Na o tla thibela meputso le mekhoa e meng le e meng ho utloisa bohloko Medicaid?
Phetoho ea bophelo bo botle e 'nile ea e-ba eona taba ea merusu ea morao tjena ea lipolotiki Na GOP e tla hlakola Molao oa Tlhokomelo ea theko e tlaase, e leng Aka Obamacare, kapa litho tsa Rephabliki li tla fumana litsela tse ling tsa ho khutlela melaong ea eona? Ka mor'a hore American Health Care Act (ACHA), aka Trumpcare, e hlōlehe ho fumana likhetho Ntlong ka March 2017, ho thata ho tseba seo u ka se lebellang tlas'a tsamaiso ea hona joale.
Ntoa e feletse haholo. Senyesemane sa Ntlo Paul Ryan o ntse a batla ho nka bohato litabeng tsa tlhokomelo ea bophelo, le hoja a sa ikemisetsa ho fihlela nako ea nako. Re tšepa hore morero oa tlhokomelo ea bophelo bo botle haholoanyane o tla fanoa lebitsong la batho ba Amerika. Morero o joalo o tla kenyeletsa eng bakeng sa Medicaid, lenaneo la tlhokomelo ea bophelo le sebetsanang le mafutsana le ba nang le bokooa?
Kamoo 'Muso oa' muso o hlahisang Medicaid kateng
Medicaid ke lenaneo le laoloang ke mebuso ea muso le mebuso. 'Muso o fanang ka litekanyetso tsa hore na ke mang le hore na ke eng e lokelang ho koaheloa,' me mmuso o mong le o mong o etsa qeto ea ho eketsa kapa ho eketsa lits'ebeletso tse eketsehileng lenaneong la oona. Ha ba khone ho fana ka tlaase. Mabapi le lichelete, mebuso ea 'Muso le ea' muso ka kakaretso e kenya letsoho lenaneong la bona la meriana.
E le hore re utloisise liphetoho tse ka 'nang tsa etsahala, re lokela ho utloisisa hore na' muso oa 'muso o tšehetse Medicaid joang qalong ea tsamaiso ea Trump.
Linaha tsohle li fumana lichelete tsa mebuso ka mehloli e meraro.
- Litefiso tse se nang moeli tsa sepetlele (DSH): Ka lichelete tsa ho rekisoa ha Medicaid tse tsebahalang haholo, lipetlele tse hlokomelang palo e phahameng ka ho fetisisa ea batho ba Medicare kapa ea uninsured li ka loanela lichelete. Litefello tsa DSH li lefelloa ho linaha bakeng sa ho abeloa lipetlele tse hlokang.
- Liphesente tsa Meriana ea Ts'ehetso ea Bongaka (FMAP): 'Muso o fepa lichelete tsa lichelete tsa dollar bakeng sa dollar' me o fana ka litekanyetso tse phahameng linaheng tse nang le meputso e tlase ea chelete.
- Litefiso tse ntlafatsang: 'muso oa federal o lefella ka holimo le ka holimo ho litefello tsa FMAP bakeng sa litšebeletso tse itseng ho sa khonehe ho phekoloa kalafo ea matsoele le ea malapa , thero ea malapa, litšebeletso tsa bophelo bo botle ba malapa le ho hlahloba batho ba baholo .
Potso ke hore na mekhoa ena ea tšehetso ea muso e tla tsoela pele tlas'a Mopresidente Trump kapa haeba e tla nkeloa sebaka ke mefuta e meng ea lichelete.
Lichelete tsa lichelete bakeng sa Ts'ebetso ea Medicaid
Ho pharalla ho Medicare ho ile ha qala ka 2014 mme e ne e le karolo e kholo ea Tlhokomelo ea tlhokomelo ea chelete. E fetotse meeli ea chelete e tla tšoaneleha batho bakeng sa Medicaid mme e lumeletse batho ba se nang bana ba se na bana hore ba amohelehe ha ba kopana le meeli ea chelete eo.
Palo ea bofutsana ba federal (FPL), e hlalositsoeng selemo se seng le se seng, e itšetlehile ka hore na u motho ka mong kapa ka lapeng, hape le boholo ba lelapa la hau. Linaha li behile tumello ea Medicaid e thehiloeng ho liphesente tsa FPL. Obamacare e eketsa litefiso tsa ho fumana chelete bakeng sa Medicaid ho karolo ea 133 lekholong ea FPL bakeng sa linaha tse khethileng ho nka karolo, ha e re ho fokotseha ho eketseha ha Medicaid ho ka boloka litekanyetso tsa ho tšoaneleha ka tekanyo e fetileng, liphesente tse 44 tsa FPL.
Linaha tse sa keneleng lipolotiki li ka tsoela pele ho kenyeletsa batho ba baholo ba se nang bana ho tloha likopanong.
Ka tlhaho, sena se ile sa ama lichelete tsa feshene bakeng sa lenaneo. Linaha le ho atolosoa ha Medicaid li ile tsa amohela liranta tse eketsehileng tsa lichelete ho li thusa, ho fihlela ho karolo ea 100 lekholong ea litšenyehelo tsa ho atolosa ho fihlela ka 2016 'me joale karolo ea 90 lekholong ea litšenyehelo li feta ka 2022.
