Mtsutsano Womwe Amereka Achimwenye Amalandira Utumiki Wathu Wathanzi Adzatha
Ambiri Ambiri amadziwa kuti dongosolo lachipatala sagwira bwino ntchito, koma ndi ochepa omwe amadziwa kukula kwa mavuto omwe akukhudzidwa. Mtsogoleli uwu ukhoza kukuthandizani kumvetsa mavuto omwe ali nawo, ndi mafunso omwe ayenera kuyankhidwa kuti akonze dongosolo.
Kupititsa patsogolo ndi kukhazikitsidwa kwa Affordable Care Act ya 2010 (ACA) kunayankha zambiri mwazo.
Koma zambiri sizingathetsedwe ndipo amapitiliza kutsutsana ngati zosinthidwa zikuperekedwa ndikuganiziridwa. Kusintha kwaumoyo sikunatha ndi ACA, ndizopitirizabe.
Ambiri a ife timalinganiza "kusintha kwa chisamaliro" ndi "chisamaliro chonse cha thanzi." Ndipotu, si zokhazo zomwe sizili chinthu chomwecho, kusintha kwa chisamaliro kumakhala ndi zigawo khumi ndi ziwiri, ndipo chisamaliro chonse cha thanzi si chimodzi mwa iwo. Chithandizo chamankhwala chonse ndi chimodzi mwa mayankho a mafunso amodzi (onani "Zolemba" pansipa), ngakhale kuti funso limene anthu ambiri akulimbana nalo ndilovuta kwambiri.
Pali njira zowonjezera zinayi kuti mumvetsetse kusintha kwa chisamaliro ndi zofunikira zake.
1. Kumvetsetsa mavuto omwe ali nawo omwe amachititsa kuti pakhale ndondomeko ya Care Affordable Act ya 2010.
2. Kumvetsetsa lingaliro la kulumikiza zaumoyo.
Zomwe ambiri a ife sitikumvetsa ndizakuti mafunso akuluakulu okhudzana ndi kufotokozera onse ndi okhutira ndi kugawa .
Pamene anthu ambiri ndi zina zambiri zimaperekedwa, zambiri zimakhudzidwa ndi kukambirana. Chonde tengani mphindi zingapo kuti mumvetsetse lingaliro la kuyanjana, kenaka pitani ku zokambirana zonse za kusintha kwaumoyo pansipa.
3. Kumvetsetsa zomwe zimasokoneza chigamulo china chili ndi ena.
Mbali zambiri za kusintha kwaumoyo zimagwirizana ndi zina zonse.
Zosankha zokhudzana ndi kufalitsa zidzakhudza mtengo ndi malipiro, zomwe zidzakhudzanso chitetezo cha odwala ndi kusintha kosokoneza. Zosankha zokhudzana ndi zachipatala zokhudzana ndi zachipatala zidzakhudza zobisika, ndi zina zotero. Komanso, mavuto a wosagwirizanitsidwa amakhudza kwambiri kuposa ndalama zathu. Ichi ndi chifukwa chake kusintha kwa chisamaliro cha thanzi ndizovuta kwambiri kuti zisinthe.
4. Gwiritsani ntchito chithunzi chachikulu cha nkhani zothandizira zaumoyo.
Nazi mafunso omwe akukhudzidwa mu mutu wonse wa kusintha kwa thanzi. Lamulo lawo silikutanthauza kuti iwo ali ofunikira pachithunzi chachikulu. Mukhoza kuphunzira zambiri za aliyense mwa kutsatira zizindikiro zomwe zatchulidwa.
- Zolemba:
Kodi anthu onse a ku America adzalandira chithandizo chamankhwala abwino? Kodi mwana wa wogwira ntchito osadziŵa maola angapo amatha kusankha njira zomwezo monga Mtsogoleri wamkulu wa bungwe lalikulu, kapena membala wa US Congress kapena membala wa mgwirizano? Kodi pali kusiyana pakati pa chisamaliro chomwe chilipo kuchokera ku boma kupita ku boma?Zina mwa mafunso okhudza kufalitsa ndizo:
- Ndani ayenera kuphimbidwa?
- Kodi pali kusiyana kotani pakati pa zachipatala , chiwerengero cha zaumoyo, komanso kugwirizanitsa mankhwala ?
- Zomwe zakhalapo kale - kukana inshuwalansi yaumoyo kwa omwe ali ndi vuto lachipatala
- Kulekerera chisamaliro - ndi mayesero ati, zamankhwala, ndi maubwino ati omwe ayenera kukhala, kapena sayenera kulipidwa?
- Mitundu ya mautumiki omwe ayenera kubweretsedwa (thanzi labwino kapena mano?)
