Ukuthi Umthetho Wokunakekelwa Kwezempilo waseMelika Ungazithinta Kanjani Izindleko Zokunakekelwa Kwabesifazane Zokuvimbela

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Sooo sekuyisikhathi sokuhlolwa kwakho kwaminyaka yonke e-ob-gyn. (Yayyy, usuku olungcono kakhulu lonyaka, akunjalo?!) Hhayi-ke, ukube ubungajabulile manje, kungahle kube nengcindezi enkulu uma uhlelo oluhlongozwayo lokunakekelwa kwezempilo luba ngokoqobo.

Uma iSenate iphasa i-American Health Care Act (AHCA), ungahle ubhekane nesikweletu se-ob-gyn esingu- $ 1,500 (bona ukuwohloka ngezansi). Lokho ngokusho kuka-Amino, inkampani yokunakekelwa kwezempilo yabathengi eyahlaziya izimangalo zezempilo eziyizigidi eziyizinkulungwane ezingu-9 kubantu baseMelika abayizigidi ezingu-225 ukuze ilinganise izindleko ezingase ziphume ephaketheni ngaphansi kwe-AHCA.

Leyo $1,500 ayikona ukubhekana nanoma yiziphi izinkinga zezempilo ezikhethekile noma izinkinga. Okwenzelwe kuphela ukugcinwa kokuzala kwabesifazane-futhi, ikakhulukazi, ukuvimbela ukubukeka okumangazayo kwezinto ezibiza kakhulu, ezinobungozi obukhulu (ukubeletha, umdlavuza, njll.). Umsindo uphambanisile? Siyazi. Futhi akugcini lapho.

Nakhu ukuthi ezinye izindleko ezivamile zokuvimbela zingahle zehle kanjani uma i-AHCA iba umthetho, ngokusho kuka-Amino. (Nakuba kungahluka ngombuso-hlola amagrafu ukuze ubone izilinganiso zalapho uhlala khona.)

• $ 1,000 nge-IUD. Isilinganiso senethiwekhi ye-Amino median yesilinganiso se-Mirena IUD ngu- $ 1,111. Ama-Skyla IUDs abiza cishe u- $ 983 kanti ama-Paragard IUDs abe ngu-1,045.
• $ 4,000 nge-tubal ukuhlanganiswa (ukubopha amashubhu akho), okungaba ngamaphesenti angama-25 abesifazane abasebenzisa izindlela zokuvimbela inzalo, ikakhulukazi uma sebenqume ukuyeka ukuba nezingane.
• $ 250 nge-mammogram ejwayelekile ukuhlola umdlavuza webele. (Abesifazane abangaphezu kweminyaka engama-45 kufanele bathole i-mammogram njalo ngonyaka kuya kwemibili.)
• $ 1,500 we-colonoscopy ejwayelekile ukuhlola izimpawu zomdlavuza kapopopo. (Kunconywa njalo eminyakeni eyi-10 kusukela eminyakeni yobudala engama-50 uma awunayo ingozi eyengeziwe, ngokusho kwe-American Cancer Society.)
• $200 ngePap smear ukuvivinya umdlavuza womlomo wesibeletho, okunconywayo okwamanjeokungenani njalo eminyakeni emithathu (noma ngonyaka, kwabanye besifazane).
• $300+ ngomgomo owodwa we-HPV osiza ukuvimbela umdlavuza womlomo wesibeletho-futhi udinga imithamo emibili kuya kwemithathu ukuze uqedele uhlelo oluphelele lwemithi yokugoma ukuze usebenze kahle.

Ngenkathi lezi zindleko zinzima kakhulu noma ubani ukukhokha ephaketheni, empeleni bangadala inkinga enkulu yezezimali ngenani elithile labesifazane; Amaphesenti angama-44 abesifazane baseMelika athe ngeke bakwazi ukukhokhela isikweletu sezempilo esingalindelekile esingaphezu kuka- $ 100 ngaphandle kokungena ezikweletini, ngokusho kocwaningo ezweni lonke lwabantu abadala base-U.S. U-Amino abenza ne-Ipsos ngoMashi. Iqiniso lokuthi ngayinye yalezi zinyathelo zezempilo zokuvimbela ingaphezu kuka-$100 yizindaba ezesabekayo empilweni yabantu besifazane. Cabanga nje: Uma ukukhetha kuphakathi kokuhlolwa komdlavuza ongakukhetha ngo-$200, noma igrosa yenyanga, ulungile. mhlawumbe uya ukukhetha ukudla. (I-BTW, wonke umuntu kufanele ahlolelwe i-HPV futhi kufanele athole imishanguzo yokugoma, uma kubhekwa cishe abantu abangaphezu kwengxenye yabantu abadala abanayo.)

Uma kushiwo lokho, uma i-AHCA iphasisiwe, izindleko zakho ze-ob-gyn ngeke zikhuphuke ngokuzenzekelayo. Kuzoncika ohlelweni lwakho lokunakekelwa kwezempilo kanye nezinzuzo olukunikeza lona. Ihhovisi le-bipartisan Congressional Budget Office kwenza balinganisela, nokho, ukuthi kuzoshiya izigidi zabantu baseMelika bengaqinisekisiwe. Into ukuthi, ngaphansi kwe-Obamacare (i-Affordable Care Act), zonke izinhlelo zomshuwalense wezempilo zazikhona isidingored ukunikela ngezinzuzo eziyishumi "zezempilo ezibalulekile," kufaka phakathi izinto ezifana nezinsizakalo eziphuthumayo nezama-ambulensi, imishanguzo kadokotela, impilo yezengqondo nezinsizakalo zokuphazamiseka kwezidakamizwa, futhi uqagele ukunakekelwa kokuvikela. Ngaphansi kwe-AHCA, izifundazwe zizokwazi ukufuna ukuyekethisa ukuthi zingayinaki le mithetho, zivumele izinkampani zokunakekelwa kwezempilo ukuthi zilawule izinsizakalo ezihlanganiswe yizinhlelo zazo futhi zishintshe amanani entengo (noma zize zenqabe ukumbozwa) kuya ngesimo somuntu samanje sezempilo (okuthile u-Obamacare akuvimbelayo njengamanje ). Lokhu kuvulela izinkampani ithuba lokubheka izinto ezinjengokuhlukunyezwa ngokocansi kanye nezigatshana "njengezimo ezikhona ngaphambili" futhi zinyuse amanani omshwalense wakho ngenxa yalokho.

Ngakho ngenkathi umshwalense wakho wezempilo kungenzeka usafaka i-IUD yakho ngokugcwele uma i-AHCA iphasisiwe, asikho isiqinisekiso. Futhi uma kungenjalo (noma uma ungomunye wezigidi zabantu baseMelika abangaqinisekisiwe) ungase uphume ngenyanga ezayo yokuqasha-konke ngoba uzama ukuba ngowesifazane omdala onomthwalo wemfanelo futhi unakekele umzimba wakho.

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