Ohulumeni BoMbuso Nokwakhiwa Kwendlela Yokunakekela Impilo YaseMelika

Ohulumeni bakahulumeni baphatha i-parted enkulu futhi ngokuvamile engatholwanga kakhulu yemithwalo yemfanelo esimisweni sokunakekela impilo. Nakuba uhulumeni kahulumeni umisa izimiso ezinkulu ngezinhlelo ezinjenge Medicare ne-Affordal Care Act, basho ukuthi yizisebenzi eziyinhloko ekuqondiseni izikhungo, ukulawula impilo yomphakathi, ukuqondisa izimakethe zempilo, nokuphatha uMdicaid. Lemisebenzi ibumba izinga, izindleko, nokuthola ukunakekelwa kwempilo okubonwa izigidi zamaMedicare. Ukuqonda indlela lezo zinqumo ezisebenzisa ngayo igunya lazo mandla zokwenza imiphakathi yangempela, futhi indlela lezo zisebenza ngayo ngaphandle kwemiphakathi yezindawo ezifanele, umbuso unikeza umfanekiso ocacile wesimo sesizwe se-Ù ukubusa kwempilo.

Lokhu kuhlola okunwetshiwe kungena juqu emthwalweni ngamunye oyinhloko, kudwetshwa ezibonelweni ezithile ezibonisa kokubili izinselele nezinto ezintsha ezichaza isimiso sezempilo sikahulumeni namuhla.

Imfihlo Nokuqondiswa Komondli Bempilo Nezindawo Eziyizindawo

Enye yemibuso eyisisekelo kakhulu kahulumeni kahulumeni yigunya lokugunyaza nokuqondisa ochwepheshe bezempilo nezindawo abasebenza kuzo. Lokhu kuhlanganisa odokotela, abahlengikazi, abasizi, osokhemisi, amazinyo, nezisebenzi zezempilo ezihlangene, kanye nezibhedlela, amakhaya asebekhulile, izikhungo zokuhlinza, nemitholampilo. I-Licens iqinisekisa ukuthi abantu ngabanye nezinhlangano bahlangabezana nezindinganiso ezilinganiselwe zemfundo, ukuqeqeshwa, nokuphepha ngaphambi kokuba banikeze ukunakekelwa komphakathi. Izwe liphinde libe namandla okulungisa noma ukuvala amalayisensi lapho amapakethi ehluleka ukuhlangabezana nalezo zindinganiso.

Isifundazwe ngasinye silondoloza iqoqo lamabhodi akhokhelwayo, akhiwe amalungu amisiwe omsebenzi nakumphakathi. Lamabhodi amisa imithetho ebanzi esemthethweni, amisa izimfuneko zemfundo eziqhubekayo, aphenye izikhalazo, futhi abeke izenzo zokuyala. Ukuhlukahlukahluka ezizweni ezilandela izimfuneko eziphoqelelwe nemithetho esetshenziswayo edala indawo ezungezile encikeneyo engathonya yonke into kusukela ekunakekeleni kwezindleko zesineke ukuya ekungeneni.

Isibonelo: I - Texas Medical Board Nemiphumela Yokuqondisa

I-Texas Medical Board inomthwalo wemfanelo wokulungisa nokuyala odokotela abangaphezu kuka-100 000 esifundazweni. Ihlanganisa izinkulungwane zezikhalo unyaka ngamunye, kusukela ekumangaleleni kokunganaki kuya emikhubeni engafanele yokugunyaza. Eminyakeni yamuva, ibhodi iye yahlela kabusha ngokushesha ukumiswa kwecala eliphakeme nokukhanya okukhulu ngezenzo zokuyala. Ngokwesibonelo, ibhodi ifaka izimpawu zomthetho futhi igcine isisekelo esivuma iziguli ukuba zihlole udokotela ̱ inikeza imvume nemvume yokubona kahle. Loluhlobo lokubona okusheshayo lusekela ukuphepha kwesineke ngokunikeza iziqondiso zesinqumo esifundile.

