Mark Haag: Kuyanjanitsanso machitidwe azaumoyo a Vermont ndikuchepetsa mtengo wamankhwala

Ndemanga iyi idalembedwa ndi Mark Haag, Mtsogoleri wa Mapulogalamu Opindulitsa ku Vermont-NEA.

Ndemanga iyi ndi yomaliza pamndandanda womwe wawonetsa zidutswa za Patrick Flood ndi Julie Wasserman. Talumikiza zida zankhondo kuti titsimikizire kuti njira yaumoyo yofananira, yotsika mtengo ikupezeka ku Vermont.

Koma tiyenera kusuntha. Sitingadikire boma la federal, ngakhale mkangano wa “Medicare for All” ukupitilira. Ndi dongosolo lathu lazaumoyo – ndipo likutilepheretsa.

Kafukufuku wa Inshuwalansi Yaumoyo Wapakhomo ku Vermont Department of Health a 2021 akutiuza kuti:

  • 2 mwa 5 a Vermonters omwe ali ndi inshuwaransi mwachinsinsi (41%) amachotsedwa pachaka kuposa $4,000.
  • 44 peresenti ya ife ochepera zaka 65 okhala ndi inshuwaransi yachinsinsi – pafupifupi 131,000 – tili ndi inshuwaransi yochepa. Kukhala “opanda inshuwaransi” kumatanthauza kuti dongosolo lanu la phindu silikulipira mokwanira ndalama zomwe mumagwiritsa ntchito panopa kapena zomwe mungawononge mtsogolo ngati muli ndi vuto lalikulu kapena matenda.
  • Ma Vermonters omwe amapeza ndalama zochepa, okhala ku BIPOC, anthu ochepa omwe amadziwika kuti ndi amuna kapena akazi, komanso omwe ali ndi zilema amakhala osowa pazamankhwala kuposa magulu ena.

Njira yochepetsera thupi

Kodi Vermont angachite chiyani pano kuti achepetse ndalama zothandizira zaumoyo? Kodi tingalimbikitse bwanji machitidwe osamalira anthu ammudzi m’madera akumidzi ndikupereka ndalama zodziwikiratu kuzipatala?

Kutengera zopereka za anzanga, ndikukonza izi:

  • Kusamutsa zipatala ku bajeti zapadziko lonse lapansi kuti zitsimikizire mitengo yabwino, kuchita bwino kwambiri komanso kukhala ndi ndalama zokhazikika.
  • Kupanga ndondomeko ya zaka zambiri yomanganso gawo losamalira anthu ammudzi, kugawanso ndalama zomwe zimagwiritsidwa ntchito pazipatala zopeŵeka kapena zosafunika kwenikweni kuzinthu zothandizira anthu.
  • Pangani Bungwe la Prescription Drug Affordability Council kuti mukambirane zamitengo yotsika yamankhwala okwera mtengo.

Zipatala zapadziko lonse lapansi

Bajeti yapadziko lonse lapansi ndi njira yoyendetsera ndalama zomwe zimayendetsedwa ndi anthu zomwe zimapereka ndalama zokhazikika kuti zipereke ndalama zomwe zikuyembekezeredwa m’chipatala kwa anthu ena mchaka chilichonse. Ndi chitsanzo chomwe chimagwiritsidwa ntchito kwambiri padziko lonse lapansi.

Cholinga chachikulu cha bajeti zapadziko lonse lapansi ndikukonza moyenera, ndikuwongolera zachuma, kupereka ndalama zokhazikika komanso kupititsa patsogolo ntchito zofunikira. Kukonzekera kwa bajetizi kumadalira pazifukwa zingapo: ndalama zomwe zagwiritsidwa ntchito m’mbuyomu, kayendetsedwe ka ndalama, zotsatira zachipatala, kusintha koyembekezeka kwa mautumiki, ndalama zogwirira ntchito, ndalama zoyendetsera ntchito, ndi mapulogalamu atsopano omwe aperekedwa.

Mabajeti apadziko lonse lapansi amathanso kukhazikitsa mitengo yofananira ya mautumiki omwewo (amasiyana kwambiri masiku ano).

