Ukunakekela impilo kuyimfuneko eyisisekelo kubantu, kodwa izindlela zokuyingenela zihluka kakhulu emhlabeni wonke. Indima kahulumeni ekuhlolweni kwendlela yokusebenza kwezempilo ingenye yezici ezilandelayo neziphikisana kakhulu zesimiso somphakathi. Ohulumeni bathonya cishe zonke izici zobudokotela, kusukela ekuhlolweni kodokotela nasekulondekeni kwemithi ekuxhaseni kwezezimali zezibhedlela nasekuqondiseni kwezempilo. Ukuqonda ukujula nokukhula kwale ngxenye kubaluleke kakhulu ezakhamuzini ezifuna ukuqondisa isimiso ngokuphumelelayo, ukusekela ukunakekelwa okusemthethweni, nokuhlanganyela enqubweni yentando yentando yeningi ehlela isimiso sezempilo. Lesi sihloko sinikeza ukuhlola okubanzi kokuthi inqubo yezokwelapha isebenza, imithetho kahulumeni, nokuhweba kwezentengo yomphakathi ithola ukunakekela, ukuthi izindleko, nokuthi iziphi izindleko ezithinta umphakathi.

Isisekelo Sokuhileleka Kukahulumeni Ekunakekeleni Impilo

Ubuhlobo phakathi kukahulumeni nokunakekela impilo abuyona into esungulwe namuhla. Kuwo wonke umlando, ohulumeni baye bangenela empilweni yomphakathi ukuze balawule izifo eziwumshayabhuqe, balawule izindlela zokwelapha, futhi banikeze ukunakekela amasosha kanye namanxushunxushu. Inkathi yanamuhla iye yabona ukwanda okungakaze kubonwe kulendima, okubangelwa ukuqaphela ukuthi impilo ilungile emphakathini futhi amandla okudayisa angenakuqinisekisa ukufinyelela noma izinga. Ukuhileleka kukahulumeni kuthethelelwa ngezimiso ezintathu eziyisisekelo: isidingo sokuvikela umphakathi ekulimaleni (umz., ukudla nokuphepha kwezidakamizwa), isidingo sokuqinisekisa ukulunga nokungena ngokungena komthetho, kanye nesidingo sokulawula izindleko ngokuthenga inzuzo yonke indawo noma ukuphatha inzuzo.

Imisebenzi Yokulungisa Ifulegi

Ukubuyiselwa kwakha umgogodla wokuhileleka kukahulumeni. Ngaphandle kwezimiso eziqinile zokuqondisa, ukunakekelwa kwempilo kungachayeka ekukhwabaniseni, emikhubeni eyingozi, nasekuhlukaneni okukhulu kwezinga eliphezulu. Ohulumeni bamisa futhi baphoqelele ukuba:

  • Ukugunyaza amaprofessol ochwepheshe bezempilo: amabhodi ezokwelapha, amabhodi asebekhulile, nezinye izindikimba ezifaka izimfuneko zokufundisa nokuhlola, kuqinisekisa ukuthi abantu abafanelekayo kuphela abanikeza ukunakekela.
  • Ukuvumelana kwezidakamizwa namathuluzi ezokwelapha: Izimo ezinjenge-U.S. Food and Drug Administration (FDA) kuhlola ukuphepha nokusebenza kokwelashwa okusha ngaphambi kokuba bafike emakethe. Lenqubo enzima, nakuba ngezinye izikhathi ihamba kancane, iye yavimbela izinhlekelele eziningi.
  • Ukungaguquguquki kokuhlelwa nokuphepha: izibhedlela, imithola-mpilo, namakhaya asebekhulile kumelwe ahlangabezane nezindinganiso zokusebenza nokuphepha, ngokuvamile okuboshelwe ekuhlanganyeleni ezimisweni zomphakathi zomshuwalense njengeMedicare ne-Medicaid.
  • [[QULT:0] Imithetho e-Patient Ask and Rights: njenge-Heal Inshorence Portability ne-Accountability Act (HIPAA) e-United States ibeke izindinganiso zesizwe zokuvikela ukwaziswa okuzwelayo kweziguli, nikeza abantu abathile amandla phezu kokwaziswa kwabo kwempilo.
  • [ Imithetho yezentengiselwano: Ohulumeni bachaza lokho abakhokhi abangakwazi ukukwenza futhi abangeke bakwenze, kuhlanganise nokwenqabela ukuhlanganisa izimo nezimfuneko ezikhona ngaphambili ukuze kuhlangatshezwe izinzuzo eziyisisekelo zempilo.