Isibonelo: Isitifiketi Semithetho Edingayo Nesokuba Ingamele

Ezinye izifundazwe zidlulela ngalé kwemishini yokuhlela ukuhlelwa kwezindawo zokunakekela impilo ukuze zilawule izindleko zokwakha nokwandisa ngemithetho ye-Sitifiketi se-Preseaty (CON). Le zinhlelo zidinga izinhlangano zezempilo ukuze zithole imvume kahulumeni ngaphambi kokwakha izakhiwo ezintsha noma ukunezela amathuluzi abizayo, njengemishini ye-MRI noma i-cartiation compation counteration. Inhloso eshiwoyo iwukulawula izindleko zezempilo, ukugwema ukuhlelwa kwezinkonzo, nokuqinisekisa ukutholakala kwemisebenzi ezindaweni ezihlukene. I-North Carolina isebenza enye yezinhlelo ze-CON ezisebenzayo kakhulu ezweni. Ngokwesibonelo, lapho isimiso sesibhedlela eWake County sifuna ukwakha isikhungo sokuhlinza esishayo, kwadingeka ukuba kwenziwe inqubo ethatha isikhathi eside ye-Nyakatho ye-Dwervie, kuhlanganise nokuzwa kwabantu, kuhlanganise nokuboniswa kwezokuxhumana komphakathi.

Izinqubo Zempilo Yomphakathi Nokuvinjelwa Kwezifo

Ohulumeni bakahulumeni bawumgogodla wezempilo yomphakathi wesizwe. Wonke umnyango wezempilo uhlola izifo, uhlola ukucwaninga, uphatha amarekhodi abalulekile, futhi uqhube izinhlelo ezihloselwe ukuvimbela ukugula nokuthuthukisa impilo. Leminyango isebenzisa izazi zezifo, abahlengikazi bezempilo, abafundisi bezempilo, nochwepheshe bezemvelo abasebenza ezweni nasezindaweni ezizungezile ukuze bavikele imiphakathi kuzo zombili izifo ezithathelwanayo nezingamahlalakhona.

Imithwalo yemfanelo yempilo yomphakathi ibanzi futhi ihlanganisa ukugoma, izinkonzo zezempilo zomama nezingane, ugwayi nezidakamizwa ezisebenzisa ukuvimbela, izinhlelo zokuphatha izifo ezingapheli, ukuhlola ukuphepha kokudla, nokusabela ekuqubukeni kwezifo nasengozini yendawo ezungezile. Amazwe aqoqa futhi asakaze ukwaziswa kwezempilo okuzisa izinqumo zezimiso nezindawo ezigciniwe. Ukuphumelela kwalezinhlelo kuhlanganisa ngokuqondile imiphumela yempilo yabantu bakahulumeni.

Isibonelo: Ukuvinjelwa kwezifo okunganyakazi kweColorado

IColorado sekuyisikhathi eside iqashelwa indlela yayo yokuvimbela izifo ezingapheli. I-Colorado Department of Public Health and Environment iphethe izinhlelo ezihlangene ezihlasela ukukhuluphala ngokweqile, isifo sikashukela, isifo senhliziyo, nokungasebenzi emzimbeni. Isinyathelo esiphawulekayo yi-"Health Bevege Campaign," eyayisebenza ezibhedlela, izikole, nemisebenzi yokunciphisa ukuphuza ushukela. Umbuso uhlanganisa nezinhlangano zendawo ukuze zandise ukufinyelela izithelo nemifino emiphakathini egciniwe ngezinhlelo zezokuthengisa. Ngokuhlanganisa ukudlisa umzimba, umsebenzi wempathi yezempilo, nemizamo yemfundo yempilo ngaphansi kwesimiso sokuhlanganisa izikole, iColoradova uyakwazi ukunciphisa izinga lokukhuluphala phakathi kwezingane ezikhona kule programwayo.

Isibonelo: Uhlelo lokulawula ugwayi eCalifornia

Imizamo kahulumeni kahulumeni wokulawula ugwayi iphakathi kwemizamo ebanzi nemide kakhulu ezweni. I-California Tobacco Control Program, eyasungulwa ekupheleni kwawo-1980, isebenzisa inhlanganisela yemikhankaso yezezindaba ephakeme, ukungenela okusekelwe emphakathini, kanye nesimiso sokunqanda ukusetshenziswa kukagwayi. Uhlelo lutuswa ngokusiza ekunciphiseni izinga lokubhema kwabantu abadala bamazwe phakathi kwesizwe. Luhlasela kakhulu imikhiqizo eveliswayo njenge-ecigarettes nogwayi, futhi luye lwanikeza ukusekela kwemithetho yokuvinjelwa kokuthengiswa kukagwayi eduze nezikole. Indlela kahulumeni yokutshala izimali engokwezentengo yomphakathi futhi ubophene ngayo ingaguqula indlela yokuziphatha engokwezenhlalo nokuziphatha okuhlala njalo.

