NAMUHLA kuphawula ukuqala kokunakekelwa kwezempilo ngaphansi kwe-Affordable Care Act's new insurance exchanges, lapho abantu baseMelika abayizigidi ezimbili babhalisele khona. Manje njengoba igunya lomuntu ngamunye selilapha ngokusemthethweni, ake ngiqale ngokuvuma: I-Obamacare imbi kakhulu.
Leyo yimfihlo encane engcolile abaningi abakhululekile abaye bagwema ukuyisho ngokuzwakalayo ngenxa yokwesaba ukusiza izitha zikamongameli, ngesikhathi lapho ukunakekelwa kwezempilo kwendawo yonke kwakudinga konke ukwesekwa abangakuthola. Ngeshwa, lokhu kwakusho ukuthi esikhundleni sokusola izinkampani ezifana neNovartis, ekhokhisa iziguli ze-leukemia u-$90,000 ngonyaka ngomuthi i-Gleevec, noma abaphathi abakhulu bomshuwalense wezempilo bathanda. UStephen Hemsley we-UnitedHealth Group, owenza cishe u-$102 million ngo-2009, ngentengo ephakeme kakhulu yokunakekelwa kwezempilo kwaseMelika, abalandeli bakamongameli beDemocratic Alliance bathenga inganekwane yokuthi bonke labo bantu babezothola ama- colonoscopies mahhala kanye nokwelapha ngamakhemikhali ukuze kube mnandi.
Ngikholelwa ukuthi isiqalo sika-Obamacare esinamatshe - ukuhlela okungenangqondo, iwebhusayithi engcolile, izinkampani zomshwalense ezikhuphula amanani, futhi umongameli utshela abantu ukuthi bangagcina ukumboza kwabo kuyilapho, empeleni, kungebona bonke ababengakwazi - kuwumphumela wephutha elilodwa elibulalayo: I-Affordable Care Act is. uhlelo lwemboni yezomshwalense olwasetshenziswa umongameli owayazi enhliziyweni yakhe ukuthi umkhokhi oyedwa, imodeli ye-Medicare-for-all iyindlela yeqiniso okufanele ihambe. Lapho abagxeki abaphiko lwesokudla “beveza” iqiniso lokuthi uMongameli Obama wagunyaza uhlelo lomkhokhi oyedwa ngaphambi kuka-2004, empeleni bakhuluma iqiniso.
Lokhu manje esikubiza ngokuthi i-Obamacare kwaqanjwa e-Heritage Foundation, i-conservative think tank, futhi yazalelwa eMassachusetts ngu-Mitt Romney, owayengumbusi ngaleso sikhathi. Umongameli wathatha i-Romneycare, uhlelo oluklanyelwe ukugcina imboni yomshuwalense wangasese injalo, futhi usanda kuthuthukisa ezinye izihlinzeko zayo. Empeleni, umongameli wayemane ezama ukufaka i-lipstick enjeni ethwala phezu kwemoto kaMitt Romney. Futhi sasikwazi.
Ngo-2017, sizobe sesenza imali engaphezu kwezigidigidi eziyi-100 ngonyaka ezinkampanini zomshwalense ezizimele. Ungaqiniseka ukuthi bazosebenzisa okunye kwalokho ukuze bazame ukwenza i-Medicare ibe yimfihlo.
Kubantu abaningi, ingxenye “ethengekayo” ye-Affordable Care Act ibeka engcupheni yokuba ihlaya elinonya. Uhlelo olushibhile olutholakala kumbhangqwana oneminyaka engu-60 owenza u-$65,000 ngonyaka eHartford, Conn., luzobiza u-$11,800 kumaphrimiyamu onyaka. Futhi imali yabo edonswayo izoba ngu-$12,600. Uma bobabili begula kakhulu, kungase kudingeke bakhokhe cishe u-$25,000 ngonyaka owodwa. (Pre-Obamacare, bebengathenga umshwalense oshibhile kodwa omubi kakhulu, okungenzeka ube nezindleko ezingenamkhawulo zokuphuma ephaketheni.)
