Medicare Cuts, Physician Shortage, uye Prescription Drug Costs
Mutungamiri Trump akaita zvivimbiso zvakawanda pamusangano wekushandira . Mumwe wavo aifanira kuchengetedza Medicare- ndiko kuti, akati haazochera Medicare. Chimwe chivimbiso chakanga chiri kuita kuti purogiramu iwane mari yakawanda kune vanobatsirwa. Nehurongwa hwake hwe2019, anogadzirisa zvakawanda kuMedarere ayo anoita uye asingaiti chipikirwa ichocho.
Mari Inobatsira Kurapa
Shanduko yekutanga inopesana zvakananga kune izvo Mutungamiri akavimbisa zvikamu zvake.
Gore rezvemari (FY) gore ra2019 rinoratidzira $ 236 muMedarere inopedza makore gumi.
White House inotaura kuti vabatsiri havazooni kuderera kwezvavanobatsira. Pane kudaro, vanoti kuderedza kushandiswa kwemari kunouya kubva kune zvimwe zvikamu zvehurongwa hweMedare. Izvo zvakataurwa hazvina kutsanangurwa asi zvakaderera kubhadhara kune vanachiremba uye zvipatara zvinotarisirwa.
Vakapedza Kudzidza Kurapa Kwemari
Sangano reAmerican Medical Colleges rakaita chidzidzo muna 2017 chinotsigira izvo hurongwa hwehutano hwakagara huchitya-chiremba chinoshaya. Pakazosvika 2030, nyika inotarisirwa kuti ive shoma kudarika madzimai makumi mana nemana mazana mana pazvinhu zvose.
Muna 2016, maiva nevarapi 953 695 vane mvumo yekuita muUnited States. Kubva nhamba iyoyo, 27.1 muzana yechiremba vaiva pakati pemakore 56 nemakore makumi matanhatu nemashanu. Imwe 13,1 muzana yaiva makore 66 uye kupfuura. Munguva iyi, paingova ne19254 vezvidzidzo zvekuchikoro vakapedza gore iroro.
Nevanopfuura makumi mana ezana zvechiremba vanosvika munguva yekurega basa uye vashomanana vanopinda mubasa rekushanda, hakuzovi nemakwani akakwana kuzosangana nekudzvara kwekukwegura kwevana vanoita nharo dzevanhu, vasingatauri nhamba inowedzera yevanhu vanochengetwa pasi peAne Affordable Care Act.
Pasinei nekusagadzikana kwezvinhu uye kuda, bhajeti yegore ra2010 rinopa $ 48 mabhiriyoni kuti adzore kuchikoro chekurapa (GME) kwemakore gumi.
GME mari inobhadhara kurapwa kwekurapwa kwekurapa . Dzimwe zvikoro zvezvehutano zvinogona kuzarura nekudzorera vadzidzi, asi pasina ruzivo rwekugara kwekudzidzira, avo vakapedza kudzidza vanotarisana nechigadziro mumamiriro. Kuderedza mari yekugara kunogona kuderedza nhamba yevagari vakarovedzwa mugore ripi neripi, vachiwedzera kuwedzera kushayikwa kwechiremba.
Health Savings Accounts
Mutungamiri Trump akarayira Medicare kubvumira kushandiswa kwemabhuku ekuchengetedza hutano (HSA) , uye zvinoita sekuti ari kuramba akatendeka kuvimbiso iyoyo.
An HSA ibhuku rekuchengetwa kwemutero-rekushandisa rinoshandiswa kumari yehutano. Vanhu vanogona kuchengetedza mari pamusana pekutengesa mitero uye kubvisa mari yemutero usingabhadhari chero bedzi mari ichienda kune zvakakodzera mari yezvemari. Kusvikira muongorori weBY 2019 wehurongwa, IRS haina kubvumira vanaMedare vanobatsira kupa HSAs.
Muna 2018, munhu anogona kuchengetedza mari inosvika $ 3 450 muHSA uye mhuri yepamusoro $ 6 900. Vanhu vanopfuura makore makumi mashanu nemashanu vanokwanisa kuchengetedza $ 1 000 zvegore negore kana vasiri pamutara. Izvo zviyero zvingazobvumirwa kuti vaMedare vanobhadhara varambe vasina kujeka.
Medicare Chikamu B Mishonga
Haisi yose mishonga yemishonga inoderedzwa kune Medicare Part D. Mimwe mishonga inobhadharwa pasi peMedarereti B.
Iyi mishonga inosanganisira, asi haisi kuongororwa chete, zvinodhaka zvinokonzerwa nekenza, zvinopesana nekenza zvinodhaka, anti-nausea zvinodhaka, kuvhiringidza zvinhu, zvirwere zvisingagadziriswi nemishonga, IV infusions, nebulizer mishonga, osteoporosis mishonga, tube feeds, uye zvimwe zvirwere .
Pasi peMedarereti Chikamu B, dzakawanda zvemishonga iyi inodhadharwa kana dzichigoverwa uye dzinotarisirwa kuhofisi yechiremba kana dhipatimendi rezvipatara. Nemhaka yezvakawedzerwa mari yekugadzirisa, kuchengetedza, nekugadza mishonga iyi yekushandiswa kwevarwere, nzvimbo idzi dzakabvumirwa kutengesa vanaMedare vanobhadhara zvinodarika 6 muzana kupfuura yevhareji yekutengesa mutengo wemishonga imwe neimwe.
