Umthombo: Jacobin
Imitholampilo yokuhushula izisu eTexas yamangalela ukumisa ukuvinjelwa, kwathi e-Ohio, lapho umyalo wawungacaci kahle, bathi sebevele bayathobela njengoba ukukhishwa kwezisu kungena ngaphansi kwesigaba esibalulekile. Imitholampilo isekelwa yi ehola amaqembu odokotela be-OB-GYN, okwabona lokhu kuhlasela kuza futhi kwachazwa ngo-March 18, “Ukukhipha isisu kuyingxenye ebalulekile yokunakekelwa kwezempilo okuphelele. Futhi iyisevisi ezwela isikhathi lapho ukubambezeleka kwamasonto ambalwa, noma kwezinye izimo izinsuku, kungase kwandise ubungozi noma kukwenze kungafinyeleleki ngokuphelele.”
Yebo, akuphathelene namamaski. Amasosha alwa nokuhushula izisu asebenzisa lo bhubhane njengezaba, kepha umpofu kakhulu, njengoba sebechithe iminyaka engamashumi amabili bevimba ukuhushulwa kwezisu kwamaphilisi ekhaya kanye ne-telemedicine okungaba usizo manje.
Kungani udokotela wezifo zabesifazane noma udokotela ojwayelekile engakwazi ukukubizela incwadi yokukhipha isisu ekhemisi yakho? Asikho isizathu sokuphepha. Lapho iphilisi lokukhipha isisu ekugcineni ligunyazwa ukuthi lisetshenziswe e-United States ngo-2000, i-FDA yalibopha ngemikhawulo eklanyelwe imithi eyingozi kakhulu. Lokhu kwenzelwa ukuhushula izisu ngamaphilisi ngendlela ebiza kakhulu futhi engasizi njengokuhushula izisu ngokuhlinzwa.
I-FDA's Risk Evaluation and Mitigation Strategy (REMS) yephilisi lokuhushula isisu i-mifepristone isho ukuthi amakhemisi adayisayo awakwazi ukugcina iphilisi. Imitholampilo efuna ukuyihlinzeka kufanele i-ode ngokuqondile kumphakeli. Odokotela kufanele bagunyazwe yi-FDA futhi bafake amagama abo ohlwini olutholakala esidlangalaleni (olulungele abangaba ababulali, alubahle kangako kumadokhumenti). Ngaphezu kwalokho, iphilisi lokuqala (i-mifepristone) kufanele linikezwe isiguli mathupha ngudokotela. Amaphilisi alandelayo e-misoprostol aqeda ukukhipha isisu aphuzwa kamuva ekhaya.
Njengoba imitholampilo iyivelakancane futhi odokotela abahushula izisu beyindlala, eminye imitholampilo isungule izindlela zokwelashwa nge-telemedicine. Udokotela uthintana nesiguli ku-inthanethi abese ehlangabezana nezidingo ze-FDA ngokuvula ekude ikhabethe elinephilisi ukuze umhlengikazi osendaweni akwazi ukulinikeza isiguli. Kodwa izishayamthetho ezimelene nokuhushulwa kwezisu ezifundazweni eziningana ziye zawuvala umthetho ngisho nalolu hlelo lokusebenza. Ezifundeni lapho kusemthethweni, a isifundo se-telemedicine amaphilisi okukhipha isisu ayaqhutshwa. Ukuba yingxenye yocwaningo kungenye yezindlela zokuthola amaphilisi manje.
Amaqembu alwa nokuhushula izisu ayazi ukuthi izikhundla zawo ziyantengantenga ngesikhathi sobhubhane. Bona ukuphakanyiswa ukuthi abaphathi bakaTrump "baqinisekisa ukuthi ukuhushulwa kwezisu nge-telemedicine akunwetshwa ngesikhathi senhlekelele futhi kugcinwe imikhawulo ye-FDA ekukhipheni isisu ngamakhemikhali."
Noma kunjalo, ukuhlinzekwa okuphephile kobhubhane kokuhushula izisu ngamaphilisi kuthikamezwa ezweni lonke ngemfuneko ye-FDA's REEMS. Ngaphandle kwayo, ungabiza udokotela noma umtholampilo, bangabhala incwadi kadokotela bese uyibiza ekhemisi lakho, bese uthola amaphilisi lapho noma baze bakuthumelele yona ngeposi.
Ukufinyelela kosizo, iqembu elizinze e-Austria, lizama ukulinganisa lokhu okwenziwa ezigulini zase-US. Leli qembu liyigatsha le-Women on Web, elihlinzeka ngamaphilisi okuhushula izisu emhlabeni wonke emazweni lapho ukukhipha isisu kungekho emthethweni. Udokotela wezifo zabesifazane u-Rebecca Gomperts waqala Ukufinyelela Kosizo ngokukhethekile kulabo abathintwe imithetho evimbelayo yase-United States. I-Aid Access inikeza ukubonisana okukude bese inikeza incwadi kadokotela, egcwaliswe ikhemisi e-India futhi ithunyelwe esigulini saseMelika. Bacela cishe u-$85 (uma kuqhathaniswa nesilinganiso sama-$350 sokukhipha isisu ku-trimester yokuqala e-United States) kodwa bayekele amacala obunzima.
