Ñïèñîê ôîðóìîâ ×àñòíàÿ ìåäèöèíà è ðåôîðìà çäðàâîîõðàíåíèÿ Óêðàèíû ×àñòíàÿ ìåäèöèíà è ðåôîðìà çäðàâîîõðàíåíèÿ Óêðàèíû
Ôîðóì ïîñâÿù¸í âîïðîñàì ðàçâèòèÿ â Óêðàèíå ÷àñòíîé ìåäèöèíñêîé ïðàêòèêè
 
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 RSSRSS   ÏðîôèëüÏðîôèëü   Âîéòè è ïðîâåðèòü ëè÷íûå ñîîáùåíèÿÂîéòè è ïðîâåðèòü ëè÷íûå ñîîáùåíèÿ   ÂõîäÂõîä 

Îáàìà îçâó÷èâ îñíîâè ðåôîðìè ìåäè÷íî¿ ãàëóç³
Íà ñòðàíèöó 1, 2  Ñëåä.
 
Íà÷àòü íîâóþ òåìó   Îòâåòèòü íà òåìó    Ñïèñîê ôîðóìîâ ×àñòíàÿ ìåäèöèíà è ðåôîðìà çäðàâîîõðàíåíèÿ Óêðàèíû -> Ðåôîðìà çà ðóáåæîì
Ïðåäûäóùàÿ òåìà :: Ñëåäóþùàÿ òåìà  
Àâòîð Ñîîáùåíèå
AndreyN



Çàðåãèñòðèðîâàí: 09.09.2008
Ñîîáùåíèÿ: 1380
Îòêóäà: Kiev, UKRAINE

Ñîîáùåíèå: #1   ÑîîáùåíèåÄîáàâëåíî: ×ò Ìàé 14, 2009 3:59 pm    Çàãîëîâîê ñîîáùåíèÿ: Îáàìà îçâó÷èâ îñíîâè ðåôîðìè ìåäè÷íî¿ ãàëóç³ Îòâåòèòü ñ öèòàòîé

Îáàìà îçâó÷èâ îñíîâè ðåôîðìè ìåäè÷íî¿ ãàëóç³
Òåòÿíà Âîðîæêî
Âàøèíãòîí
13/05/2009

Ðåôîðìà ñèñòåìè îõîðîíè çäîðîâ`ÿ áóëà îäí³ºþ ç öåíòðàëüíèõ òåì ïåðåäâèáîð÷î¿ êàìïàí³¿ Áàðàêà Îáàìè. Ó ïîíåä³ëîê ó Á³ëîìó äîì³ â³äáóëàñÿ çóñòð³÷ îñíîâíèõ ãðàâö³â ãàëóç³ – ïðåäñòàâíèê³â ë³êàð³â, ìåäè÷íèõ çàêëàä³â, êîìïàí³é ç âèðîáíèöòâà ìåäèêàìåíò³â, ñòðàõîâèõ êîìïàí³é òà ïðîôñï³ëîê – ³ç ïðåçèäåíòîì Áàðàêîì Îáàìîþ.  ðåçóëüòàò³ çóñòð³÷³ âîíè ïîîá³öÿëè ïî÷àòè çìåíøóâàòè ö³íè íà ñâî¿ ïîñëóãè.

²ñòîðè÷íîþ íàçâàâ ïðåçèäåíò Îáàìà îá³öÿíêó ïðåäñòàâíèê³â ìåäè÷íî¿ ãàëóç³ ïî÷àòè çìåíøóâàòè ö³íè íà âëàñí³ ïîñëóãè íà ï³âòîðà â³äñîòêà ùîð³÷íî ïðîòÿãîì íàñòóïíèõ äåñÿòè ðîê³â. Òàêèì ÷èíîì ìຠáóòè äîñÿãíóòî åêîíî쳿 â äâà òðèëüéîíè äîëàð³â. Ïðåçèäåíò Îáàìà çàÿâèâ:

«Âîíè òóò, òîìó ùî ðîçóì³þòü îäèí ïåðåêîíëèâèé ôàêò: ó ñôåð³ âàðòîñò³ ìåäè÷íèõ ïîñëóã ìè íà øëÿõó, ÿêèì íå ìîæíà äàë³ ðóõàòèñÿ ³ ÿêèé çàãðîæóº ô³íàíñîâ³é ñòàá³ëüíîñò³ ðîäèí, ï³äïðèºìñòâ òà ñàìîãî óðÿäó».

Ïðåäñòàâíèêè ìåäè÷íî¿ ãàëóç³ çàÿâèëè, ùî åêîíîìèòè âîíè áóäóòü çà ðàõóíîê ï³äâèùåííÿ åôåêòèâíîñò³ àäì³í³ñòðóâàííÿ òà âèêîðèñòàííÿ íîâ³øèõ òåõíîëîã³é. À òàêîæ áóäóòü ô³íàíñîâî çàîõî÷óâàòè ìåäèê³â êåðóâàòèñÿ ñâî¿ìè óñï³õàìè â ë³êóâàíí³, à íå ê³ëüê³ñòþ äí³â, ùî ïàö³ºíò ïðîâîäèòü ó ë³êàðí³.

Äèðåêòîð Äåïàðòàìåíòó ìåíåäæìåíòó òà áþäæåòó ϳòåð Îðñà´ çàÿâèâ: «Ìè ïðîñòî âïàäåìî ó áåçîäíþ, ÿêùî íå çàïðîâàäèìî öèõ çì³í».

Ðåôîðìà ìຠäîïîìîãòè àìåðèêàíöÿì, ÿê³ âçàãàë³ íå ìàþòü, àáî ìàþòü íåïîâíå ìåäè÷íå ñòðàõóâàííÿ íà ìåäè÷í³ ïîñëóãè, ÿê ó âèïàäêó Äæóäèò òà Äàí³åëÿ Ðóññî, ÿê³ êàæóòü, ùî âèòðà÷àþòü íà ìåäè÷í³ ïîñëóãè âñå, ùî çàîùàäèëè íà ïåíñ³þ.

Âò³ì, íå âñ³ áà÷àòü â öüîìó êðîö³ ïðåäñòàâíèê³â ìåäè÷íî¿ ãàëóç³ âèêëþ÷íî äîáðó âîëþ, íà ùî âêàçóº ðåäàêòîð ìåäè÷íèõ íîâèí òåëåêàíàëó Åé-Á³-ѳ äîêòîð Òèìîò³ Äæîíñîí:

«Âîíè õî÷óòü ðóõàòèñÿ ç³ çì³íàìè, à íå çàëèøàòèñÿ îñòîðîíü. Òåïåð âîíè íàìàãàþòüñÿ ïîáóäóâàòè ïîë³òè÷íó âîëþ ó ïîäàëüø³é áîðîòüá³ ïðîòè ðåôîðìè ñèñòåìè îõîðîíè çäîðîâ`ÿ».

