Medicare Country Ƙari don ƙwayoyi fiye da Medicaid ko VA

Shin tattaunawar gwamnati tare da kamfanoni na kamfanoni su rage farashin kuɗi?

Kudin magunguna ne akan tashi. A shekara ta 2014, Amirkawa sun kashe kashi 12 cikin 100 a kan kwayoyi magani fiye da 2002. Wannan shine batun, akwai wani abu da za ku iya yi domin ku biya kuɗi don magunguna ku ? Akwai wata hanyar da gwamnati za ta iya taimakawa ?

Kudin farashi daga Kamfanonin Kasuwanci

Yawancin dalilai da ke taimakawa wajen ƙara yawan kuɗin da ake amfani da su a kan kwayoyi. A wasu lokuta, akwai matakan masana'antu da ke ƙayyade yawan magani.

A wasu lokuta, magani zai iya kasancewa ɗaya daga cikin irinsa don kula da wani yanayin. A cikin waɗannan lokuta, akwai yiwuwar ƙarin buƙata kuma a kara kuɗin da aka haɗa da miyagun ƙwayoyi.

Kamfanin kamfanoni na iya kara yawan farashin miyagun ƙwayoyi don riba. Turing Pharmaceuticals ya haifar da rikici a shekara ta 2015 akan Daraprim (pyrimethamine), magani da ake amfani dasu don magance kamuwa da cutar ta AIDS da toxoplasmosis da sauran cututtuka na parasitic. Martin Shkreli, shugaban kamfanin kamfanin, ya saya takardar izinin maganin miyagun ƙwayoyi kuma ya karu farashin magani fiye da 5,500 bisa dari, daga $ 13.50 zuwa $ 750 kowace kwaya.

Kamfanoni na kamfanoni sunyi iƙirarin cewa farashin haɓaka suna da muhimmanci don ƙaddamar da ayyukan bincike da ayyukan ci gaba. Ba tare da bincike ba, mutane za su iya shan wahala daga cututtuka masu tasowa.

Drugs Cost Kadan a ƙasashen waje

A cikin Ƙasashen Ƙungiyar, babu wasu ka'idojin da za a hana don haɗuwa a cikin Medicare takardar miyagun ƙwayoyi.

Gwamnatin tarayya ta bar farashi har zuwa kyakkyawar tsarin jari-hujja da kuma kasuwa.

Ana gudanar da farashi na kwayoyi daban-daban a duniya. Wannan shine dalilin da ya sa kake ganin cewa irin kwayoyi da aka sayar wa jama'ar Amirka na iya ƙimar da yawa a wasu ƙasashe.

Wasu mutane suna tunanin cewa zai fi kyau saya magunguna daga wasu ƙasashe a matsayin hanya don yanke farashin amma Medicare ba ya ganin wannan hanya. Medicare ba zai biya wa kowace magunguna da aka sayi a waje na Amurka ba.

Mutane a kan Medicare Ba za a iya amfani da takardun shaida ba

Kamfanin kamfanoni masu yawa suna cajin farashin farashi amma suna biyan farashin ta hanyar bada takardun shaida da takardun shaida. Matsalar akwai ka'idojin da suka hana mutane da yawa daga yin amfani da wadannan rangwame.

Akwai ka'idar anti-kickback a cikin Dokar Tsaro ta Tsaro. Ya nuna cewa wani mutum ko ƙungiya ba zai iya ba da sabis ga wani don komawa ga biyan kuɗi ko biya wanda zai dauki kuɗi daga shirye-shirye na tarayya. Magunguna, rashin alheri, sun shiga cikin wannan rukuni. Wannan yana nufin cewa duk wanda ke amfani da Medicare ba zai iya amfani da waɗannan rangwamen kuɗin ba.

Takardun shaida da takardun shaida suna ƙarfafa mutane su ciyar da kuɗin kuɗaɗɗen magunguna. Da zarar rangwame ba su da samuwa, za a bar gwamnati ta biya bashin da ya dace fiye da idan mai haƙuri ya yi amfani da magani mara tsada. Dokar anti-kickback na nufin kare gwamnati daga ayyukan ƙetare amma ƙaddara masu amfani.

