Kunyangwe Vanotsoropodza Vanonzwa Sei Nezvehutano hwaBatland Reform uye ACA

Kubvira Pakadini Tabva Tichibva Kubvira raAustralia Risingakwanisi Kutarisira Mutemo?

Apo Mutungamiri Obama akatanga kutaura pamusoro pekugadzirisa hutano hwakanaka, pakanga pasina kushayikwa kwekutsoropodza, ikozvino, pamwe nehutungamiri hweMutungamiri Trump, kuedza kwakawanda kwakaitwa kugadzirisa ku Affordable Care Act (ACA).

Kuwana kusarudzwa kwehutano hwezvoutano kunonyanya kunetseka kune vakawanda veAmerica, sezvo ACA yakachinja hupenyu hwevazhinji vekuAmerica vakanga vasati vabatsirwe zvino vanogona kuwana kuwana mari yepamusoro yehutano , zvichibva pamapurogiramu anopiwa kuburikidza nemusika wekutengeswa kwehurumende, kana kuburikidza neshuwarisi yega yega zvirongwa izvo zvakafanirwa kuchinja mukupindura kuchinja kwehutano hwehutano hweAmerica.

Mutemo weAACA unopa rubatsiro rwekubhadhara mari yepamusoro kune avo vanotenga inshuwarisi yavo mumusika kuti vadzidze zvakawanda pamusoro pekuverenga: 10 Nzira dzekuchengeta Utano Hwenyu neUshuwarenzi zvisingakwanisi, zvisinei kuti chii chinoitika.

Chii chakachinja muhutano hwehutano hwehutano hwe Obama?

Pamberi peAACA, pakanga pane mitsoropodzi yakawanda, asi kunewo kubudirira. Ikozvino hutano hwekuchengetedza hutano hunofanirwa kugadzirisa nyaya dzakawanda. Inobatsira kutarisa kumashure uye kuona kuti zvinetso ne data zvakabatsira sei kunzwisisa uko kuchengetwa kwehutano kungave kuchienda munguva yemberi iri pedyo.

Kunyanya vanhu vaishamisika kana hurumende inopinda kuzobatsira kutarisira utano hwakanga iri nzira yakanakisisa yekuenda nayo. Ichokwadi uye matanho atinokwanisa kuona ari kuratidza kujeka kwakanaka kwehutano hwehutano hwekuwana kwevakawanda veAmerica, uye kunyange tisina kukwanisa kusvika pane imwe nzvimbo imwechete yeAmerica inishuwarenzi, kubudirira kwaive kwakanyanya.

Mapoka anobatsira zvikuru kubva kuhutano hwehutano hunoonekwa seavo vakambosarurwa uye avo vanotambura zvikuru munzanga semhuri dzisina mari yakawanda uye vakwegura.

Gallop Polls Yakaratidza Kupera Mukusabhadharwa Kwemari

Ikoji yevanhu vakuru vange vasina kusimbiswa yakaderera kubva pa18% muchikamu chechitatu cha 2013 kusvika 11,9 mukutanga kwegore ra2015, uye yaiva 11.0% mukutanga kwegore ra2016.

Nheyo dzehutano hwehutano huripo Tarisai Nhasi muna 2017?

Zvimwe Zvinyorwa Pamusoro pebasa raJohn Risingabatsiri Mutemo :

• Mamiriyoni 20.5 vanhu vashoma vasati vabatsirwe kupfuura muna 2010
• Kune dzimwe zvirongwa zvakasiyana-siyana zvinowanika kuburikidza nehutano hweMatengesi kuMasoka
• Vana Health Health Insurance Program (CHIP) yakawedzera kusvika kusvika mamiriyoni 9 evana.
• Pamberi pezvinhu zvinokosha zvehutano hwezvehutano, avo vekambisi vanogona kuramba vanhu vane mamiriro ezvinhu akambovapo, kudzivirira kugovera kana kushandisa kunyange zvirwere zvishoma zvishoma kuti varambe zvachose inshuwarisi yevanhu. IAACA yakashandura izvi zvakapoteredza.
• Muna 2014 uye 2015, kunyora kwechokwadi kwakapfuura maitiro ekutanga apo ACA yakaiswa
• Muzera remakore vane makore 18-64, 70.5% (138.8 mamiriyoni) vakafukidzwa neurongwa hwehutano hwehutano hwehutano huri muna March 2017. Mamiriyoni 9,4 ayo akafukidzwa nehutano hwehutano hwehutano hwehutano kuburikidza neHurumende Inotengeswa Kwemahombekiti kana hurumende

