Iyo Inishuwarenzi Makambani Akachinja Obama's Healthcare Reform Plan
Pasina kuchinja, zvinotarisirwa kuchengetedza utano hwemishonga paMedare hazvigoneki. Medicare mitero yemitero uye mapeamisi inotakura chete 57 muzana yezvinobatsira zvino.
Inosara 43 kubva muzana inobhadharwa kubva kumari yakawanda. Nokuda kwekuwedzera kweutano hwekutarisira, mari yakawanda yaizobhadhara 62 muzana yeMedare inodhura ne2030. Congress yakabvuma kuti ndiyo yaiva chikonzero chikuru chinoita kuti utano hunodikanwa kuchinjwa.
IAACA inogona kuderedza mari mbiri dzinodhura mari yekuchengetedza utano: makamuri ekukurumidzira uye zvirwere zvisingaperi. Chokutanga, chakaita kuti vanhu vawedzere kuverenga. Izvozvo zvakavabvumira kuti vawane kuchengetedzwa kwekuchengetedza uye vadzivirire kukwirira kwekutarisira kwekukurumidzira. Yakatsigira mishonga kune vakwegura kuti vabate zvirwere zvavo zvisingaperi.
Izvi zvibhadharo zvakabhadharwa neOmbamacare mutero kune mhuri dzepamusoro dzekuwana uye nevamwe vanopa utano hwehutano. Zvaidawo kuti munhu wose awane inshuwarisi. Izvozvo zvakamanikidza vanhu vaduku uye vane hutano kubhadhara mari yemishonga yemishuwarenzi yeutano Iyo mvumo yakange yakaomerwa nemutemo. Muna 2012, Dare Repamusorosoro rakatonga kuti hurumende yehurumende yakanga ine kodzero yepamutemo yepamutemo yekubhadhara avo vasina kutenga inshuwarisi.
2008: Obama akazivisa chirongwa chekuvandudza utano hwehutano
Obama pakutanga akazivisa zvirongwa zvekuchinja mararamiro ehutano sechikamu chepamutemo weMutungamiri wepamutemo we 2008 . Purogiramu yake yakasarudzwa yepachena, yakafanana neyakanakidzwa neCongress, yakanzi Federal Employees Health Benefits Program.
Obama akapikira "kutakura" kugoverwa, izvo zvaireva kuti vanhu havazogoni kusungirwa kurongwa hwavanoshandira, asi vanogona kusarudza purogiramu yavo vozvichengeta navo.
Vaizogona kusarudza hurumende-runo "sarudzo yevanhu" kana kutenga yavo yveshuwarisi kuburikidza nekushandura. Hapana munhu aigona kurambwa hutano hwehutano nekuda kwemamiriro akambovapo.
Hurumende yeHurumende yaizowedzera mari yeMedicaid. Icho chichatipa rubatsiro rwevaya vakaita zvakawanda kuti vakwanise kuwana Medicaid. Pasinei nezvipo izvi zvose, vanhu vazhinji vaityisa kuwedzera kwehurumende yeHurumende muhupenyu hwavo, vachitaura kuti yakanga iri kutungamira nzira inoenda kune hutano hwevanhu.
2009: Health Care for America Plan
Akasarudzwa muna 2009, Obama akakumbira Health Care for America Plan. Yakapa inshuwarisi yezvehutano yakafanana neMedare kune vose vaida. Vaya vaifara nehutano hwavo hwehutano huripo vaihuchengeta . Ukuru hwehurumende yehurumende yaireva kuti inogona kutengeserana nematengo maduku uye kuderedza kusakosha. Nokubatanidza vose vasina kuvimbiswa pamwe chete, yakaderedza ngozi yveshuwarenzi.
Purogiramu yekubhadhara yaiva:
- $ 70 kune mumwe munhu.
- $ 140 kumurume nomudzimai.
- $ 130 yemhuri yemubereki mumwe chete.
- $ 200 kune dzimwe mhuri dzose.
Yakapa vashandi sarudzo, zvakare. Kana vakapa inshuwarhu yehutano yakave yakakosha seurongwa hwaB Obama, vakangochengeta zvavaiva nazvo. Kana zvisina kudaro, vashandi vakabhadhara mitero yebhadharo ye6%, yakafanana nekubhadhara kwemabasa, kubatsira kubhadharira hurongwa hwe Obama.
