Gainesville, Florida (Mwapadera Ndemanga Yodziwitsidwa) - The Affordable Care Act (ACA) imayenera kukhala ndi ndalama ndikupanga inshuwaransi yazaumoyo / m'maganizo kuti ikhale yotsika mtengo. Zinabweretsa kufalitsa kwa 20 miliyoni koma 30 miliyoni amakhalabe opanda inshuwaransi. Deta imasonyeza kuti choipa chimaposa chabwino. Ndiwokwera mtengo kwambiri, wosakhazikika, wovuta mopambanitsa komanso waudindo. Choyipa kwambiri, ndi mphatso kwa ma inshuwaransi achinsinsi ndi ena 1% ogwira nawo ntchito ndi opindula mu neoliberal medical-industrial-Congression.
Chifukwa cha phindu, makampani a inshuwaransi achinsinsi amalamulira bwino dongosolo lathu lazaumoyo monga tafotokozera pamwambapa, lingaliro lofunikira, cholinga ndi dongosolo la inshuwaransi yazaumoyo zimafotokozedwa ndi iwo. A US amalembetsa ku mtundu wabizinesi wabizinesi wa inshuwaransi yazaumoyo yomwe imatanthawuza ma inshuwaransi ngati mabungwe azamalonda. Ma inshuwaransi achinsinsi amachulukitsa phindu pochepetsa mapindu, kukulitsa ndalama zomwe amalipira paumoyo kapena kusalipira anthu omwe ali ndi mavuto azaumoyo. Monga mabizinesi onse, cholinga chawo ndi kupanga ndalama. Pansi pa chitsanzo cha bizinesi, umbombo wa nkhanza wamba umamangidwa ndipo ubwino wamba wa nzika ndi dziko umanyalanyazidwa; kusiyapo osauka, okalamba, olumala ndi odwala m'maganizo ndi ndondomeko yabwino yamalonda, chifukwa imachulukitsa phindu.
Ngakhale kuthekera kwa inshuwaransi yazaumoyo kwa nzika zambiri zaku US sikunapezekebe, dongosolo la inshuwaransi ya Purezidenti Biden likufuna kusintha ndalama zambiri kukhala zachinsinsi, makampani a inshuwaransi aku Wall Street. Kulandidwa kwa inshuwaransi yazaumoyo ndi mabungwe azinsinsi aku Wall Street kukupitilirabe pomwe a Democrats/Biden akufuna kuti awonjezere misonkho ndikuipereka kumakampani a inshuwaransi omwe amapeza phindu pabizinesi - gwero lalikulu la zinyalala zathu zoyendetsera ntchito, komanso zolemetsa zokwera mtengo zomwe amayika pakubweretsa. dongosolo lomwe limafuna phindu lalikulu. Kupeza phindu kumapitilirabe chifukwa inshuwaransi yachinsinsi imatigulitsa ntchito zomwe sitikufuna/kufuna , monga kuchotsera ndi kugawana ndalama zina, kukonza ma netiweki ocheperako, kumafuna chilolezo choyambirira ndi kuchuluka kwa ndalama zoyendetsera ntchito, zolembera / zolemba zomwe zikupitilira, nthawi zonse mukupewa kulipira. mabilu odabwitsa ndi zina zokanidwa.
MFUNDO ZOFUNIKA KWAMBIRI ZA INSURANSI YA UMOYO WA NEOLIBERAL:
1). Limbikitsani kuchotsera malamulo - kugwira ntchito / kulimbikitsa kuti boma lichotse ulamuliro pamakampani. Zitsanzo zakale zamafakitale omwe adachotsedwa ntchito ku US zikuphatikiza makampani oyendetsa ndege, matelefoni, ndi makampani amalori.
2). Pitirizani, limbitsani ndi kuonjezera malonda—kulimbikitsa kusamutsidwa kwa umwini, katundu, kapena bizinesi kuchoka ku boma kupita ku mabungwe wamba. Zitsanzo za kusungitsa anthu wamba ndi monga makampani a inshuwaransi yazaumoyo, njira zowongolera zolakwa monga ndende zopezera phindu, zomangamanga za misewu yayikulu, kubisa masukulu aboma kukhala masukulu abizinesi abizinesi, kubisa zachipatala ndi chithandizo chamankhwala monga ma dialysis, zipatala zapadera. ndi mayunitsi ena akuchipatala.
