George Bush akapembedza vhoti yake yaGumiguru 3 yebhiri rekubvumidza zvakare nekuwedzera chirongwa cheState Children's Health Insurance Programme (SCHIP) negakava rekuti bhiri iri raizokonzera vabereki vemamiriyoni akati wandei evana vane mari yepakati kuti vadzikise mari yeinishuwarenzi yehutano yevana ivavo. SCHIP, iyo yakatangwa muna 1997, “inogara pamapfudzi” eMedicaid, chirongwa cheinishuwarenzi yeutano yenyika yevamwe vevarombo. Pasi peSCHIP, hurumende yemubatanidzwa inopa mari kumatunhu kuti vachengetedze vana vakanyanya kusimba kuti vakwanise kuwana chirongwa cheMedicaid chehurumende yavo, asi vasina kugadzikana zvekuti vakwanise kuwana inishuwarenzi yehutano yakazvimirira. Dzinenge nyika dzese dzakaisa muganho wadzo wepamusoro wekuwana mari yeSCHIP paviri kusvika katatu padanho rehurombo-kana pakati pemadhora makumi mana nemakumi mana nemakumi matanhatu nemakumi matanhatu emadhora kumhuri yevana. New Jersey chete, iyo ine muganho wekuwana mari inosvika mazana matatu nemakumi mashanu muzana ehurombo, inobvumidza SCHIP mari yekupa vana mari inopfuura katatu padanho rehurombo.
Vezvematongerwo enyika nemapundits kuruboshwe nekurudyi vakanangisa gakava ravo rekuti zvikumbiro zvaBush zvekuti SCHIP "yaizowanda" kuvharidzira zvakavanzika zvaive zvechokwadi. Kwemwedzi yakati wandei Bush asati atora veto yeChildren's Health Insurance Program Reauthorization Act (CHIPRA) ya2007, sekuzivikanwa kwemutemo weSCHIP reauthorization zviri pamutemo, vanhu vekuAmerica vakabatwa panhaurirano yekuti CHIPRA ingabvumira mhuri kuti dziite zvakapetwa kana. federal poverty level (inenge $83,000 yemhuri yevana vana) vanotora chikamu muSCHIP uye kuti nhamba yevana vaizosiya basa ravo repaprivate-sector kuti vanyore muSCHIP ingave hafu yemiriyoni kana 3 miriyoni kana chimwe chinhu chiri pakati.
Pamusoro pezvinyorwa: CHIPRA haingagadziri mari yepamusoro, asi zvaizoita kuti zviome kune nyika kushandisa mari yeSCHIP yevana inopfuura katatu yehurombo; uye vamwe "kuungana kunze" kwaizoitika (Congressal Budget Office inofungidzira kuti mamiriyoni maviri evana vane mamiriyoni matanhatu vaizowedzerwa kuSCHIP rolls neCHIPRA vangadai vakatenga kuvharwa kwega).
Iyi gakava pamusoro pe "kuungana kunze" uye mari yekuwana mari zvachose yakafuratira kutsigirwa kweCHIPRA neAmerica's Health Insurance Plans (AHIP), zita rekuvhara reboka rekutengeserana rinomiririra indasitiri yeinishuwarenzi yehutano yeAmerica. AHIP haina kuvanza tsigiro yayo yeSCHIP. Semuyenzaniso, Karen Ignagni, mutungamiri weAHIP uye CEO, akakurudzira vanhu vekuAmerica kuti vatsigire bhiri panguva yekuonekwa kwake kwaGunyana 27 pa "Oprah Winfrey Show" naMichael Moore. Dai AHIP yanga iri yeCHIPRA, Bush, vatsigiri vake veRepublican muCongress, uye vese vakamirira Republican musarudzo dzemutungamiri wenyika vakati CHIPRA ine mhosva ye "boka revanhu" uye kuti kukuvadzwa kwainzi kuindasitiri yeinishuwarenzi yehutano kwaizokurumidza kuuya kwe "socialized medicine. ?” Sei AHIP ichitsigira CHIPRA kana ichizobira nhengo dzeAHIP mari?
