Kaiser Health News

California ikufuna kukulitsa phindu la inshuwaransi yazaumoyo kwa ogwira ntchito pamikangano yantchito

Chakumapeto kwa chaka chino, ogwira ntchito ku Chevron adachitira umboni kuti kampaniyo idayimitsa chithandizo chaumoyo kwa mazana mazana a mamembala 5 a United Steelworkers Local 5 pamalo oyeretsera mafuta ku Richmond, California, pachiwonetsero chomwe chidatenga miyezi iwiri. Anamwino masauzande ambiri a ku Stanford Health Care anauzidwa mu April kuti adzataya inshuwaransi yawo yaumoyo ngati sabwerera kuntchito pakagwa sabata imodzi. Ogwira ntchito opitilira 300 pachipatala cha Sequoia ku Redwood City adalandira uthenga wofananawo atamenya pakati pa Julayi pomwe zokambirana zidayimilira.

Kuyimitsa mapindu a inshuwaransi yazaumoyo ndi njira yodziwika bwino pamkangano wantchito chifukwa popanda izi, zitha kukhala zosavuta kukopa ogwira ntchito kuti avomereze zomwe oyang’anira akufuna. Koma opanga malamulo aku California akupereka mwayi kwa omenya.

Assemblyman Jim Wood, wa Democrat, akuyembekeza kuti lamulo latsopano laku California lomwe lakhazikitsidwa liletsa olemba anzawo ntchito kuti asachepetse phindu lazaumoyo pamikangano yantchito polola ogwira ntchito zapadera kuti azipereka ndalama ziwiri zothandizira boma kuti zigulitsidwe kudzera ku Covered California, msika wa inshuwaransi ya boma. Biliyo, yomwe iyamba kugwira ntchito mu Julayi, idathandizidwa ndi California Labor Union, California Teamsters Public Affairs Council ndi Los Angeles County Labor Union.

“Mfundo ya malamulo ndi yakuti, ‘Ayi, simungathe kuchita zimenezo,’ Wood anati: “Musayesenso.”

Malinga ndi Mneneri wa Covered California Kelly Green, malipiro amaperekedwa kwa ogwira ntchito oyenerera ngati kuti ndalama zawo zakwera pang’ono pamlingo woyenerera wa Medicaid. Boma lidzakhudza phindu la ogwira ntchito ku federal ndikuphimba kusiyana. Mwachitsanzo, munthu m’modzi yemwe amapeza $54,360 pachaka amatha kulipira 8.5% ya ndalama zomwe amapeza, kapena $385 pamwezi, pamalipiro a inshuwaransi pansi pa pulani yaumoyo yapakati. Pansi pa lamulo latsopano la ogwira ntchito amene akunyanyala ntchito, munthu amene wasankha pulani yofananayo sadzalipira kalikonse m’ndalama za inshuwaransi—monga ngati munthuyo amapeza ndalama zokwana madola 20,385 pachaka—panthaŵi yonse ya sitalakayo.

Boma la federal linavomereza phindu lowonjezereka pansi pa American Rescue Plan Act. Ndalama zothandizira zothandizira zidzapitirira mpaka 2025 pansi pa Inflation Reduction Act. Gawo la boma la subsidy likhoza kuwonjezeka pamene sabuside ya feduro ikatha.

Kuyerekeza kumodzi kogwirizana ndi boma kunati lamuloli lingawononge California pafupifupi $341 pamwezi pa wogwira ntchito aliyense – ndikunyanyala mwezi umodzi kapena iwiri. Magulu ogwira ntchito akuyerekeza kuti lamuloli lidzakhudza antchito osakwana 5,000 pachaka. California ili ndi pafupifupi 15 miliyoni ogwira ntchito m’mabungwe osavomerezeka, ndipo kunyanyala nthawi zambiri kumakhala njira yomaliza pakukambirana zantchito.

Sizikudziwika kuti makampaniwo ayankha bwanji. Chevron, Stanford Health Care ndi Sequoia Hospital wogwira ntchito Dignity Health sanayankhe pempho loti apereke ndemanga. Biluyo sinatsutsidwe ndi mabungwe kapena magulu amisonkho. Ndalama zothandizira ku California zophimbidwa zimathandizidwa ndi kusakanikirana kwa ndalama za federal ndi boma monga gawo la Affordable Care Act, kotero palibe mtengo wachindunji kumabizinesi.

