Usuku lokuzalwa olumnandi, ACA!
UMthetho woKhathalelo oluThengekayo (i-ACA) watyikitywa waba ngumthetho nge-23 kaMatshi ngo-2010. Ndaba nethamsanqa lokuba ndiphile kwaye ndisebenza eWashington, DC njengoko umthetho wezembali uxoxwa, wavotwa, emva koko wadluliselwa emthethweni.
Ngoku, kwiminyaka elishumi kamva, kwaye ndingumhlali onwabileyo welizwe laseColorado, ndicinga ngendlela umthetho obuye nefuthe kuluntu lwethu. I-ACA ijonge ukuguqula intengiso yeinshurensi ngokwenza kube lula ukuba abantu bayithengise kwaye bathenge i-inshurensi yezempilo efikelelekayo. I-ACA ibuye yavumela amazwe ukuba andise ukufanelekela iinkqubo zawo zeMedicaid okuthetha ukuba baninzi abantu abanokubhalisa kule nkqubo kwaye bafumane ukhathalelo lwempilo abaludingayo.
Ke, kuthetha ntoni oku ngeColorado?
- IColorado yenze izembali kumbali yeMedicaid kwaye yabona ukwehla okukhulu kwinani lamaColoradans ngaphandle kweinshurensi. Ngo-2019, ngaphezulu kwama-380,000 ezigidi ezisisi-1.3 zeColoradans ababhalise eMedicaid bahlawulwa ngenxa yokwanda kwe-ACA.
- Ngokubanzi, uPhando lwe-Colorado Health Access (i-CHAS) ifumene ukuba phakathi kuka-2013 no-2015, umyinge ongakhange ubenwebe weColorado lehle ukusuka kwiipesenti ezili-14.3 laya kwiipesenti ezi-6.7, ukuzinza malunga ne-6.5 yeepesenti, apho ikhoyo namhlanje.
Ukwandiswa kweMedicaid kuyaziwa ukuphucula ukufikelela kukhathalelo, ukusetyenziswa kweenkonzo zononophelo lwempilo, ukufikeleleka kukhathalelo lwempilo, kunye nokhuseleko lwezemali phakathi kwabemi bemivuzo ephantsi. Ewe, amazwe athe ayandisa iMedicaid ubonile: abaguli abafuna ukhathalelo ngaphambili; ukwanda ukufikelela kwiinkonzo zempilo yokuziphatha nokuqeshwa kokhathalelo olusisiseko; kunye nokunyuka kwenkcitho kunyango lwe-opioid. Umzekelo, siyayazi loo nto Iipesenti ezingama-74 zabantu baseColoradans Utyelelo lokuthintela ugqirha wabo kunyaka ophelileyo - ukunyuka kwama-650,000, 2009 abantu baseColoradans bafumana ukhathalelo othintela ukusukela ngo-XNUMX.
Ngaphandle kweminyaka eli-10 ye-ACA, umsebenzi usaqhubeka ukufezekisa isithembiso sokufikeleleka, ukhathalelo lwezempilo olufikelelekayo kunye neempilo eziphuculweyo kubo bonke-umba urhulumente nabaphathi bemigaqo-nkqubo baya kuqhubeka nokuxoxa. Ngapha koko, kwakubhengezwe ukuba umthetho uzakubuyela kwiNkundla ePhakamileyo yase-United States, esenza iminyaka elishumi ezayo ye-Affordable Care Act ungaqinisekanga.