Nkhani ikupitiriza pambuyo bonasi IC kanema
Madokotala a National Health Programme: "Akatswiri azaumoyo amalankhula za Medicare for All"
3). Ndi neoliberalism, kuonjezera kusamutsa umwini ndi kuyang'anira mapulogalamu / ntchito zachuma kuchokera ku boma kupita ku mabungwe apadera; kukwezeleza chikoka cha mabungwe wamba pa chuma pochepetsa kwambiri ndalama zomwe boma limagwiritsa ntchito pochepetsa ndalama zambiri komanso kuchepetsa ndalama zambiri; kufooketsa/kuletsa kuwononga ndalama pa ntchito zonse zothandiza anthu/zamisala/ntchito za anthu (zofanana ndi Works Progress Administration (WPA) ya m'ma 1930) ndi mapologalamu ena aboma/mdera/Federale. Kuchepetsa ndalama zaboma kumatsegula njira yopezera phindu lochulukirapo kwa omwe akufuna kusintha mapologalamu aboma ndi mabungwe abizinesi.
Potengera izi, vuto lalikulu lazamisala pomwe mamiliyoni aku America sangathe kupeza kapena kulandira chithandizo chamankhwala chamisala. Opitilira 10% aku America omwe ali ndi matenda amisala alibe chithandizo chamankhwala, koma ngakhale omwe ali ndi mapulani a inshuwaransi yamtengo wapatali sangakwanitse kusamalira. Mapulani a zamalonda amasankha chisamaliro chaumoyo wamaganizo pochepetsa kusankha kwa omwe amapereka chithandizo chamankhwala; kulipira opereka chithandizo chamankhwala ocheperako kuposa azaumoyo ena; ndi kuletsa kapena kukana mankhwala wamba monga malangizo, psychotherapy/uphungu ndi kuchipatala. Umboni womwe ukukula ukuwonetsa kuti kunyalanyaza matenda amisala kumabweretsa matenda ochulukirapo, kufa kochulukirapo komanso kukwera mtengo kwaumoyo kwa aliyense.
ZIPANGIZO ZOCHITIKA ZOPHUNZITSA ZA UTHENGA WA MTIMA:
1). Kudzipha ndichinthu chakhumi chomwe chimapha anthu ambiri ku US, komanso chifukwa chachiwiri chomwe chimapha achinyamata ndi achinyamata azaka zapakati pa 10-34. Chiwerengero cha kudzipha ku US chakwera ndi 35% kuyambira 1999.
https://www.nimh.nih.gov/healt
2). Mu 2019, 20.6% ya akuluakulu aku US adadwala matenda amisala osachepera amodzi, kuchokera pa 17.7% mu 2008. Chiwerengero cha anthu aku America omwe ali ndi matenda oopsa amisala mu 2019 adakwera mpaka 5.2%, kuchokera pa 3.7% mu 2008. https://www.samhsa.gov/da
3). Pafupifupi wachinyamata mmodzi mwa khumi (9.7%) ku US anali ndi kuvutika maganizo kwakukulu mu 2018. The State of Mental Health in America
4). Kugwiritsa ntchito mankhwala osokoneza bongo kudapha anthu opitilira 70,000 mu 2019, chiwonjezeko cha 57% kuchokera mu 2013. https://www.cdc.gov/mmwr
5). Matenda a m'maganizo awonjezeka kwambiri pakati pa achikulire. Chiwerengero cha anthu aku America azaka 18-25 omwe ali ndi matenda amisala adachoka pa 18.5% mu 2008 mpaka 29.4% mu 2019. Chiwopsezo cha achinyamata omwe ali ndi matenda amisala owopsa adapitilira kuwirikiza kawiri, kuchoka pa 3.8% mu 2008 mpaka 8.6% mu 2019. https://www.samhsa.gov/d
KUTSANA NDI ZOKHUDZA ZOKHUDZA ZOKHUDZA ANTHU NDI NTCHITO ZA UTHENGA WABWINO
Ngakhale ndi mliri wowopsa wa coronavirus, inshuwaransi yayikulu ndi mankhwala akuluakulu akupitilizabe kutsutsa malamulo atsopano a Medicare for All. Mafakitale osamva, odzichitira okha ndiwo amataya kwambiri ngati phindu lawo lalikulu litumizidwa kuti liwongolere chisamaliro cha odwala kwa onse. Odyera anthu paokha ndi mabungwe amawona demokalase, boma ndi anthu ammudzi monga zolepheretsa umbombo wawo ndi chuma chawo, zomwe nthawi zonse zimayika phindu pa odwala, mabanja komanso thanzi la anthu. Ndizosadabwitsa kuti mamembala ambiri a Congress akufuna kuteteza zofuna za inshuwaransi yayikulu ndi mankhwala akuluakulu, mafakitale omwe adawononga $ 371 miliyoni pokopa anthu mu 2017 mokha.
