Medicare Inotora Zvakanaka uye Zvakaipa
Kana iwe uchitaura zvakananga mune zvematongerwo enyika, unogona kuona zvakanaka chete kana zvakaipa, dema kana kuti chena, kana zvasvika kune Affordable Care Act, aka Obamacare . Munyika chaiyo, kune mairi maviri kune mari.
Obamacare inofanirwa kutora $ 716 mabhiriyoni kubva kuMedarere kutsika mutemo. Iro madhora haafaniri kutorwa zvose kamwechete asi aifanira kutorwa makore gumi. Pakati pegore ra2013 na2022, Medicare inotarisirwa kutora maitiro munzvimbo dzinotevera:
- $ 260 mabhiriyoni kubva kumabasa echipatara
- $ 156 biliyoni kubva kuMedare Advantage
- $ 114 mabhiriyoni kubva kune mamwe maMedare, Medicaid, uye CHIP
- $ 66 biliyoni kubva kumabasa ehutano hwemusha
- $ 56 biliyoni kubva kune chikamu chinokonzera kushanda kuchipatara (DSH) *
- $ 39 biliyoni kubva kune unyanzvi hwekuyamwisa unyanzvi
- $ 33 biliyoni kubva kune mamwe mabasa
- $ 17 biliyoni kubva kuhutano hwehutano *
* $ 25 bhiriyoni inogona kubviswa kubva mubhadharo ino nekuda kweimwe inotarisirwa kushandisa mari kuchinja kumitero yeDSH pamwe neMedicaid neChiIP.
Kutora mari kubva purogiramu imwe yehutano yekubhadhara imwe yakange iine kukakavara mune zvematongerwe enyika. Neine madhora mashomanana ekubhadhara Medicare, chirongwa chacho chinogona kuramba chakagoneka here? Zvakaipisisa, zvingakuvadza vaAmerica here?
Kunyange zvazvo Obamacare inotora mari kubva kuMedare, yakashandurawo kuchinja kwakaunza kuchinja kwakanaka kwehutano hwevakuru uye avo vane hurema .
- Kuchengetedza kuchengetedza. Obamacare akaisa Medicare Wellness Anoshanyira semusununguko wekusununguka kune vanopiwa Medicare. Kushanyirwa uku kunokupa nguva imwe chete pane imwe chete nachiremba wako kuti uongorore nhoroondo yako yezvokurapa uye chikonzero chekudzivirira kuongorora kuongororwa. Kana chiremba wako achibvuma basa , zvizhinji zvezviedzo izvi, kusanganisira chirwere chekuongorora, zvichava pachena.
- Kuderedza zvinodhaka zvinodhaka . Chikamu cheD D mari yakabvunzurudzwa pasi peBhoamacare. Zvakakosha kune chikwereti chako, kuvhara kwechirongwa muzvinyorwa zvechirwere zvinotapira zvishoma nezvishoma kusvikira kwavhara muna 2020. Kuvhara gomba, iro rinozivikanwa se "donut hole" , rinogona kuchengetedza makumi ezviuru zvemadhora kune vakwegura pamishonga yakawanda.
- Kuvandudzwa kwechipatara . Obamacare akaisa mitemo munzvimbo iyo inotora zvipatara zvisina kukwanisa humwe hutano hwepamusoro kana hunoita kuti iwe unoda kuverengwa munguva shoma . Izvi zvinoita kuti zvipatara zvivandudze hutano hwakanaka, kuchengetedza hutano hwakanaka uye kunze kwechipatara.
- Kuchengetedza Medicare unyengeri . Miitiro yakatorwa kuti kuderedze kushandiswa nekunyengera kune Medicare. Zvinodarika $ 4 mabhiriyoni zvichengetedzwa gore roga roga sezvo Mutengo Wakatarisira Mutengo wakabhadharwa wakagadzwa muna 2010, kanenge kaviri kuchengetwa kwegore negore zvichienzanisa nemakore anotangira Mutemo.
- Kuwedzera kweMedare Trust Medicare . I Medicare Trust Fund inotarisirwa kuti igadzirise makore gumi nemakore kupfuura yakatarisana neOmbamacare. Izvi zvinoreva kuti Medicare ine mari yakakwana yekubhadhara 100 muzana yezvakatarisirwa Chikamu A mari kusvikira 2030. Kusachengetwa kuMedare pasi peChinakidza Care Care Act zvakanyatsowedzera hupenyu hweMedare.
Hazvina mhosva kuti uri kutarisa sei, Medicare yakatora zvose zvakanaka nezvakaipa kubva kune Affordable Care Act. Iko kushandura kwehutano hwehutano mune ramangwana hunounza, tichafanira kumirira nekuona.
> Sources:
> Boccuti B, Casillas G. Achida Kurapa Kwechipatara Chechidiki: Chirongwa cheMedare Chirongwa Chikudzivirira. Henry J. Kaiser Family Foundation. Yakabudiswa naJanuary 29, 2015.
> Congressional Budget Office. Tsamba inobva kuna Mutungamiri Douglas W. Elmendorf kuMutauriri weDzimba John Boehner. Yakabudiswa musi waJuly 24, 2012.
> Van de Water, PN. Medicare haina Kubhadhara: Kuchinja kwehutano kwakagadzirisa chirongwa chekubhadhara mari. Pakati peBhutiro uye Purogiramu Yekutanga. Yakavandudzwa musi waJuly 30, 2015.
> The White House. The Affordable Care Act: Kusimbisa Medicare.