Ukuboniswa kwiCongress malunga nekamva leenkqubo zentlalo eziza kubonelela ngokukhululeka okufunekayo kubantu abasebenzayo kungene kwisigaba esinzima. Uhlahlo lwabiwo-mali olucetywayo lwenkcitho yentlalontle, exabisa i-3.5 yeebhiliyoni zeedola, iphantsi kohlaselo oluqatha oluvela kwiRiphabhlikhi kunye neDemokhrasi yaphiko lasekunene. Iintshukumo zabantu kuya kufuneka zifake uxinzelelo olumandla ukuze kunyanzeliswe ukugqithiswa kolu tshintsho lungxamisekileyo.
Uhlahlo lwabiwo-mali lumiselwe ukuba lupasiswe kusetyenziswa inkqubo ebizwa ngokuba lulungelelwaniso lohlahlo lwabiwo-mali. Uxolelwaniso lwebhajethi lusetyenziswa ngabademokhrasi ukuba badlule ifilibuster, umthetho wangaphakathi weSenethi ofuna iivoti ezingama-60 ukuze kudlule iibhili. Ukusebenzisa ulungelelwaniso lohlahlo lwabiwo-mali, iiDemokhrasi zidinga kuphela iivoti ze-51 ukuze zidlulise uhlahlo lwabiwo-mali kwi-Senate. Nge-Vice-President Kamala Harris njenge-tie-breaker xa kwenzeka ivoti ye-50-50, oko kuthetha ukuba iinkqubo ezibalulekileyo zentlalo eziqwalaselwayo zingagqithiswa ngaphandle kwevoti enye yeRiphabhlikhi.
Owona mqobo ke ngoko ngamalungu eDemocratic Party ngokwayo. Iisenenja zeDemokhrasi uJoe Manchin kunye noKyrsten Sinema baye bavela njengamanani aphambili azama ukucotha kwaye ekugqibeleni bamise ukugqithiswa kohlahlo lwabiwo-mali.
Kukho iindlela ezifumanekayo kwiinkokheli zeDemokhrasi ezinokuthi ziqeqeshe uManchin kunye neSinema, kubandakanywa nemingeni ephambili, isithembiso semali yephulo le-zero kwiKomiti yeSizwe yeDemokhrasi, "hayi" iivoti kuwo nawuphi na umthetho wabo oxhaswe ngemali, kunye nokugxothwa kwizabelo zekomiti. Umbutho wabantu ozimeleyo uyafuneka ukubonelela ngoxinzelelo ukuba ubunkokeli beqela leDemocratic Party bubuthathaka kakhulu ukuba bubuvelise.
Enyanisweni, ayiphelelanga nje ekubeni iDemocratic Party elite isilele ukuzisa amalungu ayo emgceni, ikwasilele ngokupheleleyo ukunxibelelana noluntu ngokwaneleyo ngokubaluleka kokupasiswa kolu hlahlo lwabiwo-mali lwenkqubo yoluntu. Amanyathelo aqulethwe kuyo athandwa kakhulu kwaye ajongana neenkxalabo ezingundoqo zabasebenzi.
Amanyathelo okunceda abasebenzi
Kwisakhelo sokuqala esikhutshwe yiNdlu yeeNgwevu kwinyanga ephelileyo esiqale ngokusesikweni inkqubo yohlahlo lwabiwo-mali, amaphulo emfundo agqame kakhulu. I-726 yeebhiliyoni zeerandi imiselwe ukuba yabelwe iKomiti yezeMpilo, iMfundo, iMisebenzi kunye neMhlala-phantsi eza kusetyenziselwa ukumisela i-pre-Kindergarten ye-universal free, ikholeji yoluntu yasimahla, imali eyandisiweyo kwiikholeji zembali eziMnyama kunye neeyunivesithi, kunye nokwandiswa kwezibonelelo zePell. I-35 yeebhiliyoni zeerandi ibekelwe bucala ukuphuhlisa iinkqubo zesondlo sabantwana esikolweni ukuze kuqinisekiswe ukuba izigidi zabantwana abongezelelekileyo zifumana ukutya simahla.
Amakhulu eebhiliyoni zeerandi aya kwabelwa amanyathelo okusingqongileyo kuquka iinkqubo zokunciphisa ukutsha kwamahlathi, ukulwa nembalela, nokuphuhlisa imithombo yamandla ohlaza. Inkxaso-mali yamandla ohlaza evela kuhlahlo lwabiwo-mali iya kujolisa ekunciphiseni ukukhutshwa kwekhabhoni ngama-50% kunye nokuphucula iziseko zophuhliso ukuze kuqinisekiswe ukuba i-80% yegridi yamandla iqhuba kwimithombo “esimahla” ngo-2030.
Iintsapho ezihlwempuzekileyo ziya kufumana uncedo olukhulu. I-332 yeebhiliyoni zeerandi kulindeleke ukuba ityalwe kwiinkqubo zezindlu ezibandakanya ukuphuculwa kwezindlu zoluntu kunye nokwandisa izibonelelo zeentsapho ezinemivuzo ephantsi neziphantsi kakhulu ukuze zithenge amakhaya. Kwinzuzo enkulu kwiintsapho ezihluphekileyo, intlawulo yerhafu yexeshana iya kwenziwa isisigxina nto leyo eya kubangela ukuba amakhaya afumane isheke ye-$300 ngenyanga ngomntwana ongaphantsi kweminyaka emithandathu kunye ne-$250 yetshekhi yenyanga kubantwana abangaphezu kweminyaka emithandathu.
