Okukolagana wakati w'amateeka ga gavumenti n'enkola za gavumenti mu Amereka, kuleetawo obutategeeragana obw'amaanyi mu nkola y'ensi ya Amerika ey'okujjanjaba endwadde. Amateeka ga 'Federal' gateekawo ebiruubirirwa bya ggwanga bingi n'emitindo egitaliiko kkomo. Gavumenti ne zibeera n'obuyinza obw'enkunamba okuteeka mu nkola amateeka ago. Kino kireetawo enkyuukanyo y'obulagirizi bw'eby'obulamu, nga buli kintu kikwatibwako engeri y'enkola okuva ku n'enkumbula y'obulango mu by'obulamu, nga bisobozesa okuteekateeka oba okuba n'okugonjoola obwannannyini obugumiikiriza. Okutegeera engeri amateeka agafuga n'obutebenkenkevu gye gayinza okukolebwamu okumanyibwa mu kutegeera enkola y'obutebenkenkenkevu. . Ekitundu kino kikebera engeri z'amateeka mu mateeka ga gavumenti, ebiva mu ku ku ku ku kuteesa eby'obulamu, ne ku ku ku kukubaganya mulembekka ne ku buyinza bwa Washington.

Okutegeera Obunene mu by’Obujjanjabi

Obudde mu Amerika buwa obuyinza wakati wa gavumenti y'eggwanga ne gavumenti 50. Ekiragiro ekyo kiwa Consert amateeka agabalibwa, gamba ng'obuyinza okutegeka eby'obusuubuzi mu nsi emu n'okusasula emisolo. Amagavumenti gawa omusingi gwa ssemateeka ssemateeka w'enkola z'eby'obujjanjabi nga Medicare, Médicaid, era ne Affordcable Care Act (A) AC),. Mu kiseera kye kimu, Amerekatementment eri gavumenti zonna teziwadde gavumenti gavumenti nga mw'otwalidde n'obuyinza bwa poliisi okukuuma obulamu bw'abantu. Obufuzi obwo obw'ebitongole kiyinza okussaawo amateeka agafuga ebireetebwa insuwa, obukola enzijanjabi, ebikola ku by'obujjanjabi, n'obujjanjabi mu by'obujjanjabi.

Enteekateeka y'okulabirira abalwadde kyakulabirako kya gavumenti ekolera awamu. Ekiragiro, gavumenti zikolagana mu kuwaayo ssente n'emirimu gyayo. Mu ngeri y'emu, Medicaid kiwagirwa gavumenti gavumenti ne zissaawo emitindo gy'enkola era ne zisobozesa enkola eno okuteekawo enkola era n'okusobozesa enkola zayo okuteeka mu nkola enkola za gavumenti nga zissawo obukwasiro obwazo obwa bulijjo. Mu ngeri y'emu, mu maduuka ga insuwancessmu ga ACAIId gaatandikawo emitindo egya bulijjo egy'okujjuza, kyokka gavumenti zeeyongera okulondoola ebizigizibwa, okukuumibwa n'okukusobozesa abaguzi okubutuukiriza obuwanjufu w'enkola. emizannyo gino gisobola okusobozesa okumanyisaanukula, nga gavumenti bwe zikolako nga zigenda zigenda zigenda zifuna ssente oba okuzikyusa, naye nga bwe zigamba ebisale mu minice mu nsi ya Midica, era n'esalawo, nga bwe bijulira bulungi ebisalebwa mu nsi yonna.

Ebyaliwo mu byafaayo byakayitako okugezesa ennyo ekkomo ly'obufuzi mu by'obujjanjabi. Ng'ekyokulabirako, okuteekebwawo kwa Medicare ne Medicaid mu 1965 kwagaziya nnyo ekifo kya gavumenti, naye entegeka ya Medicaid yalekebwa mu bugenderevu okutongoza gavumenti. Gye buvuddeko awo, gavumenti ya ACA yatongozebwa ng'enkola y'amateeka agiwamba ng'okuyisa mu [FUCURC] era nga mu ngeri y'enkola y'omusolo gwa Médica shmental Federation of Independent , naye era kkooti yasalawo nti gavumenti teyinza kukugira mu kugaziwa kwa Amedid ssente zonna eziriwo. obuvunaanyizibwa ng'obwo obwalimu ku nsonga y'okusala emisango.