Á³ëèé ä³ì ñïîä³âàºòüñÿ, ùî ùå äî ñåðïíåâèõ êàí³êóë Êîíãðåñ ïðîãîëîñóº çà ïëàí àäì³í³ñòðàö³¿ ç ðåôîðìè ñèñòåìè îõîðîíè çäîðîâ`ÿ.
Âåðíóòüñÿ ê íà÷àëó
Ïîñìîòðåòü ïðîôèëü Îòïðàâèòü ëè÷íîå ñîîáùåíèå Ïîñåòèòü ñàéò àâòîðà
HOUSE MD



Çàðåãèñòðèðîâàí: 11.07.2009
Ñîîáùåíèÿ: 102

Ñîîáùåíèå: #2   ÑîîáùåíèåÄîáàâëåíî: Âò Èþë 14, 2009 10:27 am    Çàãîëîâîê ñîîáùåíèÿ: Îòâåòèòü ñ öèòàòîé

ÑØÀ íàïåâíî ºäèíà êðà¿íà â ðîçâèíåíîìó ñâ³ò³, ÿêà íå ìຠñèñòåìè îõîðîíè çäîðîâÿ.  íèõ ³ñíóº ò³ëüêè ïëàòíà ìåäèöèíà ³ äîáðîâ³ëüíå ñòðàõóâàííÿ.  òîé æå ÷àñ âèäàòêè íà îäíîãî æèòåëÿ â 2 ðàçè ïåðåâèùóþòü òàê³ æ â ªÑ. 10 % íàñåëåííÿ ÑØÀ íå ìàþòü ìåäè÷íî¿ ñòðàõîâêè (ïðè 5% áåçðîá³òíèõ). Çãàäàéòå áóäü ÿêèé ¿õí³é ô³ëüì íà ìåäè÷íó òåìàòèêó: ïåðøå çàïèòàííÿ â êë³í³ö³ - Âè ìàºòå ñòðàõîâêó ?
Ðåôîðìó õîò³â ïðîâåñòè ùå Êë³íòîí. Àëå â íüîãî í³÷îãî íå âèéøëî - ôàðìëîá³ íå äîïóñòèëî çìåíøåííÿ ñâî¿õ ïðèáóòê³â. Äóìàþ, òàê áóäå ³ íà öåé ðàç.

_________________
Ëþäè ëãóò. © Äîêòîð Õàóñ
Âåðíóòüñÿ ê íà÷àëó
Ïîñìîòðåòü ïðîôèëü Îòïðàâèòü ëè÷íîå ñîîáùåíèå Ïîñåòèòü ñàéò àâòîðà
AndreyN



Çàðåãèñòðèðîâàí: 09.09.2008
Ñîîáùåíèÿ: 1380
Îòêóäà: Kiev, UKRAINE

Ñîîáùåíèå: #3   ÑîîáùåíèåÄîáàâëåíî: Ïí Èþë 20, 2009 9:42 am    Çàãîëîâîê ñîîáùåíèÿ: Îòâåòèòü ñ öèòàòîé

Áàðàê Îáàìà : Ðåôîðìà Çäðàâîîõðàíåíèÿ íå ìîæåò æäàòü
19.07.2009 | 12:19

Right now in Washington, our Senate and House of Representatives are both debating proposals for health insurance reform. Today, I want to speak with you about the stakes of this debate, for our people and for the future of our nation.

This is an issue that affects the health and financial well-being of every single American and the stability of our entire economy.

It’s about every family unable to keep up with soaring out of pocket costs and premiums rising three times faster than wages. Every worker afraid of losing health insurance if they lose their job, or change jobs. Everyone who’s worried that they may not be able to get insurance or change insurance if someone in their family has a pre-existing condition.

It’s about a woman in Colorado who told us that when she was diagnosed with breast cancer, her insurance company – the one she’d paid over $700 a month to – refused to pay for her treatment. She had to use up her retirement funds to save her own life.

It’s about a man from Maryland who sent us his story – a middle class college graduate whose health insurance expired when he changed jobs. During that time, he needed emergency surgery, and woke up $10,000 in debt – debt that has left him unable to save, buy a home, or make a career change.

It’s about every business forced to shut their doors, or shed jobs, or ship them overseas. It’s about state governments overwhelmed by Medicaid, federal budgets consumed by Medicare, and deficits piling higher year after year.

This is the status quo. This is the system we have today. This is what the debate in Congress is all about: Whether we’ll keep talking and tinkering and letting this problem fester as more families and businesses go under, and more Americans lose their coverage. Or whether we’ll seize this opportunity – one we might not have again for generations – and finally pass health insurance reform this year, in 2009.

Now we know there are those who will oppose reform no matter what. We know the same special interests and their agents in Congress will make the same old arguments, and use the same scare tactics that have stopped reform before because they profit from this relentless escalation in health care costs. And I know that once you’ve seen enough ads and heard enough people yelling on TV, you might begin to wonder whether there’s a grain of truth to what they’re saying. So let me take a moment to answer a few of their arguments.

First, the same folks who controlled the White House and Congress for the past eight years as we ran up record deficits will argue – believe it or not – that health reform will lead to record deficits. That’s simply not true. Our proposals cut hundreds of billions of dollars in unnecessary spending and unwarranted giveaways to insurance companies in Medicare and Medicaid. They change incentives so providers will give patients the best care, not just the most expensive care, which will mean big savings over time. And we have urged Congress to include a proposal for a standing commission of doctors and medical experts to oversee cost-saving measures.

I want to be very clear: I will not sign on to any health plan that adds to our deficits over the next decade. And by helping improve quality and efficiency, the reforms we make will help bring our deficits under control in the long-term.

Those who oppose reform will also tell you that under our plan, you won’t get to choose your doctor – that some bureaucrat will choose for you. That’s also not true. Michelle and I don’t want anyone telling us who our family’s doctor should be – and no one should decide that for you either. Under our proposals, if you like your doctor, you keep your doctor. If you like your current insurance, you keep that insurance. Period, end of story.