Ezempilo ngomnye umba ophambili ongundoqo kuhlahlo lwabiwo-mali olucwangcisiweyo. Bonke abasebenzi baya kufumana ikhefu lokugula eliqinisekisiweyo. Abasebenzi ekugqibeleni baya kuqinisekiswa ngelungelo lekhefu losapho, into ekhoyo phantse kuwo onke amazwe aphuhlileyo kodwa ngelihlazo hayi eMelika. Iingxoxo ziyaqhubeka ukugqiba ukuba i-Medicare coverage kufuneka yandiswe ukubandakanya umbono wamahhala, ukuva, kunye ne-inshurensi yamazinyo okanye ukuba endaweni yoko i-Medicaid kufuneka yandiswe ukuze iquke amazwe abo oorhulumente baphume kwi-Medicaid yokwandisa kwi-Affordable Care Act. Endaweni yokokuba/okanye kuqwalaselwe, zombini kufuneka zixhaswe ngemali ngokupheleleyo kwaye zandiswe.
Ukubawa okukhulu kwe-pharma vs. Medicare
Enye yeempendulo eziqikelelwayo ezivela kubantu baseRiphabhlikhi, ababizwa ngokuba ziiDemokhrasi “eziphakathi”, kunye nemithombo yeendaba yenkampani ithi, "urhulumente uza kuyihlawula njani le nto?" Kubalulekile ukuqaphela ukuba ngelixa le nkcaso isoloko iphakanyiswa ngokuchasene neenkqubo ezinceda abasebenzi, iinkxalabo ezifanayo zezemali azizange ziphakanyiswe ngokuchasene nohlahlo lwabiwo-mali lwemfazwe olufikelela malunga ne-1 yezigidigidi zeedola ngonyaka-imali engayi kumahlwempu kodwa kwizityebi ngokumangalisayo. iikomishini zoshishino lwezixhobo.
Kodwa nangona kunjalo, uhlahlo lwabiwo-mali lwenkqubo yezentlalo luyawuphendula lo mbuzo ngokunyuka kwerhafu kwizityebi kunye namaqumrhu. Enye indlela eya kwenza ingeniso kukunciphisa inkcitho ye-Medicare ngokunciphisa iindleko zamaxabiso amayeza kagqirha. Ngo-2020 amaxabiso amayeza amiselweyo anyuke kabini ngokukhawuleza kunomlinganiselo wokunyuka kwamaxabiso. Abaxhamli beMedicare ngoku bachitha umyinge we-650 yeedola zemali yabo ngonyaka kumayeza kagqirha. Konke oku kuhambelana neepokotho zongxowankulu bamashishini amayeza.
Ukujongana nale meko, uhlahlo lwabiwo-mali luya kudala imithetho eyalela i-Medicare ukuba ithethe ngamaxabiso amachiza kunye neenkampani ezixuba amayeza. Phantsi kwesicwangciso, amaxabiso amachiza aya kuthi anyukele kwi-120% yemali ehlawulwa ngamanye amazwe aphuhlileyo kumayeza afanayo. Iinkampani ezingathobeliyo ziya kubethwa kukunyuka kwerhafu kakhulu. Esi sicwangciso asiyi kuphucula kuphela umgangatho wokunakekelwa kwabamkeli be-Medicare kodwa siya kukhulula i-450 yeebhiliyoni zeedola eziya kuchithwa endaweni yokwandisa i-Medicare kunye / okanye i-Medicaid.
Abaxhasi beshishini lamayeza bazama ngamandla ukuqinisekisa ukuba inkomo yabo yemali ayixhelwa. Isixa semali esichithwe ngumzi mveliso wamachiza kwi-lobbying ngo-2021 ukuza kuthi ga ngoku simi kwi-171 yezigidi zeedola, kulandela i-309 yezigidi zeerandi ngo-2020. Le nkqubo yokunyoba ngokusemthethweni, apho iinkampani ezinkulu zithenga ukunyaniseka kwezopolitiko, ihlawula izabelo. . Ummeli weDemokhrasi uScott Peters, ofumene imali eninzi kwi-pharma enkulu ekulungiseleleni umjikelo wokhetho lwe-2022, ukhokelela ekuhlawuleni ukuhla kwexabiso le-Medicare.
UPeter, uManchin, uSinema kunye nabalingane babo baye bazibonakalisa ngendlela emangalisayo ukuba baziintshaba ezifungelweyo zabasebenzi. Bakulungele ukwenza umgama omde ukuze bakhanyele ngenkohlakalo amahlwempu ubomi obunesidima nokukhusela ubutyebi bezityebi nangaziphi na iindleko. Kodwa njengalo naluphi na utshaba lwabasebenzi, bangoyiswa emzabalazweni.
I-ZNetwork ixhaswa ngemali kuphela ngesisa sabafundi bayo.
Nikela