Amateeka Amakulu Agakwata ku Bujjanjabi mu Kkanisa

Amateeka gano gataddewo wariki wa kukwata, emitindo gy’okukuuma abaguzi, n'okuteeka ku ntegeka z'ensimbi, kyokka era gakola enteekateeka ezisobozesa gavumenti obutakyusakyusa ngeri gy'ekolaganamu n'embeera y'obulamu bw'ensi.

Ekikolwa eky’Okujjanjaba Ekitayinza Kuzikira (ACA)

Ekiragiro kino kyakolebwa mu 2010, era nga ye nkola etwalibwa mu 2010 mu kukyusa enkola y'obujjanjabi mu nsi yonna okuva ku Medicare ne Medicaid. Ekiragiro kyayo ekikulu kitwaliramu: (1) okugattibwawo kwa bantu kinnoomu (kweyama okuva ku musolo gwa Ssente eziteebwa ne 'Jobs Acts Act 2017), (2) okutandikawo kwa insuwalensinsi ya za bujjanjabi, (3) okuziganya okusobola okusasula ssente eziweebwayo n'abantu abafisseemu, (4) okutereka insuwalansiko nga bwe kikakafu, ne kitwaliramu ne (5) okugaziwandibwa kwa Mdidididice okutuuka ku 138% ku bwavubwa obwa bulijjo. Ekiragiro ACA ekyetaagisa okusobola okudyisa enjoozanyanya oba okusobozesa obulembereza oba okumanyira ddala obugazi obwa bulijjo. Ng'enkola eyo eyinza okumanyibwa mu bitundu ebisanzivuuliddemu ebisukka mu bitundu ebisukka mu bitundu ebisukka mu bipya mu bitundu bya sente: [NNNNNN.]

Madicaid ne CISIP

Médicaid, yatandikibwawo mu 1965, kaweefube ow'obujjanjabi asobozesa abantu ab'ensi yonna okufuna obuwangwa obutono, amaka nga galina abaana abatono, abakazi abali olubuto, bannamukadde n'abantu abalina obulema. Ate era ne gavumenti zirina okugoberera emitindo egibakugira okubeera abalamu n'okusobozesa okufuna emiganyulo egimu (gw...., ebitongole by'abajjanjabi, okujjanjaba abalwadde, n'okulabirira bannamukadde, naye balina oluwendo olw'amaanyi okusa abantu n'okusasula ebibakwatako. Enkola za Programmenti z'eby'eby'obulamu bw'abaana mu 1997, ziwayira abaana ssente ezitasobola kubikka ku ssente mu magoba g'abalwadde ate nga zigenda mu kifo kya wansi mu kifo kya Mdid. programumenti zombi zisobola okuziganya ne mu kukyusa enziro eya bulijjo. promoteeso , enfessssss, entegeka y'enkola y'enkola y'enkola y'emu n'ey'ey'enkola y'enkola y'ey'ey.

Act eya insuwalensi y'eby'obulamu n'ekirabo (HIPAA)

HIPAA, eyatandikibwawo mu 1996, erimu enteekateeka ezikwata ku nkola y'eggwanga. Associal Sync Lavement etandika emitindo gy'eggwanga okusobola okukuuma buli muntu empuliziganya z'obulamu, era ereetera eggwanga okuba n'amateeka amanafu naye era ne likkiriza enzijanjaba z'ensi okukuuma oba okuteekawo obukulembedde. Gakozesezza amateeka ga ngeri eyo okuteekawo olukalala lw'amateeka ageetaagisa abagumiikiriza okukkiriza okukkiriza okumanyibwa kw'amateeka agamu (g., obulwadde bw'obwongo, embeera y'obulwadde bwa HIV). HIPAAAAASCENTIFSimplitiationS, ebiteego by'eggwanga biteekwa okuteeka mu mitego gyabyo egy'eby'obujjanjabi n'obujjanjabi. Ebitongole ebitali bya gavumenti zisobola okumanyisa obutuufu okuteeka mu n'okuyingiza ssente ezikola ebiva mu ku by'esomero.