Ukuthola Imali Etholakala Emshuwalenseni Wezempilo Ongashisi

Ngisho noma kunezici zikahulumeni ze-Affordal Care Act, izifundazwe zinethonya elikhulu ezimakethe zomshuwalense wempilo nokukwazi ukukhokhelwa. Izwe lingakhetha ukusebenzisa izimakethe zalo siqu zomshuwalense wempilo, ukulawula izindleko zomshuwalense, ukumisa izindinganiso zempilo ezibalulekile, ukunquma ukuthi iMedicaid izokwandisa yini abantu abadala abahlawulwa imali ephansi. Lezi zinqumo zithinta ngokuqondile ukukhokha kwemali kanye nokutholakala kwezinhlelo zempilo zezakhamuzi.

Izindawo ezisebenzisa izimakethe zazo ziyakwazi ukwenza iminikelo yokuhlela, ukuthatha izivumelwano, nokukwazi ukuthatha imvume yokufunda. Zikhona futhi igunya lokuhlola nokulahla izinga elikhulayo ezilibheka njengelingenangqondo. Amazwe athembele ezigcawini zikahulumeni awanakho ukulawula ukuhlelwa kwezinhlelo nesivikelo sabathengi. Ukungavumelani kwezimo zikahulumeni kuye kwadala izikhala ezinwebekayo emazingeni ahlanganisayo nasemiphumeleni yempilo kulo lonke izwe.

Isibonelo: Yahlanganisa iCalifornia Nokuthenga Ngokuzikhandla

ICalifornia isebenza isigcawu sayo esisekelwe kuhulumeni, i-colled California, eye yaqashelwa njengesibonelo sezwe sokuthenga okusebenzayo. Kunokuba ibhale noma yiliphi icebo elihlangabezana nezindinganiso zikahulumeni, i-California yahlanganisa ngenkuthalo i-insurensis ukuhlolela intengo ephansi, imiklamo ehlelekile, nezimiso ezithuthukisiwe. Isebenzisa futhi uhlelo olunemitako ehlotshisiwe oluyenza kube lula kubathengi ukuqhathanisa izindlela ezithile. Umphumela uye waba ukuqina okulinganiselwe uma kuqhathaniswa nemithetho encintisanayo yezwe, kanye nenye yezingahleleki ezingaphansi kwezindawo ezinkulu. Ngokwesibonelo, ngo-2023, i-Colinian California yamemezela ukuthi izinhlelo ezingaphezu kwezingu-90% zababhalidiyo zazine ukuzimisela ukukwazi ukulinganisela ngenyanga eyodwa, umphumela oqondileyo we-R62, ngonyaka ngemva kwe-R3, umphumela wezentelliyadiyo yezentekolo yezente lezente

Isibonelo: Izinqumo Zokwanda Ezinzima Negebe Elivala Imingcele

I-ACA yanikeza indlela yokwandisa uMdicaid inkimbinkimbi efinyelela ku-88% yezinga lobumpofu obuphakathi kukahulumeni. Kusukela ngo-2025, amazwe angu-40 ne-Foourty of Columbia baye bandisa izakhiwo, kanti izifundazwe eziyishumi azizange zikwazi ukuveza ukulingana okungaqondakali. iKentucky yanwetshwa kakhulu ngo-2014 ngaphansi koMphathi uSteve Bessing, okwaholela ekuncipheni okukhulu kwezinga lobubhadaba elingalindelekile kusukela ku-2025% kuya ku-6% eminyakeni embalwa. Ukwanda kwenani lamazwe kuye kwabonisa ukufinyelela kwabantu abadala abangaphansi kwe-amnyaka ka-50 000 abafikayo, abaningi babo ababengazange bafinyelele ukunakekelwa okuvamile kwempilo. Izwe labona ukunakekelwa komdlavuza, izilinganiso, izilinganiso, nokusetshenziswa kwemisebenzi. Nokho, lapho umbusi we-Mattvin enziwa emsebenzini futhi ezindaweni ezimisiwe, ukumiswa kwenkantolo kuveza ukuthi kunjani ukunakekelwa futhi kunakho.