Pakafukufuku wofalitsidwa chaka chino ndi Commonwealth Fund, Robert Murray, katswiri wa machitidwe obwezera chithandizo chamankhwala, akukambirana za bajeti zonse zokhazikika komanso zosiyana. Mabajeti apadziko lonse lapansi akuti “ali ndi kuthekera kwakukulu kowongolera ndalama zonse, kuphatikiza kukhala ndi kapena kuchepetsa zipatala zosafunikira”.

Amanenanso kuti ndalama zapadziko lonse lapansi zitha kulimbikitsa ndalama zamapulogalamu omwe amagwirizanitsa bwino chisamaliro chachipatala ndi madokotala oyambira komanso kukulitsa mwayi wopita patsogolo kwa odwala omwe ali ndi matenda osatha. Murray akunenanso kuti bajeti zapadziko lonse lapansi zingafunike “kuvuta pang’ono kwa bungwe kuti akwaniritse ndikukhazikitsa”.

Mitengo yotengera tsatanetsatane

Popeza dongosolo la bajeti la Vermont padziko lonse lapansi likukonzedwa, ndikupangira kuti tidutse ndi mitengo yamitengo yomwe imayenderana ndi mitengo ya Medicare. Izi zikutanthauza kuti zipatala zidzalipidwa chifukwa cha ntchito zomwe Medicare imalipira.

Mu 2017, Montana adakhazikitsa mitengo yofananira ndi mitengo ya Medicare pazipatala za ogwira ntchito 31,000 ndi mabanja awo. Palibe zipatala zomwe zidatsekedwa pambuyo pake, ndipo kupulumutsa mtengo kunali kochititsa chidwi:

  • Mchaka cha 2019, pafupifupi ndalama zomwe membala aliyense amawononga pamwezi pa inshuwaransi ya ogwira ntchito m’boma zidatsika ndi 22% pazothandizira odwala ndi 14% pantchito zakunja.
  • Kuchokera mu 2017 mpaka 2019 mokha, ndalama za inshuwaransi yazaumoyo kwa ogwira ntchito m’boma zidachepetsedwa ndi pafupifupi $48 miliyoni.
  • Mitengo yotengera mareferensi “idapangitsa kuti dongosololi likhale lokhazikika pazachuma…popanda kukakamiza antchito”.

Maiko ena, mwanjira yawoyawo, atsatira chitsogozo cha Montana.

Kumanganso ndi kulemekeza chisamaliro cha anthu

Ndalama zomwe tsopano zimagwiritsidwa ntchito pa chisamaliro chotsika mtengo, kugwiritsidwa ntchito mopitirira muyeso kwa zipinda zadzidzidzi, ndi ntchito zachipatala zopeŵeka ziyenera kukhazikitsidwa pomanganso machitidwe osamalira anthu ammudzi omwe amathandizidwa ndi osamalira olipidwa bwino.

Boma liyeneranso kudzipereka nthawi zonse kuthetsa kuchepa kwa anthu ogwira ntchito m’chipatala choyambirira, unamwino, thanzi labwino, komanso thanzi lapakhomo. Kuti talola kuti mipingo yawo iwonongeke ndikuchulukirachulukira ndi mlandu waukulu kwa iwo omwe amayendetsa dongosolo lathu laumoyo ndi OneCare Vermont, bungwe lolephera kuyankha la boma.

Prescription Drug Affordability Council

Pafupifupi munthu mmodzi mwa anthu anayi aku America akuti sakumwa mankhwala chifukwa cha mtengo wake. Komabe, kuyambira 2016 mpaka 2020, makampani akuluakulu 14 opanga mankhwala adawononga $ 577 biliyoni pogula magawo ndi magawo – $ 56 biliyoni kuposa momwe adayikamo pakufufuza ndi chitukuko munthawi yomweyo.

Zowona zotere zidapangitsa kuti Maryland mu 2019 ipange First Prescription Drug Affordability Council, gulu lazachipatala komanso azachuma omwe ali ndi mlandu “woteteza Maryland ndi dongosolo lazaumoyo ku Maryland pamtengo wokwera wamankhwala omwe amaperekedwa ndi dotolo.”

Maiko ena atsatira chitsogozo cha Maryland. Vermont iyenera kukhala yotsatira.

