North Carolina varatidziri vakabata 22 kurinda panguva imwe chete mudunhu rose kutanga kwemwedzi uno kurangarira zviuru zvevanhu vakatambura uye vakafa mudunhu nekushaya hutano uye kudaidza Democratic Gov. Roy Cooper kuti vatore veto chero hurongwa hwebhajeti rehurumende hwakapasiswa neparamende yeRepublican isingasanganisire Medicaid. kuwedzera. Mazuva mashoma gare gare, pamusangano wedambudziko reopioid, vatungamiriri neDhipatimendi reHutano neHuman Services. yakaratidza kuwedzera Medicaid sedanho rakakosha rekudzikisa kupindwa muropa neopioid uye kufa.
Mafoni aya anoratidza kuti kuedza kwekuwedzera Medicaid kwakaenderera mberi sei mumatunhu gumi nemana - masere acho kuSouth - uko maRepublicans eparamende nemagavhuna vakaramba kuwedzera hutano hwekuwana kune vanhu vane mari shoma pasi peAffordable Care Act (ACA).
"Vanhu vari kufa mhiri kweNorth Carolina zuva rega rega isu tinotadza kuwedzera Medicaid," akati Gweta Jackie Kiger panguva yekurinda muAsheville. "Vanhu vanopfuura chiuru vanofa gore negore".
Mabhenefiti ekuwedzera kweMedicaid akakura uye akanyorwa zvakanaka: kunyanya kurapwa panguva yakakodzera kwevarwere vekenza yeBlack, kuderera kwekufa kwevacheche, vashoma vanofa kubva kumamiriro emwoyo, kurapwa kunowanikwa zvakanyanya kune kupindwa muropa neopioid. Zvakadaro, maparamende ehurumende aramba mari yemubatanidzwa yekuwedzera Medicaid, zvichisiya vanhu vanosvika miriyoni maviri munyika yese mugevha rekuvhara, zvichireva kuti vanowana mari yakawandisa kuti vakwanise kuwana Medicaid asi isingakwane kuti vakwanise kuwana ACA Marketplace premium tax credits.
uye 90 muzana yeavo vari mugomba rekuvhara vanogara kumaodzanyemba, uko nyika shanu chete dzakawedzera Medicaid pasi peAACA. Arkansas yaive imwe yekutanga kuita izvi panguva iyoyo-Gov. Mike Beebe, Democrat, yakasaina chirongwa chekuwedzera chenyika kuita mutemo muna 2013, kupa vanenge 250,000 vane mari shoma vagari kuwana inishuwarenzi. Gore rakapera Arkansas yakaita basa rinodiwa kune vanogamuchira Medicaid, asi yave yakavharwa kaviri nehurumende yemubatanidzwa. Kentucky yakagamuchira chirongwa chekuwedzera cheMedicaid muna Ndira 2014 kuburikidza chinongedzo chemukuru ipapo-Gov. Steve Beshear, Democrat. Kufanana neArkansas, Kentucky yakaedza kuita zvaidiwa pabasa, asi yakarohwa nemutongi wemubatanidzwa. Iye zvino Gavhuna Matt Bevin, weRepublican, akatyisidzira kuputsa kuwedzera kwese kana Kentucky isingakwanisi kuisa basa rinodiwa.
MuLouisiana, Gov. John Bel Edwards (D) akawedzera Medicaid kuburikidza ne Executive Order pazuva rechipiri ari muhofisi. Kubva ipapo, vanhu vanopfuura 400,000 vakanyoresa mukuvhara pasi pechirongwa chekuwedzera uye Kupfuura 257,000 vakawana rubatsiro rwekudzivirira semugumisiro. Nyika ne chikamu chepamusoro yevagari vayo vakanyoresa kuMedicaid iWest Virginia, uko aimbove Gov. Earl Ray Tomblin (D) akawedzera chirongwa ichi kuburikidza nemutemo wevakuru wakapihwa muna 2013. Kubva ipapo, chiyero chehurumende chisina kupihwa akadonha kubva pa35 muzana kusvika pa14 muzana uye kuwedzera kunorumbidzwa nekubatsira nyika kugadzirisa dambudziko rayo reopioid.