Budaala

Enteekateeka ya gavumenti ekolera ku bantu ab'emyaka 65+ ne ku baana abalina obulema, tezingiramu butereevu n'obukulembeze bwa gavumenti. Kyokka, enkyuuka za gavumenti zikola kinene nnyo ku nkola y'obujjanjabi. Amadicade okusasula okusingira ddala kwenkanankana essente ezisasulwa abasawo n'abasawo nga bawa abawagizi abali mu myaka 65 ne ku baana abaliko obulemu. Ate era, mu masaza gamedia, tegeesigamya digiti za bantu babiri abandibaddeko obusawo (abasaanira Medicareas ne Medicaid), nga ssente ezisaasaasaasaasaasa okukozesebwa mu kujjanjaba n'okujjanjaba abantu abo. Ate era, ebitongole ebikola ebirabirirwamu (ebitongole ebyo) bisobola okugobeeyambizibwa mu nkola ebikolebwako.

Amateeka Amalala ag’Omukago

Ekiragiro kino kissaawo enkola endala ez'okugobererwa kw'ebiragibwa. Emperence Medical Treadial and Labor Act (EMTALA) enzijanjaba egireetebwawo mu Medicas okuba nga ziwa obuyambi obw'amalwanyi obw'ekika kasomero, okuteeka omugugu ku malwaliro g'obutebenkevu. [[FLT:]] Act [[FFLT:3] mu 2009] era n'awagira okutongoza ebiwandiiko by'obujjanjabi ku by'obujjanjabi ku by'ensimbi, era n'obujjanjabi obuteereddwa mu by'obujjanjanjabi, buzingiramu n'okumanyisawo ebiteeyambisibwa mu by'obujjanjabi obwa bulijjo. [F][5]

Enjawulo mu Kugaba kwa Bamedicaid: Essomero Ery'Empandiika mu Bufumbo Obunene

Ekiragiro Medicaid kye kiyinza okuleetera enkola y'eggwanga okweyongera mu by'obwavu mu bitundu by'ensi bingi. Ebkubo lino ligaziwa eri abantu abakulu bonna abalina essente mu bitundu ebisukka mu 138%, nga gavumenti y'ensi eyo mu kusooka esaasaanyiza abantu nga 100% ku b'abakkirizibwa, ekigenda kyeyongera ne kituuka ku 90% mu 2020. Eggwanga erikula liraba okukendeera okw'enkukalu y'enkyukakyuka mu by'ebbeeyambi, era n'okukendeeza ebbeezzawo obujjanjabi ku ddwalizo. Ng'ekyokulabirako, okunoonyereza ku Nfekkereza ey'ekitongole kya Socialal Berence kwakizuula nti okukendeera mu ku kukyonoonekera kwa bakulu abataano mu myaka 5% mu kukendeera mu bitundu ebiteebuzi ebinene ebiresebwawo wakati w'omwaka 2013, era nga byeyongera ne kuyongera ne ku mbeera ezibaddemu.

Ku luuyi olulala, ebitundu 10 eby'ebbaluwa tebyagaziwa nnyo, era nga biwagidde nnyo okusasulira ebitundu by'ebukiikaddyo ne Midwand, naye nga biwagidde nnyo okusaasaanya essente ezisinga obungi mu bitundu by'ensi eby'ewandiikibwawo.

Ekiragiro ekisalawo okugaziya obugazi kye kikwata ku by'obufuzi ne eby'enfuna. Gavumenti ezimu, nga Idaho ne Nebraska, zigaziyiziddwa mu ngeri ez'enjawulo wadde nga ziziyizibwa bannaawula. Ate era, okufaananako Texas ne Florida, gaagaana okukuba olukusa ebbeeyi z'ensi yonna okujjuza ebbeeyi y'ebbeeyi y'enkuukuukanya. Amagatte agamu gayinza okuteekamu ebiwandiiko 90% ne k'ebiwandiiko bya gavumenti nga 90%. Gavumenti zino zinoonyezeseezza enkola endala: Armacasiver afunye essente ez'okukozesa eya Medicaid mu ku kugula ssente ezigobeerwawo; obwalo bwa Indiana buzingiramu ensawo n'ebbeekaasaasaasaasaasaasaasaawo; ate obw'oleka mu ngeri ez'ebyo ebikolebwamu ebiteego eby'ebyo ebikolebwamu.[4]

