Momwe ACA idapambana nkhondo pazaumoyo ku Utah

Obamacare ali pano kuti akhalebe ndipo ngakhale aku Utah Republican sakufuna kuvota motsutsa.

(US Centers for Medicare and Medicaid Services via AP) Chithunzichi choperekedwa ndi US Centers for Medicare and Medicaid Services chikuwonetsa tsamba la HealthCare.gov.

Zisanachitike zisankho zapakati pa 2018, zisankho zamalingaliro zidayika chisamaliro chaumoyo ngati nkhani yoyamba kwa ovota. Mofulumira mpaka 2022, ndipo chisamaliro chaumoyo sichiphwanya mitu isanu yapamwamba pamalingaliro a ovota. Ngakhale zovuta zatsopano monga mliri ndi kukwera kwa mitengo kwayamba, kusinthaku kumatanthauzanso china: The Affordable Care Act (ACA) yatsala pang’ono kukhala.

Zaka zisanu zapitazo, mkangano wokhudza kusintha kwaumoyo wa Purezidenti Barack Obama unali kutsogolo, pakati komanso mokweza kwambiri. Mukukumbukira voti yosavomerezeka ya Senator John McCain yomwe idapulumutsa Anti-Corruption Act kuti ichotsedwe? Kapena zigamulo zingapo za Khothi Lalikulu zomwe zidapulumutsa lamulo ku milandu yankhanza.

Kumbukirani maholo amatawuni a 2017 pomwe opanga malamulo aku Republican adakumana ndi anthu okwiya chifukwa chofuna kuthetsa chitetezo cha apolisi chomwe chinalipo kale cha ACA. Zotsatira zake, Congress sinayese kuwononga Medicare Act kuyambira 2017, ndipo palibe amene akulankhula lero kuti athetse. Momwemonso, opanga malamulo adakulitsa kuyenerera kwa Medicaid mu 2020 ndikuwonjezera ndalama zothandizira ACA mpaka 2025. Ngakhale milandu yamayiko otsogozedwa ndi Republican yoletsa lamulo loletsa katangale ikutha.

ACA ikulandiranso ku Utah. Burgess Owens atachita kampeni ku Congress mu 2020, adasintha tsamba lake kuti achotse lonjezo lochotsa ACA, m’malo mwake ndi “Obamacare sakufunikanso kuthetsedwa, koma kusintha ndikofunikira pamalingaliro azachipatala omwe alipo.” Ngakhale Owens wokonda kwambiri adadziwa kuti kuwukira ACA sikunali njira yopambana ku Utah.

Masiku ano Rep. Chris Stewart, yemwe adachitapo mabwalo angapo akuukira ACA ndi mfundo zokayikitsa, alibe ngakhale tabu ya “Healthcare” patsamba lake. Komanso Senator Mike Lee, wotsutsa mwamphamvu malamulo azaumoyo m’mbuyomu.

Koma simuyenera kumvera andale kuti azindikire kuti ACA ndi yotetezeka kwambiri masiku ano. Ingotsatirani anthuwo. Utahns akulembetsa m’magulu a inshuwaransi yazaumoyo yosintha masewera kuchokera ku ACA. Mu 2022, 256,932 Utahns adalembetsa mu inshuwaransi ya ACA, kapena pafupifupi m’modzi mwa anthu 12 okhalamo. Kuyambira 2014, kulembetsa ku Utah kwakula pafupifupi 15% chaka chilichonse.

Poyerekeza ndi mayiko omwe ali ndi anthu ofanana, monga Iowa, Connecticut, ndi Nevada, Utah ili ndi anthu ochulukirapo kawiri kapena katatu omwe amadalira chithandizo cha ACA. Nzosadabwitsa kuti andale aku Utah a ku Republican asiya kuukira Obama: ambiri mwa anthu awo akudalira iye.

Ndinadziwa kuti ACA idzachita bwino ku Utah mu 2015 pamene ndinapita ku boma kukapereka mauthenga pa misika yatsopano ya inshuwalansi ya umoyo. Panthawiyo, ndinali kugwira ntchito ku Utah Health Policy Project, yopanda phindu yomwe imaperekabe thandizo laulere ku boma la Utah kuti ndilembetsedwe.

Pogwiritsa ntchito mbiri yeniyeni ya zomwe mabanja adzalipira mu annuity ndi copayment, komanso kufotokoza zopindulitsa zatsopano monga chisamaliro chaulere ndi katemera, ndachita masemina oposa 240 kuti ndifike ku 10,000 Utahns ndi zowona za ACA. M’njira ndinaphunzira momwe Utah anali ndi njala yatsopano komanso yabwino ya inshuwalansi ya umoyo kwa mabanja awo. Ankafuna kuthandizidwa popanda misampha ndi zilembo zabwino zomwe zidapangitsa anthu kukayikira inshuwalansi m’mbuyomu.

Pamene anthu anandiuza kuti ali ndi ndalama zabwino pansi pa chisanadze ACA inshuwalansi chiwembu, Ndinawayamikira iwo mwayi. Malipiro ake otsika anali otheka chifukwa makampani a inshuwaransi angaphatikizepo mwalamulo mamiliyoni a anthu omwe ali ndi mikhalidwe yomwe inalipo kale, kulipiritsa akazi ambiri kuposa amuna, amafuna nthawi yayitali yodikira ndikuletsa mankhwala kwa odwala matenda a shuga ndi khansa. Nkhani zopweteka mtima zochokera kwa ena mwa omvera zatsimikizira kuti inshuwaransi yakale ya umoyo inshuwaransi inkafuna kuti munthu azindikire zoipa, kuchotsedwa ntchito kamodzi kapena mwana wobadwa msanga kuti akankhire anthu mofulumira kuposa momwe anganene kuti “GoFundMe.”

Ngakhale ma Republican atenganso Congress ndi Purezidenti pofika 2024, sangayesetse kuletsa lamulo loletsa katangale. Pofika nthawiyo, zaka 10 pambuyo pa kukhazikitsidwa kwa ACA Markets, inshuwaransi yaumoyo yomwe imathandizira kuti mabanja azikhala ndi moyo wabwino idzakhala yokhazikika m’magulu athu a inshuwaransi.

Opanga malamulo atha kuvota motsutsana ndi mwayi wopeza chithandizo chamankhwala pachiwopsezo chawo, chifukwa, monga maukonde achitetezo a Social Security ndi Medicare, kapena mabizinesi aboma monga mapaki amtundu, Eisenhower Interstate, kapena GI Act, ACA ili pano.

Jason Stevenson Wolemba komanso wokhala ku Salt Lake City. Malingaliro ndi malingaliro omwe afotokozedwa m’nkhaniyi ndi ake.

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