Pane mhinduro mbiri. Chekutanga, nhengo dze AHIP dzaisarasikirwa nemari. Vangadai vakawana mari nekuti nyika zhinji dzakaita kuti inishuwarenzi ishande yezvirongwa zvavo zveSCHIP (kwete kuendesa chaiko kwehutano, uhwo hwagara huchiunzwa nemakiriniki nezvipatara). Kuti vataure izvi neimwe nzira, nyika zhinji dzakasarudza kupa mari yadzo yeSCHIP (uye inofananidzwa nemari yehurumende) kumakambani einishuwarenzi pane kunzvenga mainishuwarenzi uye kutenga mabasa ekurapa zvakananga kubva kuna vanachiremba nezvipatara zvinorapa vana veSCHIP.
Maererano neKaiser Family Foundation, "Vanenge vatatu pavana vana vakanyoresa muMedicaid neSCHIP vakanyoreswa muzvirongwa zvekuchengetedza zvakazvimiririra." Sekureva kwebepa riri muna Nyamavhuvhu 2007 edition yeHealth Affairs Web Exclusives naGeorge Washington University purofesa Sara Rosenbaum, "zvinenge zvese zvehurumende zveMedicaid zvirongwa uye 27 SCHIP zvirongwa vakanyoresa vazhinji kana vese [vanokodzera] vana" nemakambani einishuwarenzi panosvika 2002.
Huwandu uhu hunoratidza kuti pakati pehafu kusvika pazvikamu zvitatu kubva muzvina zvevana mamirioni matanhatu vaizowedzerwa kuSCHIP rolls neCHIPRA, kana kuti vana 3 kusvika 4.5 miriyoni vanozopedzisira vapihwa inishuwarenzi nemakambani einishuwarenzi. Kana iyo Congressional Budget Office yakarurama mukufungidzira kwayo kuti CHIPRA yaizoita mamiriyoni maviri evana vane mamiriyoni matanhatu kuti vasiye kuvharidzirwa kwepachivande, zvinoreva kuti mhedzisiro yeCHIPRA ichava pfuma inowanikwa kune imwe kusvika kune mamiriyoni maviri nehafu vatengi vatsva veinishuwarenzi. industry. Muchidimbu, "boka revanhu" rinokonzerwa neCHIPRA (kurasikirwa kwevana mamiriyoni maviri) ingadai yakave yakawanda kudarika nekuwedzerwa kwevana vane mamiriyoni matatu kusvika ku2 kuburikidza nehurongwa hweSCHIP.
Chikonzero chechipiri chakaita kuti AHIP isimbise CHIPRA ndechekuti AHIP yasvika pakuziva kuti indasitiri yeinishuwarenzi yehutano ichafa nenzara kana hurumende dzenyika nemubatanidzwa dzikasanyengetedzwa kuti dziwedzere mamwe madhora emitero kuindasitiri. Neavhareji mutengo wekuita inishuwarenzi mushandi ane vanovimba naye ikozvino inodarika $12,000 pagore, vashandirwi vari kutiza musika weinishuwarenzi yehutano mumapoka. AHIP yafunga kuti zviri nani kutambura ne "boka revanhu" izvozvi mukutsinhana nevimbiso yekuti muteresi achabhadhara kuvharwa kwevamwe vana mamirioni matanhatu, vese vari panjodzi yekutsakatika sevatengi vanobhadhara vega munguva inotevera. makore mashanu (nguva iyo CHIPRA yaizowedzera SCHIP).