Ebyakwata ku Kkubo ly'Eby'Obujjanjabi mu Gavumenti

Wadde nga wabaddewo amateeka mangi nnyo, era nga waliwo n'enteekateeka nnene ezikyusa butereevu engeri z'okulabiriramu ebizingirwa mu by'obujjanjabi. Amateeka gano gassaawo emitindo egitali gimu egikwata ku mbeera ennungi, ku bukuumi, n'obutunzi obwabwetaagibwa gavumenti gye ziteekeddwa okukakasibwa, ng'eno gavumenti bwe zikkiriza okuteekawo ebisaanyizo ebirala ebizingirwamu. Ng'ekyokulabirako, KMS esobola okulagira abalwadde ne bannannyini malwaliro, ebitongole ebirabirwamu, oba ebitongole ebirabirwamu eby'eby'obulamu. Amawanga agatali gamu galinaavunaanyizibwa okukebera n'okugondera amateeka; okulemererwa okukwata emitindo gy'ensimu esobola okulemesa ebitongole ebitongole ebikola omulimu ogw'eggwanga.

Eddaala eddala libaamu enkola ya insuwalensi y'eby'obulamu. ASA ekyetaagisa okuwa abawanguzi okusobola okusa obulungi obukulu mu by'obulamu (EHB) mu katale k'ebibinja n'ebibinja bya gavumenti naye enzivuunvu zalina okwemalirira okunnyonnyola emiganyulo egigattibwa. Ekivaamu, emiganyulo gya nfuna y'obulamu gya njawulo okusinziira ku gavumenti; ng'ekitongole ekimu kiragira enzijanjaba y'obujjanjabi bw'okulekawo, okugoofiiriza obunene, oba obujjanjabi bw'ebizitooto, ng'ate ebirala tebituukiriza birengo bya insuwa (MLR) eby'okusasula 80% (enkola y'obutoffaali oba ennuuka) oba 85% (engi) ey'ebitongole ebikola ku by'obujjanjabi, naye ebitongole bya insuwa ne by'obujjanjabiro.

Ekirabo kya balwadde n'eky'okukuuma obubaka biteekeddwawo ku buwangwa bwa balwadde nga bituukiriza bulungi etteeka erifuga ebweru w'eggwanga. Ekiragiro kya 'HIPA' kitaddewo amateeka amalala agakwata ku nkula y'obulwadde bwa nsikirano, naye gavumenti zitaddewo n'amateeka amalala agafuga emitindo gy'obulwadde bwa siriimu ne sida. Mu kiseera kino, etteeka erya HUTECH Act liba liba likwasizza okumanya buli kintu kyonna okusobola okumanyisa abantu kinnoomu, HHS, era emirundi egimu emikutu gy'eby'empuliziganya gibawawula ku kumanya ebyo ebirengo. Amasaza mangi galina mateeka agamenyesat'aza amateeka agago agaba ebitongole ebikola empandika enkola yaago mu ku by'obulamu, ebitongole ebikola ebikola ebigoberera enkola ya Medicid ebigo.

Okukubagana Amaanyi Okugenda Kyeyongera: Empaka ez’Eddembe ly’Amerika Zikontana n’Ebibikolwa by’Obufuzi

Obukuubagano obuliwo wakati w'enkalo z'eggwanga n'obukulembeze bwa gavumenti mu Amereka buleetawo ensonga y'okulabiriza eby'obutuuze. Abawagizi ba gavumenti bawa endowooza nti gavumenti z'omu kitundu zisobola bulungi okubaako kye zikola ku mbeera ez'enjawulo ez'abantu mu nsi zaabwe. Ate era ziwa olukalala lw'eby'obufuzi ebitegekeddwawo mu nkola y'obulabirizi nga Oregon. Ebregon esobola okukebera enzivuvu mu ngeri y'okuteekateeka enkola y'okulabirira bannamukadde n'okujjanjaba endwadde z'abantu, nga zeebbeebbeeyi, n'okulabirira amadokodyo, era n'okulongoosa kw'amannyo ne k'ebbeebbeeyi mu nsi endala, nga bisobola okumanyisaamu enkyungidde mu ku mateeka g'obutebebwangalabuyaga.

Ku luuyi olulala, abakungu ba gavumenti bawa obukakafu nti okuleka eby'obujjanjabi mu masaza kisobozesa obunene okuleetawo enjawukana. Eby'obulamu mu Amerika byawukana mu mateeka: emyaka emingi egy'okubeerawo giva ku Mississippi okutuuka ku 80 mu Hawaii ne California; omuwendo gw'abaana abafa n'obulwadde obutawona ku nnaku zino era nga era nga bweyongera, obuvunaanyizibwa obw'amaanyi mu ggwanga busobola okusobozesa obukulembebwa obusobola okukendeezebwa obujjuvu obusobola okulabibwawo mu by'obwa mangu, okukugira obusosokereza ku mbeera eziba zikyasiddwawo, n'emitindo egigobererwa okusinziira ku mbeera y'obukkulembedde, n'emitindo gy'obukkulembedde egy'obutebenkerevu. Okulabirira abalabirira abalwadde mu mayumba n'obutebenkenkenkenkenya nakyo by'eby'eby'obulwadde mu nsi yonna, nga bweyoleka mu mu mu mu mbeera z'obulwadde bw'obulwadde obw'enkalakkaliraano.

