Haisi Izvo Sezvo Seye-Kubhadhara Health Care
"Utano hwehutano hwepasi rose" kana kuti "kupararira kwepasi rose" kunoreva nzira yekugovera hutano hwehutano apo munhu wese anovharwa kwehutano hwehutano hwehutano uye hakuna munhu anoramba kutarisirwa chero bedzi iye achiri vagari venyika munharaunda yakavharwa-yakadai vose vagari ve Commonwealth kuMassachusetts, kana vose vagari venyika yeKanada.
Iko pfungwa yekuchengetedza kwehutano pasi rose inowanzosafananidza nemunhu mumwe chete-mubhadharo , hurongwa hwehutano hwehurumende, apo mari yose yezvechiremba inobhadharwa nesangano rimwe chete, kazhinji hurumende. Zvisinei, "mubhadhari mumwe chete" uye "zvose" hazvisi zvimwechetezvo.
Universal Coverage
Chirongwa che "chiziviso chepasi rose" chinogona kureva zvinhu zviviri zvakasiyana zvakasiyana. Kutanga, inogona kureva nzira iyo vagari vese vanogona kuwana kana yehutano inshuwarhu yehutano. Chechipiri, inogona kureva nzira iyo vagari vese vanogara vawana mahara ehurumende kana kushandiswa kwepamusoro (kubvisa, mushonga unoparidzirwa) nokuda kwehurumende inogadziriswa yehurongwa hunobatsira.
MuUnited States, chinangwa chepasi rose chinoita kuti kuve nekugadzwa kweAne Affordable Care Act-dzimwe nguva inonzi Obamacare-uye nharo pamusoro pokuti ungawedzera sei kugoverwa panguva iyo ine dzimba dzapedzisa kutonga kweTrump yakatanga. Pasi peAACA, makambani einishuwarenzi yehutano anogona kupa hutano hwehutano hwakanaka pamwe nekubatanidzwa kwezvipo zvinodiwa nemutemo.
Kune vanhu vanowa pamamwe mapeji ehurumende yehurumende yeurombo, shanduro inoshandiswa yehurumende inobhadharwa inobhadhara zvimwe kana zviyero zvavo zvose. Izvo zvakagadziriswa zvakagadziriswa ndezvokuti chero ani zvake, pasinei nemari, aigona kutenga zvishoma zvinokodzera hutano-inshuwarheni hurongwa.
Single-Payer Systems
Mune-single-payer system, zvisinei, hapana hurumende yehushuwarisi yega yega yekutanga.
Hurumende iga inobvumira uye inopa zvipo zvehutano. Muenzaniso wekare weimwechete-mubhadharo ndiyo Great Britain's National Health Service; NHS inodzora kuwanika kwehutano huripo uye inoshandisa vatsigiri vehutano. Canada inopa chirongwa chakafanana.
Mamwe nhengo dzehurumende yekufambira mberi kweUnited States dzakaratidza kuti United States inogona kusvika kune imwe nzira yehutano husingabhadharwi nehutano nekupa " Medicare kune vose" -kureva, nokutora purogiramu yehurumende-yebhadha kune vakwegura uye kuifambisa kune vose vagari. Hazvisi pachena, zvisinei, kuti nzira yakadaro ine chero chinhu chakakosha chezvematongerwe enyika kunze kwezvimwe zviitiko zvinorongwa mune imwe nyika.
Pakati pevamwe-Private Partnerships
Munyika yose, nyika dzakawanda dzinopa hutano pasi rose, kune vose vagari vemo, mumasangano ehurumende-ega ega, uye kwete kuburikidza nemunhu mumwe chete aripo. Mienzaniso yenyika idzi inosanganisira Germany, Netherlands, neSingapore. Singapore inofarira imwe yehutano hwakabudirira zvikuru hutano munyika, dzine tarisiro dzoupenyu hurefu uye vana vaduku vanofa.
Kutarisira Ngozi
Mune imwe nzira iyo vatsigiri vega vega vanoita basa muhutano hwehutano, makambani ehutano yehutano yehutano anofanira kuenzanisa muyero wevanorwara-kune-hutano mumutengi wavo wevashandi mune chikamu kuburikidza nehuwandu hwezvakawedzerwa zvezvinhu uye mabasa avo vanopa pane hurumende yehurumende, uye sei izvo zvinyorwa zvinotengeswa mumusika wakashama.
Mune dzimwe nzvimbo, hurumende inodzivirira vatsigiri vekushaya kurasikirwa kukuru muchikamu ne "penalizing" vatsigiri vehuwandu hwehuwandu hwehutano hwakanaka huri nani huri nani kupfuura huwandu uye hunoenzanisa mari. Iyi nzira inonzi kuderedzwa kwengozi . Zvisinei, kune dzimwe nyika uko kutenga muhurongwa hunozvipira nokuzvidira kana kuzvipira zvinodiwa (semuenzaniso, kuburikidza nemitengo yakaderera yekusateerera), avo vanonzi Young Invincibles-vaduku, vanhu vane utano vanobhadhara muhurongwa asi vanodya zvishoma zvigadzirwa-kupa kugadzikana kwezvemari kumutemo. Apo Vechiduku Vanobatwa vanoramba kutora chikamu, hurongwa hunoenda kune vakwegura uye vanorwara, vanoita zvinokurudzira zvinodhura zvevanhu vose.