Source: Cibiyar Yada Labarai Mai Zaman Kanta
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Yayin da cutar sankara ta coronavirus ke ci gaba da yin barna a rayuwar mutane, Shugaba Joe Biden ya kasance a wani rangadin nasara don inganta Shirin Ceto na Amurka, wani babban kunshin kashe dala tiriliyan 1.9 wanda ba wai kawai yana aika kudade kai tsaye ga Amurkawa masu fafutuka ba, har ma yana fadada lafiya sosai. Zaɓuɓɓukan kulawa ta hanyar Dokar Kulawa mai araha (ACA). "Muna zama al'umma inda kiwon lafiya ya zama hakki ba ga wasu masu gata ba," in ji Biden a cikin jawabinsa a wani asibiti a harabar Jami'ar Jihar Ohio. Shekaru goma sha ɗaya bayan da ACA ta fara zama doka a matsayin shugaba Barack Obama na sake fasalin tsarin kula da lafiya, ta tsira daga hare-haren da 'yan Republican ke kaiwa a cikin nau'i na kalubalen shari'a da kuma yunƙurin hanawa. Kiyayewa da faɗaɗa ta ƙarƙashin jagorancin Demokraɗiyya tabbas ya zama nasara a kan hana jam'iyyar Republican da ƙin bayar da ingantattun hanyoyin. Amma wannan sabuwar ƙarfafawar ACA ita ce ta farko kuma babbar nasara ce ga masana'antar inshorar lafiya.
Shirin Ceto na Amurka ya haɗa da dubun-dubatar biliyoyin daloli na masu biyan haraji zuwa ƙananan ƙimar kuɗi don zaɓuɓɓukan inshora da aka saya ta hanyar musayar lafiya ta ACA. Bugu da kari, shi ya ƙunshi kashi 100 na farashin ɗaukar hoto na COBRA ga wadanda aka kora a lokacin annobar. Har da New York Times Siffata shi tare da kanun labarai, "Inshorar Assurance ta Nasara a Gwajin Farko na 'Yan Democrat a Faɗaɗa Rufin Lafiya."
Dokta Paul Song, shugaban kwamitin yaƙin neman zaɓe na California lafiya, kuma memba na Likitoci don Shirin Kiwon Lafiyar Ƙasa, ya bayyana mani a cikin hira cewa, "kudi ne kawai ke zuwa masana'antar inshora masu zaman kansu." Ya tambaya, "me yasa ba za ku ce wa duk wanda ya rasa aikinsa yayin bala'in kuma ya rasa tsarin kula da lafiyarsa, cewa za a shigar da ku cikin Medicare kai tsaye har sai kun sami sabon aikin ku?" Irin wannan yunƙurin zai haifar da ƙarancin daloli masu biyan haraji amma da zai haɓaka muhawarar don tallafawa shirin Medicare ga Duk, wanda ɗan tsakiya. 'Yan Democrat kamar Biden sun yi kakkausar suka na tsawon shekaru. Abin ban mamaki, masu aminci masana'antar inshora suna ba da ƙima mai yawa a matsayin tsakiyar adawar su ga Medicare ga Duk.
A sabon zabe by Morning Consult da Politico ya gano cewa yawancin Amurkawa - kashi 55 - suna goyon bayan Medicare ga Duk. Abin mamaki, masu jefa kuri'a sun ba da kanun sakamakonsu ta hanyar cewa, "Medicare for All Remains Polarizing." Kusan kashi 80 cikin XNUMX na dukkan 'yan jam'iyyar Democrat suna goyon bayansa, har ma a tsakanin 'yan Republican, fiye da kashi daya bisa hudu na baya-bayan nan na shirin kiwon lafiya na gwamnati ga kowa.
