Dokokin budewa ga mutane da yawa sun ƙi yin hakan
Dokar Dokar Kulawa (ACA), wadda aka fi sani da Obamacare, ta sanya hannu kan doka a ranar 23 ga watan Maris, 2010, don tabbatar da tabbatar da zaman lafiya da kwanciyar hankali, ga dukan jama'ar {asar Amirka. Ƙungiyar ACA ba kawai ta ba da musayar inshora na kiwon lafiya ta hanyar abin da mutane da ƙananan kasuwanni zasu kwatanta da sayen inshora ba, yana bayar da tallafi na kudi don matsakaicin matsakaici- zuwa ga jama'ar Amurkan da ke tsakiyar karɓar sayen ta hanyar musayar canji.
Bugu da ƙari, ACA ta ba da damar yin amfani da maganin Medicaid ga wadanda ba su da karfin kudi a Amirka, wadanda suka yi kasa da kashi 133 cikin 100 na matakin talauci na tarayya, wanda amfaninsa ya kasance kawai ga marasa lafiya a sakamakon cutar HIV.
Duk da kokarin da wasu suka yi kan ko hamayya da ko soke dokar, goyon bayan jama'a ga ACA sun kasance a kan rikice-rikicen hankali, tare da kuri'un ra'ayoyin da suka nuna goyon bayan goyon baya ga tsarin da aka yi daga mai kada kuri'a da Jamhuriyar Republican tun lokacin da aka fara gabatarwa.
Bisa ga bincike daga Washington, Cibiyar Family Foundation ta DC, mutanen da suka tsufa, da ƙananan kudin shiga (a karkashin $ 40,000 a kowace shekara), kuma waɗanda suka bayyana kansu a matsayin 'yan Democrat sun fi dacewa da tallafawa doka.
Duk da yake tasirin ACA akan tsarin kiwon lafiya na Amurka ba shi da tabbacin, za a iya jaddada cewar Amurka miliyan 1.2 da ke zaune tare da kwayar cutar HIV na iya jin dadi. Kafin shari'ar doka, kashi 17 cikin dari na mutanen da ke dauke da kwayar cutar HIV suna da asibiti na asibiti masu zaman kansu idan aka kwatanta da kashi 54 cikin dari na yawan jama'a.
Bugu da ƙari kuma, sau biyu yawancin mutane ba tare da maganin likita ba (kashi 29) idan aka kwatanta da Amirkawa ba tare da HIV (kashi 14) ba.
Imfani da Ƙarin Ruwa
Tun daga shekarar 2010, mutane da ke dauke da kwayar cutar HIV sun karu da karfin samun lafiya, tare da binciken da yawa na inganta ingantattun sakamakon asibiti sakamakon sakamakon aiwatar da ACA.
A cikin Virginia, alal misali, kashi 47 cikin dari na waɗanda suka riga sun sami magani ta hanyar Shirin tallafi na Drug Assistance (ADAP) na gwamnati ya sanya hannu a cikin shirin ACA a shekara ta 2014. Armed with new provision for centralized, HIV-specific care, da marasa lafiya da inshora sun fi iya cimmawa da kuma tallafawa kayan da ke dauke da kwayoyin cutar bidiyo da marasa lafiya tare da ADAP.
Bugu da ƙari, kowane watanni na yin rajista a cikin wani asusun inshora yana haɓaka da kashi 6 cikin 100 mafi girma da za a iya ɗaukar hoto, tare da mutanen da suka sa hannu a cikin shekara guda, fiye da kashi 60 cikin dari na iya ɗaukar nauyin nau'i na kwayar cutar.
Ana ganin sauran alamu a wasu wurare, tare da California, jihar tare da shirin ADAP mafi girma, yana ba da rahoto na kashi 27 cikin dari na yawan shiga a shekarar 2012. Yau, kasa da 28,000 California sun shiga ADAP idan aka kwatanta da fiye da 38,000 wadanda suka yi haka a 2012-mafi ƙasƙanci lambar da aka gani tun 2006.
Ba haka ba ne cewa akwai matsala masu wuya ga aiwatar da shirin. A watan Yuli na shekarar 2015, an zargi wasu masu bada tabbacin ACA na nuna bambanci ga mutanen da ke dauke da kwayar cutar ta HIV ta hanyar shiga mummunan tayar da hankali , aikin da marasa lafiya ke hanawa daga cikin zaɓar tsarin inshora ta hanyar daukar nauyin biyan kuɗi na rashin lafiya.
A wasu lokuta, kudaden maganin miyagun ƙwayoyi ga mutanen da ke dauke da kwayar cutar HIV sun kai dala 3,000 mafi girma a kowace shekara idan aka kwatanta da masu sayarwa wadanda ba su cin abinci ba.
A watan Maris na shekarar 2015, bayan da ambaliyar ruwa ta kamuwa da kamfanonin HIV, Aetna Insurance ya sake nazarin manufofi na ciki, cire magungunan rigakafi daga mafi girman matsayi na wadanda za su iya biyan kuɗin kuɗin daga kowace rana daga $ 5 zuwa $ 100 bayan an gama haɓaka.