Lemisebenzi yokuqondisa, nakuba ngokuvamile igxekwa ngobunkimbinkimbi bayo, ibalulekile ekulondolozeni ukuthembela esimisweni sokunakekela impilo nokuvikela abantu abasengozini. Ngaphandle kwabo, odokotela abangaqeqeshiwe bangasebenzisa ngokukhululekile, imikhiqizo engaphephile ingabangela ukulimala okusakazekele, futhi iziguli zingalahlekelwa yibo bonke ubumfihlo. Ukuze kube nombono wembulunga yonke ngezindlela ezingcono kakhulu zokulawula, i-World Health Organization inikeza isiqondiso esikhulu ezindinganisweni zempilo nezimiso ze-.

Ukusekela Nezindawo Ezingaphansi Kwezwe

Ukuxhasa ngemali kukahulumeni kuwumgogodla wezimiso eziphambili zokwelapha. Indlela uhulumeni akhetha ngayo ukuyisa imali ekunakekeleni impilo ithinta ukutholakala kwayo ngokuqondile. Inqubo eyinhloko yokuxhasa imali ihlanganisa:

  • Izinhlelo zomshuwalense womphakathi: Emazweni anjenge-United Kingdom, Canada, ne-U.S. (iMedicare, i-CIP), uhulumeni usebenza njengomkhokheli oqondile. Lezinhlelo zifaka izingozi eziningi phakathi kwabantu abaningi futhi zisebenzise amandla kahulumeni okuthenga ukuze zihwebe amanani aphansi nabathengi nezinkampani zezidakamizwa.
  • Izindawo zomshuwalense weze-Hual Inshorensi: Ohulumeni abaningi, kuhlanganise ne-U.S. ngoMthetho wokunakekela ongathi awuyikho, banikeza izimali zokusiza abantu abathola imali ephansi nephakathi ukuba bathenge umshuwalense womuntu siqu. Lemali iklanyelwe ukwenza ukuba intengo ithenge futhi inciphise inani labantu abangakhokhelwanga.
  • Ukuhlenga-kanjani kwabanikeli abangahambisanga inzuzo: Uhulumeni ukhokhela intela ehholo ngezibhedlela ezinikeza izinzuzo zomphakathi, njengokunakekela abampofu ngesihle noma ngenani eliphansi. Lomfudlana ongeza ngqo umbango ubalulekile.
  • Abasekeli noMakheni: Ohulumeni boMasipala bavame ukusakaza izimali emazweni noma ezindaweni ngezinjongo ezithile, njengezindawo zezempilo zomphakathi, izinkonzo zempilo yengqondo, noma izinhlelo zezempilo yasemaphandleni.

Ukuphumelela kwalezi zindlela zokuxhasa imali kuyahluka. Ngokwesibonelo, i-U.S. isebenzisa imali eningi kakhulu kumuntu ngamunye ekunakekeleni impilo kunamanye amazwe athuthukile, kodwa ayifinyeleli imiphumela engcono emhlabeni wonke. Umbiko ovela [ku- Commonweal Fund’s Mirror, Mirror [umbiko wama-2021] uqokomisa ukungasebenzi kahle kwe-U.S. ekungeneni, ekulinganiseni, nasekulawuleni kwempumelelo naphezu kokusetshenziswa kakhulu.

Ilungiselelo Eliqondile Lezinkonzo

Ngaphandle komthetho nokuxhasa ngemali, abanye ohulumeni banazo futhi basebenzisa izikhungo zokwelapha futhi baqashe izisebenzi zezempilo. Lesibonelo sivame kakhulu emazweni anomkhokheli oyedwa noma i-okanye i-UK’s National Health Service (NHS) noma uMnyango we-U.S.