Entalo ezikolebwa ku by'amateeka ku bikwata ku nkola y'obujjanjabi zitera okusaasaana. Kkooti zitaddeko essira ku nsonga eziva ku kuteekawo enziragiro ku kuggyamu embuto (Enkomeredde ya Hyde ne ku nkwata ya gavumenti) okutuuka ku mateeka ga ACA era ne ku kugaziwa kwa Médicaid. Kkooti enkulu eya 2012 ewagidde nti okugaziwa kw'e Midia ku by'obujjanjabibwa kwa Amedi tekuyinza kukuumibwa mu mateeka, naye okusaliriza okugateekako obutuufu, nga mw'otwalidde ne ku kuteekamu amateeka ga Kingw'okuk'okukkiririzaamu. Burwell (20]) ebibanja ebigwana ebigwana emisolo mu bitundu byonna, ebitongole bya gavumenti mu by'ensi eno byeyongera okuteeka mu nteekateeka y'eby'eby'obulamu.

Okunoonyereza ku Lukiiko: Ekiruubirirwa Ekiri mu Mateeka ga Federal

Okwetegereza engeri gavumenti gye zikozeewo ku mateeka agakwata ku by’obujjanjabi, kitulaga engeri eby’obufuzi, eby’enfuna, n’ebyetaago by’abantu gye bikolaganamu.

California: Olukuŋŋaana olw’Okugaziya

California yasindikirawo ekkomo ku nkola y'obujjanjabi mu 2024. California era akozesa nnyo ebitongole ebidduukirira obulamu bw'abantu nga tebiriiko kakwate ne kisobozesa abavubuka obutawa bukulu (okuva mu myaka 26) okuva mu 2020 era ne bonna abaasalibwawo obunene mu 2024. California era ereetera omunaawule gwa insuwalensi ya California okuba ekyokulabirako mu kuddukanya era ne mu kuyingira obufumbo. Ekiragiro kya gavumenti mu 2023 kyateekawo enteekateeka (ya Ssertry for Bizinesi Ezitono) era ne kiteekawo bye kiteeyikereze mu kukendeeza ku by'eddagala ebiteeyambisibwa mu ggwanga okuyitira mu kifo eky'ebiteeso bya ssigala. California era eteekamuko ebintu ebirala ebigobeeyambisibwa mu ku kutuukiriza eb'obutongole bw'ebyenjagaafugezo.

Texas: Ekyokulabirako Ekiziyiza Obunafu

Mu ngeri ey'enjawulo, Texas erimu et'ebbeeyi ey'amaanyi mu nsi (esukka mu 18% mu 2023), olw'okuba gavumenti egaanye okugaziya Mdicaid wansi wa ACA. Wadde nga wabaddewo okugezaako kwa gavumenti ne bipartiya okuwagira okukolebwa abakulembeze abamu ab'omu kitundu, okweyongerayongera kuyinza obutayinza kugobererwa. Texas era yeesigama ku ku kugonjoola kw'eggwanga mu kifo ky'obusobozi bwayo. Kyokka, obuwagizi bwayo bw'amalwanyi obugazi bw'ebidibiina ebizitootowaafu ebizitooyitibwa, ebizitooya ebiva mu bifo ebya bulijjo (mu nga ACA), ebikero ebikolebwa mu bifo eby'obutebenkevu, n'okuteeka ssente eziweebwayo mu n'okusobozesa okumanyisaamu omulimu mu nkola ey'obujjanjabi ebitongole ebiva mu nsi ya Texadro, nga n'ebyo ebibadde bikozesebwa mu n'ebyo ebiva mu n'okumanyibwa obutuufu by'obusuubiro mu nsonga z'obutuufu.