Virginia ndiyo yaive nyika ichangoburwa muSouth yekuwedzera Medicaid. Kunyange zvazvo aimbova Gavhuna Terry McAuliffe (D) akazvisundidzira, akasangana nekupikiswa nedare reparamende rinotungamirirwa neRepublican. Asi mushure mekunge vavhoti vatumira mamwe maDemocrats kudare reparamende uye imwe Democrat kumuzinda wagavhuna mukati megore ra2017, uye maDemocrat aya akabvuma basa rinodiwa kune vasina kuremara, paramende yakapasisa bhajeti ra2018 rekuwedzera Medicaid kusvika mazana mana epasi-. mari vagari. Gov. Ralph Northam vakasaina bhiri iri, uye mutemo yakatanga kushanda gore rino.
Izvi zvinosiya maodzanyemba eAlabama, Florida, Georgia, Mississippi, North Carolina, South Carolina, Tennessee, neTexas pasina akawedzera Medicaid zvirongwa. Asi pane kuyedza kuri kuitika mune dzimwe dzeidzo nyika kuchinja izvo.
MuFlorida, uko vanhu 445,000 vari mugedhi rekuvhara, boka rinonzi Florida Decides Health Care rakaita. yakaunganidza anopfuura 81,000 masiginicha mukuyedza kuwana chirongwa chekuwedzera cheMedicaid pavhoti ya2020. Kuedza uku kunonyanya kutsigirwa neThe Fairness Project, boka reWashington, DC-rinoshandisa nzira dzekuvhota dzichipfuura matare ehurumende anoramba kuita maererano nemagariro nehupfumi. Kuti Medicaid iwedzere kuoneka pavhoti, Florida Inosarudza Hutano Hwehutano inoda kuunganidza anopfuura 766,200 siginicha.
KuMisissippi, uko vanhu zviuru mazana matatu vanogara mugedhi rekuvhara uye zvipatara zvakatambura nevanhu vasina kuchengetedzwa nekutadza kubhadhara mabhiri avo, iyo Mississippi Hospital Association (MHA) yakaronga chirongwa chinonzi. "Mississippi Ane hanya," iyo inoreva seMedicaid "kuchinja" uye kwete "kuwedzera." Modeled mushure me "Healthy Indiana" chirongwa, chirongwa chaizova mubatanidzwa unobatanidza nyika, zvipatara zvayo zvakazvimiririra, uye Mississippi Chokwadi, kambani yeinishuwarenzi yakagadzirwa neMHA. Hurongwa uhu hunoda kuti vatori vechikamu vabhadhare $20 yekubhadhara pamwedzi uye $100 copay yekumwe kushanya kusiri kwekukurumidza kuchipatara. Kunyange hazvo Gavhuna weRepublican Phil Bryant asati atsigira chirongwa ichi, MHA iri kutarisira kuwana rutsigiro rwake pamwe nerwevamwe vatungamiri vakasarudzwa nevakasarudzwa.
Uye sezvo vatsigiri vari kuenderera mberi muNorth Carolina, Democratic Gov. Roy Cooper vakakurudzira vamiriri vemitemo kuwedzera chirongwa chekuwedzera cheMedicaid kune bhajeti rebhajeti zvino kugadzirwa. Vatungamiri vemitemo yeDemocratic vane yakasimudza mukana yegubernatorial veto kana ikasadaro. Pane imwe nguva kutyisidzira kwakadaro kungadai kusina basa, asi paramende haisisiri kutongwa neveto-proof. Republican supermajority, izvo zvinopa chiedza chetariro yekuti rino ringava gore rekuwedzera mudunhu, uko vanhu vanopfuura 500,000 XNUMX vaizobatsirwa.
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.
ZNetwork inopihwa mari chete kuburikidza nerupo rwevaverengi vayo.
dhoneta
1 komenda
Tinofanira kuziva kuwedzera kweMedicaid inova nhanho yakakosha mukugadzirisa hutano hwedu hwakaputsika.