โVamwe vacheche vangani? Vamwe vana vangani?"
Ndiyo mibvunzo Callie Greer akabvunza achichema pakutanga kwemwedzi uno kuWashington, DC, kutanga kwe40 Days of Action ye Mushandirapamwe Wevanhu Vasina Hanya: Mutsva WeNyika weKutsvaga Kwetsika, yakabata zuva rakatevera Zuva raAmai. Mwanasikana wake chaiye, Venus, akafa nedanho rechina regomarara muAlabama nekuti nyika yakanga yaramba kuwedzera Medicaid pasi peAffordable Care Act uye haana kukwanisa kurapwa kusvika nguva yapera.
Makore ose, zviuru zvevanhu sekufa kwaVenus nekuti havana inishuwarenzi uye nekudaro vanoshaya mukana wekutarisira hutano. Idambudziko vanhu vanogara kuSouth vanoziva zvakanyanya. Nokuti mapfumbamwe kubva ku13 Maodzanyemba nyika dzakaramba kuwedzera Medicaid, dunhu rinogara 90 muzana veAmerica vanowira mugomba rekuchengetedza hutano - vasina hupfumi hwekukwanisa kutenga inishuwarenzi yakazvimirira asi vasina kukodzera chirongwa cheinishuwarenzi yehutano yeveruzhinji yevarombo nevakaremara.
Iye zvino hutongi hwaTrump hunoda kuita kuti zvinyanye kuomera vanhu vekuAmerica kuwana Medicaid. Muna Ndira, manejimendi akatumira a tsamba kutaura vatungamiriri veMedicaid vachidaidza zvinodiwa zvebasa semamiriro ekukodzera Medicaid. Mwedzi wapera Mutungamiri Trump vakapeta kaviri padanho ravo nekupa gwaro executive order izvo zvine chinangwa chekumanikidza vagari vasingaite zvimwe zvinodiwa zvebasa kubva kuMedicaid, rubatsiro rwechikafu, uye zvimwe zvirongwa zvekuchengetedza-net.
VaTrump vanoti mutemo uyu unoderedza hurombo uye kupa mikana yebasa. Asi ruzhinji rwevakuru veMedicaid vanobatsirwa vari kutoshanda, kunyange zvazvo vakawanda vachimanikidzwa kupinda basa renguva isina kuzara neganhuriro dzemusika webasa. Uye kana vasingashande, zvinowanzoitika nechikonzero chakanaka: nekuti vane hurema hunovasiya vasingakwanisi kushanda, kana vachengeti veavo vakaremara, kana kurwisana nezvirwere zvepfungwa izvo zvinodzikisira kugona kwavo kushanda nguva dzose, kana vari chikamu chevanhu vasina pokugara iyo inotarisana nezvipingamupinyi zvikuru pakuwana basa.
Kunyangwe nyanzvi dzinoti Zvinodiwa zveMedicaid zvichaunza matambudziko akawanda kupfuura mhinduro, nyika mbiri dzeSouthern - Arkansas neKentucky - dzakatopihwa mvumo yemubatanidzwa kuti dzitange kuzviita. Nyika idzi, pakati pevarombo venyika, yakawedzera Medicaid pasi peAffordable Care Act, asi zvinodikanwa zvebasa zvinotarisirwa kusundira zviuru zvevagari mumugero wekuvhara.
Basa reArkansas rinodiwa kuti ritange kushanda musi waChikumi 1 uye richangoshanda kune 280,000 vagari vehurumende vakawana inishuwarenzi yehutano kuburikidza nekuwedzera kweMedicaid. Pasi pemutemo uyu, vakanyoresa kuMedicaid vachange vachifanirwa kusangana nemaawa makumi masere ekushanda pamwedzi. Kana vasingakwanisi kuita zvinodiwa kwemwedzi mitatu mukati megore, vachavharirwa kunze kweMedicaid kusvikira gore rinotevera. Uye nekuti chirongwa ichi chinozoda kuti vakanyoresa vataure maawa ekushanda kuburikidza neinternet portal, vamwe vanogona kurasikirwa nekuvhara kwete nekuti vatadza kuita zvinodiwa nebasa asi nekuda kwekuti havana mukana weinternet kuti vazviratidze.
Kentucky's basa rinodiwa rakaiswa kuti ritange kushanda muna Chikunguru. Asi vagari gumi nevashanu vakaisa a kirasi-mhaka mhosva kupikisa mutemo weurongwa, izvo zvingada kuti vose vakanyoresa Medicaid - kwete chete avo vakafukidzwa pasi pekuwedzera kweMedicaid - kupedza maawa makumi masere emwedzi ekushanda, dzidzo, kudzidziswa unyanzvi hwebasa, kana basa remunharaunda. Kana ikashandiswa, chirongwa chacho Inofungidzirwa kuchengetedza nyika pamusoro pemadhora 2.4 bhiriyoni nekuti zviuru zvichabviswa paMedicaid rolls.