Kusintha kwachuma

Patrick Flood walimbikitsa kuti tiyambe kupereka ndalama zotsitsimutsa chisamaliro cha anthu ammudzi ndi ndalama zochokera ku bajeti ya OneCare Vermont. Ndikuvomereza. Kuwongolera kwachuma kumeneku kudzayambitsa kusintha kwakukulu komwe kumafuna kupulumutsa ndalama ndi kusamalidwa bwino kudzera mukukonzekera bwino ndi mitengo kudzera mu bajeti yapadziko lonse lapansi.

Vermont yawononga pafupifupi $80 miliyoni pamitengo yoyang’anira OneCare kuyambira pomwe idakhazikitsidwa, ndipo $15.4 miliyoni idavomerezedwa mchaka chachuma cha 2022.

Komabe, ambiri aife sitidziwa kuti OneCare ndi chiyani kapena chifukwa chake ilipo, chifukwa siyipereka chisamaliro chachindunji kwa odwala. Chiyambireni kukhazikitsidwa kwake mu 2014, chiwerengero cha anthu okhala ku Vermont omwe ali ndi inshuwaransi yapadera chakwera 17 peresenti (27 mpaka 44 peresenti) ndipo ndalama zothandizira zaumoyo zawonjezeka kuchoka pa $ 5.5 biliyoni (2014) kufika $ 6.8 biliyoni (2020).

Bungwe la Green Mountain Welfare Board lipanga dongosolo lazaka zambiri lomwe lidzatsogolere ndalama zoyendetsera OneCare pazifukwa izi:

  • Ndalama zothandizira maphunziro a maphunziro ndi njira zothandizira ngongole kuti aphunzitse, kulemba ntchito, ndi kusunga madokotala ochiritsira, alangizi a zaumoyo, anamwino, ndi opereka chithandizo chapakhomo, kuti ayambe kuonjezera malipiro awo, ndi kuthetsa mchitidwe wodula kwambiri wolemba ntchito “anamwino a m’manja” (mu 2021, dziko la Vermont lawononga ndalama zoposa 100 miliyoni pa okwera).
  • Limbikitsani mphamvu zazachuma ndi kusinthasintha kwa kayendetsedwe ka zipatala zoyenerera m’boma kuti apereke chisamaliro choyambirira ndi chithandizo chamisala popanda mtengo kapena pamlingo wopeza ndalama.
  • Chotsani zomwe sizili zachipatala kwa opereka chithandizo omwe sasintha chisamaliro koma amatenga nthawi kwa odwala ndikuwonjezera ndalama.

Bungwe la Green Mountain Care Council lagawanso ndalama za OneCare lidzadziwitsidwa ndi ogwira ntchito ochokera kumadera osamalira anthu, zipatala, olemba anzawo ntchito, mabungwe, makoleji aboma, ndi mabungwe omwe adzipereka kulimbikitsa kupezeka kwa chithandizo chaumoyo, chilungamo, ndi chitetezo ku tsankho.

Tiyeni tipitirire

Kukhoza kwathu kukonzanso milingo ya chisamaliro mu zipatala ndi chisamaliro cha anthu ammudzi ndikukonzanso kuphatikiza kwa ntchito zawo.

Izi zikutanthauza kukwaniritsa zomveka komanso kuyankha pamitengo yachipatala ndi ndalama zomwe zimagwiritsidwa ntchito ndi bajeti zapadziko lonse lapansi. Zimafunikanso kuthetsa kapena kuchepetsa kuchulukirachulukira kwa zipatala ndikuchepetsa kuchuluka kwa machitidwe omwe anthu amakhala m’zipinda zadzidzidzi ndi mabedi azachipatala.

Pomaliza, boma liyenera kukakamiza makampani opanga mankhwala kuti akambirane zamitengo yotsika.

Zolinga izi zikhoza kukwaniritsidwa ndi chifuniro cha malamulo, kutsimikiza kwa bungwe, ndi chithandizo cha anthu.

Kodi mumadziwa kuti VTDigger ndi bungwe lopanda phindu?

Utolankhani wathu umatheka chifukwa cha zopereka zamagulu kuchokera kwa owerenga ngati inu. Ngati mumayamikira zomwe timachita, chonde perekani zopereka zathu pachaka ndikutumiza zakudya 10 ku Vermont Food Bank mukatero.

zagawidwa pansi:

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Tags: ndalama zothandizira zaumoyo, dongosolo laumoyo, Julie Wasserman, Mark Hage, Kusintha Modzichepetsa, Patrick Flood

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