Ndiyazi ngaphandle kokufunda i-New York Times ukuba ii-docs ziyala ukuthatha izigulana ze-Medicare ngenxa yokuba njengomntu ongaphantsi kweminyaka engama-65 ubudala kwi-Medicare ngenxa yokukhubazeka bendikwisiphelo sokulahleka kwaloo ntonga iminyaka.
"Ngokokuqala ngqa" i-New York Times ibika ukuba amanani abalulekileyo oogqirha bayala ukuthatha izigulane ezintsha ze-Medicare ngenxa yokuba uGeorge W. Bush / GOP okhokelayo urhulumente usandul 'ukwenza i-5.4% yokunciphisa amaxabiso okubuyisela oogqirha abathatha inxaxheba kule nkqubo. (Pear, 3/17/2002). Ngokwebali i-17% yoogqirha bosapho abasamkeli izigulane ezitsha zeMedicare. Omnye ugqirha wavuma kwi<em>Times ukuba “akabathathi nabaphi na abaguli abaneminyaka engaphezu kwama-60 ngenxa yokuba baya kuba bekwiMedicare kwiminyaka emihlanu ezayo.”
Okwangoku, i-Times ibika ukuba izibhedlele, amakhaya abantu abalupheleyo kunye nee-HMO nazo "zifuna imali eninzi" yokunyanga abaxhamli be-Medicare kunye ne-HMOS ziye zehla i-2.2 yezigidi zabaxhamli be-Medicare kule minyaka mine idlulileyo, ngenxa yokuba imbuyekezo iphantsi kakhulu. Akukho nto inokuphumela koku ngaphandle kokhathalelo lwempilo lwenqanaba le-2 kunye nokubandezeleka okungafunekiyo kwabantu abadala kunye nabantu abakhubazekileyo kule nkqubo yoluntu.
Ngokuyinxenye imeko yangoku inokunxulunyaniswa nokushishina kwamayeza. Oogqirha eMelika balindele ukuphila ubomi bezigidi, ngokuqinisekileyo ngaphezulu kwengeniso yomntu ophakathi kwaye abaninzi baya kwenza nantoni na ukuphumeza indlela yokuphila yezityebi nabadumileyo.
Ngokomzekelo, emva kotyando lwakutsha nje kwafuneka ndifikelele kwingcali. Omnye umhlobo wam wandibhekisa “kwezona zibalaseleyo” entsimini. Le doc ibiza i-$350 ngotyelelo ngalunye. Ugqirha akazange aqhele ukuthatha i-Medicare. Xa ndifowunela ukwenza idinga ndamva umphathi weofisi ehleka ehleka kwelinye icala lomgca xa ndimxelela ukuba ndineMedicare. Kodwa ukuthunyelwa komhlobo wam kundenze ndafumana *ingcebiso enye* nangona ndandisoloko ndikhunjuzwa ngumphathi weofisi ukuba lo gqirha ubiza i-$350 ngondwendwelo ngalunye. Ndenziwa "ifavour." Ugqirha wandinika incwadi kagqirha yezamayeza kwaye kamva xa ndinemibuzo malunga nalo, wandithumela kugqirha abaninzi, akukho namnye kubo owathi wathatha iMedicare njengomcimbi.
Ngaba aba gqirha babiza i-$ 350 ngotyelelo ngalunye abakwazi ukuthatha izigulane ezimbalwa ze-Medicare? Inyaniso yokuba bayala ukubona ukuba inxalenye yendlela yabo yokusebenza izigulane ze-Medicare kungakhathaliseki ukuba intlawulo, ibonisa ukuba imali ngoku ilawula iyeza - ii-docs zikhetha kwaye zikhethe izigulane ngokusekelwe kwi-inshurensi enayo, ngubani onokuhlawula ngaphezulu. AKUKHO oogqirha ekufuneka bavunyelwe ukuba babize imali engako kukhathalelo lwempilo kodwa ukuba urhulumente uza kuthoba intlawulo koogqirha kufuneka awise umthetho wokuba oogqirha MABATHATHE izigulane zeMedicare kwaye baqinisekise ukuba ipesenti yezigulana zabo zixhamla kwi-Medicare.
Ngokuchaseneyo nebali le-NY Times lokuba "lixesha lokuqala" amaxwebhu engathathi i-Medicare xa ndandifika kwi-Medicare kwiminyaka elishumi eyadlulayo, ndothuswa kukuba yayijongelwa phantsi kwaye yamkelwa kancinci njenge-inshurensi ngababoneleli abaninzi. Ndibaleke ndawela i-GYNS, abaqeqeshwayo, oogqirha ngokubanzi, kunye nabanye abasebenza ngasese abandixelela (bakuba befundile ukuba i-inshurensi yam yiMedicare) ukuba "abathathi naziphi na izigulana ezitsha."