Kutadza kwevezvenhau kutaura kuti mari zhinji yeSCHIP yaizopihwa kuindasitiri yeinishuwarenzi yehutano yakabatsira zvikuru kuna Bush nevose avo vakapopota "boka revanhu" uye "mishonga yemagariro." Sezvineiwo, kudzimwa kweichi chokwadi hakuna kubatsira maDemocrats akasimudzira CHIPRA kana kune vashoma vanoshamisa vocal pro- CHIPRA Republicans vakaita seSenator Charles Grassley wekuIowa, Orin Hatch weUtah, uye California Gavhuna Arnold Schwarzenegger.
Chikonzero chakanyanya kukosha chekudzima ndeyekuita kweDemocrats kwenguva refu mukushambadzira kweMedicaid uye, nguva pfupi yadarika, yeSCHIP. Kana rimwe bato rikasamutsa bopoto pamusoro penyaya, vezvenhau vanongoita sevanofuratira nyaya iyoyo. Nekuda kwekuti Medicaid neSCHIP zvirongwa zvemubatanidzwa zvinotungamirwa nenyika pasi pemutemo nemirau yemubatanidzwa, kuchengetedzwa kwezvirongwa izvi kwaida rutsigiro mukati meWhite House, Congress, nematunhu ese kwakaitika zvirongwa izvi. MaDemocrats padanho rehurumende nerenyika vanga vachifarira kuchengetedzwa kweMedicaid neSCHIP semaRepublicans.
Medicaid yakaitwa zvishoma nezvishoma kutanga mukutanga kwema1980 apo SCHIP yaiitwa zvechimbichimbi nekukasira mumatunhu mazhinji mushure memutemo wayo muna 1997. Kuburitswa kweMedicaid kwakatanga nemoyo wese pasi paRonald Reagan. Mumavhiki mashoma atora chigaro, Reagan's Health Care Financing Administration (HCFA, zita panguva yeiyo agency inotungamira Medicaid neMedicare) yakazivisa muFederal Register kuti ichafadza zvikumbiro kubva kumatunhu e "kuratidzira" kwakaedza. "Masangano ekuchengetedza hutano" uye mamwe marudzi emakambani einishuwarenzi akashandisa maitiro ekutarisira-kutarisira mutengo wekudzora. (Mazano iwawo anosvika pakurudziro yemari yokuita kuti vanachiremba varambe mabasa, kufembera kwechipiri kwezvisarudzo zvavanachiremba nevakuru vakuru vekambani yeinishuwarenzi, uye chisarudzo chakaganhurirwa chavanachiremba nezvipatara.) Pakasvika pakati pema1980, HCFA yaReagan yakanga yapa mvumo kumatunhu matanhatu. kutanga kuyedza privatization nezvirongwa zvavo zveMedicaid. Kongiresi inodzorwa neDemocrat yakamira pasina chayakaita kudzivirira matanho ekutanga aya mukupararira kweMedicaid neSCHIP.
MaDemocrats nemagavhuna vakaita mabasa akakosha mukuita kuti nyika dzavo dzibvumire kuratidzira. MuMinnesota, semuenzaniso, paramende inodzorwa neDemocrats yakapasisa mutemo unobvumidza Republican Governor Al Quie's 1981 chikumbiro kuHCFA iyo yaikurudzira kubiridzira chirongwa cheMinnesota's Medicaid kutanga mumatunhu matatu. Kunyangwe chikumbiro chaQuie chakavimbisa kuongorora kuyedza kushambadzira zvine hungwaru, izvo hazvina kumboitika. Muna 1993, iyo Minnesota Medicaid agency yakazosvika pakuyedza kuongorora maitiro eHMOs vari kutora chikamu mukuyedza, maHMO akaramba kuendesa data raidiwa nesangano uye, nechiyero chakanaka, vakatsvaga kudzvanyirira dhizaini isina kukwana. kudzidza, iyo yakaratidza maHMO aiunza mashoma masevhisi ekudzivirira pane akange aunzwa nevarapi "vasina kutungamira" pasi pehurongwa hwekare. Pakafukunurwa skullduggery iyi Minneapolis Star Tribune uye yakafumurwa munyaya yepeji rekutanga muna 1994, paramende, ichiri kutongwa nemaDemocrats, haina kumbonzwa.
