Izinto ezi-5 omele uzazi malunga neSicwangciso esitsha seMpilo sikaMongameli

Umxholo

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Ulawulo lukaTrump luya phambili ngesicwangciso sokurhoxisa kunye nokutshintsha uMthetho woKhathalelo ongenakufikeleleka (ACA) ngesicwangciso esitsha sokhathalelo lwempilo esiza kuthiwe thaca kwiCongress kule veki. UMongameli uTrump, owathembisa ngalo lonke ixesha lephulo lakhe lokuphelisa i-Obamacare, ukhutshiwe ngokungafihlisiyo, eyibiza ngokuba "ngumThetho oYilwayo omtsha wezempilo" kwitwitter yakutshanje.

Ke ngoku lijongeka njani eli cebo litsha?

Ngelixa lo mthetho usayilwayo ugcina amanye amanqaku awandulelayo, kubandakanya ukuvumela abantwana ukuba bahlale kwi-inshurensi yezempilo yabazali de kube yiminyaka engama-26, ngokungathandabuzekiyo, iya kwahluka kwi-Obamacare ngeendlela ezininzi. Okokuqala, isusa isigunyaziso sokuba wonke umntu kufuneka abe ne-inshurensi yezempilo kunye nerhafu kubantu abangavumiyo ukuyifumana. Kubafazi, abaye baxhamla ngeendlela ezahlukeneyo kwi-ACA yokwandiswa kweengxelo, kunokuba yingozi enkulu kwinkqubo yokunakekelwa kwempilo abaqheleyo. Iinkcukacha:

1. Ezinye zeenkonzo zokubeleka azinakukhuselwa.

Olona gxininiso luphambili lwe-ACA yayikukwandisa ukubonelelwa kweenkonzo zempilo zabasetyhini. Yanyanzelisa ukuba i-inshurensi igubungele i-26 yezibonelelo zezempilo ezibalulekileyo kwabasetyhini, kubandakanya neenkonzo ezibalulekileyo zokubeleka ezinje nge-folic acid eyongezelelweyo kunye nokuvavanywa kwesifo seswekile. Ngaphambi kwe-Obamacare, i-inshurensi yangasese kaninzi ayizange ihlawule ezi nkonzo. Ngaphandle kwegunya, banokubasika kwiiphakheji ngaphandle kokuba bohlwaywe ngurhulumente. Kwabasetyhini abakhulelweyo, ngakumbi abo bangenako ukufumana "ukuthintela" ukutyelela ugqirha, oku akukona nje ukudimazeka kodwa kuyingozi.

2. Abasetyhini abangathathi ntweni banokuphulukana nokufikelela kukhathalelo.

Olunye lolona tshintsho lukhulu kumthetho osayilwayo kukuthoba inani lenkxaso eya kwiMedicaid- ebandakanya ngaphezulu kwezigidi ezingama-70 zabantu, kubandakanya abasetyhini, abantwana kunye nabantu abadala abangakwaziyo ukufumana ukhathalelo lwempilo ngenye indlela. Ukwandiswa kweMedicaid yenye yezinto eziphambili kuMongameli Obama kunye ne-ACA, enika iibhiliyoni zeedola zenkxaso-mali eyongezelelweyo. Olu tshintsho luncede abantu abangaphezu kwezigidi ezili-16 abangakhuselwanga ukuba bafumane ukhathalelo lwempilo kumazwe angama-32 amkele olu khuselo lwandisiweyo. Ngoku, la mazwe afanayo asemngciphekweni wokuphulukana neebhiliyoni zeedola, eshiya abona bantu basengozini baseMelika ngaphandle komnatha wokhuseleko.

3. "Iimeko esele zikhona" ezifana nokukhulelwa ayikamkelekanga isizathu sokwala ukhuseleko.

Ummiselo obalulekileyo kwi-Obamacare ogcinwe kwesi sicwangciso sitsha sokubuyisela sisigunyaziso esithi iinkampani zeinshurensi azinakho ukubasusa abantu ngenxa yeemeko esele zikhona-uluhlu olubanzi olubandakanya isifo sikaCrohn, ukukhulelwa, isini, ukukhuluphala, kunye nokuphazamiseka kwengqondo. . Xa kuthathelwa ingqalelo iSebe lezeMpilo kunye neNkonzo zoLuntu ngaphambili kuqikelelwa ukuba i-129 yezigidi zaseMelika ezingaphantsi kweminyaka engama-65 zinemiqathango enokuthi ifaneleke "njengangaphambili," eli lilungiselelo elibalulekileyo elichaphazela amakhaya kwilizwe liphela.

4. Ulawulo lokuzalwa alusayi kuba simahla.

Ekuvukeni konyulo lukaTrump, inani labasetyhini abacela ii-IUDs linyukile, ngoCwangciso loBuzali bokunika ingxelo ngeepesenti ezingama-900 ezonyusa umdla kule ndlela yolawulo lokuzalwa. Eli nyathelo likhuthazwe sisithembiso sikaTrump sokurhoxisa i-Obamacare, eya kuphelisa enye yezona zinto zidumileyo kwesi sicwangciso: ucwangciso lwasimahla lwabasetyhini. Amashumi amathandathu anesibini ekhulwini kwabasetyhini i-15 ukuya kwi-44 basebenzisa ukulawulwa kokuzalwa, ngokutsho kwamaZiko oLawulo lweSifo kunye noThintelo-oko kukuthi, oku kunokuchaphazela i-chunk enkulu yabemi. Abo bakhetha ukufumana ii-IUDs ngaphambi kokurhoxiswa babejonge ukunqanda naphi na ukusuka kwi-500 ukuya kwi-900 yeendleko zesixhobo kunye nenkqubo yokufaka.

5. UMzali oCwangcisiweyo anganyanzelwa ukuba avale.

Kwabafazi abaphila ngaphantsi komda wentlupheko, ukuCwangciswa koMzali kunika olona khetho lufanelekileyo lokujonga ukhululekile okanye iindleko eziphantsi zokonga ubomi ezinje nge-pap smears, uvavanyo lwe-BRCA, kunye neemammograms. Ngamaziko ayo ezempilo angama-650, uMzali oCwangcisiweyo ukhonza ngaphezulu kwesigidi se-2.5 sabantu eMelika. Isicwangciso sikaTrump sinciphisa imali yomanyano-kubandakanya i-530 yezigidi zeerandi kwimbuyekezo yeMedicaid exhomekeke kuyo njengowona mthombo wayo wengeniso. Umongameli uTrump wanikezela ngasese ukukhusela i-Planed Parenthood's Medicaid imbuyekezo ukuba iyekile ukuqhomfa-ezenza ipesenti ezi-3 kuphela zeenkonzo ezinikezelwa ngumbutho-kodwa umbutho walile. Ngenxa yoLungiso lweHyde, ukuqhomfa okwenziwa ngumbutho kunjalo sele ayigutyungelwanga yimali yomanyano.

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