Phindu la INshuwaransi Yaumoyo-2021
Makampani a inshuwaransi yazaumoyo ku US adapambana zomwe amayembekeza akatswiri ndipo adanenanso kuti mabiliyoni apindula mu kotala yoyamba ya 2021, atapanga chimphepo mchaka choyamba cha mliri wa Covid-19. Kupambana kwa ma inshuwaransi kumabwera pomwe othandizira azaumoyo ang'onoang'ono akukumana ndi mavuto azachuma omwe sanachitikepo ndipo mamiliyoni aku America akuvutika kuti alipirire ndalama zaumoyo. Phindu lalikulu lomwe amapeza ndi makampani a inshuwaransi akuwonjezeranso kudzudzula gawo lazachipatala ku US.
Inshuwaransi yayikulu kwambiri mdziko muno, UnitedHealth Group, idati phindu la $ 4.9bn mgawo loyamba la 2021 poyerekeza ndi $ 3.4bn munthawi yomweyi mu 2020 - chiwonjezeko 44%. Phindu lokwera kuposa lomwe linkayembekezera lidapangitsa kampaniyo kuti iwonjezere zomwe ikuyembekezeka pachaka. Nyimbo ya Anthem idapambananso kuyerekezera mu lipoti lake la $ 1.67bn mu phindu m'miyezi itatu yoyambirira ya 2021, chiwonjezeko cha 9.5% kuchokera nthawi yomweyi chaka chatha. Ndalama zonse za Humana zinali $ 828m kotala yoyamba, chiwonjezeko cha 75% kuchokera nthawi yomweyi chaka chatha.
CVS Health, yomwe ili ndi wothandizira inshuwalansi ya umoyo wa Aetna ndi masitolo ogulitsa mankhwala, inanena kuti phindu la $ 2.2bn, kuchokera ku $ 2bn mu kotala lomwelo chaka chatha. Cigna adanenanso kuti ndalama zake zonse zidatsika mpaka $ 1.17bn kuchokera ku $ 1.19bn munthawi yomweyi chaka chatha, koma idakwezabe zolosera zake zachaka. Pamodzi, makampani akuyimira ma inshuwaransi asanu akuluakulu azaumoyo mdziko muno mwa umembala. (The Guardian, Meyi, 2021).
Thandizo la Neoliberalism pakukhazikitsa inshuwaransi yazaumoyo zakhazikika pamalingaliro operekedwa ndi katswiri wazachuma waku University of Chicago, Milton Friedman. Friedman adati "mabungwe sayenera kuganizira zofuna za anthu" ndipo anawonjezera kuti "boma palokha siliyenera kuganizira zofuna za anthu. Ntchito ya boma ndikungolola aliyense kupanga ndalama zochuluka momwe angathere, momwe angathere. ”
Katswiri wazachuma wakale Michael Hudson akunena kuti Big Pharma, monga Inshuwaransi Yaikulu, safuna mtundu uliwonse wa malamulo odana ndi monopoly. "Kwenikweni muli ndi zomwe zimatchedwa msika waulere, monga momwe Milton Friedman adanenera. Msika waulere umatanthawuza kuti anthu olemera kwambiri amalamulira msika ndi kupereka ngongole, kasamalidwe ka chuma komwe amapereka ngongole, ndi omwe amapeza zomwe zimasintha kuchokera ku Washington kupita ku Wall Street. Zimachoka ku boma kupita ku gulu lazachuma, ndipo zimalola mabungwe azachuma kupanga mapulani. Vuto limodzi ndi izi ndi gawo lazachuma limakhala munthawi yochepa. Choncho, zikutanthauza kuti amangoyang'ana miyezi itatu yotsatira, ndondomeko ya ndalama ya chaka chamawa, chifukwa msika waulere ndi wovuta kwambiri simukudziwa zomwe zidzachitike. Chabwino, inde, popeza mukuwongolera kuchokera ku Wall Street mumadziwa zomwe zichitike koma simukufuna kuuza anthu zomwe zichitike ”.