Liphetoho tse entsoeng tsa lichelete bakeng sa Medicaid
The American Health Care Act e kenyeletsa litokisetso tse ngata tse fokolang lichelete bakeng sa Medicaid. Le hoja moralo ona o ntse o eketsa ho atolosa Medicaid, o ile oa bolela hore o tla fana ka lichelete tse eketsehileng ho bolela hore li tšepisitsoe ka 2022.
Ho ea ka Ditaba tsa National Health Expenditure, ho sebelisa chelete ea Medicaid ho feta $ 545 limilione tse likete ka 2015, ho lefella karolo ea 17 lekholong ea litšenyehelo tsohle tsa tlhokomelo ea bophelo.
Ha palo eo e ntse e phahama, baahi ba Republican ba batla mokhoa oa ho fokotsa chelete eo. Liphetoho tse peli tse ka sehloohong bakeng sa phetoho ea Medicaid ke phetoho ho meeli ea likhahla kapa ho thibela meputso.
Meeli ea lichelete ke chelete e tsitsitseng e neng e tla lefelloa mmuso selemo le selemo. Bohloko bo thehiloe ho batho ba bangata lenaneong la Medicaid. Sena se ne se tla lumella hore dollar ea federal e eketsehe lilemong tse latelang haeba batho ba bangata ba ne ba tšoaneleha 'me ba ngolisitsoe lenaneong. Meeli ea likhetho tsa Medicaid e ne e hlahisoa ka moqapi oa pele oa American Health Care Act.
Rephabliki tse ngata, haholo-holo Freedom Caucus, li ne li lumela hore meeli ea linaha tse ling ha ea ka ea ea ho fokotsa litšenyehelo tsa federal ka Medicaid. The American Health Care Act e fetotse ho fana ka meeli e mengata ea ho sebelisa meputso ea li-block bakeng sa Medicaid. Ho fapana le meeli ea batho ba bang, meputso ea thibelo ha e nahane ka palo ea batho ba Medicaid. Litefello tsa lichelete li qhalakanngoa ka tekanyo e tsitsitseng e neng e tla eketseha ka thōko selemo le selemo ho ikarabella bakeng sa theko ea theko Bothata ke hore theko ea lichelete e ka nyoloha butle ho feta litšenyehelo tsa tlhokomelo ea meriana.
Tlhahlobo e entsoeng ke Avalere, e leng setsi sa tlhokomelo ea tlhokomelo ea bophelo bo botle, e hakanya hore lilemo tse fetang tse hlano puso ea muso e tla boloka chelete e ka bang $ 110 limilione tse likete haeba li sebelisa meeli ea batho ba limilione kapa $ 150 limilione haeba li sebelisitsoe liphallelo tsa Medicaid.
U ne U ka Tšohloa Joang Melao ea Lintho?
Potso e sala e le haeba e 'ngoe ea litlhahiso tsena e tla kenyeletsoa e le karolo ea phekolo ea morao-rao ea bophelo ba Ryan. Haeba moeli ka mong a lekanyetsa kapa a thibela meputso e etsoa, e re e tla lahleheloa ke chelete e ngata. Ho loantša tahlehelo eo, ba ka 'na ba hloka ho etsa liphetoho tse etsang hore mananeo a Medicaid a atlehe haholoanyane.
Linaha li ka 'na tsa tlameha ho qeta chelete eohle ea tsona ea Medicaid, li khaola lits'ebeletso life tse koahetsoeng ke Medicaid, kapa beha meeli ea hore na ke batho ba bakae ba ka ngolisang, esita le haeba batho bao ba ka finyella litekanyetso tsa ho lekana. Lichelete tsa thibelo li tla be li thibela haholo ho bolela hobane li ne li tla fokotsa bobeli ba ho sebelisa chelete le ho ngolisa.
> Mehloli:
> HR1628 - Molao oa American Health Care Act oa 2017. Websaete ea Congress.gov. https://www.congress.gov/bill/115th-congress/house-bill/1628. E hlalositsoe ka la 24 March, 2017.
> Tlhahisoleseding ea Nete ea Sechaba ea Lits'ebeletso tsa Bophelo. Lihlopha tsa Websaeteng ea Medicare le Medicaid Services. https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/nationalhealthexpenddata/nhe-fact-sheet.html. E fetotsoe ka la 2 December, 2016.
> Pearson CF. Mesebetsi e fuoang chelete e etsoang ka Medicaid e ka fokotsa ka mokhoa o tsotehang chelete e sebelisoang ke Federal. Avalere.com. http://avalere.com/expertise/managed-care/insights/capped-funding-in-medicaid-could-ekhetho-reduce-federal-spending. E hatisitsoe ka la 6 February, 2017.
> Rosenbaum S, Schmucker S, Rothenberg S, Gunsalus R. Ke'ng e neng e tla thibela Litlhoko kapa Meeli ka Palo ea Boipheliso ba ho Sebelisa Meriana? Tlhahlobo e Khutšoanyane (Sekolo se Tloaelehileng). 2016 Nov; 39: 1-10. https://www.ncbi.nlm.nih.gov/pubmed/27959479.
> Tataiso ea Bofutsana ba US ea Bofutsana bo Sebelisetsoang ho Fumana Tekano ea Lichelete Litabeng tse ling tsa Fuso. Ofisi ea Motlatsi oa Mongoli oa Tlhophiso le Tlhahlobo, Lefapha la Bophelo le Lefapha la Litšebeletso tsa Batho. https://aspe.hhs.gov/poverty-guidelines. E ntlafalitsoe ka la 31 January, 2017.