Finally, opponents of health reform warn that this is all some big plot for socialized medicine or government-run health care with long lines and rationed care. That’s not true either. I don’t believe that government can or should run health care. But I also don’t think insurance companies should have free reign to do as they please.

That’s why any plan I sign must include an insurance exchange: a one-stop shopping marketplace where you can compare the benefits, cost and track records of a variety of plans – including a public option to increase competition and keep insurance companies honest – and choose what’s best for your family. And that’s why we’ll put an end to the worst practices of the insurance industry: no more yearly caps or lifetime caps; no more denying people care because of pre-existing conditions; and no more dropping people from a plan when they get too sick. No longer will you be without health insurance, even if you lose your job or change jobs.

The good news is that people who know the system best are rallying to the cause of change. Just this past week, the American Nurses Association, representing millions of nurses across America, and the American Medical Association, representing doctors across our nation, announced their support because they’ve seen first-hand the need for health insurance reform.

They know we cannot continue to cling to health industry practices that are bankrupting families, and undermining American businesses, large and small. They know we cannot let special interests and partisan politics stand in the way of reform – not this time around.

The opponents of health insurance reform would have us do nothing. But think about what doing nothing, in the face of ever increasing costs, will do to you and your family.

So today, I am urging the House and the Senate, Democrats and Republicans, to seize this opportunity, and vote for reform that gives the American people the best care at the lowest cost; that reins in insurance companies, strengthens businesses and finally gives families the choices they need and the security they deserve.

Thanks.

http://echo.msk.ru/blog/obama/606623-echo/
Âåðíóòüñÿ ê íà÷àëó
Ïîñìîòðåòü ïðîôèëü Îòïðàâèòü ëè÷íîå ñîîáùåíèå Ïîñåòèòü ñàéò àâòîðà
Chief



Çàðåãèñòðèðîâàí: 30.06.2009
Ñîîáùåíèÿ: 174
Îòêóäà: ʳðîâîãðàä

Ñîîáùåíèå: #4   ÑîîáùåíèåÄîáàâëåíî: Âò Èþë 21, 2009 4:02 pm    Çàãîëîâîê ñîîáùåíèÿ: Îòâåòèòü ñ öèòàòîé

AndreyN ïèñàë(à):
It’s about a woman in Colorado who told us that when she was diagnosed with breast cancer, her insurance company – the one she’d paid over $700 a month to – refused to pay for her treatment. She had to use up her retirement funds to save her own life.

Ïî÷åìó ÑÊ ñìîãëà îòêàçàòü â îïëàòå ëå÷åíèÿ?
Ïîêà îíè íå óñòðàíÿò ïðè÷èíó âîçíèêíîâåíèÿ ó ÑÊ òàêîãî æåëàíèÿ (íå ïóòàòü ñ âîçìîæíîñòüþ), îíè âå÷íî áóäóò áîðîòüñÿ ñî ñëåäñòâèÿìè ýòîãî. È â êàæäîé èõ íîâîé çàùèòíîé êîíñòðóêöèè, ýòè ñëåäñòâèÿ áóäóò âñåãäà “èíòåðåñíåé” è “èçûñêàííåé”.
Âåðíóòüñÿ ê íà÷àëó
Ïîñìîòðåòü ïðîôèëü Îòïðàâèòü ëè÷íîå ñîîáùåíèå
AndreyN



Çàðåãèñòðèðîâàí: 09.09.2008
Ñîîáùåíèÿ: 1380
Îòêóäà: Kiev, UKRAINE

Ñîîáùåíèå: #5   ÑîîáùåíèåÄîáàâëåíî: Ñð Àâã 19, 2009 2:00 pm    Çàãîëîâîê ñîîáùåíèÿ: Îòâåòèòü ñ öèòàòîé

Êîãäà õèðóðãè èãðàþò â äîìèíî

17.08.2009 16:41
Âëàäèìèð Àáàðèíîâ (Âàøèíãòîí)

 ïðîøëîì ìåñÿöå ãðóïïà àìåðèêàíñêèõ õèðóðãîâ âî ãëàâå ñ äîêòîðîì Ðîáåðòîì Ìîíòãîìåðè ïðîâåëà ðåêîðäíóþ ïî ÷èñëó ïàöèåíòîâ îïåðàöèþ ïåðåñàäêè ïî÷åê. Èç-çà òêàíåâîé íåñîâìåñòèìîñòè âðà÷àì ïðèõîäèòñÿ ôîðìèðîâàòü äëèííûå öåïî÷êè äîíîðîâ è ðåöèïèåíòîâ. Òàêèå ãðóïïîâûå îïåðàöèè â Àìåðèêå íàçûâàþòñÿ òðàíñïëàíòàöèè-äîìèíî.  äàííîì ñëó÷àå â ïåðåñàäêå ó÷àñòâîâàëè âîñåìü äîíîðîâ è âîñåìü ðåöèïèåíòîâ â ÷åòûðåõ øòàòàõ. Îïåðàöèÿ äëèëàñü òðè íåäåëè. Îðãàíû ïåðåâîçèëèñü ñàìîëåòàìè. Âñå ïàöèåíòû æèâû, ÷óâñòâóþò ñåáÿ õîðîøî.

Ýòî âñåãî îäèí ïðèìåð ôàíòàñòè÷åñêèõ óñïåõîâ àìåðèêàíñêîé ìåäèöèíû. Íî è ñòîèò òàêàÿ ìåäèöèíà çàïðåäåëüíî äîðîãî.  ÑØÀ äîíîðñêèå îðãàíû íå ïðîäàþòñÿ – èõ æåðòâóþò èñêëþ÷èòåëüíî íà áåçâîçìåçäíîé îñíîâå. Íî îïåðàöèîííûå, ñàìîëåòû, òðóä õèðóðãîâ... Ñåðüåçíàÿ áîëåçíü ñïîñîáíà ïóñòèòü ïî ìèðó äàæå ñîñòîÿòåëüíîãî ÷åëîâåêà.