  • Imvume engavumelaniyo:[ [Lapho uhulumeni elawula isimiso, ukukhathalela kuklanyelwe ukuba kutholakale kumntu ngamunye ohlala khona, hhayi nje lowo onomshuwalense othile.
  • Ukulawula:[ Izakhiwo zikahulumeni ezizitshaliwe zingasebenzisa ezihlelweni ezimisiwe zezimali, kunciphise isisusa sokwenza izinqubo ezingadingekile.
  • Ukuhlelwa kwezindawo: uhulumeni angakha izibhedlela nemithola-mpilo ezindaweni ezigciniwe, aqinisekise ukuma kwezwe.
  • Ukuhlanganisa kokunakekela: Isimiso esihlangene singanakekela kangcono ukuhlanganisa phakathi kwezimo eziyinhloko, ezikhethekile, nesibhedlela.

Nokho, ilungiselelo eliqondile libhekana futhi nezinselele, kuhlanganise nezikhathi zokulinda izinqubo zokukhetha, ukungenela kwezombangazwe ekuqondiseni, kanye nesimiso sezokubusa esingase sibe ama - varetaire. Ngokwesibonelo, isimiso se - VA siye sashikashikana isikhathi eside nezikhathi zokulinda ukumiswa nokugcinwa kwezindawo zokuqondisa, sibangela izimpikiswano eziqhubekayo zokuthi isakhiwo siqondiswa kanjani kahle kakhulu uhulumeni.

Izinyathelo Zokuqala Empilweni Yomphakathi

Mhlawumbe uhlobo olubonakalayo kakhulu nolunemiphumela kakhulu lokuhileleka kukahulumeni kuyimpilo yomphakathi. Lezi zinyathelo zigxile ekuvimbeleni umphakathi kunokuba ulwenze umphakathi. Imisebenzi yempilo ephambili kahulumeni egunyaziwe ihlanganisa:

  • [ I-Dissease Surveillance nembuyiselo yokungalawuleki: Izimo ezinjengezikhungo zombuso zokulawula izifo nezokuvimbela (CDC) izifo ezithathelwanayo, izimpawu zenqubo, nokuhlanganisa ukusabela ekuqubukeni komkhuhlane onjenge-COVID-19, umkhuhlane, nesimungumungwane.
  • [ IMikhankaso yokuNanisa: Ohulumeni bagunyaza ukugoma kwezingane, ukunciphisa kakhulu izifo ezingavinjelwa njenge polio, umhlathi-ngqi, nokukhwehlela.
  • [[[Umthetho:0] Imfundo ne-Promotion: imikhankaso yomphakathi ikhuthaza ukubhema i-cast, ukudla okunempilo, ukusebenzisa indawo yokuhlala, kanye nemikhuba ephephile yobulili.
  • [ Imithetho yempilo engokwezimo: izinhlangano zikaHulumeni zibeka imingcele emoyeni nasemanzini, ziqinisekisa amanzi ahlanzekile okuphuza, futhi zilawula ukuphepha kokudla.
  • Ukuvinjelwa kwezifo zeChronic Disease:[ Izinhlelo zokuhlola umdlavuza, isifo sikashukela, nomfutho wegazi ophakeme ngokuvamile zisetshenziswa noma zixhaswe iminyango yezempilo yomphakathi, ivumela ukutholwa nokulawulwa kwakuqala.

Izindleko zempilo yomphakathi ziphakathi kwezindleko zikahulumeni ezibiza kakhulu. NgokweCDC, zonke idola elichithwa empilweni yomphakathi zingadelekela ku-$30 emalini egciniwe esikhathini esizayo ngokuvimbela izifo nokunciphisa izindleko zempilo. Nokho izimali zempilo zomphakathi zihlala ziyingxenye encane yemali echithwayo yempilo, ukudilizwa okuqokonyiswe kakhulu phakathi nobhadane lwe-COVOVAD.