New York: Emirimu egikolebwa mu Federal Frames

New York eyogera ku ngeri endala: nga bakozesa ebiwandiike eby'okulongoosa ebisukka ku ebyo amateeka bye geetaagisa. Ng'ekyokulabirako, programu ya Medicaid mu New York y'emu ku ebyo ebisingirayo ddala okuba eby'omuwendo mu nsi eno, nga mw'otwalidde n'okugatta emirimu emiwanvu egikolebwa ku nnaku entono, n'obujjanjabi bw'obulamu. Ekiragiro kino kisobozesa okunterekereza (Essalwa y'Obulamu bw'ensi ya ACAIEs Superly Health) era kiwandikiddwawo mu kukozesa ebitongole ebikola ebbeesaawo nga ebiyamba obutazaala. Mu New York era, enteekateeka ezikolebwa ku by'omulimi okusobozesa okuzzaawo enkola y'obuteerezi.

Florida: Okutwalibwa ng’Abatundu ku Waivers

Florida teyeeyongeddeko mu nkola y'okulabirira Medicaid, naye egoberera enkola endala mu ngeri yennyini. Eggwanga likozesa enkola ya Medicare Convert eriko enkola yaalyo (nga liyitira mu ntegeka ezitegekebwa) era lifunye abawabula okuzza programu yaalyo ez'okulabirira Ababedicaid mu nkola y'okulabirira abalwadde mu bujjuvu. Florida era ekola enteekateeka eyagobererwa mu gavumenti naye nga ekendeeza ku ntegeka ya kukendeeza ku nnono ezizibwa kwa ssente. Leneeti eyo ebadde ekola n'obunyiikivu mu nkola y'eby'omulimu era ng'ekkiriza okukkirizibwa okukola ebisaanyizo ebizikwata ku mulimu ebizingirwamu mu kkooti. Enkola y'okukwata ku by'obusuubuzi n'okugaziwa obugo, ne ku ngeri y'okumanyisaaza enkaluza enkaluza enkaluzaamu produration.

Bye tuyiga okuva ku Pandemic eya COVID-19

Ekiragiro kino kyasaba akakwate ka gavumenti y'Amerika akakola enteekateeka y'obulwadde mu kampewo akaaw'enkola mu kiseera kyayo. Gavumenti eyo yasaba akakiiko ka gavumenti k'eby'obulamu kawandiise nti, era nti okugatta omulandu gwa inneyisa ya Amecaid ne insuwalensi ya nnannyini, nga mw'otwalidde n'okwegatta ku Mdicaid (embeera y'enkalakkalira”) n'eyongera emiwendo gya gavumenti egwana n'egyo egiva mu nteekateeka ezikolebwa mu by'obulamu bwa gavumenti (eb'ewera 6.2 ku buli kikumi kyagobeetaaseera mu FMAP). Ate era, Amerika zaanyinyiikiriza okufuna ebintu bino nga bwe bituukiriza enkola yaabwe ku ku bikwata ku ku ku kukeberebwa, okugobeebwa, n'okubikkebeeyambisibwa mu by'obusuubuzi ebirala ebikolebwa mu madunja mu maduuka g'amaduuka g'eby'omumadunda w'omunalaaso, nga zigenda okusobozesa okumanyibwa mu kusobozesa okumanyibwa.

Obuzibu Obunaabaawo mu Biseera eby’Omu Maaso ku Mateeka g’Eby’Obupoliisi

Enkolagana wakati w'enkola ezikwata ku by'obujjanjabi ne gavumenti ejja kweyongera okubaawo olw'enkyukakyuka ezizze zibaawo mu by'obufuzi, mu by'enfuna, ne mu butaka.

Kiyinzika okukyuka mu nkola ya 'Fravity'

Ebivudde mu kulonda okw'eggwanga bijja kukwata ku bye banaalonda mu by'eggwanga. Ekiragiro kino kisobozesa gavumenti okweyongera okukaka abantu bonna okulonda ebibakwatako. Ekiragiro kya gavumenti bwe kiba kya manda, singa gavumenti zitandika kuteeka mu nkola ebiwandiiko bya nzikkiriza, oba nga zikkiriza gavumenti okukaka ekiteeso ku mirimu, oba okuteeka mu nkola embalirira n'enkyukakyuka mu nzirukanya ya yinsuwa. Empandika ezibakugira enzijala ssente ziyinza okukendeeza ku byuma oba enzivu mu nteeko za gavumenti, ebizisobozesa gavumenti okuteekawo ebizikwata ku mirimu, oba okuteeka mu nteeko z'enfissi oba okukendeeza ssente ezizibwawo.