Åñëè áû âûðàæåíèå íå áûëî ñòîëü çàòàñêàííûì, ýòó êîëîíêó ñëåäîâàëî áû îçàãëàâèòü "Æàðêîå ëåòî 2009-ãî". Àòìîñôåðà ïîëèòè÷åñêîé äèñêóññèè â ÑØÀ, íåñìîòðÿ íà âðåìÿ îòïóñêîâ è êàíèêóë, ðàñêàëèëàñü äî ïðåäåëà. Òðàäèöèîííûå âñòðå÷è ÷ëåíîâ Êîíãðåññà ñ èçáèðàòåëÿìè ïðîõîäÿò íà ïîâûøåííûõ è äàæå èñòåðè÷åñêèõ òîíàõ. Îïïîíåíòû îáìåíèâàþòñÿ ãîëîñëîâíûìè îáâèíåíèÿìè, êîòîðûå òîò÷àñ îïðîâåðãàþòñÿ. Òàêîå âïå÷àòëåíèå, ÷òî óæå íà÷àëàñü èçáèðàòåëüíàÿ êàìïàíèÿ â Êîíãðåññ. Î÷åíü ìîæåò áûòü, ÷òî è íà÷àëàñü.

Ñòðàñòè êèïÿò âîêðóã ðåôîðìû çäðàâîîõðàíåíèÿ, êîòîðóþ çàòåÿë ïðåçèäåíò Îáàìà. Äëÿ íåãî ýòî âîïðîñ ïðèíöèïèëüíûé. Îí ïðèøåë â Áåëûé äîì êàê ïîáîðíèê ñîöèàëüíîé ñïðàâåäëèâîñòè. Êàæäûé øåñòîé àìåðèêàíåö ñåãîäíÿ íå èìååò ìåäèöèíñêîé ñòðàõîâêè. Ýòî íåñïðàâåäëèâî. Íèêòî èç ìàëîèìóùèõ, êîíå÷íî, íå óìèðàåò ïîä çàáîðîì – â ýêñòðåííûõ ñëó÷àÿõ åãî ëå÷àò, íî ïëàòÿò çà ýòî ëå÷åíèå îñòàëüíûå ïÿòåðî: ñêðûòûé íàëîã âêëþ÷åí â ñòîèìîñòü èõ ñòðàõîâêè. Ýòî òîæå íåñïðàâåäëèâî.

Ñî çäðàâîîõðàíåíèåì íàäî ÷òî-òî äåëàòü – ñ ýòèì íèêòî íå ñïîðèò. ×òî èìåííî - âîò â ÷åì âîïðîñ. Ëþäè îïàñàþòñÿ ïîòåðÿòü òî, ÷òî èìåþò. Ñëîâîñî÷åòàíèå "ãîñóäàðñòâåííîå çäðàâîîõðàíåíèå" äëÿ ìíîãèõ ðàâíîçíà÷íî ñëîâó "ñîöèàëèçì". Ïðèìåðû Êàíàäû, Ôðàíöèè, Ãåðìàíèè íå óáåæäàþò – òàì äðóãàÿ ïîëèòè÷åñêàÿ ñèñòåìà, íàöèîíàëüíûé êîíñåíñóñ äîñòèãàåòñÿ èíà÷å. Ïî÷åìó äåìîêðàòû ïðîâîäÿò ïëàí Îáàìû íà áåçàëüòåðíàòèâíîé îñíîâå? Êóäà ïîäåâàëñÿ ïëàí Õèëëàðè Êëèíòîí?

Ñåãîäíÿ óæå íèêòî íå âåðèò ðîññêàçíÿì î òîì, ÷òî íàðîäíàÿ îïïîçèöèÿ ðåôîðìå èíñïèðèðîâàíà, îðãàíèçîâàíà è îïëà÷åíà ðåñïóáëèêàíöàìè è ñòðàõîâûì áèçíåñîì. Ñîãëàñíî îïðîñó ñëóæáû Gallup, 35 ïðîöåíòîâ èçáèðàòåëåé áóäóò ðåêîìåíäîâàòü ñâîèì çàêîíîäàòåëÿì ãîëîñîâàòü çà ïëàí Îáàìû, 36 äàäóò ïðîòèâîïîëîæíóþ ðåêîìåíäàöèþ, à 29 åùå íå ðåøèëè. 49 ïðîöåíòîâ àìåðèêàíöåâ íå îäîáðÿþò ìåòîäû, êîòîðûìè àäìèíèñòðàöèÿ è äåìîêðàòè÷åñêîå áîëüøèíñòâî â Êîíãðåññå ïðîòàëêèâàþò ðåôîðìó; îäîáðÿþò – òîëüêî 43 ïðîöåíòà. Äàííûå äðóãîé ñîöèîëîãè÷åñêîé ñëóæáû, Rasmussen, åùå áîëåå íåóòåøèòåëüíû: 54 ïðîöåíòà èçáèðàòåëåé ïîëàãàþò, ÷òî ëó÷øå óæ íèêàêîé ðåôîðìû, ÷åì òàêàÿ. Îïïîçèöèþ ïîäîáíîãî ìàñøòàáà íåâîçìîæíî ñêîëîòèòü èç ïëàòíûõ ãîðëîïàíîâ.

Î íåìèíóåìîé ãðÿäóùåé ìàðãèíàëèçàöèè Ðåñïóáëèêàíñêîé ïàðòèè ðå÷ü óæå íå èäåò. Íà ýòîé âîëíå íåäîâîëüñòâà ðåñïóáëèêàíöû âïîëíå ñïîñîáíû âåðíóòü ñåáå èíèöèàòèâó. Ñåðüåçíûå àíàëèòèêè âñïîìèíàþò íà÷àëî ïðåçèäåíòñòâà Áèëëà Êëèíòîíà.  íîÿáðå 1994-ãî, ÷åðåç äâà ãîäà ïîñëå åãî èçáðàíèÿ, ðåñïóáëèêàíöû âïåðâûå ñ 1946 ãîäà âåðíóëè ñåáå êîíòðîëü íàä îáåèìè ïàëàòàìè Êîíãðåññà. Ýòî ìîæåò ïðîèçîéòè è â áóäóùåì ãîäó. Àìåðèêàíöû ëþáÿò, êîãäà ïðåçèäåíò è áîëüøèíñòâî â Êîíãðåññå ïðèíàäëåæàò ê ðàçíûì ïàðòèÿì.

