<prompt> Fingqa isihloko: I - U.S. ingase ibhekane nokuntuleka kodokotela abangu - 90 000 ngo - 2025 njengoba ilwela ukubhekana nabantu asebekhulile, abagula ngokwengeziwe kanye nesidingo esandayo esivela ku - Obamacare, kuxwayise umbiko omusha. Isidingo esiphuthumayo sodokotela, ikakhulukazi odokotela abahlinzayo abalapha izifo ezivamile kubantu asebekhulile, ezinjengomdlavuza, sembulwe yiNhlangano Yamakolishi Ezokwelapha AseMelika ngoLwesibili. Ukuntuleka kodokotela kungokoqobo - kubalulekile - futhi kubaluleke kakhulu ngohlobo lokunakekelwa kwezokwelapha okuzodingeka kubantu bethu asebekhulile, kusho uDarrell G. Kirch, oyi-CEO nomongameli we-AAMC, emele izikole zezokwelapha nezibhedlela ezifundisa ezweni lonke. Embikweni wayo wango-2015, le nhlangano yathola ukuthi nakuba inani lodokotela lizokhula kusukela manje kuya ku-2015, isidingo sezinsizakalo zodokotela sizokhula ngokushesha kunalokhu kunikezwa. Umzabalazo: Igrafu ibonisa isidingo esibikezelwe sodokotela uma siqhathaniswa nokunikezwa okubikezelwe phakathi kuka-2013 no-2015. Isidingo sibonga i-Affordable Care Act ACA kanye nemitholampilo yokudayisa, phakathi kwezinye izinto. Inkinga: Ukuntuleka okukhulu kuzoba kodokotela abahlinzayo, ikakhulukazi labo abalapha izifo kubantu asebekhulile. Kulindeleke ukuba inani lodokotela likhule ngamaphesenti angu-9 eminyakeni eyishumi ezayo, kodwa isidingo sezinsizakalo zokunakekelwa kwezempilo singakhula ngamaphesenti angu-17. Labikezela ukuthi kungase kube nokuntuleka kodokotela abaphakathi kuka-46 100 no-90 400 esikhathini esiyiminyaka eyi-10 futhi, kulaba, kungase kube nokuntuleka kodokotela abangaba ngu-63 700 abangebona abezokwelapha. Lo mbiko waphawula nokuthi lokhu kucatshangelwa nendlela imitholampilo yokudayisa kanye nezikhungo zeziguli ezingaphandle eziphendukela ngayo kakhulu kubahlengikazi abaqeqeshiwe, abasizi kodokotela kanye nabanye ochwepheshe esikhundleni sodokotela. Lapho ibheka imbangela yalokhu kwanda kwesidingo, le nhlangano yaphawula ukwanda kokuphila kwabantu. UKirch watshela iWashington Post: Abantu asebekhulile, abagulayo, kanye nabantu abaphila isikhathi eside abanezifo ezingamahlalakhona, ezinjengomdlavuza, kuyisizathu sokwanda kwesidingo. Inani labantu abaneminyaka engaphezu kwengu - 65 ubudala liyokhuphuka ngamaphesenti angu - 40...  <response>: I-Association of American Medical Colleges ixwayise ngokuthi kungahle kube nokushoda kodokotela abaphakathi kuka - 46 100 no - 90 400 ngo - 2025. Ikakhulukazi, kuyoba nesidingo sodokotela abahlinzayo abalapha izifo ezivamile kubantu asebekhulile, ezinjengomdlavuza. Ukwanda kwesidingo kungenxa yezici ezihlanganisa abantu asebekhulile, abagulayo kanye nokuqaliswa koMthetho Wokunakekelwa Kwezokwelapha Okungabizi. I - AAMC yacela uhulumeni ukuba atshale imali eyizigidi eziyinkulungwane zamaRandi ngonyaka ukuze kuqeqeshwe abafundi abangu - 3 000 ezikoleni zobudokotela. 