Kana zvasvika kune ruzivo pamusoro peChinakidzana Care Act, zvimwe zvinonzi " Obamacare ," dzimwe nguva zvingava zvakaoma kuparadzanisa chokwadi kubva kunhema. Kaiser Family Foundation yakabva ichitaura kuti inenge 14 kubva muzana yevana veAmerica vanoona nzvimbo dzekugarisana nevamwe sepa Facebook ne Twitter kuti dzive dzakavimbika zvidzidzo zveAACA.
Asi ruzivo pamusoro peAACA runogara ruchibuda pamusoro pehupfumi-uye dzimwe nguva rinomutsa mibvunzo inoita kuti vanhu vashamise. Kana iwe uchitanga kuisa "Is Congress ex ..." kuGoogle, yekutanga kugadzirisa mafiriro inogumisa mubvunzo uyu se "kusunungurwa kubva kuObamacare?" Izvi zviri pachena mubvunzo iyo vanhu vazhinji vane, pasina mubvunzo mune chimwe chikamu pamusana pehuwandu hwemashoko ehurukuro iyi ayo akaparidzirwa mune zvehupfumi mumakore mashomanana apfuura.
Obamacare Actually Applies More More to Congress
Kutanga, kujekesa, Congress haina kubviswa muObamacare.
Asi ngatitarisei kuti runyerekupe rwakatanga sei, uye mitemo-iyo inonyanya kuoma kupfuura yainzi Obamacare inoshanda kune isu tose-iyo inoshanda kuCongress.
Kudzoka apo ACA yakanga ichikwikwidzana muCongress muna 2009, pane mibvunzo pamusoro pekuti vateereri vemitemo vakanga vachikurudzira kuchinja kwakasiyana-siyana kweAACA-kunosanganisira yehutano hwehutano-kuvanhu veAmerica vasina chinetso pamishonga yavo yehutano inshuwarheni.
Ichi chakanga chiri chishuvo chisingafungi, nokuti, kufanana navazhinji vekuAmerica, nhengo dzeCongress dzaive nevanoshandira-vaibhadhara utano hwehutano inshuwarheni, saka vakanga vasi ivo vanhu vakashandurwa nehutano hwehushuwarhu hwehutano. Asi ACA inokonzera moto wakadaro wezvematongerwe enyika iyo yakaita seyakadaro yakarasikirwa nemubvumo, uye runyerekuro rukaenderera mberi kuti Congress yakaita "neimwe nzira" kubva kuObamacare.
Nhoroondo Yakare
Obamacare mutemo. Inoshanda kune vanenge vose veAmerica, uye yakawanda kwazvo kupfuura inongova kugoverana. Inopa vazhinji kudzivirirwa kwevatengi, uye inosanganisira rubatsiro rwakakura kuti kugoverwa kunogona kuwanika kune vaAmerica vane mari shoma uye vanowanikwa pakati. Asi maererano nezvinodiwa nemutemo kune vanhu vekuAmerica, zvinonyatsojeka: Vanhu vanofanira kuchengetedza zvishoma zvakanyanya kugoverwa, kana kuti vasatarisana nemutengo wemutero (zvimwe zvinoshandiswa zvinoshandiswa kune vashandi uye yehutano inshuwarisi vakatakura, asi zvinodiwa kune mumwe munhu zvinongoda kuchengetedza kugoverwa).
Zvishoma zvishoma zvinotarisirwa kugoverwa zvinosanganisira vashandirwo-vanofambiswa zvirongwa, Medicaid , Medicare , yeIndaneti Health Insurance Program (CHIP) , uye zvirongwa zvehutano zvakasiyana-siyana zvemakethe, kusanganisira izvo zvakatengwa kuburikidza nekutengeserana kana kusagadziriswa , pamwe chete nevana vazukuru uye vane zvirongwa zvakawanda. Kune dzimwe mhando dzekugadzirisa iyo inowanirana pasi peivo inokosha inokosha inoshandiswa mumambura-chaizvoizvo, chero "chechokwadi" kupararira kuchashanda, asi zvinhu zvakadai semishonga yemishonga yemazuva mashomanana, njodzi yekuwedzera, uye zvigadziriswa zvigadziriro zvisingakoshi zvakanyanya kugoverwa.
Sezvo vazhinji vasiri vakura vekuAmerica vachivhara kuburikidza nevanoshandira, havafaniri kuita chero shanduko semugumisiro weCountable Care Act.
