Magunguna Medicare, da Yankin Likita, da Kuɗin Kuɗi na Dama
Shugaban Shugaban kasa ya yi alkawuran da yawa a kan hanyar yakin . Daya daga cikinsu shine adana Medicare- wato, ya ce ba zai yanke Medicare ba. Sauran alkawarinsa shi ne ya sa shirin ya kasance mai karfin kudi ga masu amfana. Tare da shawarwari na kasafin kudin 2019, ya yi canje-canjen da yawa a Medicare da ke aikatawa kuma bai cika alkawarin ba.
Samun kuɗin kuɗi zuwa Medicare
Tsarin farko shine na hamayya da abin da shugaban ya yi alkawalin alkalaninsa.
Hanya ta shekara ta shekara ta 2019 ta samar da dala 236 a Medicare a cikin shekaru 10.
Fadar White House ta ce masu amfanawa ba za su ga rage yawan amfanin su ba. Maimakon haka, suna da'awar cewa ƙayyadadden ƙayyadewa za su fito ne daga wasu bangarori na shirin Medicare. Ba'a faɗakar da ƙayyadaddu ba amma rage yawan biyan kuɗi ga likitoci da asibitoci.
Makarantar Kulawa ta Makaranta
Ƙungiyar Cibiyar Kwalejin Kasuwancin Amurka ta gudanar da binciken a shekara ta 2017 wanda ya karfafa abin da tsarin kiwon lafiyar ya dade yana jin tsoro-rashin likita. A shekara ta 2030, ana sa ran kasar ta kasance takaice a kalla 40,800 likitoci a duk fannoni.
A shekara ta 2016, akwai likitoci 953,695 da aka ba da lasisi don aiki a Amurka. Daga wannan adadin, kashi 27.1 na likitoci sun kasance tsakanin 56 zuwa 65. Wani kashi 13.1 cikin 100 yana da shekaru 66 da haihuwa. A halin yanzu, akwai 'yan makarantar likita 19,254 kawai a wannan shekara.
Da fiye da kashi 40 cikin dari na likitoci da ke gab da shekarun ritaya da kuma ƙananan ma'aikatan, ba su da isasshen likitoci don biyan bukatun yawan jarurruka masu tsufa, ba tare da ambaci yawan mutanen da aka sanya su ba a karkashin Dokar Kulawa.
Duk da wannan ba da wadataccen tsari da kuma buƙata, shirin na FY 2019 ya bada kimanin dala biliyan 48 don samun digiri na ilimi (GME) fiye da shekaru 10.
Kudin GME na biyan horo na likita . Ƙarin makarantun likita za su iya buɗewa da kuma tara 'yan makaranta, amma ba tare da samun horo ba, wadanda masu karatun suna fuskantar fuska a cikin tsarin. Rahoton kudade don zama zama yana iya rage adadin mutanen da aka horar da su a cikin kowane shekara, har yanzu suna kara tsananta rashin lafiya na likita.
Asusun ajiyar lafiya
Kwamitin Shugabancin ya yi kira ga Medicare don ba da damar yin amfani da asusun ajiyar kuɗin kiwon lafiya (HSA) , kuma ya nuna yana kasancewa da gaskiya ga wannan alkawarin.
An HSA wani haraji ne na ajiyar kuɗin ajiyar kuɗin da ake amfani dashi don kudi. Mutane za su iya ajiye kuɗi a kan haraji kafin karbar haraji kuma su janye kyautar kuɗin kuɗi idan dai kuɗin yana zuwa kudaden likita. Har zuwa farkon shirin FY 2019, IRS ba ta ba da damar taimakon Medicare don taimaka wa HSA ba.
A shekara ta 2018, mutum zai iya ajiye kusan $ 3,450 a cikin HSA da iyali kamar $ 6,900. Mutane fiye da 55 da haihuwa zasu iya adana ƙarin $ 1,000 a kowace shekara idan ba a kan Medicare ba. Mene ne za a iya ba wa masu cin moriyar Medicare ci gaba da zama marar ganewa?
Medicare Sashin B Magunguna
Ba dukkanin magungunan likita ba sun jinkirta zuwa Medicare Sashe D. Wasu magunguna suna sake biya a karkashin Medicare Sashe na B.
Wadannan magunguna sun haɗa da, amma ba'a iyakance su ba, maganin rashin lafiyar jiki, maganin maganin ciwon daji, maganin maganin magunguna, abubuwa masu rikitarwa, kwayoyin immunosuppressant, IV infusions, maganin nebulizer, maganin osteoporosis, ciwon kwalliya, da wasu maganin rigakafi .
