Paʻakikī ke manaʻoʻiʻo ua hala ʻelima mau makahiki mai ka wā i hoʻoholo ai ka ʻAhaʻōlelo i ke Affordable Care Act (ACA) ma Malaki 23, 2010. Ke hele mau nei ka ʻēheu ʻākau e ʻūlū ana i ka vein-popping ma ka haʻi wale ʻana i ka huaʻōlelo Obamacare.
Eia nō naʻe, me ka waiho ʻana i kā lākou mau hana ʻino a me nā diatribes, ʻaʻole nui ka poʻe o mākou i kumu no ka hoʻolauleʻa ʻana koe wale nō nā keleawe kiʻekiʻe mai ka 1300 a i ʻole nā mea mālama ola pilikino e ʻimi nei i ka waiwai nui - ua piʻi nui nā lāʻau mālama ola ma kahi o 40 pakeneka i 2013. ka mea kiʻekiʻe loa o kēlā me kēia māhele ma ka S&P 500.
Eia nō naʻe, i mea hoʻomanaʻo, aia i loko o ke kānāwai hoʻopaʻapaʻa kekahi mau mea koʻikoʻi no ka poʻe maʻamau. No ka laʻana, hōʻoiaʻiʻo ia i ka uhi ʻana no kēlā me kēia me ka ʻole o ka hoʻopaʻa ʻana i nā uku kiʻekiʻe ma muli o nā kūlana olakino i loaʻa mua a koi ʻia i nā loiloi olakino palekana manuahi makahiki no ka poʻe ma Medicare.
Akā, ʻelima mau makahiki, ʻoiai ke hoʻomau nei ka poʻe hoʻohewa, ke lawelawe nei ʻo ACA ma ke ʻano he ʻoihana kūʻai aupuni nui no nā ʻoihana ʻinikua pilikino, e hoʻohauʻoli ana i nā miliona o nā mea kūʻai aku me ka liʻiliʻi inā he mau kaohi i nā kumukūʻai e piʻi mau ana.
"Ua kūkulu ʻia ka ACA ma luna o nā hemahema o kā mākou ʻōnaehana hoʻokumu mākeke a, ʻike maopopo ʻia, hāʻule e hoʻopaʻa i nā kumukūʻai a hāʻawi i ke ala ākea i ka mālama ola olakino kūpono. ʻOi aku ka maikaʻi o nā ʻoihana i ka maikaʻi maʻamau i ka mālama olakino US, "e like me ka loiloi ACA ʻelima makahiki i kū ʻia ma Feb. 10, 2015. Nupepa International o nā lawelawe olakino, i kākau ʻia e M.D. John P. Geyman.
ʻAʻole ʻo Kauka Geyman wale nō. ʻO nā haumāna a me nā kahu mālama koʻikoʻi ʻē aʻe e ʻae ʻo ka hilinaʻi ʻana o ACA i nā mea hoʻolako pilikino ka hāʻule.
No ka laʻana, ʻo ka mea hoʻomohala o ka defibrillator cardiac, ʻo Dr. Bernard Lown, hoʻopau loa i kā lākou kuleana i ka hāʻawi ʻana i ka mālama maikaʻi no ka ʻoiaʻiʻo maʻalahi "e like me nā ʻoihana āpau, ʻo kā lākou pahuhopu ke kālā."
E kiʻi i kāu mea e uku ai & ʻAʻohe mea ʻē aʻe
ʻO ka mea nui, loaʻa wale iā mākou ka mālama hiki iā mākou ke hāʻawi i ka mea o nā kaukani o nā hoʻolālā a mākou e kau inoa ai. ʻO ka hiki ke uku ke pilikia nui.
ʻO ka hopena, ʻo nā pili pili olakino ke kumu helu hoʻokahi no ka banekorupa pilikino ʻoiai ʻo ka hapa nui o nā mea noiʻi he ʻinikua olakino. No ke koena o mākou, ʻaʻole maikaʻi loa.
Haʻalulu, ʻaneʻane 40 pakeneka pilikia ka poʻe ʻAmelika i ka uku ʻana i nā bila lāʻau lapaʻau e like me ka mea i hōʻike ʻia (ma ka ʻaoʻao 44) e kahi 2011 National Scorecard no ka U.S. Health System Performance i kauoha ʻia e ka Commonwealth Fund.
A, ʻoiai he nui ka poʻe i ʻike i nā kulekele me nā uku kumukūʻai, ua hōʻike pū ʻia ka hōʻike e ʻoi aku ka maikaʻi o nā pākeke ma mua o nā ʻāina ʻē aʻe e haʻalele i ka mālama ʻana no ka uku.