Chaka chatha, Gov. Gavin Newsom wa Democratic adasaina lamulo la Public Employees Health Protection Act, lomwe limaletsa olemba anzawo ntchito kuti athetse chithandizo chaumoyo panthawi ya sitiraka yovomerezeka. Lamulo latsopano la mabungwe abizinesi ndi losiyana: Palibe choletsa – kapena chilango chandalama – kuletsa mapindu azaumoyo panthawi ya sitiraka.

M’dziko lonselo, ma Democrats m’Nyumba ndi Nyumba ya Seneti adakakamira kuti aletse mchitidwewu, koma palibe bilu yomwe yatuluka mu komiti.

Ogwira ntchito ku California akataya phindu lazaumoyo lothandizidwa ndi abwana, atha kukhala oyenerera pulogalamu ya boma ya Medicaid, yotchedwa Medi-Cal, kapena kukhala oyenerera kugula inshuwaransi yazaumoyo kudzera ku Covered California. Ndi njira yomalizayi, ogwira ntchito atha kutenga ndalama zingapo zothandizira kulipira ndalama zomwe amalipira pamwezi. Nthawi zambiri, kutsika kwa ndalama zabanja, m’pamenenso sabuside imakwera.

Koma ngakhale ogwira ntchito akakhala oyenerera ku Covered California, inshuwaransiyo imatha kukhala yokwera mtengo kwambiri kuposa momwe amagwirira ntchito – nthawi zina amadya 30% mpaka 40% ya ndalama zomwe amapeza, otsutsawo adatero. Ndipo ogwira ntchito omwe akunyanyala ntchito atha kukumana ndi kuchedwa chifukwa kufalitsa sikungachitike mpaka mwezi wotsatira.

“Ichi ndi chimodzi mwa zovuta zomwe zimakhala ndi njira zothandizira zaumoyo zogwirizana ndi ntchito,” adatero Laurel Lucia, mkulu wa pulogalamu yachipatala pa yunivesite ya California, Berkeley Work Center. “Tawona nthawi ya mliri, pomwe pakhala nthawi yayitali kapena kuchotsedwa ntchito, anthu adataya ntchito pomwe amafunikira kwambiri.”

Ogwira ntchito ku Sequoia omwe adachita chidwi adagwirizana ndi Dignity Health ndipo adabwerera ku malo ogona 208 chithandizo chamankhwala chisanathe Aug. 1, koma ena adanena kuti angakhale atakhala pamzere wa picket nthawi yayitali ngati osati chifukwa chowopa kutaya mapindu awo.

“Zinali zowopsa kwambiri,” atero a Millie Rozelles, wothandizira namwino wovomerezeka komanso membala wa gulu la mgwirizano wa mgwirizano yemwe anali ndi pakati panthawiyo. “Antchito athu ambiri adawopsezedwa ndi kusinthaku kwa abwana athu kuti atilande inshuwalansi ya umoyo wa banja lathu ngati sitibwerera kuntchito.”

California Association of Health Plans idadzutsa nkhawa za mtundu wakale wa bilu yomwe ikufuna kupanga gulu la ogwira ntchito omwe akumenyedwa, koma gululo lidasiya kutsutsa litatsimikiza kuti Covered California ikhoza kuthana ndi kusinthaku popanda izo.

California yophimbidwa ikuyerekeza kuti idzawononga pafupifupi $ 1.4 miliyoni kuti ayambitse ntchitoyi. Bungweli lati lipanga mafunso oyambira kuti awone antchito oyenerera ndikuwakumbutsa kuti asiye kufalitsa akabwerera kuntchito.

Nkhaniyi idapangidwa ndi KHN, yomwe imasindikiza California Healthline, ntchito yodziyimira payokha ya California Health Care Foundation.




Nkhaniyi yasindikizidwanso kuchokera ku khn.org ndi chilolezo kuchokera ku Henry J. Kaiser Family Foundation. Kaiser Health News, msonkhano wodziyimira pawokha wodziyimira pawokha, ndi pulogalamu ya Kaiser Family Foundation, bungwe lofufuza zaumoyo lomwe siligwirizana ndi Kaiser Permanente.

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