A karkashin Sashen na Medicare B, ana sayar da wa] annan magungunan idan an bayar su da kuma gudanar da su a asibitin likita ko kuma asibiti. Saboda farashin da aka haɓaka don sarrafawa, adanawa, da kuma yin amfani da waɗannan magungunan don amfani da haƙuri, an yarda da waɗannan shafuka don cajin Medicare yana da amfani kamar kashi 6 cikin 100 fiye da farashin tallace-tallace na kowane magani.
Shirin na FY 2019 yana nufin kawo ƙarshen Sashen B akan magungunan magunguna da kuma matsawa zuwa ƙananan maganin magani a Sashe na D. Ta hanyar motsawa Sashi na B zuwa Part D, masu ba da magani Medicare ba zasu da alhakin sarrafawa a cikin ofisoshin. Maimakon haka, mai haƙuri zai cika takardar sayan magani kuma ya kawo wa likitan su gudanar da aikin. Wannan zai cire duk wani ƙarfin tattalin arziki wanda mai badawa zai iya kasancewa a cikin tsara wajan magunguna mafi girma. A lokaci guda kuma, ya zama mafi wuya ga mai haƙuri ya shiga ta ƙarin matakai.
Rage Biyan Kuɗi na Drug
Rage rage farashin magungunan asibitoci ya zama babban fifiko, kuma kasafin kudin FY 2019 ya maida hankali ga yin haka. Kwamitin takarda da Hukumar Tattalin Tattalin Arziki ta kebanta ta ƙayyade hanyoyi da dama, kodayake ba a bayyana ko wane daga cikin wadannan tsarin da gwamnati zata bi ba.
Rubutun takardun na nuna damuwa ga tsarin farashi na gwamnati . GOP ya kasance mai karfin bangaskiya cikin kasuwar kyauta. Har ila yau, baya tallafawa sayo magunguna marasa tsada daga kasashen waje. Manufar ita ce ta bunkasa kasuwancin Amurka.
Wata hanya ita ce ta sauƙaƙa ga FDA ta gaggauta yin amfani da miyagun ƙwayoyi domin magunguna ko magunguna waɗanda ba su da wata mahimmanci. A cikin ka'idar, wannan zai kara karuwa a kasuwa kuma ya rage yawan farashin.
Wata hanya ita ce inganta dangantakar tsakanin marasa lafiya da masana'antun kiwon lafiya. Za a iya buƙatar masu insurers su rarraba kudaden da suka samo daga kamfanonin ƙwayoyi da marasa lafiya. Za a iya ƙuntata katsewa domin masu amfani da Medicare zasu iya amfani da takardun shaida.
Tsarin da goyan bayan shugaba Trump zai kawar da raba farashi , watau magungunan kuɗi da ƙetare, ga mutanen da ke da ƙwayar maganin miyagun kwayoyi a $ 8,418 ko fiye a kowace shekara. Abin baƙin cikin shine, don magance wadannan farashin, kudaden da ba a biya su ba zai kara yawan masu cin nasara wanda ba su hadu da wannan kofa ba.
Kalma Daga
Shirin na FY 2019, idan ya wuce, zai sami dukiya da fursunoni ga Medicare. Duk da yake zai iya taimakawa wajen rage yawan farashin maganin likitanci ga wasu tsofaffi (ƙara wa wasu) kuma ya ba su damar amfani da asusun ajiyar lafiyar lafiyar, zai kuma rage kudade ga shirin Medicare a manyan lokuttan da ke fama da rashin lafiya.
> Sources:
> 2017 Sabuntawa: Cibiyoyi na Bukatun Likita da Bincike - Zane-zane daga 2015 zuwa 2030. Ƙungiyar Cibiyar Kasuwancin Amirka. https://aamc-black.global.ssl.fastly.net/production/media/filer_public/c9/db/c9dbe9de-aabf-457f-aee7-1d3d554ff281/aamc_projections_update_2017_final_-_june_12.pdf. An buga Fabrairu 28, 2017.
> Addendum zuwa Farin Ciniki na shekara ta 2019. Office of Management da Budget. https://www.whitehouse.gov/wp-content/uploads/2018/02/Addendum-to-the-FY-2019-Budget.pdf. Ranar Fabrairu 12, 2018.
> Kudin shekara ta 2019: Amfanin Amurka. Office of Management da Budget. https://www.whitehouse.gov/wp-content/uploads/2018/02/budget-fy2019.pdf. Ranar Fabrairu 12, 2018.
> Sake gyara farashin Biopharmaceutical a gida da waje. Majalisar dattawan Tattalin Arziki. https://www.whitehouse.gov/wp-content/uploads/2017/11/CEA-Rx-White-Paper-Final2.pdf. An buga Fabrairu 2018.
> Young A, Chaudhry HJ, Xiaomei Pei X, Arnhart K, Dugan M, Snyder GB. Ƙididdigar likitancin likita a Amurka 2016 . J Med Regul. 2017; 103 (2): 2-21.http: //www.fsmb.org/globalassets/advocacy/publications/2016census.pdf.