"Äî òåõ ïîð, ïîêà ÷åëîâå÷åñêîìó ðàçóìó áóäåò ñâîéñòâåííî îøèáàòüñÿ, è äî òåõ ïîð, ïîêà ÷åëîâåê áóäåò èì ñâîáîäíî ïîëüçîâàòüñÿ, ðàçíèöà âî âçãëÿäàõ íåèçáåæíà. Äî òåõ ïîð, ïîêà íå áóäåò íàðóøåíà ñâÿçü ìåæäó ðàçóìîì ÷åëîâåêà è åãî òùåñëàâèåì, âçãëÿäû åãî è ñòðàñòè áóäóò îêàçûâàòü äðóã íà äðóãà âçàèìíîå âëèÿíèå, ïðè÷åì âçãëÿäû áóäóò ñòàíîâèòüñÿ ÷åì-òî òàêèì, îò ÷åãî ñòðàñòè áóäóò íåîòòîðæèìû". Ýòèì ðàññóæäåíèåì îäèí èç îòöîâ-îñíîâàòåëåé ÑØÀ, Äæåéìñ Ìýäèñîí, îáîñíîâàë íåèçáåæíîñòü ïðîòèâîðå÷èé â îáùåñòâå, êîòîðîå íèêîãäà íå áóäåò èäèëëèåé.

×åëîâå÷åñòâî åùå íå ïðèäóìàëî îáùåñòâåííîãî óñòðîéñòâà, ïðè êîòîðîì íå áóäåò áåäíûõ, ñèðûõ è óáîãèõ. Êòî äîëæåí ïîçàáîòèòüñÿ î íèõ – ãîñóäàðñòâî, ñåðäîáîëüíûå ôèëàíòðîïû èëè ïóñòü âûæèâàþò ñàìè? Ìèô î ñîöèàëüíîé îòâåòñòâåííîñòè áèçíåñà, ñòîëü ïîïóëÿðíûé ñðåäè ðîññèéñêèõ ëèáåðàëîâ, íå íàõîäèò ïîäòâåðæäåíèé â èñòîðèè. Íî è ãîñóäàðñòâî, êàê âñå ìû ïîìíèì, çàáîòèòñÿ î ãðàæäàíàõ ïëîõî. ×òî òàêîå ñîöèàëüíûé äàðâèíèçì, ìû óçíàëè, êîãäà êîí÷èëàñü ñîâåòñêàÿ âëàñòü.

Ýòî òîëüêî â÷óæå, ãëÿäÿ íà àìåðèêàíöåâ, êàæåòñÿ: íàì áû èõ ïðîáëåìû. Ïðîáëåìû ó íàñ îäíè è òå æå. Îáùèå.
Âåðíóòüñÿ ê íà÷àëó
Ïîñìîòðåòü ïðîôèëü Îòïðàâèòü ëè÷íîå ñîîáùåíèå Ïîñåòèòü ñàéò àâòîðà
Chief



Çàðåãèñòðèðîâàí: 30.06.2009
Ñîîáùåíèÿ: 174
Îòêóäà: ʳðîâîãðàä

Ñîîáùåíèå: #6   ÑîîáùåíèåÄîáàâëåíî: Âò Àâã 25, 2009 6:03 pm    Çàãîëîâîê ñîîáùåíèÿ: Îòâåòèòü ñ öèòàòîé

AndreyN ïèñàë(à):
×åëîâå÷åñòâî åùå íå ïðèäóìàëî îáùåñòâåííîãî óñòðîéñòâà, ïðè êîòîðîì íå áóäåò áåäíûõ, ñèðûõ è óáîãèõ.

Ñêîðåå íàîáîðîò – ÷åëîâå÷åñòâî, ïðèäóìàëî òàêîå îáùåñòâåííîå óñòðîéñòâî, ïðè êîòîðîì îáÿçàòåëüíî äîëæíû áûòü "áåäíûå, ñèðûå è óáîãèå".
Êàê íà÷àëîñü ýòî ñ îáùåñòâåííîãî óñòðîéñòâà, ïîñòðîåííîãî íà íàñèëèè, òàê îíî è ðàçâèâàåòñÿ â ýòîì ðóñëå, ïðèóêðàøåíî ðàçíûìè ÈÇÌàìè.
Âåðíóòüñÿ ê íà÷àëó
Ïîñìîòðåòü ïðîôèëü Îòïðàâèòü ëè÷íîå ñîîáùåíèå
AndreyN



Çàðåãèñòðèðîâàí: 09.09.2008
Ñîîáùåíèÿ: 1380
Îòêóäà: Kiev, UKRAINE

Ñîîáùåíèå: #7   ÑîîáùåíèåÄîáàâëåíî: ×ò Àâã 27, 2009 9:40 am    Çàãîëîâîê ñîîáùåíèÿ: Îòâåòèòü ñ öèòàòîé

Íå âñå ìîæåò
27.08.09 11:21 —

ÒÅÊÑÒ: Àëåêñàíäð Àðòåìüåâ

Ìàñøòàáíàÿ ðåôîðìà çäðàâîîõðàíåíèÿ, êîòîðóþ çàäóìàë, ïðèäÿ ê âëàñòè â ÑØÀ, Áàðàê Îáàìà, îáðóøèëà åãî ðåéòèíã. Ïîñëåäíèå îïðîñû çàôèêñèðîâàëè óñòîé÷èâîå ïàäåíèå ïîïóëÿðíîñòè àìåðèêàíñêîãî ïðåçèäåíòà. Ïðîòèâ Îáàìû èãðàåò ïðîäîëæàþùèéñÿ ýêîíîìè÷åñêèé êðèçèñ.

Ðåéòèíã ïîïóëÿðíîñòè àìåðèêàíñêîãî ïðåçèäåíòà Áàðàêà Îáàìû, â íà÷àëå ñâîåãî ñðîêà ïîëüçîâàâøåãîñÿ âñåîáùåé áëàãîñêëîííîñòüþ, èäåò âíèç. Ïîñëåäíèå îáíàðîäîâàííûå äàííûå ñîöèîëîãè÷åñêîé ñëóæáû Gallup Inc. ñâèäåòåëüñòâóþò, ÷òî õîçÿèíó Áåëîãî äîìà îñòàëîñü ñîâñåì ÷óòü-÷óòü, ÷òîáû åãî ïîääåðæèâàëè ìåíåå ïîëîâèíû èçáèðàòåëåé.

Ðåçóëüòàòû îïðîñà Gallup çà 23–25 àâãóñòà ïîêàçûâàþò, ÷òî ñîâîêóïíàÿ ïîääåðæêà Îáàìû ñî ñòîðîíû àìåðèêàíöåâ äîñòèãëà ðåêîðäíî íèçêèõ 51%. ×èñëî òåõ, êòî ïîëèòèêó ïðåçèäåíòà íå îäîáðÿåò, âûðîñëî åùå íà 2%, äîáðàâøèñü äî 44%.

Ýòîò îïðîñ ïðîâîäèëñÿ ñðåäè 1529 ðåñïîíäåíòîâ, è åãî ñòàòèñòè÷åñêàÿ ïîãðåøíîñòü ñîñòàâëÿåò ïîðÿäêà 3%.

