Tsiku Losangalatsa Lakubadwa, ACA!

The Affordable Care Act (ACA) inasindikizidwa kukhala lamulo pa March 23, 2010. Ndinali ndi mwayi wokhala ndikugwira ntchito ku Washington, DC pamene lamulo la mbiri yakale linkakambitsirana, kuvotera, kenaka kuperekedwa kukhala lamulo.

Tsopano, zaka khumi pambuyo pake, ndikukhala wosangalala wa ku Colorado, ndikuyang'ana momwe lamulo lakhudzira dera lathu. ACA ikufuna kusintha msika wa inshuwaransi popangitsa kuti anthu azigula komanso kugula inshuwaransi yaumoyo yotsika mtengo. ACA inalolanso kuti mayiko awonjezere kuyenerera kwa mapulogalamu awo a Medicaid zomwe zikutanthauza kuti anthu ambiri akhoza kulembetsa pulogalamuyi ndikupeza chithandizo chamankhwala chomwe akufunikira.

Ndiye, izi zikutanthauza chiyani kwa Colorado?

• Colorado yapeza zopindulitsa m'mbiri pazambiri za Medicaid ndikuwona kuchepa kwakukulu kwa anthu aku Colorado popanda inshuwaransi. Mu 2019, oposa 380,000 mwa 1.3 miliyoni a Colorado Omwe adalembetsa ku Medicaid adaphimbidwa chifukwa chakukula kwa ACA.
• Ponseponse, a Colorado Health Access Survey (CHAS) adapeza kuti pakati pa 2013 ndi 2015, Colorado's uninsured rate. zatsika kuchoka pa 14.3 peresenti kufika pa 6.7 peresenti, kukhazikika pafupifupi 6.5 peresenti, kumene kuli lero.

Kukula kwa Medicaid kumadziwika kupititsa patsogolo mwayi wopeza chithandizo, kugwiritsa ntchito chithandizo chamankhwala, kukwanitsa kwa chithandizo chamankhwala, komanso chitetezo chandalama pakati pa anthu omwe ali ndi ndalama zochepa. Zowonadi, mayiko omwe adakulitsa Medicaid taona: odwala omwe akufuna chithandizo msanga; kuchuluka kwa mwayi wopeza chithandizo chaumoyo wamakhalidwe komanso kusankhidwa kwachipatala; ndi kuchuluka kwa ndalama zothandizira opioid. Mwachitsanzo, timadziwa zimenezo 74 peresenti ya anthu aku Colorado adayenderana ndi dokotala mchaka chatha - chiwonjezeko cha 650,000 enanso aku Colorado akupeza chithandizo chodzitetezera kuyambira 2009.

Ngakhale zaka 10 za ACA, ntchito idakalipo kuti ikwaniritse lonjezo la chithandizo chamankhwala chotsika mtengo, chofikirika komanso thanzi labwino kwa onse - nkhani yomwe opanga malamulo a boma ndi federal adzapitiriza kukangana. M'malo mwake, zidalengezedwa posachedwapa kuti lamuloli libwereranso ku Khothi Lalikulu la United States, kupangitsa zaka khumi zotsatira za Affordable Care Act kukhala zosatsimikizika.