Chero bedzi ivo vakaramba vaine vashandisi-vanotsigirwa nehutano inshuwalhu, vakaramba vachiteerera mutemo.
Izvo zvaizova zvakadaro kune Congress zvakare, sezvo yaive yakafukidzwa pasi pe Federal Federal Health Benefits Program (FEHBP), iyo inopa hutano hwehutano kuvashandi vehurumende.
Asi muna 2009, Sénatori Chuck Grassley (R, Iowa) akakumbira kuchinjwa kwemutemo sezvo zvaiitiranwa nharo, mukuedza kuita kuti Congress inofanira " kuenderera mberi kuitira kuti tifambe nenzira imwe chete tape tsvuku semamwe vanhu vese . "
Yeuka, ruzhinji rwevanhu veAmerica haufaniri kutengesa mukutengeserana.
Kukurukurirana kwakanyatsorongedzerwa kushumira vanhu vanozvitengera hutano hwehutano inshuwarani nokuti havakwanise kuwana mukana wevanoshandira, pamwe chete nevaya vakanga vasina kuvimbiswa zvachose.
Vanhu vane kubhadhara-basa rakabhadharwa (iro raisanganisira Congress shure apo Affordable Care Act yakanga iri kunyorwa) haifaniri kutarisana nekutengeserana zvachose, uye hapanazve "tepe yepepuru" yevari pasi pe ACA, kunze kwekutarisa bhokisi pamitero yavo yemitero inotaura kuti vaine utano hwehutano inshumo gore rose (kana iwe ukashandira bhizimisi duku, wako waaishandira angatenga kutenga nekudhindana kwebhizimisi duku (SHOP), pane izvozvi, iwe unogona kutungamirirwa kunechitsinhanho kuti usarudze chirongwa chako asi iwe unoshandira ari kutenga kugoverwa munyaya iyo, nekubhadhara chikamu chekutanga kwako).
The Grassley Amendment
Asi Grassley akachinjwa akazviisa mumutemo. Chikamu 1312 (d) (3) (D) yeChinakatika Care Act inoti:
(D) MEMBERS OF CONGRESS MUCHINHU .- (i) ZVINOFANIRA.-Pasinei nemamwe magwaro emutemo, mushure mekushanda kwemashoko aya, zvirongwa zvehutano bedzi izvo Hurumende yeHurumende inogona kuwanika kune veChishanu neVa Congressional staff pamwe nekuremekedza basa ravo senhengo yeCongress kana congressal vashandi vachave zvirongwa zvehutano izvo
(I) yakasikwa pasi peMutemo (kana kushandurwa kunoitwa neMutemo); kana
(II) yakapiwa kuburikidza neCashano yakagadzwa pasi peMutemo (kana kushandurwa kunoitwa neMutemo).
Somugumisiro, Congress uye congressal vashandi vave vachitenga kugoverwa kuburikidza neDynamic Link Link SHOP kushandiswa kubva muna 2014. DC Health Link ndiyo inshuwarheni yehutano kuDare reColumbia.
SHOP kugoverwa kwakagadzirirwa vashandirwi vaduku kuti vashandise, asi DC shanduro inotenderwa kune nhengo dzeCongress nevashandi vavo, kuitira kuti vaite maererano neCAA yavanoda kuti vawane kugoverana kuburikidza nekutsinhanisa. Nhengo dzeCongress uye congressal staffers dzinofunga nezvehuwandu hwesangano reDH Health Link's SHOP.
Zvakadini Nezvokutsigira?
IAACA inopa rubatsiro (mitero yekwereti) kubvisa mari yekubhadhara mari kune vanhu vanozvitengesa pamusika wega wega pamakambani. Asi muZV kugoverana, vashandi vanopa rubatsiro, nenzira yevashandi vemishandiro kumutengo wekutanga.
Apo zvinhu zvakashata zvakange zvakaita kuti nhengo dzeCongress dzave dzichinyanya kubatsirwa kubva munenge ma $ 5,000 muvashandi (kureva, hurumende) mishandirapamwe kuhuwandu hwavo hweHIPHP kana vakanyoreswa voga, uye ne $ 10 000 kana vakanyoreswa mumhuri. Cherechedza kuti izvi zvakanyatsokodzera, uye zvakanyanya kuenderana nemishonga yehutano yepainishuwarenzi yehutano iyo inowanikwa muvakidzani inogadzira nokuda kwevashandi.