Minnesota Democrats akaenderera mberi nekuwedzera iyo Medicaid privatization "kuratidzira" mudunhu mukupera kwema1990. Vakatungamirawo mushandirapamwe wa1996 wekubikisa chirongwa chevakuru nevana chinodaidzwa kuti MinnesotaCare, icho chakange chagadzirwa muna 1992 kuti mhuri dzive dzakasimba zvakanyanya kuti dzikwanise kuwana Medicaid. Makore mashoma gare gare vakabvuma nemoyo wese kuisa mari yeMinnesota's SCHIP muMinnesotaCare.
Kubiridzira kwehusiku humwe chete kwechirongwa cheTennessee cheMedicaid muna 1994 mumwe muenzaniso weDemocratic complicity muhutsotsi hwekubiridzira. Kunyangwe hazvo Tennessee yanga isisina ruzivo nezvehurongwa hwekutarisirwa, vatsigiri vezvese vakarumbidza semhinduro yekukwira kwemitengo yeMedicaid uye Gavhuna weDemocratic Ned McWherter akasunda bhiri rekushambadzira kuburikidza neparamende. Ipapo, apo HCFA yakanonoka kupa Tennessee mvumo yokupinda mune chakabvumikisa kuva kuedza kwakaguma, McWherter akashanyira shamwari yake yakanaka President Bill Clinton, uyo, seaimbova gavhuna, akanzwira tsitsi kusashivirira kwaMcWherter neHCFA ndokuisa dzvinyiriro pavari kuti vabvumire. McWherter mvumo yaakatsvaga. Nguva pfupi yapfuura HCFA yakapa McWherter mvumo yekumanikidza vagari vese veTennessee vanokodzera Medicaid kupinda muzvirongwa gumi nemaviri zvinotarisirwa.
Rutsigiro rwebipartisan rwekuda kuti privatization yeMedicaid neSCHIP inochengetedza mari inogona kungotsanangurwa sepfungwa. Hazvina kumbobva pauchapupu hwesainzi. Muna 1993, kureva, makore angangoita gumi mushure mekunge Reagan aburitsa chirongwa cheMedicaid privatization juggernaut, U.S. General Accounting Office yakashuma kuti haina kuwana humbowo hwesainzi hwaikwanisa kuchengetedza mari. "Chiremba Payment Ongororo Komisheni [komisheni yakarayira Congress nezvehutano hwehutano] uye DRM Budget Hofisi yakataura kuti humbowo hwekubudirira kwekutarisirwa kudzora mutengo hauna kukwana uye haukodzeri," akadaro mushumo weGAO. "Vamwe vaongorori vakagumisa kuti ...'mimwe mibvunzo yakakosha pamusoro pekutarisirwa yakaramba isina kupindurwa. Hatitombozivi kana kutarisira kunochengetedza mari.’”
Bipartisan tsigiro yengano iyo yaikwanisa kutarisira yaizovandudza kunaka kwekutarisira haina kubva paumbowo. Ongororo ya1995 yezvinyorwa zvesainzi pamusoro pezvinokonzeresa zvirongwa zvekutarisira zvinotarisirwa paMedicaid, yakapihwa neKaiser Family Foundation, yakati: "Pane humbowo hushoma ... hunoratidza kuti kutarisirwa kunotarisirwa kunowedzera kana kuderedza nhamba yekushanyira vanachiremba, kana kushandiswa. yezvehutano hwekudzivirira, kana kushandiswa kwekuchengetwa kwechipatara chevarwere"
Nhasi dare redzimhosva rapinda. Humbowo hunoratidza kuti zvirongwa zvekuchengetedza zvakatarisirwa hazvina kunatsiridza kutarisirwa kana kuchengetedza mari, ingave yevashandirwi kana yeMedicare, Medicaid, uye zvimwe zvirongwa zvehurumende zvakaedza kushambadzira. Muchokwadi, humbowo hunoratidza kuti kuchengetwa kwakakanganisa kunaka uye, kune zvirongwa zvehurumende, zvakakwidza mari.
