UTrump uthembise ukuba uza kuphinda alawule amaxabiso eziyobisi. Yayikuphela kwesithembiso sakhe sephulo esinengqondo.
Kodwa isicwangciso awasibhengezayo ngolwesiHlanu asenzeli kancinci kodwa songeza enye inqanam yokubetha kwimfazwe yakhe yezoqoqosho eqhubekayo ngokuchasene namahlakani aseMelika.
Uyibiza ngokuthi "izigulana zaseMelika kuqala," kwaye ujonge kwinto ayibiza ngokuba "kukukhulula ngaphandle." Esi sicwangciso siza kucinezela amazwe angaphandle ukuba anyenyise ulawulo lwawo lwamaxabiso amachiza.
Amaqabane ezorhwebo aseMelika "kufuneka ahlawule ngaphezulu kuba esebenzisa ulawulo lwamaxabiso ezentlalontle, ulawulo lokufikelela kwiimarike, ukufumana amaxabiso angafanelekanga," utshilo u-Alex Azar, unobhala kaTrump wezeMpilo kunye neeNkonzo zoLuntu, owathi, mhlawumbi ngengozi, wayesisigqeba esiphezulu. kumenzi weziyobisi u-Eli Lilly kunye neNkampani.
Ngolu luvo luthuthunjiswayo, ukuba ezinye izizwe zivumela iinkampani zamachiza ukuba zibize nantoni na eziyifunayo, iinkampani zamachiza zase-US ziya kuthi emva koko zithobe amaxabiso e-United States.
Oku akunangqiqo. Ingathetha nje inzuzo eninzi kwiinkampani zamachiza zase-US. (Ngokucacileyo, amaxabiso esitokhwe kwiinkampani zamayeza ase-US aphakama emva kokuba uTrump ebhengeze isicwangciso sakhe.)
Nangona kuyinyani ukuba abantu baseMelika bachitha ngakumbi kumayeza ngomntu ngamnye kunabemi abakwelinye ilizwe elityebileyo - nangona abantu baseMelika bengaphilanga - oko akubangelwa kukuba ezinye izizwe zikhuphela mahala kuphando lweenkampani zamachiza zaseMelika.
I-Big Pharma eMelika ichitha ngaphezulu kwintengiso kunye nentengiso kunokuba isenza kuphando - rhoqo amashumi ezigidi ukukhuthaza ichiza elinye.
Urhulumente wase-US ubonelela ngophando oluninzi oluxhomekeke kwi-Big Pharma ngamaZiko ezeMpilo eSizwe. Olu luhlobo lwentlalo-ntle yenkampani olungekho olunye ushishino olufumanayo.
Iinkampani zaseMerika zikwachitha amakhulu ezigidi ziphembelela urhulumente. Kunyaka ophelileyo kuphela, ithebhu yabo yokuphembelela yafika kwi-171.5 yezigidi zeedola, ngokweZiko lezoPolitiko eziphendulayo.
Oko kungaphezulu kwe-oyile negesi, i-inshurensi, okanye nayiphi na enye imboni yaseMelika. Ingaphezulu kwenkcitho eyoyikisayo yokuphembelela iikontraka zomkhosi waseMelika. IBig Pharma ichitha amashumi ezigidi ngaphezulu kwiinkcitho zephulo.
Bachitha imali eninzi kwezopolitiko ukuze baphephe ukulawulwa kwamaxabiso, njengoko kunjalo kwezinye izizwe ezininzi, kunye namanye amalinge karhulumente okuthintela ingeniso yabo eyoyikekayo.
Umzekelo, ngo-2003, i-Big Pharma yafumana umthetho wase-US owalela urhulumente ekusebenziseni i-bargaining ephantsi kwe-Medicare kunye ne-Medicaid ukuthethathethana ngamaxabiso aphantsi amachiza. Amanye amazwe anezicwangciso ezinkulu zokhathalelo lwempilo ahlala ethethathethana ngamaxabiso aphantsi amachiza.
Ngexesha lephulo lakhe uTrump wathembisa ukuwuguqula lo mthetho. Kodwa isicwangciso asityhile ngolwesiHlanu akasichukumisi. Isicwangciso sikaTrump sijonge kuphela ukwenza kube lula kwii-inshurensi zempilo yabucala ukuba bathethe ngezivumelwano ezingcono zabaxhamli beMedicare.
Ngokwenyani, ii-inshorensi zempilo zabucala azinandawo kufutshane nefuthe le-Medicare kunye ne-Medicaid - eyona nto yayiyinjongo yokuba i-Big Pharma ifumane iCongress ukuba ivale uthethathethwano olunjalo kwasekuqaleni.
