Kutaurirana kwehurumende nemakambani ekurapa kunogona kudhura mari here?
Mari inoshandiswa nemishonga inokura. Muna 2014, vaAmerica vakashandisa zvikamu gumi nezviviri pamishonga yemishonga kudarika muna 2002. Izvozvi, pane chimwe chinhu chaunogona kuita kuti ubhadhara zvishoma pamishonga yako ? Pane imwe nzira iyo hurumende inogona kubatsira ?
Mutengo weParamisi Makambani
Zvinhu zvakawanda zvinowedzera kuwedzerwa kwemari pamishonga yemishonga. Pane dzimwe nguva, pangave pane nyaya dzinogadzira dzinogadzirisa kuti mushonga unowanikwa sei.
Pane dzimwe nguva, mishonga inogona kuva ndiyo chete yerudzi rwayo kubata chimwe chimiro. Muzviitiko izvi, zvinogona kuwedzera kudiwa uye kuwedzerwa mari inobatanidza nemishonga.
Makambani ezvemishonga anogonawo kuwedzera mitengo yemishonga yemari. Turing Mishonga inokonzera kukakavara muna 2015 pamusoro peDaraprim (pyrimethamine), mushonga unoshandiswa kurapa AIDS-inosangana nehutachiona hwetayoplasmosis nezvimwe zvirwere zvinoparadza. Martin Shkreli, CEO wekambani iyi, akatenga chibvumirano chechirwere uye akawedzera mutengo wemishonga inopfuura 5 500 muzana, kubva pa $ 13 kusvika ku $ 750 pamapiritsi.
Makambani emishonga anotaura kuti mitengo yakakwirira inofanirwa kubhadhara kutsvakurudza mberi nekujekesa mirairo. Pasinei nekuenderera mberi kuongororwa, vanhu vanogona kutambura nezvirwere zvinogona kuraswa.
Zvinodhaka Zvinodhura Zvishoma Kupfuura Mune dzimwe nyika
MuUnited States, hapana mimwe mitemo iri munzvimbo yekudzivirira kuputika muMedarere zvinodhaka zvinodhaka zvinodhaka.
Hurumende yehurumende inodzinga maitiro emitengo kusvika kune yakanaka yekare kugadzirisa uye kukwikwidzana kwemakemikari.
Zvinodhaka zvinodhaka zvinotarisirwa zvakasiyana-siyana munyika yose. Ichi ndicho chikonzero iwe unowanzoona kuti mishonga yakafanana inotengeswa kuvaAmerica inogona kudhura zvishoma mune dzimwe nyika.
| Zvinodhaka | Kanadha | United Kingdom | nyika dzakabatana |
|---|---|---|---|
| Advair (for asthma) | $ 74.12 | $ 46.99 | $ 309.60 |
| Crestor (yepamusoro cholesterol) | $ 32.10 | $ 25.80 | $ 216.00 |
| Humira (for rheumatoid arthritis) | $ 1,164.32 | $ 1,157.53 | $ 3,430.82 |
| Januvia (nokuda kwechirwere cheshuga) | $ 68.10 | $ 48.00 | $ 330.60 |
| Lantus (nokuda kwechirwere cheshuga) | $ 67.00 | $ 63.65 | $ 372.75 |
Vamwe vanhu vanofunga kuti zvingava nani kutenga zvinodhaka kubva kune dzimwe nyika senzira yekudhura mari asi Medicare haazvioni nenzira iyo. Medicare haingabhadhara kune chero mishonga inotengwa kunze kweUnited States.
Vanhu vari paMedare Havangashandisi Mishonga Emakadhi
Makambani akawanda emishonga anokwidza mitengo yakakwirira asi inopesana nemari iyo kuburikidza nokupa mishonga mishoni uye vouketi. Dambudziko iripo pane mitemo iri munzvimbo iyo inodzivirira vanhu vakawanda kubva kushandisa zvidzidzo izvi.
Pane mutemo unorwisa-kickback mukati meSocial Security Act. Inotaura kuti mumwe munhu kana sangano haagoni kupa zvivigiro kune mumwe munhu mukudzorera kutumira kana kubhadhara kunotora mari kubva kuHurumende mapurogiramu. Mishonga, zvinosuruvarisa, inowira munharaunda iyi. Izvozvo zvinoreva kuti ani naani anoshandisa Medicare haangakwanise kushandisa zvinyorwa izvi zvikwereti.
