Izinto Ezi-5 Okufanele Uzazi NgoHlelo Olusha Lokunakekelwa Kwezempilo LikaMongameli

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Abaphathi bakaTrump baqhubekela phambili nohlelo lokuqeda nokufaka esikhundleni i-Affordable Care Act (ACA) ngohlelo olusha lokunakekelwa kwezempilo oluzokwethulwa kwiCongress kuleli sonto. UMongameli uTrump, othembise kuwo wonke umkhankaso wakhe wokuqeda i-Obamacare, uphumela obala, ewubiza ngokuthi “uMthethosivivinywa wethu omusha Wokunakekelwa Kwezempilo” ku-tweet yakamuva.

Pho libukeka kanjani leli cebo elisha?

Ngenkathi lo mthethosivivinywa ugcina amanye amaphuzu owandulelayo, kufaka phakathi ukuvumela izingane ukuthi zihlale kumshuwalense wezempilo wabazali kuze kube yiminyaka engama-26, akumangazi, kuzohluka kwe-Obamacare ngezindlela eziningi. Kokunye, kususa igunya lokuthi wonke umuntu kumele abe nomshuwalense wezempilo kanye nentela yabantu abenqabayo ukuyithola. Kwabesifazane, abahlomule ngezindlela ezihlukahlukene kusukela ekuhlanganiseni okwandisiwe kwe-ACA, kungaba yingozi enkulu ohlelweni lokunakekelwa kwezempilo abalujwayele. Imininingwane:

1. Ezinye izinkonzo zokubeletha zingase zingakhaviwe.

Ukugxila okukhulu kwe-ACA kwakwandisa ukufakwa kwezinsizakalo zezempilo zabesifazane. Ifune ukuthi abomshwalense bahlanganise izinzuzo zezempilo ezingama-26 kwabesifazane, kubandakanya nezinsizakalo ezibalulekile zokubeletha njenge-folic acid supplements kanye nokuhlolelwa isifo sikashukela sokukhulelwa. Ngaphambi kwe-Obamacare, izinkampani zomshuwalense ezizimele zazingazibandakanyi lezi zinsizakalo. Ngaphandle kokugunyazwa, bangabasika kusuka ephaketheni lezinzuzo ngaphandle kokuhlawuliswa nguhulumeni. Kwabesifazane abakhulelwe, ikakhulukazi labo abangakwazi ukukhokhela ukuvakashelwa "okuvimbelayo" kudokotela, lokhu akugcini nje ngokudumaza kepha kuyingozi.

2. Abesifazane abampofu bangase balahlekelwe ukufinyelela ekunakekelweni.

Olunye lwezinguquko ezinkulu kulo mthethosivivinywa ukuncishiswa kwenani lokusekelwa eliya e-Medicaid-okuhlanganisa abantu abangaphezu kwezigidi ezingu-70, kuhlanganise nabesifazane, izingane, nabadala abangakwazi ukukhokhela ukunakekelwa kwezempilo ngenye indlela. Ukwandisa iMedicaid kwakungenye yezinto ezibaluleke kakhulu kuMongameli Obama ne-ACA, enikeza izigidigidi zamaRandi ngemali eyengeziwe. Lolu shintsho lusize abantu abangaphezu kwezigidi eziyi-16 abangaqinisekisiwe ukuthi bathole usizo lwezempilo ezifundazweni ezingama-32 ezamukele lokhu kukhava okunwetshiwe. Manje, lezi zifundazwe zisengozini yokulahlekelwa izigidigidi zamaRandi, zishiya abantu baseMelika abasengozini kakhulu bengenalo inetha lokuphepha.

3. "Izimo ebezivele zikhona" njengokukhulelwa namanje azamukeleki isizathu sokwenqaba ukumbozwa.

Umthetho owodwa obalulekile ku-Obamacare owalondolozwa kulolu hlelo olusha lokushintshwa yigunya elithi izinkampani zomshwalense azikwazi ukujikisa abantu ngenxa yezimo ezikhona ngaphambili—uhlu olubanzi oluhlanganisa nesifo sika-Crohn, ukukhulelwa, i-transsexualism, ukukhuluphala kanye nokuphazamiseka kwengqondo. . Ngokubheka uMnyango Wezempilo kanye Nezinsizakalo Zabantu phambilini bekulinganiselwa ukuthi abantu baseMelika abayizigidi eziyi-129 abangaphansi kweminyaka engama-65 banemibandela engafaneleka "njengasekuqaleni," lokhu kuyilungiselelo elibalulekile elithinta amakhaya ezweni lonke.

4. Ukulawula inzalo ngeke kusaba mahhala.

Ngemuva kokhetho lukaTrump, landa kakhulu inani labesifazane abacela ama-IUD, kwathi iPlanned Parenthood yabika ngamaphesenti angama-900 inani labantu elanda ngale ndlela yokulawula ukuzalwa. Lesi senzo sigqugquzelwe yisithembiso sikaTrump sokuqeda i-Obamacare, ezosusa enye yezinto ezithandwa kakhulu kulolu hlelo: ukuvimbela inzalo mahhala kwabesifazane. Amaphesenti angamashumi ayisithupha nambili abesifazane abaneminyaka engu-15 kuya ku-44 basebenzisa ukulawula inzalo, ngokusho kweCenters for Disease Control and Prevention-okusho ukuthi, lokhu kungase kuthinte ingxenye enkulu yabantu. Labo abakhetha ukuthola ama-IUD ngaphambi kokuqedwa babefuna ukugwema noma yikuphi ukusuka ku- $ 500 kuya ku- $ 900 izindleko zedivayisi kanye nenqubo yokufaka.

5. Umzali Ohleliwe angaphoqeleka ukuthi avale.

Kwabesifazane abaphila ngaphansi komugqa wobumpofu, I-Planned Parenthood inikeza inketho esebenza kakhulu yokuhlolwa kwamahhala noma okungabizi kakhulu okusindisa impilo okufana ne-pap smear, ukuhlolwa kwe-BRCA, kanye ne-mammograms. Ngezikhungo zayo zezempilo ezingama-650, iPlanned Parenthood isebenza ngaphezu kwabantu abayizigidi ezingama-2,5 e-United States. Uhlelo lukaTrump lunqamula izimali zikahulumeni-okuhlanganisa nenani elilinganiselwa ezigidini ezingama-530 zamaRandi ezimbuyiselweni zeMedicaid ethembele kuzo njengomthombo walo omkhulu wemali engenayo. UMongameli uTrump wanikela ngasese ukuvikela ukubuyiselwa kwemali kwePlanned Parenthood yeMedicaid uma iyeka ukwenza izisu-ezenza amaphesenti ama-3 kuphela wezinsizakalo ezinikezwa yinhlangano-kepha inhlangano yenqabile. Ngenxa Yokuchitshiyelwa Kwe-Hyde, ukukhipha izisu okwenziwa yinhlangano kakade ayihlanganiswa nezimali zikahulumeni.

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