Mashoko Okukurumidza Pamusoro peSGR 'Doc Fix' Dhiyabhorosi
Kana iwe wakanga uchishamisika pamusoro pemashoko ose ari munhau mumakore mashomanana adarika pamusoro pe 'doc fix' kana kuti 'doc kuripa kugadzirisa', kana kukakavadzana kweSGR, tarisiro, nyaya ino inogona kukubatsira kuti uite pfungwa dzose.
Chii chinonzi SGR?
SGR inomiririra "Sustainable Growth Rate." IAmerican College of Physicians webusaiti inopa huwandu hwakazara hweSGR, uye nei ichi "pfungwa yakakanganisika" inoita kuti nharo inopfuurira ine chiremba inobhadhara .
Maererano ne ACP online, SGR "yakagadzirirwa neCongress sechikamu cheE Balanced Budget Act muna 1997 (BBA). Izvozvo zvinogumira kukura mukushandisa kwemabasa echiremba kuburikidza nekubatanidza zvinyorwa zvinotarirwa nemari yekuwedzera mari yekukura."
Shanduro yeSGR inotsanangura zvakakwana kuti vanachiremba vanobhadhara sei kurapwa kwaMedare varwere , avo vanopfuura makore makumi matanhatu nemashanu. Medicare chirongwa chehurumende-inobhadharwa inshuwarisi yakagadzirirwa kubatsira kubatsira vanhu vanokwegura.
Ndiani anonzi SGR Dhiyabhorosi Anogadzirisa Wakawanda?
I-SGR uye Medicare inoderedza zvingangobviswa nayo, inonyanya kukosha uye inobatsira zvakananga vanachiremba vanobata varwere vakwegura. Kana mamiriro eSGR asina kugadziriswa, kukohwa kwebhadharo kungave kwakakuvadza zvakanyanya, zvinogona kukonzera vamwe vanachiremba kunze kwekuita, izvo zvingazoita kuti vakura vakura vatarise.
Kune vanachiremba vakawanda, ruzhinji rwemuitiro wavo runogona kuva neVirwere veMedare.
Nokudaro, kutemwa kwakanyanya muMedare rekubhadhara kwaizoita kuti vawane mari yakawanda.
Mhedziso yeAACP yemamiriro ezvinhu eSGR anoenderera mberi achiti:
"I-formula ye SGR haitauri simba ... Iyo inodhura zvikwereti kunze kwekufunga nezvehutano kana hutano hwehutano hwakapiwa nachiremba wega.
Gore roga roga kubva muna 2001, ikozvino, yakakanganisika SGR formula yakatyisidzira kuisa kuderedza kwemvura muMedarere mari yekurapa mishonga yekutarisira kunopiwa kuvakuru veAmerica. "
Chii chinonzi "Doc Fix" Mhirizhonga Pamusoro?
Iyo nharo inonyanya kutaura nezvekuti kana kwete here mutemo unofanira kubviswa uye kuchinjwa, kuti urege kudzika kwemunguva yemberi, asi mari yekuita kudaro yakanyanya kwazvo. Nhengo yeAACP yepamutemo ndeyokuti mutemo unofanira kubviswa uye kuchinjwa nekuvandudza, kunyatsogadzirisa, uye kubhadhara mubhadharo wakakwana weMedare rekubhadharwa.
Mutengo wekuita izvi waizova $ 138 mabhiriyoni, iyo inobva pasi pe $ 245 mabhiriyoni inoyerwa muna 2012, maererano neAACP.
Nemhaka yekuti mari yekudarika mutemo yakakwirira kwazvo, Congress inoramba ichigadzirisa kwenguva pfupi kudarika kushandurwa kweSGR uye kupera kwekubhadhara kwegore negore, iyo inotora nguva yakawandisa nemari. Uyewo, nokuti haisi mhinduro yekusingaperi, mutemo wekanguva unosiya maitiro ezvechiremba, uye kutarisirwa kwepamusoro kwevarwere, kurembera muchiyero gore negore apo kugadzirisa kwenguva pfupi kuripo.
Chii Chinogadziriswa?
Ndiyo apo gakava rinopisa kusvika pamoto. Vamwe vanhu vanofunga kuti kudzokorora kushanda kwenguva pfupi ndiyo mhinduro chete, nokuti kudzokorora mutemo weSGR kunodhura zvakanyanya, asi kusiya sGR kutarisa chete kunokonzera kukanganisa kubhadhara kune vanachiremba, zvinogona kukuvadza vashandi zvisina kukodzera.
Iyo nyaya yakaoma kwazvo, uye chero chinogona kugadziriswa sarudzo ingaguma ingakanganisa migumisiro isingatarisirwi, sezvo mitemo yakaoma yakawanda inodaro.