Imwe yezvidzidzo zvisingawanzo itwa kuongorora zvakataurwa neMedicaid privatizers yakaitwa muCalifornia naMark Duggan, purofesa wezvehupfumi paYunivhesiti yeMaryland. Kusiyana nenyika zhinji, California's Medicaid privatization "kuratidzira" kwanga kusati kwaenda mudunhu rose nekutanga kwezana ramakore. Medi-Cal, sekudanwa kunoitwa chirongwa cheCalifornia Medicaid, yakavharirwa mune mamwe matunhu, asi yakaramba isina hupfumi mune mamwe. Mune bepa rakaburitswa muna 2002 rine musoro unoti, “Kuita kondirakiti kunowedzera kushanda kwezvirongwa zvehurumende here? Uchapupu hunobva kuMedicaid HMOs, "Duggan yakashuma kuti Medi-Cal mari mumatunhu ehurumende yakasvibiswa yakanga iri 20 muzana yakakwirira kudarika mari mumatunhu asina hupfumi apo chirongwa chekare cheMedi-Cal chakaramba chiripo; ndiko kuti, uko California Medicaid agency yakabhadhara vanachiremba nezvipatara zvakanangana nemasevhisi akapihwa kune vanobatsirwa neMedicaid kwete madhora emutero emutero kuburikidza nehurongwa hwekutarisira. "Migumisiro inowanikwa mupepa rino inoratidza kuti kuwedzera kwekuvimba neHMO kwakaita kuti kuwedzerwa kukuru kwemari yehurumende uye kunoratidza kuti migumisiro yehutano yevarombo haina kuvandudza zvakanyanya," Duggan akagumisa. "Saka zvinoratidzika kuti zvinoda mamirioni evakagamuchira Medicaid kuCalifornia kuti vabve mu[traditional Medicaid system] uye vanyorese mumaHMO hazvina kuunza kuvandudzwa kwekushanda kwechirongwa ichi chehurumende."
Kuwana kwaDuggan kwemakumi maviri muzana emitengo yakakwira mumatunhu akazvimiririra kunopindirana nehumbowo hunoratidza kuti kambani yeinishuwarenzi yehutano yakajairika inopa makumi maviri muzana yemari yayo kumitengo yekutonga (kana pamusoro). Pasi pechirongwa cheMedicaid chisina kudzivirirwa, sangano rehurumende reMedicaid raizogovera masendi mashanu edhora rega rega remutero raakagamuchira kumutengo waro wepamusoro uye kubhadhara masendi makumi mapfumbamwe nemashanu kuvanachiremba nezvipatara nevamwe vanopa mabasa ekurapa kune vakanyoresa kuMedicaid.
Mushure mekushambadzira, zvisinei, iyo Medicaid agency inopa iyo 95 masendi kwete kune vanopa, asi kune inochengetedzwa chirongwa chekuchengetedza, icho chinozobvisa mamwe masendi makumi maviri kubva pane icho uye chinopa asara makumi manomwe nemashanu masendi kune vanopa. Masvomhu akareruka aya anomutsa mubvunzo uri pachena: Kushambadzira mari kunochengetedza sei mari kana kuchida kugovera imwe 20 muzana kumitengo yekutonga?