Íà÷èíàâøèé ñ ðåêîðäíîãî 68-ïðîöåíòíîãî îäîáðåíèÿ, ðåéòèíã Îáàìû ìîæåò îïóñòèòüñÿ íèæå 50-ïðîöåíòíîé îòìåòêè áûñòðåå, ÷åì ó ìíîãèõ ïðåäøåñòâåííèêîâ íûíåøíåãî ïðåçèäåíòà, ïðåäóïðåæäàåò Äæåôðè Äæîíñ èç Gallup Inc.

Ïðîòèâ Îáàìû èãðàþò ðàçâåðíóòàÿ ðåñïóáëèêàíöàìè êàìïàíèÿ ïî êðèòèêå åãî ïðîåêòà ðåôîðìû çäðàâîîõðàíåíèÿ, íåðåøèòåëüíîñòü êîíñåðâàòèâíûõ äåìîêðàòîâ, à òàêæå îòñóòñòâèå áûñòðûõ è âèäèìûõ óñïåõîâ â áîðüáå ñ ýêîíîìè÷åñêèì êðèçèñîì.

 ïîñëåâîåííûå ïåðèîäû íîâûå ãëàâû àìåðèêàíñêîãî ãîñóäàðñòâà îáû÷íî íà÷èíàëè ñâîå ïðàâëåíèå ñ äîâîëüíî âûñîêèìè ðåéòèíãàìè, íî â íåêîòîðûõ ïðåçèäåíòàõ îáùåñòâåííîå ìíåíèå ñðàçó æå ðàçî÷àðîâûâàëîñü. Ðåñïóáëèêàíöó Äæåðàëüäó Ôîðäó, êîòîðîãî íèêòî íå èçáèðàë – îí îêàçàëñÿ â Áåëîì äîìå ïîñëå Óîòåðãåéòñêîãî ñêàíäàëà è îòñòàâêè Ðè÷àðäà Íèêñîíà, – ïîòðåáîâàëîñü äëÿ ýòîãî âñåãî òðè ìåñÿöà. Äåìîêðàòó Áèëëó Êëèíòîíó – ÷åòûðå. Ñî äíÿ èíàóãóðàöèè Îáàìû ïðîøëî âîñåìü ìåñÿöåâ.

Íîâûå äàííûå èíñòèòóòà The Rasmussen Reports äëÿ Îáàìû åùå ìåíåå óòåøèòåëüíû. Îáíàðîäîâàííûå â ñðåäó, îíè ïîêàçûâàþò åùå áîëåå ðåçêèé êîíòðàñò ñåãîäíÿøíåãî äíÿ ñ íà÷àëîì ïðåçèäåíòñêîãî ñðîêà. Åäâà ïðèâåäåííûé ê ïðèñÿãå Îáàìà ïîëó÷àë 44% ïîëíîñòüþ îäîáðèòåëüíûõ îöåíîê è âñåãî 16% êàòåãîðè÷åñêè îòðèöàòåëüíûõ. Òåïåðü ïðåçèäåíòà áåçîãîâîðî÷íî ïîääåðæèâàþò âñåãî 31% àìåðèêàíöåâ, à äîëÿ êðèòèêîâ, ïîëíîñòüþ íåäîâîëüíûõ ãëàâîé ãîñóäàðñòâà, äîñòèãëà 39%. Îòðèöàòåëüíûé ðåéòèíã ïðåçèäåíòà, òàêèì îáðàçîì, ñîñòàâëÿåò ìèíóñ 8%. Ìèíèìàëüíîå çíà÷åíèå, ìèíóñ 14%, áûëî äîñòèãíóòî â ýòî âîñêðåñåíüå.

Òàêîé íåïðèÿçíåííîé îöåíêè Îáàìû íå ôèêñèðîâàëîñü ñ 2007 ãîäà, êîãäà îí òîëüêî-òîëüêî çàÿâèë î ñâîèõ ïðåçèäåíòñêèõ àìáèöèÿõ. Êàê îòìå÷àåò ïîëèòîëîã ×àðëè Êóê, êîòîðîãî öèòèðóåò ãàçåòà The Washington Times, «ýòèì ëåòîì ñèòóàöèÿ ïîëíîñòüþ âûñêîëüçíóëà èç-ïîä êîíòðîëÿ ïðåçèäåíòà Îáàìû è äåìîêðàòîâ â êîíãðåññå».  òî æå âðåìÿ àíàëèòèêè åùå â êîíöå ïðîøëîãî ãîäà ïðåäóïðåæäàëè, ÷òî ýéôîðèÿ îò ïîáåäû Îáàìû íà âûáîðàõ ìîæåò çàêîí÷èòüñÿ î÷åíü áûñòðî, òàê êàê êðèçèñ, â êîòîðîì îêàçàëèñü ÑØÀ, – î÷åíü òÿæåëûé è íèêàêàÿ àäìèíèñòðàöèÿ íå ñìîæåò ãàðàíòèðîâàòü áûñòðûé âûõîä èç íåãî.
Âåðíóòüñÿ ê íà÷àëó
Ïîñìîòðåòü ïðîôèëü Îòïðàâèòü ëè÷íîå ñîîáùåíèå Ïîñåòèòü ñàéò àâòîðà
AndreyN



Çàðåãèñòðèðîâàí: 09.09.2008
Ñîîáùåíèÿ: 1380
Îòêóäà: Kiev, UKRAINE

Ñîîáùåíèå: #8   ÑîîáùåíèåÄîáàâëåíî: ×ò Ñåí 10, 2009 8:42 am    Çàãîëîâîê ñîîáùåíèÿ: Îòâåòèòü ñ öèòàòîé

Îáàìà çàðàáàòûâàåò î÷êè íà çäîðîâüå

Áàðàê Îáàìà çàÿâèë îá îêîí÷àíèè ïîëèòè÷åñêèõ èãð è ñòû÷åê âîêðóã ðåôîðìû ñèñòåìû ìåäèöèíñêîãî ñòðàõîâàíèÿ

10.09.2009 10:07
Àëëàí Äàâûäîâ (Âàøèíãòîí), ßí Ðóíîâ (Âàøèíãòîí)

Ïðåçèäåíò ÑØÀ â ñðåäó âå÷åðîì âûñòóïèë ïåðåä ÷ëåíàìè îáåèõ ïàëàò êîíãðåññà ñ ðå÷üþ, êîòîðàÿ ìîæåò îïðåäåëèòü óñïåõ åãî ïðàâëåíèÿ.