Indlela Izimiso Zobukhazikhazi Zikahulumeni Ezithonya Ngayo Ukutholakala Kwempilo

Ithonya lezimiso zikahulumeni ekutholeni impilo yansuku zonke likhulu. Izikhulu zezokuphatha azinqumi nje kuphela ukuthi abantu banawo umshuwalense, kodwa futhi nezindleko, ukutholakala, nezinga lokunakekelwa abakutholayo. Ukuqonda lokhu kuhlobana kubalulekile ekwenzeni izinqumo zempilo ezinolwazi kanye nabenzi bezimiso kubeke icala.

Isikhokhelo Somshuwalense

Isimiso sikahulumeni sisodwa esikhulu kunazo zonke esivimbela ukukhokhwa komshuwalense emazweni amaningi athuthukile. I-policies ingandisa noma ihlanganise isivumelwano, sithinte ngokuqondile inani labantu abangahlolwanga. Izimiso eziyinhloko zihlanganisa:

  • Ukwanda kwe-Medicaid: Ngaphansi koMthetho we-Affordcable Care Act, isho ukuthi kukhethwe ukwandisa iMedicaid ukuhlanganisa abantu abadala ngeholo elifinyelela ku-888% yezinga lobumpofu likahulumeni. Amazwe anwetshwa abona ukwehla okuphawulekayo ngokwezinga elingabekelwe nzuzo, kuyilapho amazwe angewona ama-ase-pane ashiya izigidi zabantu bengawatholi.
  • [[NTL:0] Imali yomshuwalense ekhokhelwayo e-Acatem: Izikweleti zentela ye-Premium kanye nokuncitshiswa kwezindleko kwenza umshuwalense womuntu siqu ohliswayo ophansi nophakathi nemikhaya. Ukushintshwa kwalemali kungandisa ukubhalisa noma ukubiza abantu.
  • Imfuneko ezidingwayo zamaMandaters ne-Profester: ukuze kube nomshuwalense (manje osuqeshiwe ngezinga likahulumeni) futhi umqashi ugunyaze ukunikeza i-arhente kungaphoqelela abantu abaningi equleni lomshuwalense, izingozi zokuzinzisa nokunciphisa imali.
  • [ Ukubonakala nokulunga: Izinqumo eziphathelene nobudala bokungalawuleki (manje obungu-65) kanye nezinzuzo (umz., amazinyo, ukuzwa, ukuzwa) zithinta ngokuqondile abantu abadala nabantu abakhubazekile.

Lapho kukhona izikhala zokukhokha, abantu ngabanye balibala ukunakekelwa, badela imithi edingekile, futhi babhekana nezikweletu zezokwelapha ezibhubhisayo.

Izindleko Zokunakekelwa

Izindleko zokunakekela impilo eU.S. ziphakeme kakhulu, futhi ukungenela kukahulumeni ngokuvamile kuyithuluzi eliyinhloko lokuzilawula. Ohulumeni basebenzisa amasu amaningana:

  • Ukubuyisela: Emazweni amaningi, uhulumeni uhlela amanani ezinqubo, ukuhlala ezibhedlela, nemithi yodokotela. Ngokwesibonelo, eJalimane naseJapani, izinhlelo zemali zihlolwa phakathi kukahulumeni, izinshuwalense, nezingcina zincwadi, okuholela entengo ephansi kakhulu kune-U.S.
  • [ I-Price Negotiation: Uhulumeni wase-U.S. manje uvunyelwe (ngaphansi koMthetho wokuKhuthala kwe-Recuction Act) ukuxoxa ngamanani emithi ethile egcwele intengo egcwele iMedicare, inkambiso esetshenziswa ezinye izizwe eziningi sekuyisikhathi eside.
  • Ukuthembana: [ Ohulumeni bangavimbela ukuhlanganiswa kwezibhedlela okunciphisa ukuncintisana nokukhuphula amanani. Ukuphoqelelwa kwemithetho emelene nokuthembana kubalulekile ekugcineni izimakethe zokunakekela impilo zincintisana.
  • Isivikelo seConsumer:[ Imithetho enjenge-NoSmars Act ivikela iziguli ezikweletini zomsebenzi ongalindelekile, ukunciphisa ukucindezeleka ngokwezimali futhi uthuthukise ukungenela ekunakekeleni okuphuthumayo.