Tili ndi zaka zambiri zokumana ndi kusinthika kwa neoliberal kwa chithandizo chamankhwala / inshuwaransi kukhala bizinesi. Chisamaliro chathu chaumoyo chikugawidwa, ndi malangizo a chisamaliro omwe amatsimikiziridwa ndi phindu ndi chinsinsi zomwe zimaganiziridwa m'mabwalo akuluakulu amakampani. Kuti tipeze phindu lalikulu lofunidwa ndi osunga ndalama ku Wall Street, dongosolo lathu laumoyo liyenera kukopa anthu athanzi ndikuthamangitsa odwala, olumala, osauka, okalamba ambiri, ndi odwala matenda amisala. Pakalipano, dziko lino silinathe kuthetsa ulamuliro waumwini wa inshuwalansi ya umoyo ngakhale ngakhale kuti ndi mtengo wochepa umene umapereka pamene 15 mpaka 25 peresenti ya dola yothandizira zaumoyo imachotsedwa kuti ipindule ndi makampani apadera komanso apamwamba. Neoliberals amapewa mfundo yakuti ngati anthu omwe alipo, pulogalamu ya Medicare yopanda phindu ikhoza kuperekedwa kwa nzika zonse chifukwa cha thanzi labwino komanso thanzi komanso kukhala ndi ndalama zochepa.
OVOTA OSADZIWA zisankho AMASANKHA ZOSANKHA
Ovota aku America agwa ndi njira yotsatsira zisankho omwe ntchito yawo ndikukhazikitsa ovota osadziwa omwe angapange zisankho zopanda nzeru. M'magulu abizinesi achinsinsi, mumagulitsa zinthu, mumatsatsa malonda. Makampeni ambiri amasankho amapangidwa kuti azichepetsa ndikupewa zovuta zamalamulo monga kusagwirizana, inshuwaransi, ntchito zachipatala, thanzi la anthu, Medicare, Medicaid, ntchito zachitukuko, thanzi la amayi, DACA, misonkho yopita patsogolo, kusintha kwanyengo etc. Nkhani zofunika zachuma zimapewedwa ndi ndale. mphamvu zapatukira ku nkhani zapang'onopang'ono, zachiphamaso, umunthu, kalembedwe ka mawu, kalankhulidwe ka thupi, kusinthasintha kwa malingaliro, ma tweet ndi mitu ina yomwe imapangitsa kuti tizithamangitsa michira mopusa. Pamapeto pake, izi zimalola kuti dziko liziyendetsedwa ndi zofuna zachuma zochepa za 1% zomwe zimadziyang'anira okha. Ovota ambiri samapusitsidwa chifukwa sakuwona zosankha zenizeni kapena kusiyana kwakukulu komwe amaperekedwa ndi ma Democrat kapena ma Republican pamasankho omwe amayendetsedwa ndi bizinesi, pomwe mwatsoka munthu wolandira ndalama zambiri amapambana nthawi zonse.
Sikuti zipani zazikulu zonse zandale zaku US zasiya malingaliro ndi luso, komanso zasiya ovota ambiri. Ma Republican ndi ma Democrats amangoyang'ana zochitika / zovuta monga momwe amafunira omwe amawathandizira / opereka mabizinesi akuluakulu, oligarchs ndi mabungwe akuluakulu osawerengeka. Ndale za 2022 ku US zidakhala chipani chimodzi, "chipani cha bizinesi", chokhala ndi nthambi ziwiri, ma demokalase ndi ma republica., omwe amachita nawo ndi kulimbikitsa mipikisano yododometsa yomwe imatipatsa chinyengo chakuti iwo ndi osiyana kwambiri ndi anzawo pazachuma.
Popeza katswiri wapa TV komanso wopanga nyumba adasankhidwa kukhala purezidenti wa US, zikuwonekeratu kuti chikhalidwe cha anthu otchuka ndichinthu chofunikira kwambiri pazachuma chomwe chimayendetsedwa ndi makampani omwe amalamulira miyoyo yathu pansi pa "chipani chabizinesi". Atsogoleri andale a Buffoon ochokera kumagulu onsewa akhala opanda manyazi, zida zowoneka bwino komanso zida zamakampani aku America. Amatipatsa kusakaniza kwa mdierekezi kwa mapologalamu odzichitira okha ndi ndondomeko zapoizoni, nthawi zambiri amasintha malo awo mwachangu momwe ena amasinthira masokosi. Will Rogers analemba kuti: "Chitsiru ndi ndalama zake zimasankhidwa posachedwa".
Zomwe tafotokozera pamwambapa zapangitsa kuti zilakolako zotchuka za USvoters zitheke chifukwa palibe galimoto yowonetsera kusasangalala kwawo, ndipo palibe njira yomwe ovota aku America angafotokozere zomwe akufuna mu chipani cha Democratic kapena Republican chifukwa alidi. gulu lomwelo ndipo amagwirizana ndi zomwe akuchita.