Ukulawula Izimiso Zezempilo Ezisungulwe Uhulumeni

I-Medicaid iyisimiso esihlangene sikahulumeni wezwe, kodwa izifundazwe zinomthwalo wemfanelo wokuqondisa izinhlelo zazo usuku nosuku. Lokhu kuhlanganisa ukubhalisa, ukuphatha imishini yokunakekela, ukuqinisekisa ukuthembeka kohlelo. I-Medicaid futhi iyakwazi ukuklama izinhlelo zayo ze-Medicaid phakathi kweziqondiso zikahulumeni, ezizivumela ukuba zizame ngokuletha izinguquko zesimiso, ukukhokha izimpawu, nokuzuza amaphakethe. Lokhu kuvumela ukuguqula kwezimiso ze-medicaid kubangele ukwehluka okukhulu endleleni i-Medicaid eyakhiwe ngayo kulo lonke izwe.

Ngaphezu kwe-Medicaid, izifunda eziningi zisebenzisa izinhlelo zazo zempilo zemiphakathi ezingakufanelekeli ukunikezwa izinhlelo zikahulumeni. Lezi zingahlanganisa usizo lwemithi kahulumeni, ukukhokhwa kwempilo yabafuduki abasemthethweni phakathi nenkathi yeminyaka emihlanu yokulinda izinhlelo zikahulumeni, kanye nosizo olukhokhelwayo lwezisebenzi ezihlawulwa imali ephansi. Lezinhlelo zigcwalisa izikhala ngenetha lezesivikelo sikahulumeni kodwa ngokuvamile zisengozini yokucindezela kohlelo lwemali kahulumeni.

Isibonelo: Izinhlangano zokunakekela ezixhunyiwe ze-Oregon's

Oregon uye wasungula indlela ekhethekile yokunakekela uMedicaid ngokunakekela kwakhe izinhlangano ze-Addid Care (CCOS). Yamiswa ngo-2012 ngaphansi kwe-count diver, CCOS iyimifelandawo yabagcini bezempilo, izinhlangano zomphakathi, nezinhlangano zezenkonzo zomphakathi ezinomthwalo wokusekela izimali ezingokomzimba, ukuziphatha, nempilo, nempilo yamazinyo yeMedicaid ababhaliswe ngokusebenza. CCOS isebenza ngaphansi kwemali yembulunga yonke enikeza ukuvumelana kwemali ukuze ifake imali ekwandiseni ekuvimbeleni ukuvimbeleni imfuculo yezelo yezeko nezokungenela kwezesayensi yezempilo. Ngokwesibonelo, i-CCOS ePortland isekela izimali zezindawo zokuhlala abantu abangenamakhaya nezingala, iqaphela ukuthi izindlu ezisindabhhawu ezibizayo zegumbi. I-On&817; CC C isesimweni esiphakathi sesibhedlela esithuthukile, iziguli sesizwe sesizwe sesizwe sesizwe sesizwe sesizwe sesizwe sesizwe sezwe ngokwezinye.

Isibonelo: ITexas Medicaid ne-Shift ku-Loast-Baseshod Care

I-Texas iqhuba enye yezinhlelo ezinkulu ze-Medicaid ezweni, ihlanganisa izingane ezinenani eliphansi eziyizigidi eziyisihlanu, abesifazane abakhulelwe, nabantu abakhubazekile. Izwe belilokhu limatasa ekushintsheni ekutholeni inzuzo elungiselelweni ukunakekelwa okusekelwe emalini. Ngohlelo lwalo lwe-Texas Health Sucreaty Transformation and Selution Program, umbuso uye wasungula isimiso sokunakekela esiphethweyo esihlanganisa ingxenye yendlela yokuhlela impilo ekwazi ukwenza izilinganiso zezinga eliphezulu njengezinga lokugoma i - asikho, i-Asma, ukuphatha i-Bepalybackman. Uhlelo luhlanganisa nezisusa zezimali zezibhedlela zokunciphisa ukuguqula nokuthuthukisa ukunakekelwa kwezenzwe. Nakuba i-Texas ayizange yandisa i-Medicaid ngaphansi kwe-ACA, isilinganiso sayo esikhuthamele phakathi kwezinhlelo ezikhona manje zokulungisa isilinganiso.

