Medicare Imachita Zabwino ndi Zoipa
Ngati mumalankhula ndale, mukhoza kuwona chabwino kapena choipa, chakuda kapena choyera, pankhani ya Care Affordable Care Act, aka Obamacare . Mudziko lenileni, pali mbali ziwiri za ndalama.
Obamacare akufuna kutenga madola 716 biliyoni kuchokera ku Medicare kuti apititse ndalamazo. Ndalama zimenezo siziyenera kutengedwa nthawi yomweyo koma ziyenera kutengedwa zaka khumi. Pakati pa 2013 ndi 2022, Medicare imayembekezeredwa kudula m'madera otsatirawa:
- $ 260 biliyoni kuchokera kuchipatala
- $ 156 biliyoni kuchokera ku Medicare Advantage
- $ 114 biliyoni kuchokera kuzinthu zina za Medicare, Medicaid, ndi CHIP
- $ 66 biliyoni kuchokera kuchipatala
- $ 56 biliyoni kuchokera ku malipiro osaneneka a chipatala (DSH) *
- $ 39 biliyoni kuchokera kuchipatala chazamwino
- $ 33 biliyoni kuchokera kuzinthu zina
- $ 17 biliyoni kuchokera kuchipatala *
* $ 25 biliyoni akhoza kuchotsedwa kuchokera mu bajeti chifukwa cha ena omwe akuyembekezerapo kusintha malonda a DSH komanso malingaliro a Medicaid ndi CHIP.
Kutenga ndalama kuchokera ku pulogalamu imodzi yothandizira anthu kuti adzipire wina wakhala wotsutsana pazandale. Ndi ndalama zochepetsera ndalama kuti mugwiritse ntchito Medicare, kodi pulogalamuyo ikhoza kukhala yothandiza? Choipa kwambiri, kodi chidzapweteka Achimereka?
Ngakhale kuti Obamacare akugwiritsira ntchito ndalama kuchokera ku Medicare, inayambitsanso kusintha komwe kunabweretsa kusintha kwakukulu kwa thanzi la anthu okalamba ndi iwo olumala .
- Kusamalira mosamala. Obamacare anakhazikitsa Medicare Wellness Akuyendera ngati ntchito yaulere kwa opindula a Medicare. Ulendo uwu umakupatsani nthawi imodzi ndi dokotala wanu kuti muwone mbiri yakale ya zachipatala ndi kufunika koyezetsa zowononga. Ngati dokotala adzalandira gawo , ambiri mwa mayeserowa, kuphatikizapo kanema kuyesera, adzakhalanso mfulu.
- Kuchepetsa ndalama za mankhwala . Ndalama za D Dzana zidakambirana pansi pa Obamacare. Chofunika kwambiri ku chikwama chako, kusiyana kochepa kwa mankhwala ochepetsa mankhwala osokoneza bongo kudzachepa pang'onopang'ono mpaka utatseke mu 2020. Kutseka mpata, womwe umadziwikanso ngati "dzenje" , ukhoza kusunga makumi masauzande madola kwa anthu okalamba pa mankhwala ambiri.
- Kusamalira bwino kuchipatala . Obamacare waika malamulo pamalo omwe amapereka zipatala zomwe sizikugwirizana ndi zitsulo zinazake zomwe zimapangitsa kuti ukhale wovomerezeka m'kanthawi kochepa . Izi zimalimbikitsa zipatala kuti zisamalire bwino, kusunga thanzi komanso kuchipatala.
- Kuchepetsa Medicare chinyengo . Ndondomeko zatengedwa kuti achepetse nkhanza ndi chinyengo kwa Medicare. Zaka zoposa madola 4 biliyoni zasungidwa chaka chilichonse chifukwa Chosowa Chithandizo Chachikulu chinakhazikitsidwa mu 2010, pafupifupi kawiri pachaka kusungidwa poyerekeza ndi zaka zisanachitike.
- Kuwonjezera kwa Thumba la Medicare Trust . Dipatimenti ya Medicare Trust ikuyembekezeredwa kukhala yothetsera zaka khumi ndi zitatu kuposa Obamacare. Izi zikutanthauza kuti Medicare ali ndi ndalama zokwanira kuti azilipira 100 peresenti ya chigawo cha A Ada mpaka 2030. Kusungidwa kwa Medicare pansi pa Chithandizo Chachidwi Chachikulu kwawonjezera moyo wa Medicare.
Ziribe kanthu momwe mukuyang'anirako, Medicare yatenga zabwino ndi zoipa kuchokera kwa Wodalirika Care Act. Ndi kusintha kotani kwa chisamaliro cha zaumoyo kumabweretsa, tiyenera kuyembekezera ndikuwona.
> Zotsatira:
> Boccuti B, Casillas G. Akufuna Kupititsa Patsogolo Pa Chipatala Chochepa: Dipatimenti ya Kuchepetsa Kuvomereza Kuwerengera kwa Medicare Hospital. Henry J. Kaiser Family Foundation. Lofalitsidwa pa January 29, 2015.
> Congressional Budget Office. Kalata Yochokera kwa Mtsogoleri Douglas W. Elmendorf kwa Wokamba Nyumbayo John Boehner. Yalembedwa July 24, 2012.
> Van de Water, PN. Medicare Sichitha Bwino: Kusintha kwa zaumoyo kwapangitsa kuti pulogalamu ya ndalama ikhale yopindulitsa. Pakati pa Ndalama ndi Zopindulitsa za Ndondomeko. Idasinthidwa pa July 30, 2015.
> White House. The Affordable Care Act: Kulimbikitsa Medicare.