Ucwaningo lubonisa ukuthi isikweletu sezokwelapha siyimbangela eyinhloko yokuwa kwemali e - United States, okugcizelela isidingo sezinyathelo eziqinile zokulawula izindleko zikahulumeni.

Ukutholakala Kwezinkonzo

Izinqumo zikahulumeni zithinta ngokuqondile lapho kwakhiwa khona izakhiwo zokunakekela impilo futhi iziphi izinkonzo ezikhona. Izici eziyinhloko zihlanganisa:

  • [[NTL:0] I-Health Professional Shorta Areau (HPSA) Umklamo: Uhulumeni uveza izindawo ngokunakekela okuyinhloko okumbalwa kakhulu, amazinyo, noma abagcini bempilo yengqondo bese enza abaxhasi ukuba basebenzise izinhlelo zokukhokha imali ngokukhokha imali ebolekiswayo kanye nokukhokha imali enkokhelwe.
  • Ukuhlanganisa izikhungo zezempilo zomphakathi: ezifanelekayo ngokwe-Foples (FQHCs) kunikeza ukunakekela okuyinhloko ezindaweni ezigciniwe, kungakhathaliseki ukuthi isiguli singakwazi yini ukukhokha. Ukuxhasa ngemali kubalulekile ekusebenzeni kwaso.
  • Isibhedlela sokuvala i-Rral Clombures:[ ezimisweni zikahulumeni ezikhokhwayo kanye nezingangasekela noma zilulaze izibhedlela zasemaphandleni. Uma izibhedlela zasemaphandleni ziseduze, iziguli zibhekene nohambo olude lokuhamba ukuze ziyonakekelwa, ikakhulukazi ezinkonzweni eziphuthumayo.
  • Ukwanda okunganqamukiyo: Phakathi nobhadane lwe-COVOID-19, uhulumeni walahla imingcele yesikhashana kuTelehealth, ukwandisa kakhulu amathuba okunakekela abantu ezindaweni ezikude nakulabo abangenamandla anele. Ukwenza lezi zinhlangothi zihlale njalo kungasekela lentuthuko.

Imfanelo Yokunakekela

Ukuphathwa kukahulumeni kungumshayeli omkhulu wezinga lokunakekela. Ngogunya, ngokubika izimfuneko, nangezisusa zezimali, ohulumeni baphoqelela abanikazi ukuba bathuthukise imiphumela:

  • Izinhlelo zohlelo lwe-Preformation: I-Medicare’s Hospital Superchasing ivuza izibhedlela ezihlangana namaphawu aphezulu futhi zijezise labo abanamazinga aphezulu emvume noma imiphumela ephansi yeziguli.
  • Ukubika:[ Iwebhusayithi ezifana Hhospital Qhathanisa[ inyathelisa ukwaziswa ngenani lokufa, amazinga enguquko, nokwaneliseka kwesineke, inika abathengi amandla okwenza ukukhetha kolwazi.
  • Izindinganiso zokusebenzisa ezizinhle: Uhulumeni wasungula ukwamukela amarekhodi empilo ye-electronic (EHRs) wabeka izindinganiso zokusetshenziswa kwawo, ukuthuthukisa ukusebenzelana kokunakekela nokunciphisa amaphutha ezokwelapha.
  • [ Izimfuneko ezisemthethweni: Ukwamukela izindleko zeMedicare ne-Medicaid, izibhedlela kumelwe zifunwe yizinhlangano ezinjenge-Joint Commission, emisa izinga eliqinile nezindinganiso zokuphepha.

Nakuba lezinhlelo ziye zathuthuka, futhi zidala imithwalo yokuqondisa futhi ngezinye izikhathi zingaholela emiphumeleni engahlosiwe, njengezibhedlela ezigwema iziguli ezinesifo esiphezulu ukuze zithuthukise izinga lazo lokusebenza. Ukulinganisela izinga lokusebenza nokuvumelana nezimo kuseyinselele.

Izinselele Nokulinganiselwa Kwezokunakekelwa Kwempilo Kukahulumeni

Naphezu kwendima ebalulekile kahulumeni, ukulinganiselwa nezinselele ezinkulu kuyaqhubeka.