Áàðàê Îáàìà äàâíî ãîâîðèë, ÷òî ðåôîðìèðîâàíèå ñèñòåìû çäðàâîîõðàíåíèÿ ― åãî ãëàâíàÿ çàäà÷à. Íî íåñêîëüêî åãî âûñòóïëåíèé è ìíîãîìåñÿ÷íûå äèñêóññèè ïðèâåëè ê ðîñòó ñêåïñèñà â îòíîøåíèè ïðåçèäåíòñêèõ èäåé. Ïî ìíåíèþ ñïåöèàëèñòîâ, Áàðàê Îáàìà äîëæåí ïåðåëîìèòü ýòè òåíäåíöèè, èëè æå àâòîðèòåò Áåëîãî äîìà áóäåò ïîäîðâàí.

Âûñòóïàÿ ïåðåä çàêîíîäàòåëÿìè, ïðåçèäåíò ïðèçâàë ïîñòàâèòü òî÷êó â áåñêîíå÷íûõ ñòû÷êàõ è ïîëèòè÷åñêèõ èãðàõ âîêðóã ïðîåêòà ðåôîðìû çäðàâîîõðàíåíèÿ. Ïî åãî ñëîâàì, "íàñòàëî âðåìÿ äåéñòâèé".

"Ïëàí, êîòîðûé ÿ ïðåäñòàâëÿþ ñåãîäíÿ, îòâå÷àåò òðåì îñíîâíûì çàäà÷àì, ― çàÿâèë Áàðàê Îáàìà. ― Åãî îñóùåñòâëåíèå îáåñïå÷èò áîëåå êðåïêèå ãàðàíòèè è ñòàáèëüíîñòü îáëàäàòåëÿì ìåäèöèíñêîé ñòðàõîâêè è ïîìîæåò ïðåäîñòàâèòü ñòðàõîâêó òåì, ó êîãî åå íåò.  ðåçóëüòàòå åãî âîïëîùåíèÿ çàìåäëèòñÿ ðîñò ìåäèöèíñêèõ ðàñõîäîâ äëÿ íàøèõ ñåìåé, íàøèõ ïðåäïðèíèìàòåëåé è äëÿ íàøåãî ïðàâèòåëüñòâà... Ýòî ïëàí, êîòîðûé îáúåäèíÿåò èäåè ñåíàòîðîâ è êîíãðåññìåíîâ, äåìîêðàòîâ è ðåñïóáëèêàíöåâ è äàæå íåêîòîðûõ ìîèõ îïïîíåíòîâ ïî ïðåäâûáîðíîé êàìïàíèè".

Êàê è îáåùàë, Áàðàê Îáàìà â ñâîåì âûñòóïëåíèè ñòàðàëñÿ ïðåäåëüíî ïðîÿñíèòü ñóòü ñâîèõ ïðåäëîæåíèé ïî ðåôîðìå è î÷èñòèòü èõ îò, êàê îí âûðàçèëñÿ, äâóñìûñëåííîãî òîëêîâàíèÿ, ìèôîâ è ïîòîêà îòêðîâåííî ëåãêîìûñëåííûõ ñóæäåíèé, êîòîðûå âçâèí÷èâàþò íåðâîçíóþ àòìñîôåðó âîêðóã ðåôîðìû.

"Òðåâîãó íåêîòîðûõ àìåðèêàíöåâ âûçâàëè ëîæíûå óòâåðæäåíèÿ òåõ, ÷üÿ åäèíñòâåííàÿ öåëü ― ïîõîðîíèòü ðåôîðìó ëþáîé öåíîé. Íàïðèìåð, [ñëîâà] òåëåðàäèîâåäóùèõ è äàæå èçâåñòíûõ ïîëèòèêîâ î íàøåì ÿêîáû ñòðåìëåíèè ó÷ðåäèòü ãðóïïû áþðîêðàòîâ ñ ïîëíîìî÷èÿìè ïî èçáàâëåíèþ îò ñòàðèêîâ ― ýòî îáâèíåíèå ñìåõîòâîðíî, öèíè÷íî è áåçîòâåòñòâåííî, ― ïðåäóïðåäèë ïðåçèäåíò. ― Óòâåðæäåíèÿ î òîì, ÷òî íàøà ðåôîðìà íàïðàâëåíà íà ñòðàõîâàíèå íåëåãàëüíûõ èììèãðàíòîâ ― òîæå ôàëüøèâêà. Òàêæå âíîøó ÿñíîñòü: íè îäèí äîëëàð èç ôåäåðàëüíîé êàçíû íå áóäåò èñïîëüçîâàí äëÿ ôèíàíñèðîâàíèÿ àáîðòîâ".

Ïðåçèäåíò, ïî åãî ñëîâàì, îðèåíòèðóåòñÿ íà òî, ÷òî ñòîèìîñòü ðåàëèçàöèè åãî ïðîåêòà ðåôîðìû çäðàâîîõðàíåíèÿ îáîéäåòñÿ ñòðàíå â 900 ìèëëèàðäîâ äîëëàðîâ çà 10 ëåò. Ýòî, êàê îí îòìåòèë, ìåíüøå êàê çàòðàò íà êàìïàíèè â Èðàêå è Àôãàíèñòàíå, òàê è ïîòåðü áþäæåòà èç-çà ñíèæåíèÿ íàëîãîâ äëÿ ñàìûõ áîãàòûõ àìåðèêàíöåâ, îñóùåñòâëåííîãî âî âðåìÿ ïðàâëåíèÿ àäìèíèñòðàöèè Áóøà.

 ñâîåì âûñòóïëåíèè Îáàìà òàêæå îòñòàèâàë ïðåäîñòàâëåíèå ôåäåðàëüíîìó ïðàâèòåëüñòâó ïðàâà ïðîäàâàòü ìåäèöèíñêóþ ñòðàõîâêó, êîíêóðèðóÿ ñ ÷àñòíûìè ñòðàõîâûìè ôèðìàìè.  òî æå âðåìÿ îí çàÿâèë, ÷òî ãîòîâ ðàññìàòðèâàòü äðóãèå âàðèàíòû. Ýòî, êàê ïîëàãàþò, ðàçî÷àðóåò åãî ëèáåðàëüíûõ ñòîðîííèêîâ, êîòîðûå íàñòàèâàþò íà òîì, ÷òî ãîñóäàðñòâî äîëæíî ïðåäëîæèòü ñâîþ, íåäîðîãóþ àëüòåðíàòèâó äîðîãîñòîÿùåé ÷àñòíîé ñòðàõîâêå.