Ovota alibe kanthu; kumbukirani tikukamba za tanthauzo la America la demokalase, lomwe ndi oligarchy. Zovota zawonetsa kuthandizidwa kwakukulu ndi nzika za Medicare for All, koma palibe chipani chandale chomwe chathandizira. Michael Hudson akulemba kuti mwa “kugonjetsa ubongo wa dziko mwa kuumba mmene anthu amaganizira, mukhoza kupotoza maganizo awo kukhala ‘chuma chosaona’ ndi kuwapangitsa kuganiza kuti mulipo kuti muwathandize osati kuwachotsera ndalama, ndiye inu’ ndawatenga.” Umu ndi momwe Big Inshuwalansi ndi Big Pharma zimakhalira kuwongolera inshuwaransi yazaumoyo yaku US. Dongosolo lathu ndi lokhazikika, lazachuma komanso losayendetsedwa kuti makampani a inshuwaransi azinsinsi azipanga ndalama ”.
Purezidenti Biden ndi ma Democrat ambiri agwiritsa ntchito ntchito zawo kuteteza chuma, kuphatikiza inshuwaransi yayikulu ndi mankhwala akuluakulu, omwe mfundo zawo ndikusunga ndi kupititsa patsogolo ndalama zothandizira zaumoyo komanso zomangamanga. Katswiri wazachuma Hudson akunenanso kuti, "Ntchito yayitali ya Biden yandale yakhala yolondola. Iye ndi senate wochokera ku Delaware, boma lovomerezeka kwambiri mdziko muno - ndichifukwa chake mabungwe ambiri aku US amaphatikizidwa kumeneko. Mwakutero, akuyimira makampani akubanki ndi ma kirediti kadi. Iye anachirikiza “kusintha” kwa bankirapuse komwe kunalembedwa ndi kuperekedwa m’manja mwake ndi makampani a makhadi a ngongole. Monga kagulu kakang'ono ka bajeti, adakana chiphunzitso cha Modern Monetary (MMT), komanso "Medicare for All" ngati kuti ndi yokwera mtengo kwambiri kuti boma likwaniritse - potero kupangitsa mabungwe odziyimira pawokha kulipira 18% ya GDP ya US ku inshuwaransi yazaumoyo. olamulira okha, ochuluka kwambiri kuposa dziko lina lililonse. Izi zikutanthauza kutsekereza maboma kuti asapereke chithandizo chofunikira pamtengo kapena pamaziko othandizidwa - maphunziro, chisamaliro chaumoyo / inshuwaransi yaumoyo, misewu ndi mauthenga. Chuma chokhazikika komanso chandalama ndichokwera mtengo kwambiri. "
CITIZEN'S UNITED SUPREME COURT CHIGAWO: TSIKU LA Mdima M'mbiri YA AMERICA
January 21, 2010 idzakhala tsiku lamdima m'mbiri ya demokalase ya ku America pamene akonzi a New York Times analemba kuti chigamulo cha Khoti Lalikulu la "Citizens United" tsiku limenelo "chinakhudza mtima wa demokalase" mwa "kutsegula njira." kuti mabungwe agwiritse ntchito chuma chawo chachikulu kusokoneza zisankho komanso kuwopseza akuluakulu osankhidwa kuti achite zomwe akufuna polowa m'zandale kuti apereke mphamvu zomwe sizinachitikepo m'mabungwe."
Chigamulo cha Khothi Lalikulu la 'Citizen's United' chinatsegula njira zopezera ndalama zambiri mu ndale zathu, kulola mabungwe akuluakulu ndi mabanja ochepa olemera kuti awononge ndalama zonyansa pazisankho zathu. Citizens United ndi imodzi mwamizere ya zigamulo zoyipa za Khothi Lalikulu lomwe likunena kuti ndalama ndizofanana ndi zolankhula ndipo mabungwe ndi anthu omwe ali pansi pa Chisinthiko Choyambirira - motero amalola mabungwe akuluakulu ndi olemera kwambiri / oligarchs kugula mwayi wosayenera kwa mamembala a Congress, ndikuwongolera moyenera. zotsatira zamalamulo. Izi ndizofunikira kwambiri pamaganizidwe a mfundo zolimbikitsidwa ndi zokopa zamakampani, zomwe tsopano zalimbikitsidwa ndi chigamulo cha Khothi chomwe chimakondera gawo laling'ono la 1% la anthu omwe amalamulira chuma. Gulu lathu limayendetsedwa ndi gulu lazamalonda la 1% lodzipereka kuti lichepetse mphamvu zandale ndi zachuma za 99%.