Mhinduro yacho haina. Nyika dzakaita zvirongwa zvavo zveMedicaid, mumakore apfuura, dzakasimudza mari yavo kubva pa15 kusvika ku20 muzana pamusoro pezvavangadai vari pasi pechinyakare-chekutenga Medicaid modhi. Vakaita izvozvo kuitira kuti vawane zvirongwa zvavo zvekutarisira zvinotarisirwa munharaunda kuti vabvume kutora chikamu mushanduro yakazvimiririra. Chokwadi, handizvo zvaifanira kuitika. Privatization yaifanirwa kutungamira kune hutano huri nani muMedicaid vanogamuchira uye kubviswa kwemabasa asina basa. Shanduko idzi dzaive, zvakare, dzaifanirwa kutungamirira kumitengo yakaderera. Asi vatengesi vakasiyana nazvo nekuti tsigiro yekushambadzira yaive yevaviri uye yakavakirwa pakutenda, kwete neumbowo.
Pakazosvika makore ekuma1990 apo nyika dzaifanira kusarudza mashandisiro emari yadzo yeSCHIP, ngano dzepasiroseti dzakanyatsosimbiswa uye mabhiriyoni emadhora eSCHIP akakandwa murwizi rukuru rweMedicaid mari yaitoyerera ichidzika negomba reinishuwarenzi yehutano.
Saka, zvakazoitika kuti muna 2007 mutungamiri weU.S. nevatsigiri vake veRepublican vaigona kupikisa CHIPRA yakazvimiririra - iyo yaizoendesa vatengi vanobhadhariswa mutero kuindasitiri yeinishuwarenzi kupfuura yaizorasikirwa nekuda kwe "boka revanhu" - pane zvinosekesa. fungidziro yekuti CHIPRA yaizotungamira kune "kutarisirwa kwehutano hunoitwa nehurumende" uye "mushonga wemagariro." Musi waGumiguru 3, zuva raakapikisa CHIPRA, Bush akati nechiso chakatwasuka, "Ini ndinotenda mumishonga yakazvimirira, kwete hurumende yemubatanidzwa inotungamira hutano hwehutano." Rep. Todd Akin (R-MO) akanga akapusa; akazivisa kuti akavhota achipokana nebhiri iri nekuti raizotungamira kune "Hillary socialized mushonga."
Vatsigiri vanobhadhara mumwechete vanogona kuita nharo yakasimba kune imwe nzvimbo inopesana-kuti CHIPRA inofanira kupikiswa nokuti inobatsira zvikuru kumhizha yeinishuwarenzi. Nyika inobhadhara mumwe chete ine vapikisi vakawanda vane simba, asi hapana anopikisa ane simba uye akazvipira kukunda mubhadhari mumwe chete kupfuura indasitiri yeinishuwarenzi yehutano yeU.S. Vamiriri vanobhadhara mumwechete vanofanirwa kutora maonero akareba. Kuti tiwane imwe-mubhadharo system, isu tichafanirwa kukunda indasitiri yeinishuwarenzi. Zvichabatsira chikonzero chedu kana tikatsigira mutemo unonetesa indasitiri yeinishuwarenzi. Zvinozokuvadza chikonzero chedu kana tikatsigira mutemo unosimbisa indasitiri yeinishuwarenzi (kana kunonoka kuparara kweindasitiri). CHIPRA inosimbisa indasitiri yeinishuwarenzi.
Mukukakavadzana kwake na AHIP's Karen Ignagni pa "Oprah" munaGunyana apfuura, Michael Moore akataura chirevo kuna Ignagni icho vanhu vazhinji vekuAmerica vaizobvumirana nacho. "Handidi, kutaura chokwadi, chero yemadhora angu emutero kuenda kune chero chirongwa chakatsigirwa chinoenda kuburikidza nemakambani enyu einishuwarenzi akazvimirira kana madhora angu emutero awedzera purofiti yako," akadaro. Kuzivisa uku kwakaita kuti vateereri vaombere maoko zvakasimba. Asi matambudziko akanyanya kukwirira zvekuti hapana mweya mukamuri iro, kusanganisira Moore, aiziva kuti CHIPRA yaizounza chaizvo mhedzisiro iyo Moore akati aipikisa.