Tattaunawa tare da Kamfanonin Kasuwanci

Idan marasa lafiya ba zasu iya samun rangwame kai tsaye daga kamfanonin magani ba, ya kamata gwamnatin ta shawarci farashin miyagun ƙwayoyi a madadin su? Amsar mai ban mamaki ita ce sun riga sun aikata. Don Medicaid, kamfanoni suna buƙatar samar da farashin farashi. Ga Gwamnatin Veterans (VA), kamfanonin miyagun ƙwayoyi dole ne su biya farashin mafi ƙasƙanci da suke ba wa kowa a cikin kamfanoni. Ba abin mamaki ba ne wanda aka ba ta cikin wadannan shirye-shirye na tarayya sun fi rahusa fiye da Medicare.

Me ya sa ba za a iya yin hakan ba don Medicare ma?

Medicaid yana da takarda guda daya a kowace jiha.

VA yana da nau'i ɗaya. Wannan ba batun idan ya zo Medicare. Sashe na D tsare-tsaren miyagun ƙwayoyi suna gudanar da kamfanonin inshora masu zaman kansu kuma kowane kamfani yana da siffofin nau'i daban-daban tare da ƙananan kaya a haɗe zuwa kowannensu. Abu mafi mahimmanci, waɗannan insurers suna so su sami riba.

Wannan ya haifar da kalubale ga gwamnati. Na farko, zai buƙaci canza dokar da ta keɓe yanzu ta hana gwamnati ta shiga cikin farashin magani na Medicare. Na biyu, dole ne a yanke shawarar yadda za a gudanar da tattaunawa. Ta yaya gwamnati za ta iya daidaitawa ta hanyar kamfanoni masu yawa yayin da kwayoyi daban-daban ke shiga cikin kowane tsari? Shin zai canza yadda aka tsara nau'i? Shin zai yi kama da tsari na duniya? Wani nau'i ne na kwayoyi ya kamata ya tsara? Shin zai buƙaci gyarawa na amfanin D Part D?

Wannan lamari ne mai gudana da kuma wanda ake tashe shi a cikin siyasa. Ofishin Gudanar da Harkokin Kasuwanci ya nuna cewa yin shawarwari da kudaden ba zai da tasiri sosai ga ciyarwa na tarayya. Wannan ba amsar ba ne da yawa Amurkawa suke so su ji. Mutane da yawa masu tsufa suna ƙoƙarin samun magunguna a wani lokaci a rayuwarsu lokacin da suke buƙatar kiwon lafiya. Dole ne a yi wani abu don hana rage farashin maganin kwayoyi a kasarmu.

_Sources:

_{Kubanski J, Neuman T. Neman Bincike a Tattalin Arziki na Drug. Gidauniyar Henry J. Kaiser. http://kff.org/medicare/issue-brief/searching-for-savings-in-medicare-drug-price-negotiations/. An buga Fabrairu 9, 2016.}

_{Langreth R, Migliozzi B, Gokhale K. Amurka Sanya Lutu Ƙari ga Drugs Mafi Girma fiye da Kasashe. Bloomberg. http://www.bloomberg.com/graphics/2015-drug-prices/. An buga Disamba 18, 2015.}

_{Office of the Inspector General. Pharmaceutical Manufacturer Kwafin takardun shaida. http://oig.hhs.gov/fraud/docs/alertsandbulletins/2014/SAB_Copayment_Coupons.pdf. An buga Satumba 2014.}

_{Pollack A. Drug Ya Kamo Daga $ 13.50 a Tablet zuwa $ 750, Dare. New York Times. http://www.nytimes.com/2015/09/21/business/a-huge-overnight-increase-in-a-drugs-price-raises-protests.html?_r=0. An buga Satumba 20, 2015.}

_{Shih C, Schwartz J, Coukell A. Yaya Kasuwancin Gudanar da Harkokin Kasuwanci na Duka D Dama? Bayanin Lafiya. http://healthaffairs.org/blog/2016/02/01/how-would-government-negotiation-of-medicare-part-d-drug-prices-work/. An buga Fabrairu 1, 2016.}