
daatrutva samrakshana

samyukta rashtraalalo, swachchanda seva anedi takkuva aadaaya rogulaku uchitamgaa ledhaa takkuva dharalaku andinche aarogya samrakshana. swachchanda sevalanu andinche vaidyula saatam 1996-97 loe 76 saatam nundi 2004-2005 loe 68 saataaniki padipoyindi. ksheenataku sambhaavya kaaranaalalo vaidyula abhyasa vidhanalalo maarpulu mariyu perugutunna aardhika ottillu unnaayi. 2006loe, aneka aasupatrulu swachchanda samrakshana andubaatulo undani rogulaku teliyajeyaledani senate parisoedhakulu kanugonnaru. konni laabhaapekshaleni aasupatrulu konni laabhaapekshaleni aasupatrula maadirigaane swachchanda samrakshananu andinchaayi. laabhaapekshaleni aasupatrulu aarogya beema unna rogula kante paedha, beema cheyani rogulaku ekkuva chaarjeelu vasoolu chestunnayani parisoedhakulu kanugonnaru. laabhaapekshaleni hodaanu konasaginchalanukunte aasupatrulu kontha swachchanda samrakshananu andinchaali.
oka anchanaa prakaram 2004 samvatsaraaniki nashtapariharam laeni samrakshana kharchu $41 biliyanlu, indulo $34.6 biliyanlu prabhutva kaaryakramaala dwara nidhulu samakuurchabaddaayi. pariharam laeni samrakshana kosam mottam prabhutva tirigi chellimpuloo sagaaniki paiga samakhya prabhutvam nundi vastundi; andulo ekkuva bhaagam medicare mariyu mediquide dwara andinchabadutundi. beema cheyani vaariki sevalu andinche aarogya samrakshana pradaatalaku eee samakhya nidhulu praathamika maddatu vanarugaa unnaayi. beema cheyani rogulu mariyu vaidya labdhidaarulache uchita mariyu takkuva kharchutho kuudina aarogya samrakshana sevalaku perugutunna demand, perigina pootiitoe paatu, bhadrata-nikara aarogya samrakshana pradaatalapai perugutunna aardhika ottidini kaligistondi. kontamandi safety-nett providerlu tama swachchanda samrakshana bahirgataanni parimitam cheyadaaniki mariyu ekkuva chellimpu viniyogadaarulanu aakarshinchadaaniki prayatninchadam dwara pratispandistunnaaru.
swachchanda samrakshana kosam rashtra tirigi chellimpu.
newjersey rashtram aasupatrulu mariyu itara aarogya samrakshana samsthalaku tirigi chellimpulanu andinche karyakramanni kaligi undhi, idhi private aarogya beema laeni rogulaku pariharam laeni ledhaa takkuva pariharam ichhe aarogya samrakshananu andistundi, vaari aadaayam nirdishta mottam kante takkuvagaa untundi, conny vaariki arhata pondadaaniki chaalaa ekkuva vaidya sahayam mariyu vaidya samrakshanaku arhata pondenta vayassu ledhu (newjersey paristhiti american rashtraalalo kontha asaadhaaranamainadi, raashtramlo county ledhaa munisipal aasupatrulu laevu).
eee pathakam beema cheyani rashtra nivaasitulaku uchita aarogya samrakshananu andistundi, vaari aadaayam samakhya niyaminchina pedarika rekhaku 200% varaku untundi, mariyu pedarika rekhaku chendina 200% mariyu 300% madhya aadaayaala vadda kramamga tagginche taggimpulanu andistundi; roogi yokka drava aastulu (roogi illu mariyu oka automobile thoo sahaa) $7,500 kuu minchakudadu. alaage, paina perkonna pramaanaala prakaram sahayam kosam arhata saadhinchina yea vyakti ayina oke samvatsaramlo aaa roogi sthuula aadaayamlo 30 saatam varaku baadhyata vahinchavachhu. aarogya samrakshana pradaataku-idhi inpatient ledhaa out patient sevalanu andinchi undavacchu-vartinche kharchulo vyatyaasaaniki pariharam chellinchadaaniki oka pratyeka nidhini roopondinchaaru. ayithe, eee sevalanu andinchadaaniki newjersey aasupatrulaku vaari kharchu kante takkuva chaaritii samrakshana kosam tirigi chellistaaru, idhi gatha rendu samvatsaraalalo raashtramlo tommidi aasupatrulu moosiveyabaddaayi mariyu maroe aaru diwala kosam daakhalu chesinatlu newjersey hospital association telipindi.
itara raashtraalloni konni private aarogya samrakshana pradaatalu-mukhyamgaa laabhaapekshaleni praatipadikana (tarachugaa mataparamaina samsthala dwara) nirvahinchabadutunnavi-beema cheyani rogulaku uchita mariyu/ledhaa takkuva kharchutho kuudina aarogya samrakshananu kooda andistaayi, newjerseylo rashtravyaaptamgaa gamaninchina aadaaya parimitulanu upayogistaayi; ayithe, edainaa unte, tirigi chellimpu (saadhaaranamgaa pannu creditla roopamlo) samstha andukuntundi (mariyu newjerseetho paatu maroka raashtramlo-washington-swachchanda samrakshananu andinchadaaniki puurti aadesam undhi) anedaanipai rashtra chattalu vistrutamgaa maarutuu untaayi. bahusha atuvanti samsthaku atyanta prasiddha udaaharana 1732loe sthaapinchabadina nyuu orleans yokka swachchanda aasupatri, ippudu katrina tuphaanu kaaranamgaa moosiveyabadina louisiana vaidya kendranche nirvahinchabadutondi.
2007loe washington raashtramloni community aasupatrulu takkuva aadaaya vyaktulaku uchita mariyu takkuva kharchutho kuudina samrakshananu andinchadaaniki ekareeti pramaanaalaku angeekarinchaayi. kotta pramaanaalu padhi community aasupatrulalo naalugu kosam ippatike unna paddhati kante takkuva udaaramgaa unnaayi, conny ippatike unna rashtra chattam kante balamgaa unnaayi. samakhya pedarikam sthaayi kante takkuva aadaayam unna kutumbaalaku samrakshana uchitam. samakhya pedarika sthaayi rogulu okati nundi rendu retlu kharchutho samrakshananu konugolu cheyavachu; beema cheyani rogulaku sagatu beema chesina roogi chellinche daanikante rendu nundi moodu retlu ekkuva vasoolu cheyabadadu.