Umthombo: The Hill
Ubufakazi buyachichima: Uhlelo lwe-โMedicare for Allโ lomkhokhi oyedwa luzoqinisekisa ukuhlinzekwa okuphelele kwawo wonke umuntu waseMelika futhi longe imali.
UChristopher Cai kanye nozakwabo emakhempasi amathathu eNyuvesi yaseCalifornia bahlole izifundo ezingama-22 ngomthelela wezindleko ohlongozwayo womshwalense wezempilo okhokha oyedwa e-United States futhi babika abakutholile ephepheni lakamuva elithi. I-PLOS Medicine. Lonke ucwaningo olulodwa lwabikezela ukuthi luzoletha ukonga yonke iminyaka eminingana. Eqinisweni, iyona ndlela kuphela yokuqinisa ukusetshenziswa kwemali yokunakekelwa kwezempilo kakhulu e-US
Zonke izifundo, ngokunganaki umumo wombono, zibonise ukuthi ukonga izindleko zesikhathi eside kungenzeka. Ngisho ne Isikhungo seMercatus, ithangi lokucabanga elingakwesokudla, lisanda kuthola cishe ama-dollar ayizigidi eziyizigidi eziyizinkulungwane ezimbili ekongeni yonke iminyaka eyi-2 ohlelweni olukhokha oyedwa lwe-Medicare for All. Okubaluleke kakhulu, wonke umuntu waseMelika angaba nokunakekelwa kwezempilo okusezingeni eliphezulu.
I-Medicare for All ibiza kancane kakhulu kunesistimu yethu yamanje ikakhulukazi ngoba yehlisa izindleko zokuphatha. Ngohlelo olulodwa lomphakathi lokuxoxisana ngamanani nabahlinzeki bezempilo, ukukhokha kuba lula kakhulu. Siqeda izingxenye ezintathu kwezine elinganiselwa ku-$812 billion i-US manje eyichitha ekuphathweni kokunakekelwa kwezempilo.
Izindleko zokuphatha ziphezulu kakhulu ngoba izinkulungwane zezinkampani zomshwalense ngazinye zixoxisana ngemithetho yezinzuzo namazinga nezinkulungwane zezibhedlela nodokotela. Ngaphezu kwalokho, bathembele ezinqubweni ezihlukene zokukhokha - futhi lokhu kubeka umthwalo obiza kakhulu kubahlinzeki.
Ukulondolozwa kokuphatha okuvela ku-Medicare for All kuzoba cishe $ 600 billion unyaka. Ukonga emithini kadokotela kungaba phakathi kuka-$200 wezigidigidi namaRandi ayizigidi eziyizinkulungwane ezingu-300 ngonyaka, uma sikhokha cishe inani elifanayo namanye amazwe acebile akhokhela izidakamizwa zawo. Uhlelo lwe-Medicare for All luzokonga okwengeziwe ngokuqaliswa isabelomali sokusetshenziswa kwezimali zokunakekelwa kwezempilo emhlabeni jikelele.
Ukonga okwengeziwe kungenzeka ohlelweni lwe-Medicare for All ngoba, njengawo wonke amanye amazwe acebile, singaba nohlelo olufanayo lwamarekhodi ezempilo kagesi. Isistimu enjalo idala ukonga okwengeziwe ngoba izinkinga zesistimu kungaba lula ukuzibona nokuzilungisa. Isistimu yedatha yezicelo ezifanayo isiza ukunciphisa ukusetshenziswa kokunakekelwa kwezempilo kumasevisi omgunyathi. Ngo-2018, Izindleko zokunakekelwa kwezempilo zase-US ziphelele zazingama-dollar ayizigidi eziyizinkulungwane ezingu-3.6, emele amaphesenti ayi-17.7 e-GDP.
Ukonga ngokwengxenye kuwumsebenzi wezinzuzo ze-Medicare for All cover. Umbiko weMercatus nabanye ukonga okucatshangelwayo, ngisho nangokususwa kwemali edonswayo kanye nezindleko eziphuma ephaketheni. Ngaphansi kokubili kweSen. UBernie Sanders's (I-Vt.) I-Medicare for All bill kanye no-Rep. Pramila Jayapal's (D-Wash.) I-Medicare for All bill, iziguli ngeke zikhokhe imali edonswayo noma i-coinsurance lapho zithola usizo lwezokwelapha. Izikweletu zabo ziphinde zihlinzekele ukubona, ukuzwa nokunakekelwa kwamazinyo, kanye nezinsizakalo zesikhathi eside nezisekelo, njengokunakekelwa kwasekhaya nokunakekelwa kwasekhaya labahlengikazi.
Kungakhathaliseki ukuthi uluklama kanjani uhlelo lomshwalense wezempilo womphakathi okhokha oyedwa, luzoba nezindleko zokunakekelwa kwezempilo eziphansi, inqobo nje uma abahlinzeki bomshuwalense wezempilo obenza inzuzo abazimele bengasekho ukuze banyuse izindleko zokunakekelwa kwezempilo. Yebo, kuyiqiniso ukuthi amanye amazwe acebile athembele โkuzinkampani zomshwalense ezizimeleโ ukuze zinikeze izinzuzo futhi zichithe imali encane kakhulu kunaleyo esiyisebenzisa ekunakekeleni. Kodwa, le mishwalense ayisebenzi nganoma iyiphi indlela njengomshwalense wezempilo e-US
Amanye amazwe acebile abeka cishe yonke ingxenye yomshwalense wezempilo abantu abayitholayo, okuhlanganisa lokho okukhavwe, okukhokhwayo, nezindleko zabantu eziphuma ephaketheni - konke kuyafana kuwo wonke umuntu. Abadayisi bomshwalense basebenza njengabacubunguli bezicelo noma abakhokhi bezikweletu. Balandela ukufakwa nemithetho yokukhokha ebekwe uhulumeni, akufani nezinkampani zomshwalense wezempilo ezizimele e-US ezijabulela ukuhlukahluka kwemikhiqizo (funda: inkimbinkimbi nokudideka).
Futhi, uma ucabanga ukuthi ukuba nesiqinisekiso sikahulumeni wobumbano kubo bonke abantu baseMelika kuyinto enkulu, empeleni akunjalo. Uhulumeni usezikhokhela cishe izingxenye ezimbili kwezintathu zezindleko zokunakekelwa kwezempilo. Phakathi kwezinye izinto, ikhokhela i-Medicare, i-Medicaid, i-VA, i-TriCare kanye nezinhlelo eziningi zokunakekelwa kwezempilo zikahulumeni nezendawo, kanye nomshuwalense wangasese wabasebenzi bakahulumeni kanye noxhaso lwentela lomshwalense wangasese.
Kungakhathaliseki ukuthi uyibiza ngokukhokha oyedwa noma i-Medicare for All, akulona iphupho elithile le-socialist. Kuyindlela enengqondo, esebenzayo, futhi esebenzayo yokuqinisekisa umshuwalense wezempilo oncomekayo kuwo wonke umuntu.
U-Diane Archer ungumeluleki omkhulu kwaSocial Security Works.
I-ZNetwork ixhaswa kuphela ngokuphana kwabafundi bayo.
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