He mea weliweli ka helu.
I nā makahiki ʻelima i hala iho nei, e like me ka 2015 piha Bloomberg ʻO ka loiloi e haʻi nui wau, ke kumu kūʻai maʻamau e ʻike i ke kauka mālama mua ua piʻi 20 pakeneka. No ka mea lapaʻau ua piʻi i ka 29 pakeneka a no ka hoʻomaʻamaʻa ma waho ua piʻi i ka 43 pakeneka.
ʻAʻohe mea kupanaha, wehewehe ka ʻatikala, ʻōlelo ka 22 pakeneka o ka poʻe i kēia manawa ke kumu kūʻai o ka mālama ʻana i alakaʻi iā lākou e lohi i ka mālama ʻana no kahi maʻi koʻikoʻi. ʻO ia ka pākēneka kiʻekiʻe loa mai ka manawa i hoʻomaka ai ʻo Gallup e nīnau i ka makahiki 2001. Ua ʻike ʻia kahi koho balota ʻē aʻe ma kahi o 16 miliona mau mākua me nā maʻi maʻi maʻi i pale aku i ke kauka no ka uku o waho.
ʻO ka pilikia ma kahi pōkole
SinglePayer I kēia manawa! Ua wehewehe ʻo Don Bechler, ka mea hoʻonohonoho o San Francisco iaʻu, ʻo ka nui a me ka paʻakikī o nā hoʻolālā ʻinikua i hoʻolālā nui ʻia e like me "nā lures kūʻai aku e hoʻopili i nā mea kūʻai aku." Hoʻopili ʻia nā hoʻolālā, hoʻonohonoho ʻia a hoʻoponopono ʻia no ka nui o ke kālā mua i makemake ʻia e kēlā me kēia ʻoihana e kau i nā limahana.
No laila, wehewehe ʻo Bechler, e hoʻopaʻa i ka ʻaelike a mālama i nā uku uku, ua hoʻonohonoho nā mea hoʻolale i nā hoʻolālā ʻoihana he nui e hoʻokau i nā kaumaha like ʻole ma luna o nā limahana no ka hoʻokaʻawale ʻana i ke kumu kūʻai, nā uku-uku a me nā mea unuhi.
Ke noʻonoʻo nei i ka pili kālā no kēlā me kēia maʻi, no kēlā me kēia kauka a no kēlā me kēia hale mālama i waena o nā ʻano like ʻole o nā hoʻolālā, ua hoʻohui ʻo Bechler, "e lilo i moeʻuhane i piha i ka lohi a me ka huikau."
Ua hōʻoia ʻia kēia e kahi noiʻi hou o nā polokalamu ʻinikua pilikino Medicare Advantage i ʻike ʻia ua hoʻonui ʻia nā maʻi ma kahi o ka hapalua o ka manawa.
No laila, ua maopopo, ʻo ka ʻoihana ʻona e hoʻopiʻi nei i kā mākou mālama olakino e noho nei i ka ʻoihana pilikino, ʻaʻole i ke aupuni.
ʻO ka ʻōpala ka loaʻa
Eia kekahi, ʻo ka paʻakikī o nā hoʻolālā, kēlā me kēia me kāna kūʻai kūʻai ponoʻī, nā pepa, ke kākau inoa ʻana, nā uku, nā lula a me nā lula, e hāʻawi pū i kahi kumukūʻai hoʻokele nui ma luna.
Ua kamaʻilio wau e pili ana i kēia me James G. Kahn, M.D., MPH, he mea noiʻi ma ka Philip R. Lee Institute of Health Policy ma Univ. o Cal., SF, a me ka mea kākau kiʻekiʻe o a nā like ka nānā ʻana i nā kumukūʻai hoʻokele nui loa o nā hui ʻinikua a pehea e hoʻohuli ai i nā haneli haneli kālā i kēlā me kēia makahiki mai ka lāʻau lapaʻau lima maoli.
ʻO ka mea i ʻike ʻia he mea ʻino i ke kanaka maʻamau e like me nā kumu waiwai nui i hoʻolaʻa ʻia i ka pili kālā paʻakikī a me nā hana pili ʻinikua ʻē aʻe (BIR), e like me ka palapala a Dr.Kahn, i manaʻo ʻia he loaʻa kālā a me ka loaʻa kālā e nā hui ʻinikua no ka mea ke uku nei lākou no kēia mau keu.