Kukaniza kusintha kowona kwazachuma cha kampeni, komanso kuthandizira kolimba pa chigamulo cha Khothi Lalikulu la US, 'Citizens United' chopangidwa ndi mabungwe akuluakulu osawerengeka / osayendetsedwa ndi anthu olemera kwambiri / mabanja, zimachokera pakumvetsetsa kwawo kwa Machiavellian za cholinga chandalama zakuda mu ndale: gwiritsani ntchito ndalama zamdima kuti zisinthe zotsatira zandale kuti zidzikondweretse okha, oligarchs a 001% ndikukhala chiwopsezo ku demokalase chifukwa gwero lake silinatchulidwe poyera. Ndalama zamdima ndi ziphuphu zomwe zimachotsa chidaliro ndi chidaliro m'maboma ang'onoang'ono, maboma ndi dziko lonse komanso m'magulu akuluakulu a ndale. Amagwiritsidwa ntchito poponya ma referendum ndi zisankho zomwe zingabwere zambiri zamasiku ano, zachuma, thanzi la anthu, thanzi lamalingaliro ndi chilengedwe. Ndalama zamdima zimagwiritsidwa ntchito kubisa mikangano pazokonda ndikudzikweza ndi mikangano yabodza yasayansi, nkhani zabodza komanso kampeni zabodza zakumidzi.
Malingaliro abizinesi akuluakulu amaumirira kuti chitaganya cha anthu ndi msika, ndipo maunansi ndi mayanjano ndi malonda okhala ndi “magulu achilengedwe” a opambana ndi olephera. Kuyesera kuchepetsa mpikisano, kusintha zotsatira za chikhalidwe cha anthu, mwachitsanzo, msonkho wa malo, inshuwalansi ya umoyo, ndi zina zotero. Kuwerengera ma neocons/GOP kuti aphwanye migwirizano ndi kukambirana kwapagulu, kuchepetsa kapena kuthetsa malamulo amisonkho ndi chitetezo cha anthu, kubisa ntchito zaboma ndikulimbikitsa kubizinesi kwa mapulogalamu onse azaumoyo/maganizo/zaumoyo. Kusalinganika kuli bwino chifukwa ndi zotsatira za mphotho yoyenerera ndipo kumabweretsa chuma kwa .001% yaying'ono, yomwe nthano zabodza za neoliberal zimati zimatsika kuti zilemeretse aliyense mu 99%. Misonkho ndi ndondomeko zina za chikhalidwe cha anthu kuti apange gulu lofanana kwambiri zimachotsedwa ngati zosagwirizana ndi zofuna za olemera kwambiri.001%.
Lingaliro lakuti chilichonse chimene msika umatulutsa n'chomveka komanso chogwira ntchito ndicho maziko a chuma cha Kumadzulo. Ndipo ndizolakwika , akutero katswiri wa zachuma Michael Hudson, chifukwa Imatsutsa mfundo yakuti mukufunikiradi mphamvu za boma zamphamvu zokwanira kuti ziwononge zofuna zapadera za oligarchs ndi zina za 1% zamakampani. Ndipo izi zimatengera boma lamphamvu kwambiri, ndichifukwa chake msika waufulu anthu akhala akutsutsa boma lolimba komanso chifukwa chomwe anthu awo azachuma samapereka chivomerezo chilichonse pakukhazikitsa ndalama zaboma pazomangamanga zomwe Biden akufuna kapena ntchito iliyonse yaboma yomwe imatha kupitilira gulu la 1% la obwereketsa, gulu lazachuma, gulu la eni nyumba ndi olamulira okha. Ndilo vuto lomwe tili nalo.