Izinga Le - Bureaucracy I - Inefficience

Izimiso zosizo lwempilo ezilawulwa uhulumeni nezinhlelo zomshuwalense zivame ukugxekwa nge-tepe ebomvu. Izinqubo eziyinkimbinkimbi zokusebenza, izimfuneko zemvume, kanye nezimiso zokulawula ezihlukene zingabambezela ukunakekelwa nokukhungatheka kweziguli. Ngokwesibonelo, ukuhamba nge-Medicaid elignore kungaba umsebenzi onzima emikhayeni engenisa imali ephansi, futhi ngezinye izikhathi omakadlele babhekene nokulindela isikhathi eside ukuba kumiswe izinqubo zokulawula. Izinqubo zokusebenza eziminyanisa ngobuchwepheshe (umz., i-panetry ewebhusayithi eyodwa ye-eleordial yezinhlelo zohlelo nokulungisa) futhi iziqondiso ezilula zingasiza ekunciphiseni lemithwalo.

Ukulahlekelwa

Ukunakekela impilo kuyabiza, futhi uhulumeni uhlela imali elinganiselwe. Ukungancishisi okungaholela:

  • [[NT.:0] Izinga le-Reimbursement Reasurement: Lapho ohulumeni behlela amanani okukhokha aphansi kakhulu, abaxhasi bangase benqabe ukwamukela umshuwalense womphakathi, ulinganisela ukutholakala kwabazuzayo.
  • Ngaphansi kwe-Facials:[ izibhedlela zomphakathi nemithola-mpilo kuvame ukusebenza ngemishini ephelelwe isikhathi nangezisebenzi ezinganele, okuholela ekulindeni isikhathi eside futhi izinga lokunakekela eliphansi.
  • [[NT] Ukuhlanganiswa kweminyango yezempilo yomphakathi: ephakanyisiwe kunganzima ukuphatha ukuqapha okuyisisekelo kwezifo noma ukusabela eziphuthumayo.

Abasekeli baphikisa ngokuthi ukunakekelwa kwempilo kufanele kube yinto eza kuqala, kodwa amaqiniso ezombangazwe ngokuvamile aholela ekuxhaseni imali kwezinye izici, njengokuvikela noma ukudayisa intela.

Ithonya Lezombangazwe Nokuhlanekezelwa Kwemibono

Isimiso sokunakekela impilo silawulwa kakhulu. Izinguquko zezezokuqondisa zingaholela ekushintsheni okukhulu kwenqubo, kubangele ukungahleleki kweziguli nabaphathi. Imizamo ephindaphindiwe yokuzivuselela noma ukuthatha indawo ye-Affordcable Care Act yabangela iminyaka yokungaqiniseki. Ngaphezu kwalokho, ukuhlalisana kwezindawo zomphakathi kungaphazamisa ukwenza izinqumo, ukuvimbela ngisho nezinguquko ezisekelwa kakhulu ekudluleni. Imijikelezo engokwezombangazwe ethatha isikhathi eside inqanda ukuvimbela nokuphatha izifo ezingamahlala-adre, okudinga amashumi eminyaka ukuveza imiphumela. Ukubeka izakhamuzi ezilwazi, ezingaphakathi kwe-partisvotacy kubaluleke kakhulu ekunqobeni lesi sithiyo.

Ukwehluka Okuqhubekayo Kwempilo

Naphezu kwemizamo kahulumeni, umehluko omkhulu ekutholeni impilo nemiphumela uyaqhubeka uhambisana nezinhlanga, ubuhlanga, izenhlalo, nendawo nendawo. Inani labantu abancane nabangenayo abantu babhekana namazinga aphakeme ezifo ezingapheli, ukuncipha kobude bokuphila, nokungafinyeleleki ekuvimbeleni ukuphila, futhi ukungakwazi ukuvimbela. Izinhlelo zikahulumeni njenge-Medicaid kanye nezindawo zezempilo zomphakathi ziye zazinciphisa lezi zikhawu, kodwa azizivalanga. Ukusingatha izimbangela eziyisisekelo zezimbangela zezifo zesimiso sobuhlanga, ubumpofu, nokuntula ulwazi olubanzi lwezempilo, ukudlula ukudlula inqubo yezobuchwepheshe yezokwelapha ngokwazo. Izinhlelo zezempilo ngokwazo zezemfundo yezemfundo, imfundo, ukulondeka ukudla, nokuhlala kwemvelo kuyingxenye yonke yekhambiso.