Isimiso Sempilo Sokusebenza Kanye Nokusebenza

Ngaphandle kokuphoqelela, kusho ukuthi ilawula izinga lokuzivivinya kwezempilo ezihlukahlukene, okunquma imisebenzi ekhethekile evunyelwe ngokomthetho ukuba yenziwe. Lemithetho inemiphumela emikhulu yokuthola ukunakekelwa, ikakhulukazi ezindaweni zasemaphandleni nangaphansi lapho ukuswelakala kodokotela kuyingozi khona. Izingxoxo eziphathelene nomkhuba ngokuvamile zigxile kodokotela abahlengikazi, abasizayo, abathaki bemithi, nezinye izazi zemitholampilo ezithuthukile ezifuna ukuprakthiza ngokugcwele ekuqeqesheni kwabo.

Ezinye izifundazwe ziye zamukela inqubo ebanzi njengesu lokuthuthukisa ukufinyelela nokunciphisa izindleko, kuyilapho ezinye ziye zagcina imithetho evimbela kakhulu edinga ukuqondiswa udokotela noma ukubambisana. Ukungavumelani kudala ukungangeni ekunakekeleni okuyinhloko, izinkonzo zempilo yengqondo, nokunakekela okukhethekile emigqeni kahulumeni.

Isibonelo: Igunya Eligcwele Labahlengikazi

Kusukela ngo-2025, izifundazwe ezingaphezu kuka-2025 neSithili saseColumbia ziye zanikeza odokotela abasebenzisa igunya eligcwele, okusho ukuthi bangahlola iziguli, izimo zokuxilonga, ukuhleleka nokuchaza ukuhlelwa kwezindlela, futhi banikeze imithi ngaphandle kobudokotela. INew York yagunyaza ngokugcwele ngo-2022 njengengxenye yesicelo esibanzi sokunwetshwa kokufinyelela ekunakekeleni okuyinhloko. Ngokungafani, i-Alabama ifuna abahlengikazi ukuba bagcine isivumelwano esivumelanayo nodokotela ongumqondisi, okungalinganisela ukuthi bangayisebenzisa kuphi futhi kanjani. Ukucwaninga okuvela emazweni aye amukela igunya eligcwele kubonisa ukuthi inani labenzi abasebenza ezindaweni zasemaphandleni, izikhathi ezimfushane lilindele ukumiswa, futhi akukho ukuwa kwezinga lokunakekela.

Isibonelo: Ukukhipha i - Telehealth Aphaya Amazwe Angaphandle

Imithetho kahulumeni futhi ilawula ukutholakala kwezinkonzo ze-telehealth. Phakathi nobhadane lwe-COVOID-19, izifunda eziningi zilahla imingcele okwesikhashana ezindaweni ezihlukene ze-teleath futhi zikhulula izimfuneko zokwakha ubuhlobo besikhathi sokunakekela iziguli. Ezinye izizwe zenza lezo zinguquko ezihlala njalo. Ngokwesibonelo, iFlorida, idlulise umthetho ngo 2023 ovumela i-telehealth ukuba ihambe ngaphandle kwe-person ukuvakashela izimo eziningi, kuyilapho ifuna futhi ukuba umnakekeli aqhube ingxoxo yangempela yesikhathi sokulalela. Izwe lithinta futhi ukuhlangana kwemizwa ngokuhlangana nenhlangano ye-interstate Medical Licensureation, elandela inqubo yodokotela yokuthola ilayisenselamu ezindaweni eziningi. Lokhu kukhetha okuzingathinta ngokuqondile noma imvume yokungena ezindaweni eziphila izigulini ezisemaphandleni emaphandleni ezisemaphandleni.[5] [5]

Ukulungiselela Okuphuthumayo Nokusabela Okuphuthumayo Kwempilo Yomphakathi

Ohulumeni boMbuso bawuhlu lokuqala lokuvikela ezimweni eziphuthumayo zempilo yomphakathi, kusukela ekuqubukeni kwezifo ezithathelwanayo nezinhlekelele zemvelo kuya ekusongelwani kwesayensi yebhaktheriya. Umbuso ngamunye unomnyango olawula isimo esiphuthumayo ohlangene nomnyango wezempilo kahulumeni olungiselela futhi ozolungisa izinkinga. Lokhu kuhlanganisa ukugcina inqwaba yezinto zokwelapha, ukumisa imithetho yokusabela ngenhlekelele, nokulawula ukuthunyelwa kwezisebenzi zezempilo nemithombo yezimali.