"KUPITA KUKO NDI DONALD TRUMP": Adam Gopnik akufotokozanso momwe vutoli likukulirakulira m'nkhani yake ya 2016 New Yorker, "Kupita Kumeneko ndi Donald Trump":
(Nkhani za Gopnik zokonzedwa ndi Paul Street mu CounterPunch, Aug 18,2022 nkhani, “The Tendentious Mr. Brooks: the Chickenshit Conformist of the NYT”) …….. 'pulogalamu yosagwirizana yakubwezera dziko motsogozedwa ndi munthu wamphamvu; kunyoza boma lanyumba yamalamulo ndi ndondomeko; kukakamira kuti boma lomwe lilipo, losankhidwa mwademokalase…likugwirizana ndi anthu oipa akunja ndipo lakhala likuyesera mwachinsinsi kusokoneza dziko; gulu lankhondo lachiwembu lopangidwa mopanda malire kuposa chiwonetsero champhamvu; kutengeka kofananako kwa chipwirikiti ndi kuzunzidwa; ndi kukayikira kolingaliridwa kwa chikapitalism chachikulu chogwirizana kotheratu ndi kulambira chuma ndi “chipambano” Chimakhala chofanana nthaŵi zonse, ndipo nthaŵi zonse chimatsogolera mosaletseka kumalo omwewo: kulephera, sikunakumanepo ndi kudziwongolera koma ndi kukwera mtengo kwa dongosolo loyambirira la madandaulo. , ndi zina zotero ku tsoka. Lingaliro loti likhoza kumangiriridwa ndi osunga chilungamo mu nduna ya nduna kapena kuletsedwa ndi malire ovomerezeka, kunena mofatsa, mosathandizidwa ndi mbiri ... ndi mtsogoleri wake ulemu ndi chifundo chimene sakuwayenera. Ku France, ovota a Jean Marie Le Pen nthawi zambiri amakhala achikomyunizimu, anthu ogwira ntchito omwe amakhulupirira kuti kudziwika kwawo kwasokonezedwa ndi anthu obwera. Izo sizimasintha, kapena kupanga chifundo kwambiri, chikhalidwe cha poizoni cha pulogalamu yake; lingaliro limene limagwirizana nalo ndi lachikale ndi lolimbikira, lomwe limayenda bwino m'nthawi zabwino ndi zoipa. Kuti Trump atha kulamulira chipani chokomera dziko chomwe chikuchulukirachulukira chokhala ndi mapiko akumanja, oyera-dziko lapansi sizodabwitsa komanso zovuta zonse. Ngakhale zili choncho, lingaliro lakuti machiritso amtundu angakhale nawo pa matenda a utundu linali chinyengo chosalekeza, chomvetsa chisoni cha ndale zopita patsogolo m’zaka zonse za zana la makumi awiri.’
INshuwalansi Yaumoyo Wachinsinsi WOYANTHA NDI NTCHITO ZA UMOYO WA MTIMA - PALIBE
Ndi makampani a inshuwaransi abizinesi omwe ali ndi ulamuliro wonse, akupitilizabe kuletsa chisamaliro chaumoyo wamaganizidwe pochepetsa kapena kukana madandaulo oti azikhala m'chipatala, kuyendera odwala kunja (kuofesi), mankhwala, psychotherapy / upangiri, ndi njira zina zochizira matenda amisala ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo.
1). Ma inshuwaransi amalamulidwa ndi lamulo kuti apereke chithandizo chaumoyo wamisala ndi ntchito zina zachipatala mofanana, koma makhothi apeza kuti nthawi zonse amakana madandaulo potengera ndalama - osati zachipatala - zifukwa.
2). Nthawi ina, United Behavioral Health - kampani yayikulu kwambiri yoyang'anira zaumoyo / zamakhalidwe m'dzikolo - idapezeka kuti ndi yolakwa pakukana madandaulo amisala 60,000 pazifukwa zachuma. Wotsutsa wamkulu pamlanduwo anali wodwala inshuwaransi yemwe adakanidwa kuphimba ndipo adalipira pafupifupi $30,000 kunja kwa thumba kuti alandire chithandizo chofunikira kuchipatala. https://www.statnew
3). Mapulani a zamalonda amalepheretsanso kupeza mankhwala ofunikira: Kafukufuku wokhudzana ndi mapulani 84 osiyanasiyana azaumoyo wamalonda anapeza kuti ambiri mwa mapulaniwa anali ndi mankhwala osakwana 50% a antipsychotic, omwe ndi ofunika kwambiri pochiza matenda monga schizophrenia. Mu gawo limodzi mwa magawo atatu a ndondomeko za inshuwaransi izi, mankhwala ambiri a antipsychotic amangoperekedwa pa "zoletsedwa", zomwe zimafuna kuti odwala azilipira ndalama zambiri zotuluka m'thumba. https://www.nami.org/Support-
4). Ndemanga ya kafukufuku wopitilira 90 ikuwonetsa kuti ntchito zamaganizidwe ndi machitidwe zimatha kuchepetsa ndalama zonse zachipatala za wodwala ndi avareji ya 20%. Zotsatira za Psychological Interventions pa Medical Cost Offset: Ndemanga ya Meta-analytic
