Amurkawa sun ce sun jinkirta samun magani a shekarar XNUMX- wato maki XNUMX ne sama da na shekarar da ta gabata. Ba abin mamaki ba, Amurkawa masu karamin karfi sun shafi rashin daidaituwa.
Musamman mata suna fama da cutar, tare da yawan mata fiye da maza suna jinkirta jiyya kamar yadda binciken Gallup iri ɗaya ya yi. Sakamakon binciken ya yi daidai da sakamakon wanda masu bincike a Makarantar Kiwon Lafiyar Jama'a ta Jami'ar New York suka buga - cewa kula da lafiyar mata ya kasance ba shi da sauƙi, idan aka kwatanta da na maza - a cikin wani binciken da ya mayar da hankali ga mutane kawai. tare da ɗaukar hoto na ma'aikata. Ka yi tunanin yadda rashin isar kulawar lafiya ga matan da ba su da inshora.
Ya kara da cewa, Hana zubar da ciki karkashin jagorancin Republican sun sa ya zama da wahala ga matan Amurka su sami kulawar lafiyar haihuwa. A bikin cika shekaru 50 da soke hukuncin Kotun Koli da aka yi kwanan nan Roe v. Wade, masu ba da zubar da ciki a Massachusetts, alal misali, sun ba da rahoton ɗimbin ɗumbin mutane da ke tuƙi zuwa jiharsu-wanda zubar da ciki ya kasance doka-don samun kulawa.
Da alama Shugaba Joe Biden da Jam'iyyar Democrat suna tunanin cewa wannan mummunan halin da ake ciki ya dace sosai. Dogaro da 'yan jam'iyyar Democrat a kan Dokar Kula da Kula da Lafiya ta Zamani (ACA) a matsayin katafaren katanga ga 'yan adawar Republican ga duk wani tsoma bakin gwamnati a cikin kiwon lafiya da alama yana da nasara sosai-a kan takarda. A cikin Disamba 2022, Biden ya faɗi gaskiyar cewa Amurkawa miliyan 11.5, a rikodin babban lamba, sun yi rajista don tsare-tsaren ACA a lokacin rajista na ƙarshe. Ya ce, "Sakamakon irin wadannan ya taimaka mana wajen rage yawan marasa inshora zuwa kashi takwas a farkon wannan shekarar, matakinsa mafi karanci a tarihi."
Gwamnatinsa, maimakon yin aiki don cika abin da yawancin 'yan jam'iyyarsa ke so - tsarin kula da lafiya na gwamnati - ya ci gaba da yin amfani da ACA ta hanyar tsawaita lokacin rangwamen kuɗi na kowane wata don tsare-tsaren inshora masu zaman kansu. Irin wannan tweaks ba na dindindin ba ne. Haka kuma ba su zama panacea don samun isasshen kulawa ba. Idan wani abu, facade ne na kare kamfanonin inshora masu zaman kansu masu zaman kansu.
A binciken Asusun Commonwealth ya gano cewa ko da yake adadin Amurkawa masu inshora ya kasance mafi girma a kowane lokaci, fiye da kashi 40 cikin 30 na waɗanda suka sayi tsare-tsaren ACA kuma kusan kashi XNUMX cikin XNUMX na waɗanda ke da tsare-tsaren tushen ma'aikata ba su da inshora - wato, tsare-tsaren. ba su isa su biya bukatun kula da lafiyarsu ba.
Ta hanyar mai da hankali kawai kan adadin mutanen da ke da tsare-tsaren kiwon lafiya a matsayin ma'aunin nasara, Fadar White House tana shiga cikin babban rufaffen bala'in kula da lafiyar Amurka.
A halin da ake ciki, bayan fage daga bikin Biden na rikodin lambobin rajista na ACA shine gaskiyar cewa miliyoyin mutane a halin yanzu da suka yi rajista a cikin shirin lafiyar gwamnatin Medicaid na iya rasa damar shiga saboda karshen tanadin gaggawa wanda ya ba da izinin "ci gaba da yin rajista." Wannan tanadin zai ƙare a ƙarshen Maris 2023. Idan duk Amurkawa sun yi rajista kai tsaye cikin kulawar kiwon lafiya da gwamnati ke bayarwa ba tare da la'akari da cancanta ba, wannan ba zai zama damuwa ba.
