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Usuku lokuzalwa olumnandi, ACA!

By UStephanie G

I-Affordable Care Act (ACA) yasayinwa yaba umthetho ngoMashi 23, 2010. Ngaba nenhlanhla yokuhlala futhi ngisebenza e-Washington, DC njengoba umthetho oyingqophamlando wawudingidwa, uvotelwa, futhi waphasiswa emthethweni.

Manje, eminyakeni eyishumi kamuva, futhi ngiyisakhamuzi esijabule sasesifundazweni saseColorado, ngicabanga ngendlela umthetho owuthinte ngayo umphakathi wethu wendawo. I-ACA ihlose ukuguqula imakethe yomshwalense ngokwenza kube lula kubantu ukuthi bathenge futhi bathenge umshwalense wezempilo ophelele, othengekayo. I-ACA iphinde yavumela izifunda ukuthi zandise ukufaneleka kwezinhlelo zabo ze-Medicaid okusho ukuthi abantu abaningi bangabhalisa ohlelweni futhi bafinyelele ukunakekelwa kwezempilo abakudingayo.

Ngakho-ke, kusho ukuthini lokhu ngeColorado?

  • I-Colorado yenze inzuzo eyingqophamlando ekufakweni kwe-Medicaid futhi yabona ukuncipha okukhulu kwenani lama-Coloradan ngaphandle komshwalense. Ngo-2019, abangaphezu kuka-380,000 kwabangu-1.3 million baseColoradan ababebhalisele i-Medicaid bahlanganiswa ngenxa yokwanda kwe-ACA.
  • Sekukonke, i-Colorado Health Access Survey (CHAS) ithole ukuthi phakathi kuka-2013 no-2015, izinga elingaqinisekisiwe laseColorado. lehle lisuka ku-14.3% laya ku-6.7%., ezinza cishe ngamaphesenti angu-6.5, lapho ekhona namuhla.

Ukunwetshwa kweMedicaid kuyaziwa ukuthuthukisa ukufinyelela ekunakekelweni, ukusetshenziswa kwezinsizakalo zokunakekelwa kwezempilo, ukufinyeleleka kokunakekelwa kwezempilo, kanye nokuvikeleka ngokwezimali phakathi kwabantu abahola kancane. Ngempela, izifunda eziye zandisa i-Medicaid ubonile: iziguli ezifuna ukunakekelwa kusenesikhathi; ukwanda kokufinyelela ezinsizeni zezempilo zokuziphatha kanye nokuqokwa kokunakekelwa okuyisisekelo; kanye nokwenyuka kwezindleko zokwelashwa kwe-opioid. Ngokwesibonelo, siyakwazi lokho Amaphesenti angama-74 abantu baseColorado babe nokuvakasha kokuvimbela nodokotela wabo ngonyaka odlule - ukwanda ngama-650,000 abantu baseColoradan abathola usizo lokuvimbela kusukela ngo-2009.

Naphezu kweminyaka eyi-10 ye-ACA, umsebenzi usalokhu ukufeza ngokugcwele isithembiso sokunakekelwa kwezempilo okungabizi, okufinyelelekayo kanye nempilo ethuthukisiwe kubo bonke - inkinga abenzi benqubomgomo yezwe kanye nenhlangano bazoqhubeka nokuphikisana. Eqinisweni, kusanda kumenyezelwa ukuthi umthetho uzobuyela eNkantolo Ephakeme yase-United States, okwenza iminyaka eyishumi ezayo yoMthetho Wokunakekelwa Okuthengekayo ingaqiniseki.