Medicare e Etsa se Molemo le se Mpe
Haeba o bua ka lipolotiking tse nepahetseng, u ka bona feela se setle kapa se sebe, se setšo kapa se lesoeu, ha ho tluoa tabeng ea Theko e tlaase ea Molao, aka Obamacare . Lefatšeng la sebele, ho na le mahlakore a mabeli ho chelete ea tšepe.
Obamacare e ikemiseditse ho nka $ 716 limilione tse likete ho tloha Medicare ho ea tlase mokoloto. Lichelete tseo li ne li sa lokela ho nkoa hang-hang empa li ne li lokela ho huloa ka lilemo tse leshome. Pakeng tsa 2013 le 2022, Medicare e lebeletsoe hore e fokotsehe libakeng tse latelang:
- $ 260 limilione tse likete tse tsoang litšebeletsong tsa sepetlele
- $ 156 limilione tse likete tse 156 ho tloha Medicare Advantage
- $ 114 limilione tse tsoang ho litokisetso tse ling tsa Medicare, Medicaid, le CHIP
- $ 66 limilione tse likete ho tloha litšebeletsong tsa bophelo bo botle
- $ 56 limilione tse likete tsa likoloto tse sa lefelloeng sepetlele (DSH) *
- $ 39 limilione tse likete ho tsoa ho litsebi tsa booki ba nang le tsebo
- $ 33 limilione tse likete tse ling
- $ 17 limilione tse likete ho tloha litšebeletsong tsa malapeng
* $ 25 limilione tse likete li ka tlosoa ho tsoa tekong ena ea tekanyetso ka lebaka la tse ling tse lebelloang ho sebelisa liphetoho ho likhaello tsa DSH hammoho le litokisetso tsa Medicaid le CHIP.
Ho nka chelete lenaneong le leng la tlhokomelo ea bophelo ho tšehetsa e mong ho bile le khanyetso litabeng tsa lipolotiki. Kaha li na le liranta tse seng kae ho lefella Medicare, na lenaneo le ka lula le sebetsa? Ho hobe le ho feta, na e tla utloisa Maamerika kotsi?
Le hoja Obamacare e itšetlehile ka chelete e tsoang ho Medicare, e boetse e sebelisitse liphetoho tse entseng liphetoho tse ntle bakeng sa bophelo bo botle ba batho ba baholo le ba nang le bokooa .
- Tlhokomelo e thibelang. Obamacare o thehile Medicare Wellness Etela e le tšebeletso ea mahala ho bahiri ba Medicare. Ketelo ena e fana ka nako e le 'ngoe le ngaka ea hau ho hlahloba pale ea hau ea bongaka le tlhokahalo ea liteko tsa ho hlahloba litlhare. Haeba ngaka ea hao e amohela kabelo , liteko tse ngata tsa tsona, tse kenyelletsang ho hlahloba kankere, li tla boela li lokolohe.
- Litšenyehelo tse mpe tsa lithethefatsi . Litšenyehelo tsa karolo ea D li ile tsa buisana tlas'a Obamacare. E le ea bohlokoa bakeng sa sepache sa hau, lekhalo la ho fana ka lithethefatsi le tla fokotsa butle-butle ho fihlela le koala ka 2020. Ho koala lekhalo, le tsejoang e le "sekoti sa donut" , le ka pholosa mashome a likete tsa lidolara bakeng sa batho ba baholo ka meriana e mengata.
- Tlhokomelo e ntlafetseng ea sepetlele Obamacare o behile melao ho kenya lipetlele tse sa finyelle mehato e itseng ea boleng kapa tse lebisang ho seo u se hlokang ho ngolisoa ka nako e khutšoanyane . Sena se susumelletsa lipetlele ho ntlafatsa boleng ba tlhokomelo, ho boloka u phetse hantle le ho tsoa sepetlele.
- Ho fokotsa bolotsana ba Medicare . Mehato e nkiloe ho fokotsa tlhekefetso le bolotsana ho Medicare. Ho na le chelete e fetang $ 4 limilione tse likete tse bolokiloeng selemo le selemo ho tloha ha Molao oa Tlhokomelo o kgonehang o etsoa ka 2010, hoo e batlang e le habeli ka selemo ho boloka chelete ho bapisoa le lilemo tse fetileng ho Molao.
- Kakaretso ea Letlōle la Medicare Trust . Lefapha la Medicare Trust le lebeletsoe ho rarolloa lilemo tse 13 ho feta pele ho Obamacare. Sena se bolela hore Medicare e na le chelete e lekaneng ea ho lefa karolo ea 100 lekholong ea tebello ea Karolo ea A litšenyehelo ho fihlela ka 2030. Ho boloka Medicare tlas'a Molao oa Tlhokomelo e ka rekisang bophelo ba Medicare.
Ho sa tsotellehe hore na o shebahala joang, Medicare e nkile hantle le e mpe ho tswa ho kgonehelo ya tlhokomelo ya molao. Phetoho ea tlhokomelo ea bophelo bo tlang nakong e tlang e tlisa eng, re tla lokela ho emela le ho bona.
> Mehloli:
> Boccuti B, Casillas G. Sepheo sa ho fokotsa sepetlele se seng se fokolang: Lenaneo la ho fokotsa boithaopo ba Medicare Hospital. Mokhatlo oa Lelapa la Henry J. Kaiser. E phatlalalitsoe ka la 29 January, 2015.
> Congressional Budget Office. Lengolo le tsoang ho Motsamaisi Douglas W. Elmendorf ho Mong'a John House John Boehner. E hatisitsoe ka la 24 July, 2012.
> Van de Water, PN. Medicare ha e hlokehe: Phetoho ea bophelo bo ntlafalitse chelete. Setsi sa Budget le Lintho tsa bohlokoa tsa Leano. E hlophisitsoeng ka la 30 Phupu, 2015.
> The White House. The Affordable Care Act: Ho matlafatsa Medicare.