I-FDA yazama ukuvala i-Aid Access ngoMashi ka-2019, kodwa yaqasha ummeli wase-US futhi. uphendule ngoMeyi ukuthi inkonzo izoqhubeka. Kodwa-ke, ezinsukwini ezimbalwa ezedlule, i-coronavirus ivimbe ukusebenza kwabo njengoba izindiza eziphuma eNdiya zimisiwe.
Izingosi ezimbalwa ze-inthanethi zezimakethe ezimpunga zisahlinzeka ngamaphilisi okwamanje. Iwebhusayithi Hlela C ihlinzeka a ikhadi lemibiko kumasayithi ahlinzeka ngamaphilisi ku-inthanethi. Futhi ephuzwini, iphilisi lesibili lenhlanganisela, i-misoprostol, lisebenza ngamaphesenti angama-85 ukuhushula isisu lilodwa (izincomo ze-WHO zemiyalo yokudosa lapha). I-Misoprostol itholakala kalula eMexico futhi njengomuthi kadokotela e-United States ukuvikela isisu sakho uma uthatha imithi evamile elwa nokuvuvukala njenge-ibuprofen (Advil).
Bese kuba nezingosi ezilwela amalungelo abantu besifazane ezinganikezi amaphilisi kodwa ezinikeza isiqondiso. Ngaphandle kwePlan C, kukhona Abesifazane Siza Abesifazane eye yasungula uhlelo lokusebenza lwefoni olubizwa ngokuthi Euki. I-Hesperian Health Guides iphinde yasungula uhlelo lokusebenza, oluklanyelwe ukusetshenziswa emhlabeni jikelele.
Impi Yezizukulwane
U-Imani Gandy uyichaze kahle impendulo yaseTexas ye-COVID-19 njenge “Vimbela Ukukhipha Isisu, Ubulale Ugogo” ngemuva kokuthi uMbusi waseTexas uLieutenant uDan Patrick ephakamise ukuthi wonke umuntu kufanele avele abuyele emsebenzini futhi abadala bangavuma ukuzifaka engozini yokufa ngenxa “yokugcina iMelika ethandwa yiMelika.” Wakuphikisa lokho: lapho uPatrick evikela imithetho yaseTexas evimbela ukukhipha isisu, waqhubeka nokuthi ukuphila kuyigugu kangakanani kumaKristu.
Yebo, insumansumane yokuthi abantu abadala kuphela abayogula futhi bafe ayilungile, kodwa izuzisa abaqashi abazama ukugcina abantu abadala besebenza emsebenzini — ungakhathazeki, ngeke ufe! Okubi nakakhulu, kubukela phansi ubumbano lomphakathi esiludingayo ukuze sibhekane nalokhu ndawonye.
Inkulumo ethi "pro-life" inobuzenzisi, kodwa izinqubomgomo aziguquki. Baveza ukuchema kwenhlangano yonxiwankulu kubantwana (umthombo womsebenzi nenzuzo yesikhathi esizayo) kanye nakubasebenzi bakudala (abathathe umhlalaphansi nabathathwa njengezindleko ezingafuneki). Njengoba izinga lokuzalwa lase-US lehlile eminyakeni engamashumi amane edlule, izikhungo zokucabanga bezikhononda ngokuthi izwe ligugile kakhulu.
Elungiselela ukuhlaselwa kweSocial Security ngo-2017, isikhulumi seNdlu ngaleso sikhathi uPaul Ryan wathi, “Ama-Baby Boomers athatha umhlalaphansi futhi sinabantu abambalwa abawalandelayo emsebenzini…. Kufanele sibe nezibalo eziphezulu zokuzalwa kuleli.”
UScott A. McMillan, ummeli waseLa Mesa, eCalifornia, udale intukuthelo lapho efingqa izifiso zonxiwankulu kahle, ebhala ku-Twitter ngoMashi 23: “Inkinga enkulu ukuthi sizowufaka yini wonke umnotho ukuze sisindise u-2.5% wabantu (1) ngokuvamile kuyabiza ukuyinakekela, futhi (2) akukhiqizi.”
URyan kanye noMcMillan bahambisana nokuthatheka kwezinhlaka zongxiwankulu ezifisa ukwanda kwesibalo sabantu abasha njengesisusa sokukhula komnotho. Ngaleso sikhathi, izinhlelo zokufaneleka - Social Security and Medicare - ziyizindleko abazimisele ukuzichitha.
Abazimisele ngokufaka imali kukho, wukunakekelwa kwezingane, ezempilo, nekhefu elikhokhelwayo elingenza kube lula ukuthi abesifazane bathole izingane uma bethanda futhi baqede ukukhulelwa uma bengakwenzi.
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