Kukho iingxaki nge-Medicare ngaphandle kweentlawulo eziphantsi. Ndifumene ukuba uninzi lwe-chiropractors aluyi kuthatha iMedicare kwaphela. Bakhankanya ukukhanyela ngokugqithiseleyo kweentlawulo ze-Medicare nangona ukhathalelo lwe-chiropractic luhlanganiswe yi-Medicare. Ukujongana ne-Medicare kwii-chiropractors zihlala zithetha ukungcwatywa kwizibheno malunga neentlawulo ezinqabileyo kwindawo yokuqala, bathi.
I-chiropractor yam iyaqhubeka nokuthatha i-Medicare kuba iyabakhathalela abantu. Wangena kulo msebenzi wokuphilisa abantu-umbono odla ngokulahleka kungquzulwano lwemali. Ngaba kufuneka achithe iiyure ethumela iingxelo kwi-Medicare xa enqatshelwe intlawulo kwaye ohlwaywe ngokubeka abantu kuqala?
Andizange ndive ukuba ugqirha wezonyango waliwe intlawulo yotyelelo lweofisi. Kwanokuba ugqirha akenzanga nto ukusombulula iimfuno zomguli! I-Medicare kufuneka iyeke ukunyanga ii-chiropractors njengokungathi zibuqhetseba. Ndikhe ndaya koogqirha abaninzi abandenzela nto kodwa baye baqokelela imali eninzi noko. Yonke i-chiropractor endiye kuyo indinike isiqabu.
Xa ndijongene nokuthotywa kwe-Medicare, ndiye ndabhenela ukuya e-UCLA kwiimfuno zam zokhathalelo lwempilo kuba njengeyunivesithi yoluntu uthungelwano lwabo lwezempilo lunyanzelekile ukuba luthathe izigulane ze-Medicare. Benza ntoni abantu xa bengenayo iyunivesiti ekufutshane nabo? Kwaye ngenxa yokuncitshiswa kwezibhedlele zophando kule minyaka idlulileyo, ngaba uthungelwano lwezempilo lweyunivesithi luya kukwazi ukugcina?
Kwiveki ephelileyo (ngoMatshi 22) amagqala eLos Angeles abonakalise phambi kwesinye sezibhedlele ze-VA apha. Bame ngelithi urhulumente uzicuthile iinkonzo kangangokuba abasafumani nkathalo ifanelekileyo. Kumagqala wachaza ukuba isebe lamathambo liye lavalwa ngokupheleleyo kwaye iinkonzo yayiliqokobhe lento ababeyiyo ngaphambili.
I-Medicaid ijongene nokuphulwa okubi ngakumbi ekunciphiseni. Iindleko zokhathalelo lwempilo zikaRhulumente zikhula ngelixa ilizwe lijongene nokusilela kwebhajethi efikelela kwi-15 yeebhiliyoni zeerandi ngo-2002. Ngenxa yoko amanye amazwe ahlaba nje inkxaso-mali yokhathalelo lwempilo, ngelixa amanye amazwe efuna ukuguquguquka ngakumbi ukwenza i-tradeoffs kwizibonelelo kunye nokugqithisa. Into abayithethayo KUKUHLANGANISA ngokhathalelo lwempilo kwabo sele bekwinkqubo. Ngelixa amanye amazwe esandisa amanani abantu abanokuthi bafanelekele iMedicaid baceba ukucutha iinkonzo kunye neenzuzo ukwenza indawo yokuba abantu abongezelelweyo bongezwe.
Amanye amazwe acinga ukucutha ukhuseleko lwamayeza amiselweyo kubamkeli beMedicaid. Bangayenza loo nto, akukho mthetho uthi kufuneka bahlawule amayeza. Esinye isicwangciso kukunciphisa ukuba zeziphi iivenkile ezithengisa amayeza ezihlawulwa ngomyalelo we-Medicaid. Oku kuneendawo ezithengisa amachiza ezisongela ukuphelisa iinkonzo zeMedicaid.
Ezinye iirhuluneli zifuna ukuba urhulumente wobumbano enze i-chip kwinkxaso-mali eyongezelelweyo ye-Medicaid kula maxesha okusilela kohlahlo lwabiwo-mali kodwa uGeorge W. Bush uchasene nalo naluphi na unyuso lwexeshana lwenkxaso-mali yeMedicaid yamazwe ngoko ke iirhuluneli zeGOP ziye zakhetha ukungaqhubeki naloo khosi.
Ngexesha leNgxoxo yeNdlu yabaMeli malunga nesisombululo esikwanjalo soHlahlo-lwabiwo-mali, kunyaka-mali ka-2003, ummeli uPete Stark (D-CA) uye wafikelela kumxholo walo mba:
"Mr. Sihlalo, kukho abanye bethu abalikhumbulayo eli hlabathi ngeminyaka yoo-1930, xa uHitler wayemisa iBundestag ukuze abhengeze ingcamango yogcino-mthetho kwaye angavumeli abantu bathethe. Kuyihlazo ukuba amaRiphabhlikhi eNdlu, uMnumzana uSihlalo, athathe ingcamango efanayo kwaye anqabe ithuba lengxoxo kunye nengxoxo evulekileyo yohlahlo lwabiwo-mali. Ithetha nge-fascism; kwaye kubi kakhulu, kuba abantu baseMelika baya kuqonda oko kwaye baqonde ukuba kuqoqosho olukhululekile, nakwilizwe elikhululekile elenza iinkqubo ezifana noKhuseleko lweNtlalo kunye neMedicare kunye nemfundo ekhethekileyo kunye noncedo lwabantwana abaxhomekeke kunye noncedo kubantu abangakwaziyo. ukukhathalela ngokwabo, ngenxa yokukhubazeka, ukuba ukubakhanyela inkathalo ngamanyala.