Vaya vaizvishanda vakabhadhara mutero wakafanana.
Yakabata utano hwepfungwa, utano hwemwana nemwana. Iyo inongorodzwa gore rega rega-re-rehomwe mari inobhadharwa nevanyorese uye inopa zvakakwana zvinodhaka zvinodhaka. Sangano rinotungamirirwa nehurumende rinogona kutarisa ruzivo rwehutano hwehutano. Akavimbisawo kuti aizotora huwandu hwehutano hwehutano hwehutano pasi peyese-electronic system.
Chirongwa ichi chakavimbiswa kuti mari shoma yehutano ichatapudzwa ne 1.5 muzana pagore, sezvo hurumende yehurumende inogona kutengeserana kwekutengesa mitengo uye kuderedza kusakosha, maererano neChristian Council of Economic Advisers . Mari yepamusoro yekuchengetwa kwehutano yakashandurwa kune $ 2 600 nedzimwe mhuri muna 2020 uye $ 10 000 ne2030. Yakaderedza kusara kwebhajhesiti ne6 kubva muzana yezvakawanda zvekushandisa mumunda muna 2040. Izvi zvingaderedza kusakosha kwe 0.25 kubva pagore, zvichiita mabasa 500 000.
Urongwa hwehutano hwehutano hwaBabhangi muna 2009 hunogona kuderedzwa kushanyira muimba yepamhanho nevasina kuvimbiswa. Izvi zvingadai zvakachengetedza $ 100 mabhiriyoni, kana kuti 0,6 muzana yeGDP, gore negore. Hurumende yehurumende inobhadhara utano hwehutano yakabvisa mutoro uyu kubva kumabhizimisi maduku , achivabvumira kuti vakwikwidzane nekukwevera vashandi vane ruzivo rwakakwirira.
Vaipikisa vaifunga kuti sangano raB Obama raireva kuti hurumende yehurumende yaizoita kuti rudzi rwehutano hwekuchengetedza huve hupi. Avo vaifara ne inshuwarisi yehutano hwavo iripo vaityira kuti vaizofanira kuzvipa, kunyange zvazvo izvi zvisiri zvechokwadi. Vamwe vakanga vaine hanya nezveruzivo rwehurumende yehurumende yaizogadzirisa kuti chii chaizotarirwa nehurongwa hutsva hwehushuwarisi (kusanganisira hurumende inobhadharwa) uye izvo zvisingadi.
Vaongorori vainyanya kunetseka kuti hurumende inogona kusarudza kubhadhara kubvisa pamuviri kusingadi chero magwaro kana zvibvumirano zvevasikana vaduku. Pakupedzisira asi kwete zvishoma zvakange zvisingabvumirwi nebhadharo uye zvaizoita sei kudarika kwebhajheji .
Chinangwa cheMutungamiri Obama chaiva kutanga kutaurirana, izvo zvakaitwa zvechokwadi. Chirongwa chake chakafuridzira Congress kukudziridza zvirongwa zvayo.
Senate Proposal
Senate pakutanga yakarongedza hurongwa hwevashambadziri vasiri purogiramu pane hurumende yeBurumende-inotarisira inshuwarisi. Musi waOctober 26, 2009, Senate Majority Mutevedzeri Harry Reid akazivisa sarudzo yehurumende-sarudzo yeSeneti Bill. Izvo zvaisanganisira kuparidzira Medicare zvakabatsiri kune avo vane makore 55 kusvika ku65. Yakapiwa kutaura apo pakanga paine kuonekwa kusingakwanisi kusingakwanisi kutenga kubva kune vadzidzisi vega. Nyika dzaigona kusarudza kusarudza, kana dzichida. Iyi sarudzo yakaderedzwa kubva pamutemo wekupedzisira nekuda kwekupikiswa kubva pakusarudza vhoti, Senator Joe Lieberman.