Pane zvikonzero zvekuve netarisiro yakachengetedzwa kuti maDemocrats (uye pamwe kunyange vashoma maRepublicans) rimwe zuva vachafarira chitsotsi ichi. Chekutanga, maDemocrat akatora danho rakasimba kurwisa hutsotsi hwekubiridzira hunosanganisira Halliburton neCuster Battles muIraq. Kune imwezve, maDemocrat ari kupedzisira achifarira dambudziko rakafanana nedambudziko reMedicaid privatization - kubhadharwa kweHMOs kuti vatore chikamu muMedicare, chirongwa chenyika chevakweguru nevakaremara. Kufanana neMedicaid privatization scam, iyo Medicare privatization scam yakapfuuridzirwa kwemakumi emakore nerutsigiro rwebipartisan. Asi mukutanga kwa2007, vashoma vanotungamira congressional Democrats, kusanganisira Rep. Pete Stark wekuCalifornia, vakazivisa kupikisa kwavo kubhadharwa kweMedicare HMOs.
Hazvina kujeka kuti sei maDemocrats akamirira kusvika 2007 kuti vawane musana wavo paMedicare HMO overpayment nyaya, asi ibheti yakanaka kupokana kwakanonoka kubhadharwa kwemari yakawandisa neane simba American Medical Association (boka rekutengesa rinomiririra vanachiremba) rine chekuita nazvo. . Iyo AMA ine, pakupedzisira, yakamutswa kune chokwadi chekuti mari yakawanda yekubhadhara kune Medicare HMOs inoreva kuti kune mari shoma inowanikwa yekubhadhara vanachiremba vanobata Medicare vanobatsirwa. Kana iyo AMA ichigona kuona nzira yayo yakajeka kupikisa kuwandisa kwekubhadhara kunoita kuti maHMO atore chikamu muMedicare, pamwe ingori nyaya yenguva AMA isati yasvika pamhedziso imwechete pamusoro pekubhadhara kwakawanda kunoita kuti zvive nyore kuti maHMO mamwechete atore chikamu muMedicaid uye. SCHIP.
Vamiriri vanobhadhara mumwechete havafanire kumirira kuti Congress iite. Vanofanira kudaidzira kuti maparamende ehurumende nemagavhuna vabvise zvirongwa zvekuchengetedza zvakagadziriswa kubva muzvirongwa zvavo zveMedicaid neSCHIP. Mitemo yekuita izvozvo, SF 1897/HF 2000, yakaunzwa mudare remutemo reMinnesota muna Kurume. Nzvimbo yakanaka yekutanga gakava iri ndeyekuda kunzwikwa nematare edzimhosva ehurumende pamusoro pekuti mapurojekiti e "kuratidzira" akaongororwa here kuti aone kukanganisa kwekutengeserana pamutengo uye mhando.
Musi wa18 Gumiguru, Imba yeVamiriri yakatsigira Bush veto yeCHIPRA. Zvakaoma kuziva kuti unonzwa sei. Kune rimwe divi, zvinotsamwisa kugara munyika yakapfuma seAmerica uye kuona mutungamiri wenyika achiramba inishuwarenzi yehutano kumamiriyoni evana. Kune rimwe divi, zvinoshatirisa kuona vezvematongerwo enyika vachipfumisa indasitiri yeinishuwarenzi vachinyepera kuti ndiyo chete nzira yekuisa inishuwarenzi mamiriyoni matanhatu evamwe vana. Tinofanirwa nesarudzo dziri nani pane idzi.
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Kip Sullivan ndiye muongorori wehutano hwehutano hweGreater Minnesota Health Care Coalition uye inhengo yeVarapi veNational Health Program. Ndiye munyori we Iyo Health Care Mess: Mapindiro atakapinda mairi uye kuti tichabuda sei mazviri (AuthorHouse, 2006).