Hurongwa hweKentucky hwakamutsa mibvunzo pamusoro pekusawirirana kwemarudzi. Nyika ichatanga yaisa chinodikanwa chebasa kuchamhembe kweKentucky, iyo inosanganisira Jefferson County - dunhu rine vanhu vakawanda vatema munyika. Izvi zvinoreva kuti avo vanonyanya kubatwa vachave varombo vemuAfrica vekuAmerica. Asi matunhu masere mumaruwa ekumaodzanyemba kwakadziva kumabvazuva kweKentucky ane mwero yakakwira yekushaikwa kwemabasa - uye uko vachena vanoumba vanopfuura 90 muzana yevagari vemo - vacharegererwa kubva kune chinodikanwa chebasa. George Washington University health health purofesa Sara Rosenbaum akaitumidza "shanduro yekutsvuka kwemarudzi."
Ichangopfuura ongororo neCentre for Budget and Policy Priorities (CBPP) yakaona kuti kunyangwe vanogamuchira Medicaid vanogara vachishanda vanogona kunge vari panjodzi yekurasikirwa nekupa. Imhaka yekuti vanhu vanoshanda mabasa emuhoro wakaderera vanowanzove nemaawa ekushanda asina kujairika kana mapundu mumabasa avo. CBPP inofungidzira kuti munhu mumwechete muvanhu vana vanoshanda maawa akakwana mukati megore kuti vagutse zvinodiwa neKentucky basa vanogona kunge vachiri nemwedzi mumwe chete apo vanowira pasi pemaawa makumi masere pamwedzi uye nekudaro panjodzi yekurasikirwa nekuvharwa.
Kunze kweArkansas neKentucky, Indiana neNew Hampshire zvakare vakave neMedicaid basa rinodiwa zvakabvumidzwa nehutongi hwaTrump. Dzimwe nyika dzakawanda vane zvikumbiro zvakamirira, kusanganisira Mississippi - iyo yakasiyana neArkansas neKentucky haina kuwedzera Medicaid pasi peAffordable Care Act. Saka mubereki ari oga muMississippi haagone kuita zvinopfuura zvishoma $ 227 pamwedzi kuti akwanise kuwana Medicaid.
Pakutanga mwedzi uno, Seema Verma, maneja weFederal Centers yeMedicare neMedicaid Services, akanyevera Medicaid isiri-yekuwedzera nyika inopesana nekuisa zvinodikanwa zvebasa pamusoro pekunetsekana kwekurasikirwa kwekuvhara, ukuwo kunyoreswa zviri pamutemo neUS Department of Health and Human Services mumatare eKentucky akati hutongi hwaTrump hunoona zvinodikanwa zvebasa sechisarudzo chevakuru vari munyika dzekuwedzera. Kana hurongwa hwaMississippi hukabvumidzwa, vanopfuura zviuru makumi maviri veMississippi vanogona kurasikirwa neMedicaid yavo, nevakadzi neveAfrica America. zvakanyanya kukanganiswa.
Zvichakadaro, Mississippi haisiriyo yega yeSouthern isiri-yekuwedzera nyika ichifunga nezveMedicaid basa rinodiwa. Mwedzi wapera, Gavhuna weTennessee Bill Haslam zvakaziviswa anoronga kusaina bhiri rezvinodikanwa zvebasa izvo zvingaita kuti vagari vanofungidzirwa kuva 22,300 varasikirwe neinishuwarenzi yavo. Uye kuNorth Carolina, vamiriri vehurumende veRepublican parizvino tambokurukura nzira dzekunyora chirongwa cheMedicaid chinodiwa chebasa mubhajeti rehurumende ikozvino riri kutariswa. Kana ikashandiswa, mutemo uyu waizokanganisa vagari vehurumende vangangosvika zviuru makumi matanhatu. Hurumende yemubatanidzwa yaizofanirwa kubvumidza zvirongwa zvematunhu zvisati zvatanga kushanda.
Rebekah Barber muongorori uye munyori paFacing South/Institute for Southern Studies yakatarisana nerusaruro rwemarudzi, democracy uye nhoroondo yeMaodzanyemba. Semudzidzi anorwira akaronga nyaya dzinosanganisira kodzero dzekuvhota, Kurwira $15 uye Medicaid kuwedzera. Ane madhigirii eBachelor muChirungu uye nhoroondo kubva kuNC Central University muDurham, North Carolina.
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