5). Zochitika ndi Medicaid zikuwonetsa kuti kuchotsa zinyalala ndi umbombo wa inshuwaransi yazamalonda kumawongolera zotsatira ndikusunga ndalama. Mu 2012, pulogalamu ya Medicaid ya ku Connecticut inathetsa chitsanzo chake cha inshuwaransi yoyendetsedwa ndi "managed care" m'malo mwa dongosolo lopanda phindu lolipira limodzi kwa olembetsa. Pochotsa wapakati wa inshuwaransi, Medicaid ikhoza kuyika ndalama mwachindunji pazaumoyo wamaganizidwe pophatikiza chisamaliro chaumoyo ndi machitidwe ndikuwonjezera mapulogalamu ammudzi. Pakati pa olembetsa a Medicaid, maulendo opita kuchipinda chodzidzimutsa adagwa ndi 25%; ndalama zoyendetsera ntchito zidatsika kwambiri, kuchokera pa 25% mpaka 3.5% ya ndalama zonse; ndi ndalama zonse zaumoyo https://cthealthpolicy.o
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MEDICARE FOR ONSE ZINTHU ZOSAVUTA ZA UMOYO WA MTIMA KWA ONSE
Ma inshuwaransi azaumoyo amasankha chisamaliro chaumoyo wamaganizidwe ndikuletsa anthu aku America kuti asalandire chithandizo chomwe tikufuna. Pali njira yabwinoko: Medicare for All-Payer Medicare for All ingathetse umbombo ndi kuwonongeka kwa inshuwaransi yazamalonda ndikulipira aliyense ku US kuti alandire chithandizo chamankhwala chofunikira, kuphatikiza chithandizo chamakhalidwe ndi malingaliro, chithandizo chamankhwala osokoneza bongo, ndi mankhwala operekedwa ndi dokotala. Ndi Medicare for All, chithandizo ndi moyo wonse komanso kunyamula, ndipo ntchito zimaperekedwa popanda ndalama zolipirira, kuchotsera, ndi ngongole zodabwitsa zomwe zimalepheretsa odwala kusamalidwa. Ndipo mosiyana ndi inshuwaransi yazamalonda, Medicare for All imapereka chisankho chaulere cha chipatala chilichonse kapena wopereka chithandizo, kuphatikiza akatswiri amisala, akatswiri amisala, ogwira ntchito zachipatala, alangizi amisala omwe ali ndi chilolezo, komanso opereka chilolezo kwa mabanja ndi mabanja.
THANDIZA MEDICARE-KUBWEKA KWAMBIRI KWAMBIRI M'DZIKO LATHU
Tisaiwale kuti Universal Medicare for All ndi ndalama zolimba kwa nzika zonse za dziko lathu pongolimbikitsa chithandizo chamankhwala kuti aliyense athe kupeza inshuwaransi yotsika mtengo kwa onse. Kodi si ife anthu amene amasamala mokwanira kuti aliyense alandire chithandizo chamankhwala chimene akufunikira? Ndicho cholinga chachikulu cha Medicare for All, ndipo ndichinthu choyenera kuchita pano ndi mliri wa Covid-19.
Mbiri ya pulogalamu yathu ya inshuwaransi yazaumoyo yopambana kwambiri, Medicare, imapereka mkangano wabwino kwambiri pakukulitsa pulogalamuyo kuti ikwaniritse aliyense. Pomwe Medicare idakhazikitsidwa zaka 57 zapitazo, kutsatira kampeni yayikulu, ambiri adakhulupirira kuti maloto a inshuwaransi yazaumoyo padziko lonse lapansi anali pafupi.
Tsoka ilo, patatha zaka makumi asanu, Medicare sichinakulitsidwebe. Zambiri mwazosinthazo zakhala zotsutsana ndi mtengo wokwera wakunja kwa opindula ndikuyesa mobwerezabwereza kubizinesi ndi ma pharma akuluakulu, makampani a inshuwaransi yazaumoyo ndi "akatswiri" ake ku White House ndi Congress.
Yakwana nthawi yothetsa mapulogalamu a inshuwaransi osakwanira komanso oopsa. Limbikirani kusintha kwenikweni kwa inshuwaransi yazaumoyo kofunika kwa anthu ndi mabanja. Mbiri ya America ili ndi zitsanzo za kusintha kofunikira, kwademokalase komwe kumabwera chifukwa chochita bwino komanso kukakamizidwa ndi anthu motsutsana ndi upangiri wa a neoliberal, privatization, 1% odzichitira okha oligarchs / gulu lachidwi. Palibenso kudikira! Funsani aphungu anu kuti athandizire Medicare For All tsopano. Lowani nawo ambiri aku America omwe amathandizira Medicare for All. Funsani aphungu anu kuti athandizire malamulo omwe tsopano aperekedwa ku Nyumbayi (HR 1976) ndi Senate (S. 4204) zomwe zingakhazikitse kusintha kofunikira kumeneku.
Mawu onse-HR 1976.
https://www.congress.gov…(S.4
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