Mabhuroti uye mabhota anokurudzira vanhu kushandisa mari pamishonga inodhura. Kamwe purogiramu isati yasisipo, hurumende ingasara kuti ibhadhara pane imwe nzira inodhura kupfuura kana murwere aishandisa mushonga unodhura. Mutemo unopesana nekutsvaga kutsvaga unoreva kuchengetedza hurumende kubva pamabasa ekunyengera asi pakupedzisira inotambudza vatengi.
Kutaurirana ne Pharmaceutical Companies
Kana varwere vasingakwanisi kuwana zvikwereti kubva kumakambani ekurapa, hurumende inofanirwa kutaurirana nezvezvinhu zviduku zvinodhaka nokuda kwavo here? Mhinduro inoshamisa ndeyokuti ivo vatoita. Nokuda kweMedicaid, makambani anosungirwa kupa mishonga yemiti yezvinodhaka. Kune Veterans Administration (VA), makambani ekushandisa zvinodhaka anofanirwa kutengesa mutengo wakaderera waanopa kune ani zvake ari munharaunda. Hazvishamisi mishonga inopiwa kuburikidza nemamwe mapurogiramu ehurumende inodhura kupfuura Medicare.
Sei izvi zvisingagoni kuitwa kuMedareti zvakare?
Medicaid ine formulary imwe muhurumende imwe neimwe.
The VA ine formulary imwe chete. Izvi hazvisizvo kana zvasvika kuMedare. Chikamu D chirongwa chechirongwa chemishonga chinoshandiswa nemakambani einishuwarenzi ega ega uye kambani imwe neimwe ine mafomu akawanda ane maitiro akasiyana-siyana akabatanidzwa kune mumwe nomumwe wavo. Zvinotonyanya kukosha, mabhizimisi aya anongoda kuita purofiti.
Izvi zvinokonzera matambudziko kune hurumende. Chokutanga, zvinoda kuchinja mutemo wezvino unosanganisa hurumende kubva kupindira muMedare zvinodhaka zvinodhaka. Chechipiri, inofanira kusarudza nzira yekuenderera mberi nekutaurirana. Ko hurumende inogona sei kutonga zvakananga kumakambani akawanda kana mishonga yakasiyana-siyana inobatanidzwa mune imwe yega yega? Ingadai ichishandura mafungiro akaita sei? Ungada here kutora chirevo chepasi rose? Ndeapi mavara ezvinodhaka anofanirwa kutonga? Ingadai inoda kuderedzwa kweD Part D kubatsirwa here?
Iyi inharo inopfuurira uye imwe iri kusimudzirwa mune zvematongerwe enyika. Dare reCongressal Budget Office rinoratidza kuti kutaurirana kwemaitirwo hazvizokanganisa zvikuru mari yekushandisa mari. Icho hachisi mhinduro vazhinji veAmerica vanoda kunzwa. Vakawanda vakwegura vari kutambura kuwana mishonga panguva imwe muupenyu hwavo kana vachida kuchengetwa kwehutano kunyanya. Chimwe chinhu chinofanira kuitwa kuti kuderedze kuwedzera kwemari yemishonga inodhakwa munyika ino.
Sources:
Kubanski J, Neuman T. Kutsvaga Kuponesa muMedare Zvinodhaka Zvinotengeswa Nezvinodhaka. Henry J. Kaiser Family Foundation. http://kff.org/medicare/issue-brief/searching-for-savings-in-medicare-drug-price-kukurukurirana/. Yakabudiswa February 9, 2016.
Langreth R, Migliozzi B, Gokhale K. IU.S. Inotarisa Zvimwe Zvimwe Zvinodhaka Zvinopfuura Zvimwe Nyika. Bloomberg. http://www.bloomberg.com/graphics/2015-drug-prices/. Yakabudiswa musi waRecember 18, 2015.
Office of the Inspector General. Pharmaceutical Manufacturer Copayment Coupons. http://oig.hhs.gov/fraud/docs/alertsandbulletins/2014/SAB_Copayment_Coupons.pdf. Yakabudiswa munaSeptember 2014.
Pollack A. Zvinodhaka Zvinotangira Kubhadhara $ 13.50 Tareteti kusvika $ 750, Manheru. New York Times. http://www.nytimes.com/2015/09/21/business/a-huge-overnight-increase-in-a-drugs-price-raises-protests.html?_r=0. Yakabudiswa musi waSeptember 20, 2015.
Shih C, Schwartz J, Coukell A. Hurumende Iizotaurirana Sei Nezvemishonga? Health Blog. http://healthaffairs.org/blog/2016/02/01/how-would-government-negotiation-of-medicare-part-d-drug-prices-work/. Yakabudiswa naFebruary 1, 2016.