Ndicinga ukuba kuya kucaca ukuba, ngenxa yaso nasiphi na isizathu, nokuba yintsilelo okanye nayiphi na enye into, ukuba umnqweno omkhulu weqela leRiphabhlikhi kukutshabalalisa iinkqubo kuRhulumente woMdibaniso, ngaphandle kwezo zimbalwa zijoliswe kwizityebi kakhulu. "
Kwi-Beyond Ramps (I-Common Courage Press 1998) ndibonise ixesha elide iinzame ze-Gingrich zexesha le-congressional imizamo yokutshabalalisa okusele kwi-Medicare kunye ne-Medicaid. Ndaqikelela ukuba baya kuziphelisa ezi nkqubo bade batshabalalise isidima senkqubo yokhathalelo lwempilo yoluntu nto leyo ebangela ukuba uluntu luphelelwe lukholo kwezi nkqubo zibaluleke kangaka. Lo mjikelo wamva ngokuqinisekileyo uzimisele ukwenza oko. Oogqirha abala ukuthatha i-Medicare luloyiso olukhulu lobudlelwane boluntu kwiqela le-anti-Medicare.
UGeorge W. unengubo yobunqolobi ukuze aphambukise ingqwalasela yoluntu kumnqweno wombutho wakhe wokutshabalalisa inkqubo yethu yokhathalelo lwempilo yoluntu. Injongo yakhe kukutshintsha iimali zoluntu ukwakha umatshini wemfazwe, inkqubo yoluntu ejoliswe kwabo bazizityebi kakhulu kunye namalungu eqela lakhe. Usekela-mongameli, uMnu. Cheney, waxhamla kwiMfazwe yeGulf kwaye uzimisele ngokuzama enye iMfazwe yeGulf kunye nezinye iimfazwe ezichasene "nezizwe ezikhohlakeleyo." Imfazwe yobunqolobi yindawo egqibeleleyo yokubeka imali kwiipokotho zeekontraka zokhuselo, ezinye ii-Bush cronies kunye nabaxhasi abakhulu kwi-GOP.
"Abantu baseMelika abanalo ilungelo lomgaqo-siseko kukhathalelo lwempilo," owayesakuba nguGqirha wase-US uGqirha C. Everett Koop wathi kwintetho kwiZiko loMhlaza laseHuntsman eSalt Lake City ekuqaleni kukaMatshi.
UKoop wathi uMthetho oYilwayo wamaLungelo wawujonge “ukukhusela abantu kurhulumente, endaweni yokumisela ilungelo lokulindela okuthile kurhulumente.”
Kodwa uvoto lukawonkewonke olubonisa ukuba amanani akhulayo abantu baseMelika bakholelwa ukuba ukhathalelo lwempilo lilungelo elisisiseko.
UKoop uthi, “umntu kufuneka abonelele ngelo lungelo. ... Kuya kubakho ixabiso elinzima kakhulu. " U-Koop uthe i-Medicare "yilabhoratri esebenzayo yokuqaqambisa iingxaki zabantu abaninzi." Uthe ngelixa abantu baseMelika "benoluvo ... lokuba iMedicare ihlawula iindleko zokukhathalela abantu abadala ngaphandle kweendleko kubo," enyanisweni, abantu kufuneka bahlawule kwinkqubo "ixesha elide ngaphambi kokuba bafaneleke." Wongeze ukuba nangona kunjalo, iMedicare ayiquki "iindleko ezininzi zonyango, kubandakanya nemiyalelo."
U-Koop uvumile ukuba iMedicaid “ayisebenzi kangako” ekuboneleleni ngokhathalelo lwempilo kwabo balufunayo. UKoop uthe, “Ukuba kukho ilungelo kukhathalelo lwempilo, kufuneka kubekho umntu obonelela ngalo. Oko kuthetha iintlawulo eziphezulu [okanye] iirhafu eziphezulu okanye zombini.”
Ngokwenyani ithetha nje ukwalathisa izinto eziphambili ngoluntu. Imali sele ikhona.
Mhlawumbi lixesha lokuba sifune ilungelo lomgaqo-siseko lokhathalelo lwempilo. Kubonakala ngathi iya kuba kuphela kwendlela abantu baseMelika abaya kufezekisa ngayo nayiphi na inetha yokhuseleko lwezempilo olufanelekileyo.
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