Hezvino Ndezvipi Zvimwe Zvinyorwa zveAmerican Reform uye ACA Zvange Zvave:

Saka nei uchigadzirisa zvinhu zve ACA kana vakawanda veAmerica vava ikozvino vakavimbiswa? Kutungamira kusvika pakupfuura kweSouth Affordable Care Act, kwaiva nemitsoropodzi yakawanda, neruremekedzo kwekufamba kwenguva, zvizhinji zvekutsoropodza uye kutya zvakaratidzwa zvisina kunaka. Heano mamwe emamwe anozivikanwa zvikuru:

1. Sezvo makore apera, vanhu vazhinji vari kutotanga kunetseka kuti nekuda kwekubhadhara kwakapfurikidza kune avo vose vekare vasiri vemuAmerica vasati vatsigirwa iye zvino vachichengetwa, kuti mari inenge ichiwedzera. Vanhurume vechidiki vanoita sevari kukundwa nemari yakakwirira kupfuura yehutano, zvikurukuru mushure mekuwedzera kwekutanga kwegore ra2014, asi pamwero weflip, vakadzi varo vakaderera uye vamwe vaduku vari kuwana kugoverwa.

1. Vamwe vatsoropodzi vanodavira kuti ACA yakaita kuti hutano husingakwanisi kuwanika pakati pepakati pezvikwata.Zvino chete zvikomborero zvave zvakave zvakanyanya kune mari shoma, urombo hwehurombo uye kusashanda. Izvi zvingangove zvisingabvumirwe sezvo zvichinyatsobetsera mapoka ose evanhu kuti vakwanise kuwana inshuwarisi nemamiriro akambovapo. Mukuenzanisa, apo makambani einishuwarenzi ari kuwedzera huwandu hwevanhu vakawanda vanorwara, huwandu hwehushuwarisi hwehushuhu huchasimudzwa.
2. Kuchinja kweMedicaid kunosara kune imwe neimwe yehurumende. Izvo zvisizvo zvisati zvambowedzera Medicaid zvakasiya mamiriyoni evanhu varombo kupfuura dzimwe nyika dzisina ruzivo. Vaiti vasina kugovera pakuwedzera vari kuonawo nhamba yakakwirira kune vasina uninsured. Zvimwe zvidzidzo zvakatove zvichiratidza kuti nyika idzi dzakafanana hadzisi nhamba dzepasi pekuchengetedzeka muhuwandu hwekuwana mari uye husingashandisi asi nepamusoro pebhodhi mumatunhu ose ekuwana kana ichienzaniswa nehurumende dzakabatanidzwa mukuwedzera.

1. Kutevera ACA, vashandi vakawanda vakachinja hurongwa hwehutano hwehutano hwakanga hwava kupa vashandi vavo, vachisiya avo vakashanda uye vanochengeteka mune zvingave zvakanyanya kuitika kunze kwekuchinja kwakaitwa. Chidzidzo cheKaiser Family Foundation chakatsvaga izvi zvakare, uye iyo chaiyo data pamusoro pemamiriro acho ezvinhu haisi mativi enyika.
2. Mushure mokunge ACA inenge mamiriyoni mashanu eMamerica akarasikirwa nekuwana rubatsiro rwehutano hwehutano nekuda kwekuti vatsigiri vehutano havana kuita maererano neAACA mitemo. IvaAmerica saka vaifanira kushanda kuti vapiwe mumisika uye vangangopedzisira vachibhadhara zvakawanda semugumisiro. Chidzidzo cheKaiser chimwechete chakataurwa pamusoro apa chiongorore iyi data.
3. Vamwe vakataura kuti ikozvino kuva inshuwarheni kwakagadzira kuchinja kwezvinhu zvinenge zvisingabatsiri avo vakanga vasati vabatsirwe, nokuti kunyange zvazvo iye zvino vane inshuwarisi, mari yekutengesa, kubhadhara mari uye kubhadhara mari inofanirwa kunyanya uye havazotsvaki kunze kwekurapa. Uku kutsoropodza hakuiti kutora mazano pamusoro pebasa rinokosha, kana maitiro angangodaro asina kusununguka kana asingatarisirwi kuderedzwa kana co-inshuwarisi. Uyezve, vazhinji vanobvumirana kuti rimwe inshuwarisi iri nani kudarika pasina inshuwarisi.

