Anthu aku America ambiri adapeza inshuwaransi yazaumoyo panthawi ya mliri, koma osati ku Kansas | KCUR 89.3

Wichita, Kansas – Mapulogalamu a Federal mliri omwe adakulitsa chiwopsezo cha inshuwaransi yazaumoyo m’dziko lonselo mu 2021 sanadzetse chiwongola dzanja ku Kansas – kutanthauza kuti kwa nthawi yoyamba m’zaka makumi angapo, Kansas ndiwocheperako kukhala ndi inshuwaransi yaumoyo poyerekeza ndi okhala ku US. Zodzaza.

Pamene mamiliyoni aku America adachotsedwa ntchito komanso inshuwaransi yochokera kwa olemba anzawo ntchito, boma lidakhazikitsa njira zothandizira anthu kuti azitha kupeza chithandizo. Mapulogalamuwa adathandizira kutsika kwakukulu kwa anthu aku America omwe alibe inshuwaransi mu 2021 kuti agwirizane ndi mbiri yakale ya 8.6%, malinga ndi deta yatsopano Zatulutsidwa sabata ino ndi Census Bureau.

Koma chiwongola dzanja cha ma Kansans osatetezedwa adakhazikika pakati pa 2019 ndi 2021 pa 9.2%. Mitengo yopanda inshuwaransi ya anthu amitundu imakhalabe ku Kansas Ngakhale apamwamba: 14.1% ya Black Kansans alibe inshuwaransi yaumoyo poyerekeza ndi 9.6% ku United States konse. Mwa okhala ku Kansas ku Spain, 20.3% alibe inshuwaransi, poyerekeza ndi 17.7% ku United States konse.

Chifukwa chimodzi cha mitengo yotsika ya inshuwaransi ku Kansas ndikulephera kwa boma kukulitsa kuyenerera kwa Medicaid pansi pa Affordable Care Act. Pofika 2021, mayiko 36 ndi District of Columbia adakulitsa Medicaid. Kupindula kwa inshuwaransi kunali kokulirapo pa avareji m’malo amenewo.

Zatsopano zikuwonetsa kuti mapulogalamu a mliri athandiza anthu aku Kansa ambiri kupeza kapena kusunga inshuwaransi yazaumoyo, ngakhale sangawonjezere inshuwaransi yonse. Inshuwaransi yaumoyo wa anthu m’boma idakwera ndi 1.5%, pamlingo wofanana ndi United States yonse, mwina Chifukwa cha chigamulo Izi zidalepheretsa mayiko kuthamangitsa anthu ambiri ku Medicaid panthawi ya mliri.

“Kupereka chithandizo chopitilira cha Medicaid kunapangitsa kuti Medicaid ichuluke zomwe mwina zidalepheretsa kuchuluka kwa anthu osatetezedwa ku Kansas,” adatero Gideon Lukins, mkulu wa kafukufuku ndi kusanthula deta pazaumoyo ku Center for Budget and Policy Priorities.

Koma zopindulazi zidachepetsedwa ndi kuchepa kwakukulu kwa inshuwaransi yazaumoyo. Kansas idatsika ndi 1.7% pakubisala kwachinsinsi, kupitilira kanayi kuchuluka kwadziko lonse.

Kutsika uku kungakhale kokhudzana kwambiri ndi kuchepa kwa chithandizo chaumoyo chokhudzana ndi ntchito. Panali kuchepa pang’ono, koma osawerengera, kuchuluka kwa anthu aku Kansan omwe adagula inshuwaransi yazaumoyo mwachindunji, kuphatikiza kuchokera kumsika wazachipatala wa boma. Dongosolo lopulumutsa la America Pangani inshuwalansi yotsika mtengo Kwa anthu omwe amapeza ndalama zochepa komanso zapakati.

Pali zifukwa zina zomwe anthu akuphonyera kuwunikira ntchito, atero a Philip Steiner, katswiri wofufuza wamkulu ku Kansas Health Institute.