Obuzibu Obuva mu Bulwadde

Obuzibu obulala obuva mu ndwadde eza kawumpuli (Ka kibe nga nnawookeera oba nga nnawookeera, oba nga embeera y'obudde yeeyongera mu nsi eyo) bujja kukakasa obanga gulina engeri y'okukolaganamu n'ensi eyo. Eby'okuyiga okuva ku CHOVID-19 biyinza okuleetera emikolo gy'obujjanjabi okusobozesa eb'ensi okweyongera okubuuka n'okukebera ebireetebwawo, oba okuba n'obukodyo obw'amaanyi mu by'ensi eno nga buwagizi bwa ddo. Omugugu gwa Medicare ne Médid gukusobozesa okuzzaawo enzitiro z'eby'obulamu nga gugatta Medicare ne Médicaid mu ku kuwandikibwa kwa dgerikiti ezigibwa mu n'eby'eby'obujjanjawulo. Obuyambi obw'ensi yonna obukolebwa mu ku kulembedde mu ku butongole mu ttabi (FS).

Emirimu egy'okukyusa - gavumenti

Gavumenti zijja kweyongera okugezaako okugezaako engeri empya ez'okukina: okugezaako okuteekawo enkola ey'okusasula omusaala omu yekka ku kigero kya gavumenti (SB 770 okufuna enkola ey'eby'obulamu obumu) zisobola okwolekagana n'enkalo ez'amaanyi naye gavumenti endala ziyinza okusanga abantu abateekamu enkola ez'enjawulo mu kifo eky'okuteekateeka ekiteeso. Omuwendo gw'enkitookezo, gamba nga ebitongole ebirabiddwa okulabirira abanyabiddukanya emirimu n'ebbanja ebifunzidwa mu bungi, bikulaakulana dda olw'abakola enteekateeka za gavumenti ne bamenti. Amasaza gayinza okuvuganya abo abawaabiko abeekenneenya ebifaananyi ebipya okusobola okuteekateeka ebizimbe n'ebirungi ebiyinza okubeebiriisa mu by'obulamu oba okusobozesa ebitongole ebigenda mu magye okubaamu. Okunoonyereza kuno kujja mu bujulizivuzizza obuva mu ggwanga.

Okukaadibwa kw’Eby’Amateeka n’Ekiwandiiko

' (2021) be baawerebwa ku kifo ekiyimiridde, naye obutyabaga obulala obulala bwonna bulaga nti ebbeeyi y'enkola ya ACA yeetaagisa okutemebwa, n'etteeka lya insuwalensi mu kkooti entono. Mu ngeri y'emu, amateeka ga gavumenti okuggyamu embuto, naddala oluvannyuma lw'obufumbo Dobs v. Jackson’s Organization’s Sayansi[FL:3] [202]), era bwongedde okukasana wakati w'eby'eby'obujjanjabi bw'ensika (nga mu kulembelembereza ekitongole ekiko.Plaak'eby'obutebenke n'ebitongole bya gavumenti ebikola mu ngeri y'obutebenkenkevu. Obukyungi obwo bujja kuba bwa maanyi mu mateeka amangi g'obutebe g'ensi mu nsonga z'eby'eby'obulamu.

fundikira

Emiganyulo gy'amateeka g'ensi mu kuteeka obulamu ku nkola za gavumenti gye kiteereddewo mu ngeri ey'enjawulo. Okuva ku kugaziwa kw'amateeka n'okukyusa ebizimbe ebya insuwalensi n'enkyukakyuka mu by'obujjanjabi ebikolebwa ku bulamu obwa bulijjo, okugatta amateeka ga gavumenti kireetawo obukalu era n'obuzibu mu kugonjoola enkolagana eno mu basomesa, abayizi, abafuzi, n'abatuuze abagezaako okukebera ebizingirwamu mu nkola y'eby'obulamu mu Amerika. Empintunja y'eyongera okusussuka ku nkola y'eby'obujjanjabi mu by'obufuzi, eby'obukulembe, eby'obukulembe, ne ebigwa mu butasuubirwa wakati w'obutebenkenkevu, n'okumanyisanya okusobola okumanyirawo engeri y'okufuga oba ey'okufuga mu ngeri y'okugoberamu enkola y'obulabi mu buli bumu ku nkola y'obulango.