<prompt> Fingqa isihloko: Isazi esiphezulu somshwalense wezempilo eMnyangweni Wezempilo Nezinsizakalo Zabantu sathi ngoMsombuluko ukuthi asazi ukuthi yingxenye engakanani yabantu baseMelika abashiye amaqembu alabo abangenawo umshuwalense abakwenze ngokuthenga izinqubomgomo ekushintshaneni kwe-Obamacare. Engqungqutheleni yezintatheli, umqondisi we-Office of Health Reform uDkt Meena Seshamani waqhosha ngemininingwane entsha yocwaningo lwe-Gallup ekhombisa ukuthi izinga labantu abangenawo umshuwalense lehla lisuka kumaphesenti angu-20.3 laya kumaphesenti angu-13.2 phakathi kokuqala kokubhaliswa okuvulekile kwe-Obamacare nango-March 4, 2015. Lokho kungaphansi kwamaphesenti angu-35 enani labantu abangenawo umshwalense. UMongameli uBarack Obama wenza umkhankaso ngo - 2007 nango - 2008 ethembisa umthetho womshuwalense wezempilo ozohlanganisa wonke umuntu waseMelika. Futhi uSeshamani wathi, ukuncishiswa kwabangenawo umshwalense, kungenziwa nganoma iyiphi yezindlela eziningana. UKUNGENZI kahle? UNobhala we-HHS uSylvia Burwell wengamela uhlelo lwe-Obamacare olukwaze kuze kube manje ukushintsha isimo sabantu abangavikelekile baseMelika abangaba yingxenye eyodwa kwezintathu. Izingxenye zemali ka-Obamacare engaba yizigidi ezingu-4.5 ezikhokhelwe umshwalense kuzodingeka zibuyiselwe kulo nyaka. Wenza uhlu lwezimbalwa zazo, eqala ngezindleko ezintsha ezivela kwabanikezeli - kuhlanganise nabantu abashintshe imisebenzi - kanye ne-Medicaid kanye nemakethe yomuntu ngamunye engaphandle kwemakethe ye- Obamacare. Umbuzo wokuthi bangaki abathengi baseMelika abaye bathola umshuwalense wezokwelapha ngokusebenzisa izimakethe ze-Obamacare ngokwazo uye waba iphuzu eliqinile empini eqhubekayo yezombusazwe mayelana nomthetho ophikisanayo. I-HHS ibike ngoMsombuluko ukuthi abantu abadala abayizigidi ezingu-14.1 bathole umshuwalense wezempilo kusukela kwaqala ukubhaliswa okuvulekile ngo-Okthoba, 2013. Abanye abantu abadala abasebasha abayizigidi ezingu-2,3 abaneminyaka engaphansi kwengu-26 ubudala bathola umshuwalense ngokusebenzisa izinqubomgomo zabazali babo, okuyindlela ababengayitholi ngaphambili. Umqondisi weHHS Office of Health Reform uDkt. Meena Seshamani uphakamise izinombolo ezintsha ze-Obamacare kodwa akazange asho ukuthi bangaki abantu asebevikelwe ngenxa yemakethe yomthetho. Kodwa ukulinganisela kweCBO ngoJanuwari kwathi iMedicaid, inzuzo ekhokhelwa abakhokhi bentela yabampofu,...  <response>: Izinga labantu abangenawo umshwalense liye lehla lisuka kumaphesenti angu-20.3 laya kumaphesenti angu-13.2 kusukela ngo-Okthoba 2013 lapho u-Obamacare eqala ukubhalisa. UMongameli u-Obama wenza umkhankaso ngesithembiso somthetho womshuwalense wezempilo ozohlanganisa wonke umuntu waseMelika Isazi se-HHS savuma ukuthi umuntu osanda kuvikeleka wayengathola umshwalense nganoma iyiphi yezindlela eziningana I-White House ithatha udumo ngomshuwalense omusha abantu baseMelika abazitholela wona, noma abazitholela wona ngabaqashi babo, ibafaka enanini eliphelele. 