“Atha kukhala anthu osintha ntchito, kusankha ntchito popanda kulipidwa, kapena kusiya ntchito,” adatero. Koma atha kukhalanso anthu omwe amasankha kusalembetsa mapulani omwe amathandizidwa ndi owalemba ntchito omwe ali nawo. Tawona kuti malipiro akukwera pang’onopang’ono ku Kansas.”

Bungweli limalandira ndalama kuchokera ku Kansas Health Foundation, omwe amapereka ndalama ku Kansas News Service.

Census Bureau idatero a kutsika kwa dziko lonse Inshuwaransi yazaumoyo yokhudzana ndi ntchito imachokera ku kuwonjezeka kwa chiwerengero cha anthu omwe amagwira ntchito zomwe sangathe kupereka inshuwalansi ya umoyo, monga chakudya ndi zomangamanga. Bungweli litulutsa ziganizo zapadziko lonse lapansi pankhaniyi mwezi wamawa, koma nkhani yofananirayi ikhoza kuwonekera ku Kansas.

Pomwe ngozi yadzidzidzi yomwe yalengezedwa ndi boma ikatha ndipo chithandizo cha Medicaid chikuperekedwa – zomwe zitha kuchitika mu Okutobala – boma likuyerekeza. 15 miliyoni aku America Adzataya inshuwaransi yawo yazaumoyo, kuphatikiza ana pafupifupi 5 miliyoni.

Ena adzakhala ndi mwayi wopeza mapindu a Marketplace ndi njira zina za inshuwaransi. Koma anthu pafupifupi 383,000 omwe amakhala ku Kansas ndi mayiko ena 11 omwe sanafutukule Medicaid sadzakhala ndi njira ina yotsika mtengo yopezera chithandizo. Ndi chifukwa chakuti amagwera mumpata wopezeka m’mayiko omwe sali owonjezera: amapanga ndalama zambiri kuti ayenerere Medicaid koma alibe ndalama zokwanira kuti ayenerere kulandira msonkho wa Marketplace zomwe zimapangitsa kuti inshuwalansi yawo ikhale yotsika mtengo.

“Zabwino gawo la nambala [of Kansans] “Iwo omwe atsala olembetsedwa atha kugwera mumpata uwu,” adatero Steiner.

Lukens adati njira yothetsera kufalikira kwa COVID-19, yomwe imatchedwa “kusagwirizana,” ikhoza kusiya ma Kansans ochepa kukhala ndi inshuwaransi kuposa momwe adachitira mliriwu usanachitike.

“Ndikofunikira kwambiri kuti mayiko achitepo kanthu tsopano kuti aletse zinthu monga zolakwika za utsogoleri kuti ziletse anthu omwe adakali oyenera kulembetsa, komanso kuthandiza anthu omwe ataya Medicaid kusintha kusintha kwa chithandizo china,” adatero.

Kukula kwa Medicaid kwakhala nkhani yotsutsana ku Kansas State House. Ma Democrat amathandizira, koma atsogoleri aku Republican m’nyumba zonse ziwiri Iwo anatsutsa lingalirolo.

“Pali mwayi woti KS ikule [Medicaid] Kuthetsa kuchepa kulikonse komwe kungachitike panthawi yochotsa, “atero Lukens.

Rose Conlon Health Report ya KMUW ndi Kansas News Service. Mutha kumutsatira pa Twitter pa @rosebconlon kapena kumutumizira imelo conlon@kmuw.org.

Kansas News Service ndi mgwirizano pakati pa KCUR, Kansas Public Radio, KMUW, ndi High Plains Public Radio yomwe imayang’ana kwambiri zaumoyo, zomwe zimakhudza thanzi, komanso ubale wake ndi mfundo za anthu.

Copyright 2022 KMUW | NPR ya Wichita. Kuti mudziwe zambiri, pitani ku KMUW | NPR ya Wichita.

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