Chirongwa cheBY 2019 chebhajamiro chinangwa chokuisa kuguma kweChikamu cheB B kugoverwa kwemishonga uye kuchinja iyo mishonga yemishonga kune Chikamu D. Nokufamba kweChikamu cheB B muchikamu D, Medicare vapeji havazovi nehanya nekutarisira mishonga muhofisi. Pane kudaro, murwere angadai akazadza chiremba uye achiuyisa kuna chiremba wavo kuti atungamirire. Izvi zvingabvisa chero zvingabatsirana zvehupfumi uyo anopa mupiro angave anezvo mukuronga mishonga yakakwirira-inotengeswa. Panguva imwecheteyo, inowedzera kusagadzikana kuti murwere apinde nhanho dzinowedzera.
Kuderedza Kurapa Drug Zvinodhura
Kurasika kwemari yekurapa mishonga yakagara iri chinhu chakakosha, uye mari yeFY 2019 inoisa kusimbiswa pakuita izvozvo. Pepanhau chena neChristian Council of Economic Advisers rinotsanangura nzira dzakasiyana-siyana, kunyange zvazvo zvisati zvichinyatsojeka ndezvipi zvemhando idzi hutungamiri huchatevera.
Ipepa repepachena rinonyadzisa hurumende yekugadzirisa mutengo . GOP inoramba iri mutendi akasimba mumusika wekusununguka. Izvo hazvibatsiri kutumira mishonga inodhura yakawanda kubva kune dzimwe nyika. Chinangwa ndechekusimudzira mabhizinesi eAmerica.
Imwe nzira ndeyokuita kuti zvive nyore kuti FDA iwedzere kushandiswa kwemishonga yemishonga yemishonga yemishonga kana marwapi-mishonga isina kubvumirwa. Muchirevo, izvi zvinowedzera kukwikwidza mumusika uye kuderedza mari.
Imwe nzira ndeyekuvandudza ukama pakati pevarwere uye mishonga yehutano. Vatsigiri vanogona kudiwa kugovana zvikwereti zvavanowana kubva kumakambani ekurapa mishonga nevarwere. Zvibvumirano zvingasimudzwa kuitira kuti vaMeddy beneficiaries vashandise mari yekushandisa mishonga.
Nzira iyo inotsigirwa naMutungamiri Trump yaizobvisa kugovana-mari , kureva mari yemari uye kubviswa kwevanhu, kune vanhu vane mishonga yakakura yezvinodhaka zvinodhaka pamadhora 8 418 kana kupfuura kwegore. Zvinosuruvarisa, kuenzanisa kunze kwezvinhu izvi, mari-ye-ehomwe mari inowedzera kune vanobatsira vasingakwanisi kuwana chikamu ichocho.
Shoko Rinobva
Nzira yeBY 2019 yebhajeti, kana yakapfuura, inenge iine zvose zvinotsigira uye zvinopedza Medicare. Kunyange zvazvo zvingabatsira kuderedza zvinodhaka zvemishonga zvinodhaka kune vamwe vakwegura (kuwedzera kune vamwe) uye kuvabvumira kushandisa nhepfenyuro yekuchengetedza utano, zvinogonawo kuderedza mari yeProgram yeMedare mukutakura uye kuipa kudarika kushayikwa kwechiremba.
> Sources:
> 2017 Kuvandudza: Kuoma Kwechiremba Kupa Uye Kuda - Majekesa kubva muna 2015 kusvika muna 2030. Sangano reAmerican Medical Colleges. https://aamc-black.global.ssl.fastly.net/production/media/filer_public/c9/db/c9dbe9de-aabf-457f-aee7-1d3d554ff281/aamc_projections_update_2017_final_-_june_12.pdf. Yakabudiswa February 28, 2017.
> Kuwedzera kune Gore reMutambo 2019 Budget. Office of Management uye Budget. https://www.whitehouse.gov/wp-content/uploads/2018/02/Addendum-to-the-FY-2019-Budget.pdf. Yakabudiswa musi waFebruary 12, 2018.
> Mari Yegore Gore 2019: Mari yeAmerica. Office of Management uye Budget. https://www.whitehouse.gov/wp-content/uploads/2018/02/budget-fy2019.pdf. Yakabudiswa musi waFebruary 12, 2018.
> Kuvandudza Purogiramu yeBhiopharmaceutical Pamba uye kune dzimwe nyika. The Council of Economic Advisers. https://www.whitehouse.gov/wp-content/uploads/2017/11/CEA-Rx-White-Paper-Final2.pdf. Yakabudiswa muna February 2018.
> Young A, Chaudhry HJ, Xiaomei Pei X, Arnhart K, Dugan M, Snyder GB. Nhamba yeCensus yaVadzidzi Vakabvumirwa muUnited States 2016 . J Med Regul. 2017; 103 (2): 2-21.http: //www.fsmb.org/globalassets/advocacy/publications/2016census.pdf.