Kule minyaka imbalwa idlulileyo, iinkampani zamachiza zase-US zikwathintele abantu baseMelika ukuba bafumane iyeza eliphantsi lexabiso eliphantsi elivela eCanada, besebenzisa impikiswano engenangqondo yokuba abantu baseMelika abanakuthembela kukhuseleko lwamachiza avela kummelwane wethu osemantla- anemigangatho yobuncinci njenge. phezulu njengeyethu.
Isicwangciso esitsha sikaTrump asitshintshi oku, nokuba.
Ukubeka konke oku ngenye indlela, xa abantu baseMelika bethenga iziyobisi eUnited States, bathenga ngenene ipakethe yentengiso, yokuthengisa, kunye nefuthe lezopolitiko. Abathengi kwezinye izizwe abazihlawuli ezi ndleko. Nto leyo ecacisa inxalenye enkulu yokuba kutheni amaxabiso amachiza ephantsi kumazwe aphesheya. Isicwangciso sikaTrump esibizwa ngokuba sisicwangciso sokuthoba amaxabiso eziyobisi siyayigatya le nyaniso.
Isicwangciso sikaTrump siyawaphula amandla awodwa eenkampani ezixuba amayeza e-US, kodwa akajongani nenyaniso esembindini yokuba amalungelo awodwa abenzi bamachiza kufuneka aqhube iminyaka engamashumi amabini kuphela kodwa baye baphuhlisa inkitha yamaqhinga okugcina amalungelo awodwa omenzi wechiza edlula ngoko.
Olunye kukwenza utshintsho olungenamsebenzi kaninzi kumachiza abo anelungelo elilodwa lomenzi anele ukuvusa amalungelo awodwa abenzi bamachiza kwaye ngaloo ndlela kuthintelwe oosokhemesti ekutshintsheni iinguqulelo zamayeza enziwe afana nalawo aveliswe ngabenzi asezantsi.
Phambi kokuba i-patent yayo iphelelwe nguNamenda, ichiza elisetyenziswa kakhulu ukunyanga i-Alzheimer's, Forest Labs umemezele iyakuyeka ukuthengisa ithebhulethi esele ikhona ixhasa iicapsules ezikhutshiweyo ezintsha ezibizwa ngokuba yi-Namenda XR. Nangona i-Namenda XR yayiluguqulelo oluhlaziyiweyo lwethebhulethi, intshayelelo ithintele iinguqulelo zegeneric ukuba zingeniswe.
Ezinye izizwe aziwavumeli amalungelo awodwa abenzi bamachiza ukuba bandiswe ngezizathu ezingephi. Icebo likaTrump alilichukumisi eli qhinga.
Elinye iqhinga elisetyenziswe ziinkampani zamachiza e-US ibe kukumangalela amayeza enziwe afana nalawo aveliswe ngabenzi ukubathintela ekuthengiseni iinguqulelo zabo ezinexabiso eliphantsi, emva koko balungise amatyala ngokuhlawula amayeza enziwe afana nalawo aveliswe ngabenzi ukulibazisa ukwazisa ezo nguqulelo zinexabiso eliphantsi.
Ezo zivumelwano "zokulibazisa" azikho mthethweni kwezinye izizwe, kodwa unyanzeliso lwe-antitrust aluzange lubabeke umnwe eMelika - kwaye uTrump akazikhankanyi nangona zibiza abantu baseMelika imali eqikelelwayo. $ 3.5 billion unyaka.
Nasemva kokuba amalungelo awodwa abenzi abenzi ephelelwe lixesha, iinkampani zamachiza zase-US ziqhubeleka ngokuhlasela ngamandla iibrendi zazo ukuze izigulane zibabuze koogqirha bazo endaweni yeenguqulelo zegeneric. Oogqirha abaninzi bayayithobela.
Ezinye izizwe azikuvumeli ukuthengiswa ngokuthe ngqo kwamayeza kagqirha – esinye isizathu sokuba kutheni amaxabiso ehle apho kwaye engaphezulu apha. Isicwangciso sikaTrump sithe cwaka kule nto, nayo. (UTrump ucebisa ukuba abathengisi beziyobisi bafuneke bathumele amaxabiso amachiza abo, asele beyingcaphephe yokuwafihla.)
Ukuba uTrump ebenyanisekile ngokwehlisa amaxabiso eziyobisi bekuya kufuneka athathe abenzi bamachiza baseMelika.
Kodwa uTrump akafuni ukuthatha iBig Pharma. Njengoko bekuqhelekile kuye, endaweni yokujongana nomdla wemali eMelika ukhetha ukugxeka abantu basemzini.