The watsopano yachibadwa chuma makamaka chuma China walowa msinkhu wina wa chitukuko pa mlingo wokwererapo. Mwachidziwitso, zotsatirazi zikusiyana: Choyamba, mlingo wa kukula kwachuma. Kuti ndi olakwika kuchokera pachiyambi kukula yaitali kuti siteji kuchulukana kwa lachiwiri ndi kupititsa patsogolo khalidwe la vuto la zachuma. Ndiko kuti, kuloza ku miyambo yaikulu zachuma dzuwa lonse tima chuma, khalidwe chachikulu kwambiri kutukula akupitiriza bwino; Chachitatu, chuma structural kukhathamiritsa ndi kukulitsa. Kuuza dongosolo, dongosolo mafakitale, m'tawuni-kumidzi dongosolo mfundo za kapangidwe ndi nyumba zachuma akukumana kusintha ndi kusintha, mitundu yonse konza kapangidwe zachuma ndi kulivomereza; kupambana Chachinayi, phindu zachuma anawonjezera. Market chuma zikutanthauza mosalekeza kusintha wolingalira chitumbuwa zachuma zazikulu, kotero kuti anthu ambiri kugawana zipatso za chitukuko chuma tanthauzo nthanzi; Chachisanu, vuto la zachuma kukana ukuwonjezeka. Yaitali citukuko kumabweretsa kuwonongeka kwa chilengedwe, kutsutsana chikhalidwe, inapita kukalamba, anthu akumidzi wotopa ndi kuyenda kuchuluka kwa anthu ndi mndandanda wa mavuto a zachuma ndi chikhalidwe adzakhala mukulepheretsa zachuma. Mbali zazikulu za latsopano zinthu zachilendo chuma China wa kasamalidwe thanzi malonda kunathandiza kwambiri, monga latsopano chuma yachibadwa amafuna makampani kuganizira zachipatala ubwino ndi anthu onse maka- ntchito kasamalidwe thanzi kufikira anthu ambiri ndi m'tawuni ndi kumidzi yafupika lopeza Kufunika kofulumira kudzutsa chidziwitso cha thanzi la anthu.

Zomwe Zimagwiritsidwa Ntchito pa Kuletsa Katundu wa Medicare

Kukhazikitsa okwana yolipiriratu kwambiri kuchepetsa miyambo kwambiri zachipatala, ulamuliro zaumoyo ndalama-chidacho. Komabe, chiwerengero cha yolipiriratu palinso kuipa, mwa mawu a ogwira ntchito zaumoyo, makamaka ngati chopambanitsa okhwima chonse kulamulira muzingochita chitukuko ndi kusintha mlingo luso la zachipatala, losavuta kwambiri okwana kulamulira chopinga mpikisano wololera mwa dongosolo zaumoyo, kuchepetsa Zogwira ntchito Chifukwa prepay chiwerengero cha inshuwalansi, zipatala ndi madokotala mwina chifukwa tiganizira zachuma osati kuchipatala kufunika kopanga zisankho m'maganizo, ngakhale ndalama zawo m'malo Medicare mankhwala mankhwala. Komanso, chiwerengero yolipiriratu dongosolo kukhazikitsa, mtengo overruns Kuvutitsa boma zipatala ndi madokotala, bwanji akupeza ndodo zachipatala, khalidwe la utumiki ndi zingachititse kuti yafupika Mwachangu ndi ngakhale zinthu chitetezo anakankhira mzinda nyambo odwala amaoneka.

Medicare malipiro kusintha ndi kusintha zovuta dongosolo inshuwalansi zachipatala, ngakhale chiwerengero cha dongosolo yolipiriratu angathandize kuchepetsa kukula kwambiri lotuluka zachipatala, koma zipani ayenera mwakhama kufufuza zovuta pansi malipiro okwana yolipiriratu, ya ping Heng kufunika leni okwana zizindikiro kulamulira ndi mabungwe zachipatala Chiyanjano. Total ndalama Medicare zaumoyo lolamulidwa kasamalidwe pakati kuchipatala sikuti kuchepetsa ndalama, koma chiyembekezo kubweretsa ubwino chithandizo, konza makhalidwe zachipatala, ndalama zaumoyo kukwaniritsa kasamalidwe chabwino.

Mwachidule, chipatala mu dongosolo okwana yolipiriratu, kudzera chitukuko cha kukhazikitsa njira yeniyeni, kwambiri kuchepetsa kuchuluka lolingana ndalama kuchipatala. Kukhazikitsa onse a Medicare malipiro oyembekezera, kuchipatala anatengera ngozi kugawana njira, ali mbali yofunika kulamulira kukula kwambiri lotuluka zachipatala.