Imba Healthcare Reform Plan
Chokutanga kubva mubhokisi chakanga chiri Mutemo weDzimba. Imba yeVamiririri veUnited States yakapedza shanduro yekutanga yeHealthcare Reform Bill musi waNovember 8, 2009, mushure mokuzivisa izvozvo musi waOctober 29, 2009. Inodhura $ 894 mabhiriyoni kwemakore gumi. Izvo zvinokwana madhora mabhiriyoni makumi mana emadhora akawanda kupfuura yeSayate mushure mekubhadhara uye pasi peMutungamiri weBarack Obama chekutanga ye $ 900 mabhiriyoni. Yakaderedza kusvibiswa ne $ 104 mabhiriyoni uye yakachengetwa $ 460 mabhiriyoni pamakore gumi nekubhadhara rusununguko kune vanowana mari yakawanda.
Imba yepaimba yakapa chirongwa chehurumende yehutano inshuwarano yakafanana neMedare. Yakapa rubatsiro rwakananga kune vanhu vasina kuvimbiswa kuti vabatsire kutenga inshuwarisi kuburikidza nekutsinhana . Zvaida kuti vanhu vatenge inshuwarisi uye vose asi vashandi vashoma kuti vape hutano hwehutano kuvashandi.
Imba yepaImba inoita kuti pave ne "kuguma kwehupenyu" sangano rekupa mazano kune vakwegura vaida kutaura pamusoro peizvi nevanachiremba. Izvi zvakashandurwa kuti zvinoreva kuti hurumende yaizoita kuti vakuru vakwanise kukurukurirana pamusoro pekugumisa hupenyu hwavo nokukurumidza, vachikwira pasi "nzira inonyengedzera kuenda kune hurumende-inokurudzirwa euthanasia."
Mutemo uyu zvakare:
- Yakasimbiswa kuti vehutano vehutano vehutano vakavhara avo vane mamiriro ezvinhu akambovapo.
- Isa mushonga we inshuwarisi yehutano pasi pemitemo inoshandiswa nehurumende. Izvi zvakagumisa mitemo yakatungamirirwa nehurumende.
- Vakabhadhara 5,4 muzana yeptax kune vanhu vanoita zvinodarika madhora 500 000 uye vakaroorana vanowana mari inodarika $ 1 mamiriyoni.
- Kuwedzera Medicaid kune avo vane mari kusvika 150 kubva muzana yehurombo , uye kuwedzerwa mari kune nyika.
- Kuwedzerwa kugoverwa kwePirate yemishonga yemishonga yemishonga, uye yakawedzera Federal mari yehurongwa hwehurumende yeMedicaid.
Senate Healthcare Reform Plan
Senate yakagamuchira shanduro yayo yeHealth Care Reform Bill neyokupedzisira yevhoti yeKrisimasi muna 2009. Yakanga yakanyanya kufanana neAACA yokupedzisira. Imba yepaImba iri ine mutauro wakanyanyisa kubvisa pamuviri uye inosarudzwa nevanhu. Sangano reSenate raive nemitero yepamusoro-purogiramu yemishonga inshuwarisi. Yakashandura hutano hwehutano hwehutano hwehutano panzvimbo yehutano hwakasarudzwa nehutano hwehutano hwevanhu.
Sangano reSenate ringadai rakabvumira vanhu mamiriyoni makumi maviri nemakumi mashanu kuti vawane inshuwarhu yehutano Zvisinei, mamiriyoni makumi maviri nemaviri aizoramba asina kuvimbiswa. Mutemo uyu waizodhura madhora mazana mapfumbamwe nemadhora mazana mapfumbamwe nemakumi mashanu emakore gumi. Kuti vabatsire kubhadhara zvirongwa zvekushandisa mari, ingadai yakawedzera mitero kune vanoita zvechiremba-makambani, makambani ezvinodhaka, vatengi vekuchera tanning salons, uye mapurogiramu anokosha einishuwarenzi.
Sangano re Economic Economic Counvisers rakabvuma kuti kushandiswa kwaizotanga kukwira kuvharidza kuwedzera. Asi, pamusoro pemakore gumi anotevera, zvingadai zvakaderedza kushandiswa kwehurumende ne 0,7 muzana, zvichidaro zvichideredza kushandiswa kwemari kwehurumende ye $ 132 mabhiriyoni.
