Izidakamizwa zishibhile. Kunezidakamizwa ezimbalwa ezingathengisa ngaphezu kuka-$5-$10 incwadi kadokotela emakethe yamahhala. Nokho, imithi eminingi e-United States ithengiswa ngamakhulu amadola ngencwadi ngayinye kadokotela futhi ngezinye izikhathi izinkulungwane ezimbalwa zamaRandi ngencwadi ngayinye kadokotela. Kunesizathu esilula saleli qiniso: ukugunyazwa kwegunya lobunikazi okunikezwe uhulumeni.

Uhulumeni unikeza ama-patent monopolies ukuze ahlinzekele izinkampani zezidakamizwa ukuthi ziqhube ucwaningo. Lena indlela ebuyela emuva ngendlela emangalisayo futhi engasebenzi kahle yokukhokhela ucwaningo. Kusishiya sikhokha izindodla zemali ngemithi eshibhile. Ngokuvamile kuholela emithini emibi.

Singenza kangcono futhi uSenator Bernie Sanders uhlongoze indlela. Wethule umthethosivivinywa wokudala isikhwama semiklomelo esizothenga amalungelo obunikazi, ukuze izidakamizwa bese zidayiswa ngentengo yazo yemakethe yamahhala. Umthethosivivinywa ka-Sanders uzofanelekela amaphesenti angu-0.55 e-GDP (cishe amaRandi ayizigidi eziyizinkulungwane ezingu-80 ngonyaka, nosayizi wamanje wezomnotho) ukuze kuthengwe amalungelo obunikazi, azobekwa endaweni yomphakathi ukuze noma yimuphi umkhiqizi akwazi ukuwasebenzisa ngaphandle kwezindleko.

Le mali izovela enteleni kubadayisi bomshwalense bakahulumeni nabazimele. Ukonga emithini yezindleko eziphansi kuzokhokha ngokushesha ngaphezu kwamaphesenti ayi-100 entela.

Izwe kulindeleke ukuthi lisebenzise cishe izigidigidi zamaRandi angu-300 ukuthenga imithi kadokotela kulo nyaka. Amanani azokwehla acishe abe ingxenye eyodwa kweshumi yalesi samba uma kungekho ukugunyazwa kwelungelo lobunikazi, okuholela ekongeni okungaphezu kwezigidigidi ezingama-250 zamaRandi. Ukonga ezintengo eziphansi zezidakamizwa kufanele kudlule kalula usayizi wentela, kushiye ukwehla okukhulu kwezindleko kuhulumeni nakubadayisi bomshwalense abazimele.

Umthethosivivinywa wesikhwama semiklomelo yakwaSanders uzofinyelela kude ekuqedeni izinkinga ezigcwele imboni yezidakamizwa. Okokuqala, bekuzoqeda umbhedo wokuthola izinkampani zomshwalense noma uhulumeni akhokhele izidakamizwa. Uma izidakamizwa zibiza u-$5-$10 ngencwadi ngayinye kadokotela, ngeke kube nezinkinga ezinkulu mayelana nokuthi ubani okhokhela izidakamizwa. Lokhu kuzoqeda isidingo samaphepha kanye nokuphathwa kwebhizinisi okusungulwe yimboni yomshwalense ukuze kuqukethe izinkokhelo zayo zezidakamizwa.

Sizophinde siqede izingqinamba zokuziphatha mbumbulu esizidalela zona ngamalungelo obunikazi ezidakamizwa. Ingabe i-Medicare kufanele ikhokhe ama- $ 100,000 ngonyaka ngomuthi wokwelapha umdlavuza ongandile kumuntu oneminyaka engama-80 ophile saka? Le ngqinamba iba yinto esheshayo engenangqondo lapho umuthi utholakala ngama-$200 ngonyaka emakethe yamahhala ngaphandle kokuvikelwa kwelungelo lobunikazi.

Isikhwama semiklomelo yakwaSanders singase futhi siqede imikhuba eminingi yokuthengisa ekhohlisayo manje esetshenziswa imboni ukuze iphushe izidakamizwa zayo, yeqe izinzuzo zezidakamizwa zayo futhi ifihle imiphumela engemihle engase ibe yingozi. Akuvamile ukuthi kuphele inyanga kungekho hlazo ngale migqa. Uma izinkampani zezidakamizwa zingasakwazi ukuthola izigidi zezigidi zenzuzo ngokumaketha okunjalo okukhohlisayo, bezingeke zikwenze.

Kungase futhi kunciphise udoti omningi ohlelweni lwamanje locwaningo. Izinkampani zezidakamizwa zivame ukuchitha imali enkulu zenza imithi ye-copycat enenani elincane lezokwelapha, kodwa engazivumela ukuthi zithole ingxenye yerenti yelungelo lobunikazi lezimbangi.

Isikhwama semiklomelo yakwaSanders akusona ukuphela kwendlela engasetshenziswa esikhundleni samalungelo obunikazi ukuze kusekelwe ucwaningo lwemithi kadokotela. Singaphinde sihambe ngendlela yokuxhasa uhulumeni ngqo lapho uhulumeni ezokwenza inkontileka yocwaningo kusenesikhathi. Sesivele sichitha ngaphezu kwezigidigidi ezingama-30 zamaRandi ngonyaka ocwaningweni olunjalo ngamaNational Institutes of Health. Lokhu kubhekwa kakhulu ongoti bezempilo njengemali esetshenziswe kahle kakhulu.

Kungase kwenzeke ukukhuphula lolu xhaso ngesilinganiso sokubili noma kokuthathu ngenhloso yokuthatha indawo yocwaningo olusekelwa ilungelo lobunikazi. Lolu xhaso lwezimali oluqondile lungaba nenzuzo yokuthi yonke imiphumela izotholakala ngokugcwele kubacwaningi kanye nomphakathi jikelele, njengoba lokho bekuyoba umbandela woxhaso. Omele u-Dennis Kucinich wethula umthethosivivinywa ngale migqa eminyakeni embalwa edlule.

Okwamanje asikho isidingo sokuthi sinqume enye indlela engcono kakhulu yocwaningo olusekelwa ilungelo lobunikazi lwemithi kadokotela, okufanele sikwenze ukuze siqalise inkulumo-mpikiswano. I-Centers for Medicare and Medicaid Research project esizochitha cishe ama- $4 trillion emithini kadokotela kule minyaka eyishumi ezayo. Lokhu cishe ku-$10,000 kuyo yonke indoda, owesifazane, nengane ezweni. Sekuyisikhathi eside sicabangisisa ukuze siqinisekise ukuthi sithola inani elihle lale mali. Umthethosivivinywa wesikhwama semiklomelo yakwaSanders uyisinyathelo esibalulekile kulokhu.

Le ndatshana yashicilelwa okokuqala ngoMeyi 31, 2011 yi-Guardian Unlimited. 

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