No laila, ʻo ka hoʻopau ʻana i ke kālā a me nā kumuwaiwai he hopena ia i ke ʻano ʻoihana o nā ʻoihana ʻinikua a no ka mea e hoʻohui i ko lākou laina lalo, ʻaʻohe mea hoʻoikaika e hoʻopau i ka discombobulation bureaucratic.
Ua hōʻike ʻo Uwe Reinhardt i ka ʻepekema olakino olakino i kona huhū ma mua o ka ACA i kāna hōʻike hōʻike ʻana i ka lā 19 o Nov. ʻAʻole maopopo iā mākou he kahu hānai no kēlā me kēia moena o ka haukapila akā loaʻa iā mākou kahi mea kākau kālā. He mea haumia.
Ua ulu kēia pilikia maʻamau me ACA.
Ua haʻi mai ʻo Kauka Kahn iaʻu ua ana kāna noiʻi ʻana i nā bila pili kālā a me nā kumu kūʻai ʻoi aku e pili ana i ka ʻinikua ma kahi $375B i kēlā me kēia makahiki. ʻO kahi ʻōnaehana olakino e hāʻawi i ka mālama like ʻole no kēlā me kēia me ka ʻole o ka mālama ʻana i nā tausani o nā hoʻolālā like ʻole "e hoʻopakele iā mākou i nā piliona," wahi āna.
Ua kuhikuhi ʻo ia iā Australia a me Kanada, kahi i emi ai nā uku hoʻokele ʻinikua olakino ma mua o 3%, e like me kā mākou Medicare.
Ua hōʻike pū ʻo Kahn i kā mākou kūkākūkā ʻana ua hoʻohālikelike ʻia kēia mau kumukūʻai haʻahaʻa me ka 33% o ka uku hoʻokele no ka mālama mālama kālā ʻia ma o nā mea hoʻolale kālā ʻAmelika - nā mea a pau a mākou e uku ai.
He ʻoiaʻiʻo kēia mau helu.
"ʻAʻole kūpono," i ʻōlelo ai ʻo Kahn, "e hoʻolilo pono ʻole i ka $1200 keu i kēlā me kēia makahiki no kēlā me kēia kāne, wahine a me nā keiki i ka US no ka hoʻokuke wale ʻana i nā pepa" ma ke ʻano he ʻāpana o ka hoʻolimalima kālā a me nā hana kūʻai ʻokoʻa o nā hui ʻinikua.
Pono mākou e hoʻi i "ka nānā ʻana i ka mālama lapaʻau maikaʻi kahi e kamaʻilio pololei ai ka mea maʻi a me ka mea mālama ola e pili ana i ka mālama maikaʻi loa i loaʻa," i ʻōlelo ʻo Kahn, me ka ʻole o ka lele ʻana i nā hoops o nā kaohi kālā paʻakikī a paʻakikī i hoʻopaʻa ʻia i kēlā me kēia kulekele.
Manaʻo nā mea hana e like me Bechler e ala hou ka ʻike me ACA e kākoʻo i ka HR 676 National Health Care Act e hāʻawi ana i ka Medicare no All or Single Payer e like me ke kākoʻo ʻana e Kauka Kahn a me Kauka Geyman.
ʻOiaʻiʻo naʻe, ʻōlelo ʻo ia ʻo ka mana hoʻokele waiwai a me ka mana politika o nā ʻoihana ʻinikua ʻo ia ka nui o nā aʻa mauʻu e hoʻonohonoho ai e hana.
Pono mākou e ʻike mua i nā hemahema make i ka ACA a laila hana i mea e ʻoi aku ka maikaʻi, ʻōlelo ʻo Bechler, ma ke kau inoa ʻana i nā hana ma http://www.singlepayernow.net/ ma Kaleponi a i ʻole ma ka ʻāina ma https://www.healthcare-now.org
ʻO Carl Finamore ka ʻelele Machinist Lodge 1781 i ka ʻAha Hana Hana o Kapalakiko, AFL-CIO. Makemake ʻo ia e hoʻonui ʻia a hoʻonui ʻia ʻo Medicare e hoʻokomo i nā mea āpau. I kēia manawa, manaʻolana ʻo ia e loaʻa iā ia kāna mau genes maikaʻi. Hiki ke loaʻa iā ia ma [pale ʻia ka leka uila]
Hāʻawi kālā ʻia ʻo ZNetwork ma o ka lokomaikaʻi o kāna poʻe heluhelu.
E Makana mai