Sangano reSenate Health Care Reform Bill raizove:
- Zvinoda kuti munhu wese ave ne inshurensi yekuchengetedza utano, asi akapa rubatsiro kune avo vasingakwanisi kutenga mishonga. Izvo zvakare ingadai yakawedzera Medicaid.
- Vashandi vasina kupa inshurensi vangadai vakabhadhara zvakanaka. Asi mabhizimisi maduku akawana kubhadhara mutero kana vasingakwanisi kutenga inshuwarisi.
- Zvinorambidzwa inshuwarisi makambani ekubhadhara zvikuru kune vanhu vane zvirwere zvakakomba kana kuti vakwegura.
- Akaita kuti zvibvumirwe pamutemo kune vatsigiri vekuchengetedza kurambidzwa kwehutano hwemamiriro ezvinhu akambovapo. Urongwa uhwu hwakakonzerwa nevana muna 2010, uye vanhu vakuru muna 2014.
- Kubvumira vanhu nemabhizimisi maduku kutengesa zvirongwa zvehushuwarisi kuburikidza nekushandurwa kwehurumende-kutungamirirwa.
- Kushandiswa kwevashandi vashoma kwehutano hwemakore gore negore.
- Wakawedzera mutero wekumusoro kune mari yakakwirira yemari yveshuwarenzi.
2010: ACA Yakapfuura
Kuvhiringidzika uye kusanzwisisana pakati pezvisarudzo zvose zvakagadzira makuhwa-mongering, izvo zvakatungamirira kunhema pamusoro pezvaiitwa. Sangano reSteat Bill neimba raifanira kubvumirana vasati vatumirwa kudeskiti re Obama kuti vasaina.
Musi waJanuary 26, 2010, zvose zvikwereti zvakasimbiswa apo Democrats yakarasikirwa nehuwandu hwevhoti-vhoti yevhoti 60 muSeneate. Ndiyo apo Republican Scott Brown akakunda chigaro chaTed Kennedy muMassachusetts. Vakawanda vakafunga kuti izvi zvakaguma netariro yekupfuura chero hupi hwehutano hwekushandura mari. Asi Mutungamiri Obama akatanga chirongwa chitsva chokugadzirisa utano paFebruary 22, 2010.
Musi weMuvhuro, March 22, Imba yakapfuura reReconciliation Bill (HR 4872). Yakabatanidza zvikamu zveSenate Bill uye chirongwa chinotevera chaB Obama. Chikamu chinobva muSeneti Bill chakava mutemo apo Obama akaisimbisa. Imba iyo chikamu chakagamuchirwa neSeneti. Chinhu chose, apo chakasayirwa neMutungamiri Obama, chakava Murwere Kudzivirira uye Affordable Care Act .
Musi waMarch 30 2010, Mutungamiri Obama akapinda mutemo re Reconciliation Act ye 2010 (HR 4872). Ikupedzisira Obamacare musangano inosanganiswa zvikamu zveSeneate uye House zvinyorwa. Yakachengetedza hurumende yehurumende inoshandiswa kushandiswa, uye zvinorambidzwa kune federal mari yekubvisa pamuviri, asi kuderedza mitero pamagariro ekupedzisira ekurapa. Yakawedzera Mutero weMedare yebhadharo kune vanoita mari yepamusoro uye yakawedzera Medicare mitero pamari yekuwana mari. Vaya vaiva nemamiriro ezvinhu akambovapo avo vakanga varambidzwa kuparidzirwa vaigonawo kuwana ruzivo rwehutano hwehutano hwehutano kusvikira nguva yekushandurwa ikasimudzwa.
Obamacare yakashandura zvakanyanya kutarisirwa kwehutano kuburikidza nekuita inshuwarisi inowanikwa kune mamiriyoni makumi maviri eAmerica, kana kuti 95 muzana yevatongi vemutemo. Pamakore gumi ekutanga, Mutemo waizodhura $ 940 mabhiriyoni. Zvisinei, izvi zvinodhura zvinogona kugadziriswa nekuderedza mari muhurongwa hwekukweretesa dzidzo yepamusoro uye kuwedzera mari kubva pamitero kune dzimba dzepamusoro. Kwemakore gumi, mari yezvokwadi yeOmbamacare kurudzi rwaizova $ 138 mabhiriyoni ekuderedzwa.
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