Yayin da Biden ke nuna nasarar ACA (ba tare da ambaton tsadar tallafin da ake kashewa ba), yawancin 'yan majalisar dokokin Demokradiyya sun ki faduwa cikin layi. 'Yar majalisa Pramila Jayapal (D-WA) an sallami tallafin kiwon lafiya a cikin Shirin Ceto na Amurka, yana mai cewa, "Ba na tsammanin wannan ita ce hanya mafi inganci don yin hakan," kuma a maimakon haka ya yi kira ga ainihin abin da Song ya ba da shawara: cewa Amurkawa marasa aikin yi sun shiga shirin Medicare maimakon. tsarin tsohon ma'aikacin su.
Jayapal kwanan nan gabatarwa Medicare ga Duk Dokar na 2021, wanda fiye da rabin Majalisar Demokiradiyya Caucus ne suka dauki nauyinsa. Ofishinta ya fitar da wata sanarwa da ke bayanin cewa kudirin "yana ba da tabbacin kula da lafiya ga kowa da kowa a matsayin 'yancin ɗan adam ta hanyar samar da cikakkun fa'idodi da suka haɗa da kulawa na farko, hangen nesa, likitan haƙori, magungunan likitanci, lafiyar hankali, sabis na dogon lokaci da tallafi, kula da lafiyar haihuwa, da ƙari. ba tare da biyan kwastomomi, kuɗaɗen inshora masu zaman kansu, abubuwan da za a cire, ko kuma raba farashi.”
Dr. Song yana da bege, yana mai cewa ana samun "yawan kuzari a kowace shekara" don irin wannan shirin. Yayin da a shekarun baya 'yan jam'iyyar Democrat kamar tsohon dan majalisa Joe Crowley za su yi adawa da Medicare ga Duk, "AOCs, da Jamaal Bowmans ne suka zabe su," in ji Song, yayin da yake magana kan sabbin wakilan New York wadanda a kwanan nan. shekaru sun kori masu rike da madafun iko kamar Crowley daga jam'iyyarsu a kalubalen farko. Yanzu, "a karon farko, dukan wakilan New York sun goyi bayan Medicare ga Duk," in ji shi.
Lokaci don m da cikakken tsarin kula da lafiya ya dace. Bisa lafazin Axios, Biden "yana son ci gaban labari cewa ya fi Shugaba Obama ƙarfin zuciya da tunani." 'Yan jam'iyyar Democrat suna neman bambanta kansu da 'yan Republican a cikin son ransu don kashe abin da ake bukata don kula da al'ummar da annobar ta shafa bayan shekaru na matakan tsuke bakin aljihu da suka kawar da shirye-shiryen yanar gizo na aminci. Sukar Medicare ga Duk daga hangen nesa ba kawai za a yi la'akari da munafunci ba, amma kuma za ta yi sauti kamar Republican-kamar a cikin ƙididdige ƙididdiga don ba da fifiko ga bukatun masu zaman kansu gaba da bukatun ɗan adam.
A cewar kungiyar bayar da shawarwari Jama'a na Jama'a, Tsarin inshorar lafiya mai zaman kansa na Amurka ya jefa al'ummar cikin wannan mummunan rauni yayin bala'in wanda a wani sabon bincike ya nuna, "miliyoyin Amurkawa sun kamu da COVID-19 ba dole ba kuma an iya hana daruruwan dubban mutuwar." Wannan kiyasin baya dogara ga mutanen da ke mutuwa saboda ba su da inshorar lafiya. Akasin haka, gwamnati ta tashi tsaye don tabbatar da cewa maganin COVID-19 da ke da alaƙa ga marasa inshora masu biyan haraji za su rufe (duk da haka ƙarin tabbacin cewa 'yan majalisa suna shirye su biya kuɗin kula da lafiyar kowa idan rikicin ya kasance mai tsanani).