Zvinogona kutaurirana kuti kunyatsotenga pamusika kuti uwane nzira dzinonyanya kukosha pamamiriro ako ega zvinogona kudzivisa kukanganisa mari. Kunzwisisa maitiro emutemo waunosarudza kuchakubatsira kuita zvisarudzo zvakasimba uye kuchengetedza mari kwenguva refu

ACA Facts: Maererano neHHS.gov, vanenge 80% vevatengesi veMasoka vachishandisa HealthCare.gov muna 2015 vaigona kutenga kutenga $ 100 kana kuti pasi mushure mekwereti yemitero

Kurukura Maitiro neNyaya yeAACA

Maererano naObamacare Facts (aine pepanhau rega rega webhusaiti), pane zvakanyanya kufanirwa uye zvinopararira kune Affordable Health Care Act. Kuongororwa kukuru pane dzimwe nguva kunopoteredza chokwadi chokuti mutemo unogadzira "zvipingamupinyi zvevashandi vepamusoro, makambani akakura asingatsigiri vashandi vavo, uye zvimwe zvikamu zvehutano hwehutano". Vazhinji vekuAmerica vanogona kuwana kuwana hutano hwehutano nekuda kwekubviswa kwevanhu vanorambwa nekuda kwemamiriro ezvinhu akambovapo uye kuwedzera kwekuwana heath kutarisira mari shoma uye vasingashandi vangabvumirana kuti pasinei nokuti ACA haina kukwana, iyo yakabvumira iyo inshuwarisi yemamiriyoni eAmerica.

Maererano neChristian House Fact Sheet, vanopfuura 85% vevanhu vachangobva kuvharwa neAACA vakafarira kuparidzirwa kwavo muna 2015

Inonyanya Kuverengwa Nezvinetso Nebamacare uye Gwara Rokushandisa Rokuchinja

Kutsiurwa kwakanyanya kwehupenyu hwehupenyu hwaB Obama ndechekuti matengo achazopedzisira awedzere zvichienderana nemuenzaniso uyu.

Vanhu vari kuzvirambidza nokuda kwekuwedzera, uye vakawanda vanobvunza mubvunzo kana hutano husingakwanisi hutano hwave hukwanisa kuwana hucharamba huchikwanisa uye huri nyore.

Chipiri chekutsoropodza kukuru ndechekuti vanhu havanganzwisisi pamusika kana kuchinja kwehutano.

• Zvisarudzo zvinowanikwa kune vanhu zvakasiyana uye vanhu vangave vasinganzwisisi nzira yekusarudza pakati pezvirongwa zvakasiyana.
• Dhipatimendi reUnited Health Health and Social Services inofungidzira kuti hafu yevaAmerica vasina kuvimbiswa vanogona kukodzera kunyora inshuwalhu yehutano kuburikidza nemusika , asi usafunga kuti vanozofanirwa.

Kuwedzera kunzwisisa nokunzwisisa muhurumende nekufambisa kwehurumende dzisina kuwedzera Medicaid zvingagadzirisa nekugadzirisa zvishoma zvekutsoropodza kwakakosha kweBobamacare nekuita kuti mamiriyoni evanhu vasina kuvimbiswa veAmerica vatsigiswe.

Health Maintenance Account Kuchinja neHurumende yeTurump Ino

Chimwe chinhu chinowanikwa mumadhadhi ikozvino neCDC ndechekuti High Deductible Health Plan (HDHP) yakanyoresa yakawedzera 17% kubva muna 2010 uye ikozvino pa 42.3%. Kuva neHDHP kunobvumira vanhu kuti vashandise muAalth Savings Accounts, iyo inobereka zvingabatsira kwenguva yakareba kuvanhu, verenga zvakawanda pano . Chii chinonakidza ndechekuti Trumpcare inotarisa kuwedzera zvibatsiro zveHSA zvinosanganisira kukwanisa kuderedza chirango chokubvisa mari yeHSA isina mutero kubva kuObamacare 20% kusvika 10% apo kubviswa kwaitwa kusati kwasvika makore 65 nekuda kwechikonzero chekurapa .

Asi, mune imwechete data:

25.3% avo vakanyoreswa muHDHP vakanga vasina HSA.

Kune nguva dzose kuvandudzwa kunogona kuitwa kumutemo wezvino uye utano hwehutano. Nzira yakanakisisa yekuzvidzivirira uye yekuita kuti uwane zvikomborero zvakanyanya zvemari yaunobhadhara muurongwa hwehutano ndeyekuti uwedzere kuwedzera pane zvirongwa zvakadai seHSA, uye uchive wakanyatsoziva nezvehuwandu hwaunofanirwa kuita kuti zvinhu zvichinje.