Iziyalezo Nezinto Ezingenakutholakala Esikhathini Esizayo

Njengoba ukunakekelwa kwezempilo kudinga ukuguquka, indima kahulumeni izoqhubeka ivumelana nezimo eziningi namathuba okuzenza cishe ahlobise ikusasa lokuhileleka kukahulumeni ekunakekeleni impilo.

I - telehealth Ne - Digital Health

Ukwanda okusheshayo kwe-telehealth phakathi nobhadane kwabonisa ukuthi uhulumeni angasheshisa ukusungulwa kwezimiso eziqabulayo. Ukusetshenziswa kwalezi zindlela kungathuthukisa kakhulu ukutholakala kwabantu basemaphandleni, abantu abakhubazekile, nalabo abangakwazi ukubhekana nesikhathi. Nokho, uhulumeni kuyodingeka alungise inqubo yokuhlukanisa izibalo, aqinisekise ukuthi zonke iziguli ziyakwazi ukungena kuyi-intanethi ebanzi nemishini edingayo ukuze zinakekele. Ukuvikela imfihlo yeziguli eziphethwe yikho okungalungiseki kuyoyinye inselele.

Ukunakekela Okusekelwe Kukubaluleka

Ohulumeni baya basuka kakhulu ekukhokheleni izilinganiso ezikhokhwayo, ezikhokhela umthamo, ekunakekeleni okusekelwe emazingeni (VBC) izilinganiso ezivuza imiphumela nokuphumelela. Izinhlangano zokukhathalela ze-Medicare ezinombuzo (ACOS) kanye nezinsalela eziqoqiwe ziyisibonelo. Uma ziphumelela, iVBC ingathuthukisa izinga lapho iqukethe izindleko. Nokho, ukusungula kudinga ulwazi oluyinkimbinkimbi kanye nohlelo olulawulayo olusekela intuthuko ngaphandle kokukhuthaza iziguli eziphethwe yizeluleko. Izinhlelo zikahulumeni zezokushayela nezokuthatha i-data kuzoba okugxeka.

Ukubambisana Kwempilo Emhlabeni Wonke

Ezweni elihlangene, izindima zikahulumeni zidlulela ngalé kwemingcele yesizwe. Umqedazwe we-COVOID-19 wagcizelela isidingo sokubambisana kwembulunga yonke ekuthuthukiseni ukuvela kwemithi yokugoma, ukuqapha, nokuphatha izinhlu zezifo. Ohulumeni bazodinga ukuqinisa imizimba yomhlaba wonke njengeNhlangano yezempilo futhi bafake imali ekulondekeni kwembulunga yonke. Ngesikhathi esifanayo, ukuhlanganyela imikhuba emihle kakhulu emazweni onke .(ukusukela emasubeni okunakekela aphambili) ekunakekeleni kwemilaliso yezidakamizwa, kusiza isizwe ngasinye ukuba sithuthukise ukufinyelela kwezakhamuzi zaso.

Ekuphetheni, indima kahulumeni ekufinyeleleni kwezempilo isekelwe futhi ihlelwe ngezindlela eziningi. Ukusukela ekubekeni izindinganiso zokuphepha ekuxhaseni umshuwalense nasekunakekeleni ngokuqondile, izenzo zikahulumeni zihlela cishe zonke izici zokuhlangenwe nakho kwesiguli. Nakuba izinselele ezinjengobuphathi, ukunqanda imali, nokuhlala ngokwezombangazwe kusekhona, ukuqonda lezi misebenzi enamandla kwenza izakhamuzi zikwazi ukuhileleka ngokuphumelelayo esimisweni sokulungisa. Umgomo oyinhloko yisimiso sempilo esinikeza ukufinyelela ngokulingana, izinga eliphakeme, nezindleko ezibizayo kubo bonke abantu.