Maimakon Jama'a Jama'a sun gano cewa dukkanin kayayyakin aikin mu na kiwon lafiya sun kasa saboda "asibitoci sun mai da hankali kan riba da kudaden shiga sun kasa yin martani ga COVID-19 yayin da asibitocin amintattu ke fuskantar rufewa." Ayyukan tsarin inshorar lafiya masu zaman kansu da iyakanceccen tsarin jama'a sun bar al'ummar cikin rudani a daidai lokacin da ingantattun hanyoyin da za a bi don kamuwa da cuta mai saurin kisa da ake buƙatar gwaji na tsari, gano tuntuɓar juna, kuma yanzu, rarraba rigakafin. Sabanin haka, kamar yadda Jama'a na Jama'a, "Ƙasashen da ke da tsarin haɗin kai sun fi iya fitar da gwaji, bin diddigin yaduwar cutar ta hanyar cibiyar bayanai, da kuma shiga tsakani yadda ya kamata."
Ganin cewa 'yan jam'iyyar Democrat na bukatar ko dai wasu goyon bayan Republican ko kuma kawo karshen dokar filaye ta majalisar dattijai domin zartar da kowace babbar doka, da yuwuwar kudirin Jayapal zai ci gaba da kasancewa mai buri. Koyaya, sabon sakataren Lafiya da Ayyukan Jama'a Xavier Becerra na iya ba da wata hanya zuwa tsarin kiwon lafiya na gwamnati. Ya kamata masu goyon bayan irin wannan tsarin su jajirce Tabbatar da Becerra jin inda irin su Sanata Mike Crapo (R-Idaho) na jam'iyyar Republican suka ce masa, "Tallafin da kuka dade a kan masu biyan kudi, kiwon lafiya da gwamnati ke gudanarwa kamar ya sabawa tsarinmu na yanzu daga hangena." Tabbas, Becerra ya faɗi abin da ya kamata don samun tabbaci kuma ya bi layin jam'iyyar Demokraɗiyya ta hanyar ba da amsa cewa zai aiwatar da ajandar Shugaba Biden, ba na kansa ba.
Har yanzu, a cewar Dr. Song, "Sakatare Becerra ya fito fili yana cewa yana ganin ya kamata a ba wa jihohi dama, kuma yanzu yana da ikon yin hakan." Ɗaya daga cikin abubuwan da ke da kyau na ACA shine cewa jihohi suna da 'yancin nema gwamnatin tarayya da kuma cewa sakataren HHS ya sa ido a kan bayar da irin wannan yafewa. A cewar New York Times, "Saboda waɗannan ɓangarorin ba sa buƙatar amincewar majalisa, za su iya zama kayan aiki mai mahimmanci ga gwamnatin Biden," ba tare da la'akari da jam'iyyar da ke iko da Majalisar Dattawa ba.
"Jihohi kamar California na iya kafa nasu tsarin kula da lafiya na jihar idan ya cika ka'idojin da ACA ta tsara," in ji Song. Kamar dai takwarorinsu na matakin tarayya na Democrat, Gwamnan California Gavin Newsom (kuma a gabansa, Jerry Brown) yayi magana da goyon bayan Medicare ga Duk yayin da suke 'yan takara ne kawai don komawa baya daga daukar matsayi mai karfi a kan batun da zarar sun sami ikon yin wani abu game da shi. Newsom, wanda ke fuskantar yunkurin tunowa da ‘yan jam’iyyar Republican ke jagoranta, yanzu haka yana fuskantar tursasawa daga abokan aikinsa na jam’iyyar Democrat a majalisar dokokin California na ya cika alkawarin da ya dauka na kula da lafiya.
Ko da kuwa yadda muka isa tsarin kula da lafiya da gwamnati ke gudanarwa, ana samun ci gaba a gare shi. Masana kimiyya sun damu da cewa annoba ta gaba yana kusa da kusurwa. Maimakon jefa dalolin masu biyan haraji a cikin aljihun shugabannin masana'antar inshorar lafiya masu zaman kansu, shirin da gwamnati ke gudanarwa ba kawai zai fi inganci da rahusa ba har ma yana ceton rayuka - wanda a ƙarshe shine abin da ya kamata a yi la'akari.
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