Isifo se-COVOID-19 saqokomisa indima eyinhloko yezindawo ekusabeleni okuphuthumayo. Izwe lenza izinqumo mayelana nokuvalwa kwezindawo, izikhundla zesikole, izigunyazo zokufihla iso, ukuphenya, ukugoma ngaphambi kokuhlinzwa, nokuphatha isibhedlela. Ukuphumelela kwalokhu kusabela kwakuhluka kakhulu, ngokwengxenye ngenxa yokungafani kwezezisekelo zempilo zomphakathi, ukubusa, namandla ezombangazwe.

Isibonelo: Ukusabela kwasekuqaleni kwe-COVID-19 kweWashington State’

IWashington State yaba yisifundazwe sokuqala kulelizwe ukuveza icala lokudluliswa kwe-COVID-19, futhi ukusabela kwayo kwaba yikhombo kwezinye izifundazwe. I-Washington State Department of Health yasebenza ngokubambisana nezindawo zempilo zendawo ne-Guer Centers for Disease Control and Prevention ukuze ikwazi ukulinganisela amandla okuhlola, ukumisa ukulandelela, nokumisa imithetho esemthethweni yomphakathi. Lombuso wasungula futhi isakhiwo esihlangene esivumela ukunikwa kwemithombo esheshayo. Washington ̱ izimali zokuqala zezindawo zokutshala izimali ezindaweni zomphakathi zempilo nezimiso zemininingwane zayenza ukuba ilinganisele ngokushesha kakhulu ukuhlola ukudlula ezinye izifunda, futhi ukuxhumana kwayo okusobala kwasiza ukwethenjwa umphakathi phakathi nezinyanga ezingaqinisekile zobhakela.

Isibonelo: ICalifornia’ iGunya Lezinkonzo Zezokwelapha Eziphuthumayo nokusabela Kwenhlekelele

I-Formain Medical Services Authority yaseCalifornia ̱ i-Emergency Medical Service Authority (EMSA) inecala lokuhlela izinhlekelele zezwe i-̱ isabela kwezokwelapha ezingozini zempi, kuhlanganise nezindawo ezishaye imvula, ukuzamazama komhlaba, kanye nezimo eziphuthumayo zezempilo zomphakathi. Ngo-2023, lapho iziphepho ezinkulu zasebusika zibangela ukukhukhula nodaka olusheshayo ezibhedlelaneni eziningi, i-EMAMAsondo ahlelwe izibhedlela ezihamba-mo-moto, axhuma i-wasezibhedlela ezisezimweni eziphuthumayo, ezisiza ukuba lesi sikhungo sibhekane ngokushesha nokunakekelwa kwempilo kuzo zokwelapha, futhi sigcine izinhlangano zezifo ezithathelwanayo.

Isiphetho: Indima Ephikelelayo Neyindawo Ezungezile Yamazwe

Ohulumeni bamazwe abamane nje bengabaphathi bezinhlelo zikahulumeni noma abaqondisi bezokunakekela impilo. Bangabaniki bemithetho, abathengi, nabahleli abazimisele ukunquma izinqumo zabo ezilawula zonke izici zesimiso sokunakekela impilo yaseMelika. Kusukela kumabhodi amisa izindinganiso eziphambili ezihlela izinhlangano ze-Medicaid eziklama izimiso zokunikeza, banikeza igunya elinquma ngokuqondile ukuthi izakhamuzi ziyakwazi yini ukufinyelela imali engeni eliphezulu, ukunakekelwa okuphakeme. Izibonelo ezixoxwe lapha `Kusukela ku-California ̱ ugwayikulawula ugwayi kuya e-Oregon-& #817; izinhlangano eziHlawuza ngokushelela i-Médiad Washington &517; ukusabela okukhubazekayo okuhlolileyo kokubili ukufinyelela amandla emoyeni naseqophelweni lwezwezwezwezwezwezwezwe.

Njengoba indawo yokunakekela impilo iqhubeka iguquka, ohulumeni bezwe bazohlala begxeka izindawo zokucwaninga zokuhlola izimiso. Ukukhetha abakwenzayo ngokuphathelene nokwanda kwe-Medicaid, ukuqeqeshwa, ukugcinwa kwemithetho ye-telehealth, ukugcinwa kwezempilo yomphakathi, nokuqondisa umshuwalense kuyoqhubeka nokuveza izifundo kulo lonke izwe. Ukuqonda lemithwalo yemfanelo kahulumeni kubalulekile kunoma ubani ofuna ukuhamba noma ukuthuthukisa isimiso sokunakekela impilo yaseMelika.