Kuchinja kune mumwe mutengesi wemakethe kunobvisa kukwanisa kwevashandi vemipiro, sezvo ACA inorambidza vashandi kubhadhara mari yega yega yevatengi vavo. Asi zvinorevawo kuti vazhinji vevanhu avo-kusanganisira nhengo dzose dzeCongress uye vazhinji vevashandi vavo-vangadai vasina kukwanisa kuwana rubatsiro rwekubatsira zvizere, sezvo rubatsiro rwekutsinhanisa runobva pamari inowanikwa, uye Congressional inowanikwa yakareba kwazvo kuti isakodzera kune rubatsiro kunze kwekunge mhuri yakakura zvikuru.
Chengetai Mipiro Yevashandirwi, asi Nyora neChirongwa
Saka Office of Personnel Management (OPM), iyo inotungamira FEHBP, yakapinda. Vakatonga muna 2013 kuti Congress neCh Congress vanozogona kunyoresa kuDynamic Link SHOP kugoverana uye vachakwanisa kuchengeta mari yavo yevashandi kune yavo kugoverwa.
Izvi zvaiva pachena kupopotedzana, nevamwe vanhu vachiti Congress nevashandirwi vavo vanofanira kunge vakatofanira kurega vashandi vavo veFEBHP uye vanozvinyora mubasa rekutengeserana, nemari inowanikwa chete kana yakakodzerwa nemari inowanikwa. Izvi zvinofanira kuonekwa, zvisinei, kuti Grassley pachake akataura muna 2013 kuti chinangwa chepakutanga chechigadziro chaiva kubvumira Congress nevanoshanda kuti vachengetedze mari yevashandi yaive kuendeswa kumishandiro emishonga yemishuwarenzi yehutano, pasinei nezvinodiwa kuti vanyora kuburikidza nekukwikwidzana . Grassley akarwisana kuti kuchinjwa kwacho kwakanyatsonyorwa mushure mekunge mashoko acho akatumirwa ku Senate Majority Leader, Harry Reid (D, Nevada).
Nemhaka yekutonga kweOOPM, Congress nevanoshanda navo vachiri nemupiro wevashandi kumishandiro emishonga yehutano yehutano, asi vanowana kugoverwa kwavo kuburikidza ne DC Health Link SHOP kushandiswa. Izvi zvinokanganisa izvo zvinoedza kuzadzisa zvinodiwa zveAACA, asi pasina kukanganisa kushanda kweCongress nevashandi vavo maererano nemashandiro evashandi maererano nemamwe mabasa akafanana-aripo.
Mamiriro ezvinhu epanguva ino akauya semugumisiro wemutauro muAACA pachayo iyo inotaura zvakananga nezvehutano hunoitwa neCongress nevashandi vavo. Pasina mutauro iwoyo, hapangadai pasina mubvunzo-Kongamende ingadai isina kumbofanira kutengesa muchitsinhanho, nokuti vakange vaine basa rakabhadharwa. Izvo zvingadai zvisiri kureva kuti "vaisunungurwa" kubva kuObamacare. Vachange vachida kuchengetedza utano hwehutano inshuwarheni kana kutarisana nechirango, sezvimwe zvose zveAmerica.
Iko kugoverana kwakagadzirirwa vanhu vakanga vasina mari yekushandira-kubhadhara (uye kumabhizimisi mashoma vanoda kutenga kuvharwa kwevashandi vavo). Asi nekuda kwe Grassley Amendment muAACA, Congress yakafanira kuchinja kubva kune avo vanoshanda-inobatsirwe hutano hwakanaka muFEBHBP, uye shandura panzvimbo iyo kuDynamic Link Link SHOP exchange. Ichi ndicho chikonzero chakanga chisina kuiswa pane imwe nhengo yevashandi pasi pe ACA, kusanganisira vamwe vashandi vehurumende vanoshandisa FEHBP.
Saka kwete Congress chete isingasunungurwi kubva kuAACA, mutemo zvirokwazvo wakabuda kunze kwenzira yacho kuti uvaise mune imwe yenhamba yevanhu (kureva, avo avo vaitengeserana vakagadzirirwa) umo vangave vasina kuiswa.
> Sources:
> Healthcare.gov. Verengai Mutengo Wakanaka Wenyu.
> Kaiser Family Foundation, Employer Health Benefits, 2016 Chirongwa cheZvitsva .
> Kaiser Family Foundation, Health Insurance Coverage ye Total Population. 2015.
> Kaiser Family Foundation, Kaiser Health Tracking Poll, Mbudzi 2016.
> Office of Personnel Management. Inowanzobvunzwa Mibvunzo: Inishuwarenzi.