- Chisamaliro chapamwamba ndi kusowa kwa madokotala oyang'anira chisamaliro
- Zosamalira zosamala monga kusuta fodya, kapena kuthana ndi mavuto aunyamata
- Kusamalidwa kwa chisamaliro - ndi ntchito yolemba ntchito monga momwe ziliri lerolino, antchito nthawi zina amapeza kuti sangathe kusuntha kapena kusintha ntchito popanda kuwopa kutaya inshuwalansi yawo
- Malipiro ndi Zolama:
Pambuyo pa gawo la Care Affordable Care Act ya 2010, anthu pafupifupi 47 miliyoni ku United States analibe malipiro a chithandizo chawo chamankhwala. Panali ndalama zoposa 25 miliyoni zomwe sizinali ndi inshuwalansi, kutanthauza kuti anthu 72 miliyoni anali pangozi yotaya ndalama zawo ngati chithandizo chawo chamankhwala chimawononga ndalama zoposa 10 peresenti ya ndalama zawo.Izi makamaka zimachokera paziganizo zapadera kapena zachinsinsi, kapena malamulo a inshuwalansi yapadera. Yankho limodzi lokha ndilo " chisamaliro chonse cha thanzi ."
Zina mwa mafunso okhudza kayendetsedwe ka ndalama ndi ndalama ndi izi:
- Ndi mbali ziti za chithandizo chamankhwala zomwe ziyenera kulipidwa ndi anthu, olemba ntchito kapena boma?
- kuphatikizapo Mauthenga a Edzi Health
- Kuwonetsa mtengo - odwala panopa sakudziwa bwino momwe chithandizo chamankhwala chimayendetsera ndalama, chomwe chimayesedwa kuti ndi chimodzi mwa zifukwa zothandizira zaumoyo ku United States ndi okwera mtengo kwambiri.
- Kunyengerera ngongole ndi overcharging kwa mautumiki - izi zikuchitika muzinthu zonse za boma zowonetsera ndalama komanso zapadera
- Ndalama za mankhwala ndi zipangizo - Odwala ku United States amapereka zambiri kwa mankhwala ndi zipangizo zamankhwala kuposa odwala kulikonse padziko lapansi
- Kulipira madokotala ndi makampani opanga mankhwala ndi makampani opanga mankhwala
- Kukhala ndi zipangizo ndi zipangizo
- Kugwiritsa ntchito luso lamakono
- Chitetezo cha Odwala:
Monga momwe zovuta zilizonse zomwe tafotokozazi zakhala zovuta kwambiri kwa akatswiri, malo, ndi odwala kuti athe kupirira, odwala ali pangozi yowonjezereka mavuto pamene akupeza njira. Odwala amafa kapena amaonongeka ndi dongosolo lomwe likuyenera kuwathandiza kuchiza kapena kuchiritsidwa. Kusintha kwaumoyo kumafunika kukonza dongosolo kuti kuchepetsa kuchuluka kwa zolakwika zachipatala ndi imfa.Zina mwa mafunso okhudza chitetezo cha odwala ndi izi:
- Transparency polemba zolakwika
- Kusintha kosayenerera - kodi odwala ayenera kuloledwa kuimbidwa mlandu pamene zolakwa zapangidwa? Kodi pangakhale zikopa pa ndalama zomwe angapemphere?
- Dongosolo la FDA - lomwe lasowa chizindikiro poziteteza ku America nthawi zambiri m'mbuyomu
- Thanzi la Zamankhwala:
Kugwiritsira ntchito mapepala athu omwe amasungidwa ndi mapepala amatsata osati zotsatira zokha za chisamaliro, koma ubwino wa chisamaliro. Kodi ndi mavuto otani omwe angathetsere panthawi yokonzanso ndi kugwiritsa ntchito zolemba zamankhwala zamagetsi ? - Research Research, kuphatikizapo Stem Cell Research:
Zaka zaposachedwapa, ndalama za boma zofufuza kafukufuku wa zachipatala zadodometsedwa kwambiri, zikusiya mafunso akuluakulu okhudza ubwino wofufuza kafukufuku wopangidwa ndi opanga mankhwala ndi zipangizo.
2010 Kutetezedwa kwa Odwala ndi Operewera Care Act (ACA) - Lamulo la Umoyo Wosintha Malamulo a Inshuwalansi
Kusintha kwakukulu koyamba kwa malamulo omwe amalamulira zaumoyo ndi chithandizo chamankhwala ku United States adasindikizidwa kukhala Pulezidenti Barack Obama pa March 23, 2010. Zambiri, koma sizinthu zonse, zomwe zinalembedwa pamwambazi zinayankhidwa ndipo zidzathetsedwa zaka zisanu. Adzapitiriza kukhala gwero la mkangano kuyambira pamene ndalamazo zinasinthidwa m'zaka zikubwerazi.