Kodwa-ke - ngingaba namahloni uma ngingasho lokhu - i-Obamacare iyi-godsend. Umngane wami uDonna Smith, owaphoqeleka ukuba ayohlala egunjini eliyisipele lendodakazi yakhe eneminyaka engu-52 ngenxa yokuthi izinkinga zempilo zamenza waba sengozini yena nomyeni wakhe, uLarry, manje usenomdlavuza futhi. Njengoba elashwa, okungenani ngeke esabe ukuthi uzolahlekelwa ukuvikeleka futhi angakwazi ukuvikeleka. Ngaphansi kwe-Obamacare, i-premium yakhe inqanyulwe phakathi, yafinyelela ku-$456 ngenyanga.
Masingathathi isiqephu sokunqoba okwamanje, kodwa sakhe phezu kwalokho esikhona ukuze sithole okusifanele: ukunakekelwa kwezempilo okusezingeni eliphezulu.
Labo abahlala ezifundeni ezibomvu badinga inzuzo yokwandiswa kwe-Medicaid. Kungase kubonakale njengepolitiki ehlakaniphile esikhathini esifushane kubabusi baseRiphabhulikhi ukuthi babambe ithuba elinikezwe yiNkantolo Ephakeme ngezinqumo ezenza ukwanda kweMedicaid kube ngokuzikhethela ezifundazweni, kodwa bekuwubuwula besikhathi eside: Uma lezo zifundazwe ezingama-20 zibambelela, ekugcineni zizogcina. lahlekelwa isamba esilinganiselwa ku-$20 billion sezimali zikahulumeni ngonyaka - imali ebizoya ezibhedlela kanye nokwelashwa.
Ezifundeni eziluhlaza okwesibhakabhaka, masifune inketho yomphakathi ekushintshaneni komshwalense - uhlelo lwezempilo oluqhutshwa uhulumeni wezwe, kunokuba umshwalense ozimele. EMassachusetts, uSenator Wesifunda uJames B. Eldridge uzama ukuphasisa umthetho ongawumisa. Ezinye izifunda eCalifornia nazo ziyazama. U-Montana uqhamuke nesinye isixazululo sokudala. UGov. Brian Schweitzer, oweDemocrat osanda kuqeda amahlandla amabili, umise imitholampilo eminingi yezempilo ukuphatha abasebenzi bakahulumeni, ngaphandle kwama-co-pay futhi akukho mali ebanjwayo. Odokotela bakhona bayizisebenzi eziholayo zesifunda saseMontana; umgomo wabo kuphela impilo yeziguli zabo. (Uma lokhu kuzwakala njengohulumeni omkhulu kuwe, ungathanda ukwazi ukuthi i-Google, i-Cisco ne-Pepsi yenza okufanayo ncamashi.)
Wonke amehlo asohlelweni lwe-Vermont lohlelo lomkhokhi oyedwa, oluqala ngo-2017. Uma lundiza, luzoshintsha yonke into, nezifundazwe eziningi eziqinisekile ukuthi zizolandela ngokumisa izinguqulo zazo. Yingakho nje imali yezinkampani izotheleka maduze eVermont ukuyichoboza. Izishayamthetho ezizoya ku-mat kulokhu zizodinga konke ukwesekwa ezingakuthola: Uma uhlala empumalanga ye-Mississippi, bheka uhlelo lwebhasi eliya e-Montpelier.
Ngakho ake siqale. I-Obamacare ayikwazi ukulungiswa ngegama layo. Kukithi ukuthi sikwenze kwenzeke.
Michael Moore ungumenzi wefilimu wango-2007 ifilimu yakhe ethi "Sicko" yahlola imboni yokunakekelwa kwezempilo yaseMelika.
I-ZNetwork ixhaswa kuphela ngokuphana kwabafundi bayo.
Nikela