Bugu da ƙari, ci gaba da ƙoƙarin hana ƙwayar Medicaid a jihohi kamar Virginia, Louisiana, Texas da kuma Florida suna barin wasu daga cikin talakawa mafi ƙasƙanci - sau da yawa waɗanda ke da mafi yawan haɗarin cutar HIV - tare da kadan, a kowane, samun damar ɗaukar lafiya.
A halin yanzu, 19 jihohi na Amurka sun ƙi karuwar magani na Medicaid .
Lokacin kuma Yadda Za a Rubuta
An bude rajista shi ne lokacin shekara idan zaka iya amfani da taimakon kuɗi, canza shirin, ko shiga cikin babban shirin likita wanda ya ƙidaya a matsayin ƙananan ɗaukar hoto da ake buƙata ta doka.
Shirin bude rajista ya fara ranar 1 ga watan Nuwamba, 2017 tare da kwanan wata tasiri na ranar 1 ga watan Janairun shekara ta 2018. Ka lura cewa, Kwamitin Jirgin ya yanke shawarar rage mata rubutun daga ranar 31 ga Janairu, 2018 . Wannan yana ba mutane kawai makonni shida don tabbatar da rajista.
A halin yanzu, jihohi takwas da ke aiki da tashar jiragen ruwa mai zaman kansu sun yanke shawarar mika kwanakin rajista, ko'ina daga Janairu 22 zuwa 31, 2018.
A ƙarƙashin ACA, an rarraba rajista ta hanyar Gidauniyar Kiwon Lafiya. Kowace kasuwar yana aiki ne ta hanyar jihohi ko tarayya kuma yana ba ka rashin lafiya na zaɓuɓɓukan ɗaukar hoto waɗanda ke samuwa a cikin jiharka, ko kuna nema
- Kamfanin inshora na asibiti
- Taimakon haraji don rage farashin kuɗi
- Biyan kuɗi na Medicaid
- Shirin Harkokin Kiwon Lafiyar Yara (CHIP)
- Ƙungiyar Zaɓuɓɓukan Kiwon Lafiya Kasuwanci (SHOP)
- Asusun tallafin mai aiki
Ma'aikatar Kiwon Lafiya ta Amurka da Ayyukan Harkokin Kiyaye na Ƙasar sun kafa Ƙofar Wuta na Wutar Lantarki a Healthcare.gov don taimakawa wajen ƙaddamar da cancantar kanka da kuma shiryar da kai ga ofishin musamman ko sashen da kake bukata. (Za'a iya samun labaran harshen harshen Espanya a Cuidadodesalud.gov).
Da zarar ka yanke shawarar ɗaukar hoto, za ka iya amfani da shi a kan layi, a cikin mutum, ko ta hanyar wasiku. Hanyoyi na iya bambanta daga jihar zuwa jihar, amma sauƙin aikace-aikacen da aka sauƙaƙe yana da ɗan gajeren gajere kuma sauƙin fahimta, yana buƙatar kawai lambar tsaron jama'a (ko lambar lissafin idan kun kasance baƙo na doka) da kuma takardun aiki / samun kudin shiga (misali, biya stubs, W-2s, maganganun haraji).
Da zarar an miƙa shi, lokaci na biyewa tsakanin daya zuwa makonni biyu, a matsakaita.
Lambobin waya mai mahimmanci
Asusun Kula da Harkokin Kiwon Lafiyar Kiwon Lafiya (samuwa 24 hours a rana):
- 1-800-318-2596
- TTY: 1-855-889-4325
Kasuwanci na Kasuwancin Kasuwanci (Litinin zuwa Jumma'a, 9:00 am zuwa 5:00 pm YA):
- 1-800-706-7893
- TTY: 1-800-706-7915
Don ƙarin bayani game da fadada Medicaid a jiharka, rahoton da aka sabunta na Status Action Statement yana samuwa daga Kudiyar Family Foundation maras amfani.
>> Sources:
> Kayan Gida na Kasa (KFF). "Kamfanin Lafiya na Lafiya na Kamfanin: Labarai na Jama'ar ACA." Washington, DC; isa ga Nuwamba 3, 2015.
> McManus, K .; Rhodes, A .; Yerkes, L ;; et al. "Dokar Kula da Kulawa da Dandalin Magunguna ta Dandalin Cutar AIDS da Abubuwan Da ke Cutar HIV.". ID Week 2015. Oktoba 9, 2015; San Diego, California; > gabatarwa na baka; m 728.
> Jacobs, D. da kuma Sommers, B. "Yin amfani da kwayoyi don nuna bambanci - Zaɓaɓɓen Zaɓin Kasuwanci a Wurin Kasuwanci." New England Journal of Medicine. Janairu 29, 2015; 372: 379-402.
> Kamfanin Shawarar Shawara. "Inda jihohin sun tsaya akan Fadar Medicaid." Washington, DC; isa ga Nuwamba 3, 2015.