Anthu amasaina mafomu ogonera kuchipatala

Banja limodzi mwa mabanja asanu aliwonse ali ndi ngongole zachipatala. Zimaphatikizapo anthu omwe ali ndi inshuwaransi yachinsinsi.

Kafukufuku wofalitsidwa Lachisanu adatsimikiza kuti ngongole zachipatala zikupangitsa kuti anthu ambiri ku United States asathe kugula zinthu kapena kulipira ngongole zanyumba – ngakhale pakati pa inshuwaransi.

Ofufuzawo akuti zomwe zapezedwa, zofalitsidwa m’magazini ya JAMA Network Open, zimapereka umboni wina wosonyeza kuti ngongole yachipatala ndiyomwe imayambitsa kusalinganika kwa thanzi ndi zachuma ku America, ndikugogomezera kufunika kosintha ndondomeko.

“Zinthu zomwe tidaziwona m’maphunziro athu kulibe m’maiko ena olemera,” adatero David Himmelstein, pulofesa wa CUNY School of Public Health ku Hunter College ku New York City. United States ikufunika “kusintha kwakukulu kwenikweni.”

Anthu omwe ali ndi ngongole zachipatala “akhoza kuthamangitsidwa, sangathe kulipira ntchito zawo, komanso amakhala opanda chakudya,” adatero Himmelstein.

Kafukufukuyu adasanthula zaka zitatu za data kuchokera ku Income and Participation Surveys of the Programme, kafukufuku wopangidwa ndi US Census Bureau ndi cholinga chopereka chidziwitso cha ndalama zapanyumba zaku US.

Ofufuzawa adapeza kuti ngakhale kuti omwe sali ndi inshuwalansi amakumana ndi chiopsezo chachikulu chotenga ngongole zachipatala, zinalinso zofala pakati pa anthu omwe ali ndi inshuwalansi yachinsinsi – makamaka omwe ali ndi mapulani otsika mtengo kapena omwe amagwiritsa ntchito Medicare Advantage, mtundu wa ndondomeko ya inshuwalansi yaumwini.

“Ngakhale mutakhala ndi zomwe ambiri aife timaganiza kuti ndi inshuwaransi yabwino, mutha kukhala ndi ngongole zazikulu,” adatero Himmelstein.

Mwa akuluakulu 136,000 omwe adafunsidwa kuyambira 2017 mpaka 2019, pafupifupi 10.8% anali ndi ngongole zachipatala, kuphatikiza 10.5% ya akuluakulu omwe ali ndi inshuwaransi yachinsinsi, malinga ndi lipotilo.

Lipotilo linapeza kuti akazi (pafupifupi 1 mwa 8) anali othekera kwambiri kukhala ndi ngongole yamankhwala kuposa amuna (pafupifupi mmodzi mwa 11).

Malinga ndi kafukufukuyu, pafupifupi banja limodzi mwa 5 aliwonse ali ndi ngongole zachipatala. Anthu amene amaonedwa kuti ndi apakati kapena opeza ndalama zochepa amakhala ndi vuto limeneli. Pa avareji, banja lina la ku America lili ndi ngongole pafupifupi $4,600 pa ngongole zachipatala.

Anthu amasaina mafomu olandila ndi wogwira ntchito ku New York Presbyterian Children’s Hospital ku New York pa Meyi 28, 2021.Diana R Cabral / NoorPhoto kudzera pa Getty Images

Kuphatikiza apo, ofufuzawo adapeza kuti ngongole idalumikizidwa ndi chiwopsezo chachikulu cholephera kubweza lendi kapena kubwereketsa nyumba, kuthamangitsidwa ndi kusowa kwa chakudya, ngakhale pakati pa omwe ali ndi inshuwaransi payekha.

Kafukufuku ali ndi malire: Zofufuza za US Census Bureau zimangodziwonetsera zokha komanso zimakondera. Zikuwonekeranso kuti anthu omwe ali ndi mapulani a Medicare Advantage sanafotokozedwe mu deta.

Komabe, Lunna Lopes, katswiri wofufuza kafukufuku ku Kaiser Family Foundation, adanena kuti zomwe apeza pa kafukufukuyu zikuwoneka kuti zikugwirizana ndi maphunziro ena okhudzana ndi ngongole yachipatala ndi zotsatira za thanzi labwino komanso zachuma.

Ilo linasindikiza lipoti mu June lomwe linapeza kuti akuluakulu osatetezedwa, amayi, akuda, Hispanics, makolo, ndi omwe ali ndi ndalama zochepa amatha kunena kuti ali ndi ngongole yachipatala.

Anati nthawi zambiri anthu ambiri amakhala m’mavuto chifukwa cha ngongole yachipatala chifukwa cha zochitika zachilendo pamoyo, monga kupita kuchipatala chifukwa cha ngozi ya galimoto. Nthaŵi zambiri amadzimana zinthu zina, kuphatikizapo kupeza ntchito ina kapena kuchepetsa ndalama zimene amawononga tsiku lililonse.

“Chakudya ndi chimodzi mwa zinthu zomwe zidabwera kwambiri tikamafunsa anthu kuti azisankha ndalama zomwe amagula komanso zomwe amagula,” adatero.

Himmelstein adati palibe zambiri zomwe anthu angachite kuti athetse ngongole yawo yachipatala.

Anthu amatha “kufunsa za mtengo wake asanalandire chithandizo, koma nthawi zambiri, umafunikabe kulandira chithandizo ngakhale sungakwanitse,” adatero.

Akatswiri amavomereza kuti palibe njira yosavuta yothetsera vuto la ngongole zachipatala ku US

“Ngongole zachipatala ndizovuta ndipo zimafuna njira zambiri za umoyo ndi zachuma,” adatero Alison Sisso, pulezidenti wa RIP Medical Debt, gulu lopanda phindu lomwe limagwiritsa ntchito zopereka kulipira ngongole zachipatala.

Sisso amalimbikitsa ndondomeko za federal zomwe zingathetsere kukwera mtengo kwa malipiro komanso kuchotseratu ndalama zambiri komanso ndalama zomwe nthawi zambiri zimasiya anthu ali ndi ngongole.

Arthur Kaplan, mkulu wa zamakhalidwe achipatala ku Langone Medical Center ku New York University, walimbikitsa mayiko kupanga “thumba lazaumoyo lowopsa” lomwe lingathandize kuthetsa mabanja omwe ali ndi ngongole zazikulu zamankhwala.

Kwa iwo omwe ali kunja kwa US, yankho likuwoneka lolunjika.

Robert Yates, katswiri wazachuma pazandale komanso wamkulu wa Center for Global Health ku Chatham, adati mfundo “zodziwikiratu” zomwe US ​​​​itha kutsata ndikukhala chithandizo chamankhwala padziko lonse lapansi popanda kubweza, zofanana ndi zomwe tikuwona ambiri. a mayiko a ku Ulaya. nyumba ku UK.

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