Majiyoyin na hannun dama, sun firgita da cewa Amurkawa da yawa suna son tsarin kiwon lafiya na gwamnati, sun shagaltu da tsara ra'ayin jama'a game da shi. Cibiyar Nazarin Pacific ta Sally Pipes ta buga op-ed game da yadda tsarin kiwon lafiyar Kanada ya kasance kyakkyawan dalili da ya sa bai kamata Amurka ta kasance da irin wannan shirin ba. Ta yin amfani da tunanin mai kisa na ɗan kasuwa kyauta, ta rubuta, “A Kanada, kula da lafiya ‘yanci ne a wurin hidima. Sakamakon haka, bukatar kulawa ta yi yawa.”
Ma'anar ita ce, cajin mutane don sabis zai rage buƙata, kamar yadda zai yiwu, inji, motar lantarki. A cikin duniyar Pipes, mutane suna samun kiwon lafiya don nishaɗi kawai, kuma idan an caje su kuɗi, cututtukan su na iya magance kansu ba tare da magani ba.
The Foundation Heritage Har ila yau, an buga wani hari kan Ma'aikatar Kiwon Lafiya ta Biritaniya (NHS), cikin farin ciki da ikirarin cewa tana "fashewa," tare da gargadin cewa darasi ne ga masu sassaucin ra'ayi na Amurka waɗanda za su iya tallafawa irin wannan tsarin "mai biyan kuɗi ɗaya" a cikin Amurka.
Kwamitin edita na Wall Street Journal ya buga irin wannan gargaɗin, suna iƙirarin cewa NHS tana "masu gazawa, tare da sakamako mai kisa."
Abin mamaki ne dalilin da ya sa Cibiyar Nazarin Pacific, Gidauniyar Heritage, da Wall Street Journal suka bayyana ba su damu da Amurkawa 330,000 da suka rasa rayukansu a lokacin cutar ta COVID-19 kawai saboda ba sa rayuwa a cikin al'ummar da ke da tsarin kula da lafiya na duniya.
Amurka yana kashe kusan ninki biyu kowane mutum kan kiwon lafiya fiye da sauran ƙasashe masu kama da juna. Bisa lafazin Harkokin Kiwon lafiya, yawan kuɗin gudanarwa shine babban dalilin wannan rashin daidaituwa-waɗannan farashin marasa lafiya ne da ke da alaƙa da isar da kiwon lafiya a cikin tsarin faci na kiwon lafiya masu zaman kansu na ma'aikata da tsare-tsaren tallafin jama'a. A zahiri, "kudin da ake kashewa na gudanarwa ya kai kashi 15-30 na kashe kuɗin kula da lafiya."
Bugu da ƙari, kafofin watsa labaru na dama da masu tunani sun bayyana ba su damu da wannan gaskiyar ba. Suna so ne kawai su gamsar da Amurkawa cewa tsarin kiwon lafiya da gwamnati ke gudanarwa mummunan tunani ne. Kuma, abin baƙin ciki, shugabannin Jam'iyyar Democrat kamar Biden da alama sun yarda a fakaice.
Ƙungiyar Ma'aikatan Kiwon Lafiya ta Ƙasa tare da Lafiya California Yanzu ƙirƙirar kalkuleta ta kan layi don daidaikun mutane don tantance adadin kuɗin da za su adana idan Amurka tana da tsarin mai biyan kuɗi ɗaya.
Ina da tsarin kula da lafiya na tushen aiki wanda ake ganin yana da kyau sosai. Amfani da kalkuleta, na ƙaddara cewa zan adana fiye da $16,000 idan California, jihar da nake zaune, tana da tsarin mai biyan kuɗi ɗaya. Wannan shine kuɗin da zan iya ajiyewa don karatun sakandare na yara ko na ritaya.
Wadanda aka kashe a yawan harbe-harbe, kamar wanda ya tsira daga Half Moon Bay, suna cike da tsadar kulawa fiye da raunin harbin da aka yi musu. Kowace shekara, akwai fiye da 80,000 da suka tsira daga raunuka daga bindigogi a Amurka. Samun tsarin kula da lafiya mai biyan kuɗi ɗaya ba zai magance annobar mu ta tashin hankali ba. Amma tabbas zai sauƙaƙa jurewa.
Tsarin kula da lafiya na jihohin Kanada da Biritaniya na iya zama ajizai, amma babban ci gaba ne kan tsarin rayuwa mafi dacewa da Amurka ke ɗauka.
Wannan labarin ya samo ta Tattalin Arziki Ga Duka, wani aiki na Cibiyar 'Yan Jarida mai zaman kanta.
ZNetwork ana samun kuɗi ta hanyar karimcin masu karatun sa.
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