Çà íåñêîëüêî ÷àñîâ äî âûñòóïëåíèÿ Îáàìû ïåðåä çàêîíîäàòåëÿìè äåìîêðàòû â ñåíàòå çàÿâèëè î ñâîåé ãîòîâíîñòè ïðåäñòàâèòü ïåðåðàáîòàííûé çàêîíîïðîåêò ðåôîðìû çäðàâîîõðàíåíèÿ äî êîíöà ñåíòÿáðÿ âíå çàâèñèìîñòè îò òîãî, áóäóò ëè èì îêàçûâàòü ïîääåðæêó êîëëåãè-ðåñïóáëèêàíöû.

Ïî ìíåíèþ íàáëþäàòåëåé, ðå÷ü Îáàìû ìîæåò ñòàòü êëþ÷åâûì ìîìåíòîì ïåðâîãî ýòàïà åãî ïðåçèäåíòñòâà: íåñïîñîáíîñòü äîáèòüñÿ ïðèíÿòèÿ õîòÿ áû êàêîãî-íèáóäü âàðèàíòà ðåôîðìû ñèñòåìû ìåäèöèíñêîãî ñòðàõîâàíèÿ ñèëüíî îñëàáèò åãî â ãëàçàõ è èçáèðàòåëåé, è çàêîíîäàòåëåé.

Ïî äàííûì îïðîñîâ îáùåñòâåííîãî ìíåíèÿ, ïðîâåäåííûõ íàêàíóíå ïîñâÿùåííîãî ðåôîðìå òåëåîáðàùåíèÿ Îáàìû ê íàðîäó, âñåãî 37 ïðîöåíòîâ àìåðèêàíöåâ áåçîãîâîðî÷íî ïîääåðæèâàëè åãî ïðåäëîæåíèÿ. 39 ïðîöåíòîâ òðåáîâàëè îò ñâîèõ äåïóòàòîâ, ÷òîáû òå íå ïîääåðæèâàëè ïðåäëàãàåìûé âàðèàíò ðåôîðìû. Íà ìîìåíò ïîäãîòîâêè ñòàòüè áûëî íåÿñíî, èçìåíèòñÿ ëè ñîîòíîøåíèå ñòîðîííèêîâ è ïðîòèâíèêîâ ðåôîðìû ïîñëå ðàçúÿñíèòåëüíîãî âûñòóïëåíèÿ.

Êàê ïîêàçûâàþò îïðîñû, ðåôîðìà çäðàâîîõðàíåíèÿ îáåùàåò áûòü îäíèì èç ãëàâíûõ ïîëèòè÷åñêèõ âîïðîñîâ âî âðåìÿ ïàðëàìåíòñêèõ âûáîðîâ 2010 ãîäà. Ñðåäè ïðîòèâíèêîâ ðåôîðìû â åå íûíåøíåì âèäå 82 ïðîöåíòà óòâåðæäàþò, ÷òî îòíîøåíèå êàíäèäàòà â ÷ëåíû êîíãðåññà èëè ñåíàòà ê ýòîé ðåôîðìå ñòàíåò ðåøàþùèì ôàêòîðîì ïðè ïðèíÿòèè ðåøåíèÿ î âû÷åðêèâàíèè åãî ôàìèëèè.



ÀÍ: Ëþäè çàíèìàþòñÿ ãëàâíûì!
Âåðíóòüñÿ ê íà÷àëó
Ïîñìîòðåòü ïðîôèëü Îòïðàâèòü ëè÷íîå ñîîáùåíèå Ïîñåòèòü ñàéò àâòîðà
AndreyN



Çàðåãèñòðèðîâàí: 09.09.2008
Ñîîáùåíèÿ: 1380
Îòêóäà: Kiev, UKRAINE

Ñîîáùåíèå: #9   ÑîîáùåíèåÄîáàâëåíî: Ïò Ñåí 11, 2009 1:35 pm    Çàãîëîâîê ñîîáùåíèÿ: Îòâåòèòü ñ öèòàòîé

Áàðàê Îáàìà: çäðàâîîõðàíåíèå íå ïðåäìåò ïîëèòè÷åñêèõ èãð
Þëèÿ Ñàâ÷åíêî

Áè-áè-ñè, Âàøèíãòîí
http://www.bbc.co.uk/russian/international/2009/09/090909_obama_savchenko.shtml

Ïðåçèäåíò Áàðàê Îáàìà âûñòóïèë â êîíãðåññå ÑØÀ ñ ïðîãðàììíîé ðå÷üþ î ðåôîðìå ñèñòåìû çäðàâîîõðàíåíèÿ.

Ìíîãèå íàçûâàëè ýòó ðå÷ü ðåøàþùåé äëÿ ïðåçèäåíòà Îáàìû, ïîëàãàÿ, ÷òî îíà ìîæåò îïðåäåëèòü åãî äàëüíåéøóþ ïîëèòè÷åñêóþ ñóäüáó.  õîäå æàðêèõ äåáàòîâ î íåîáõîäèìîñòè ðåôîðìû ðåéòèíã ïðåçèäåíòà íåñêîëüêî ñíèçèëñÿ.

Ðå÷ü Îáàìû àíàëèòèêè íàçâàëè íàïîðèñòîé è óáåäèòåëüíîé. Äåìîêðàòè÷åñêîå áîëüøèíñòâî â êîíãðåññå íåñêîëüêî ðàç ïðåðûâàëî âûñòóïëåíèå ïðåçèäåíòà áóðíûìè îâàöèÿìè. Èç-çà ýòîãî ðå÷ü ïðîäëèëàñü äîëüøå, ÷åì áûëî çàïëàíèðîâàíî.

Îáðàùåíèå Îáàìû èçîáèëîâàëî èñòîðè÷åñêèìè ïàðàëëåëÿìè. Îí, â ÷àñòíîñòè, óïîìÿíóë, ÷òî ïåðâóþ ïîïûòêó ðåôîðìó çäðàâîîõðàíåíèÿ â ÑØÀ ïûòàëñÿ ïðîâåñòè ïðåçèäåíò Òåîäîð Ðóçâåëüò.

Áàðàê Îáàìà òàêæå íàïîìíèë, ÷òî ïåðâûé ïðîåêò ðåôîðìû çäðàâîîõðàíåíèÿ ïîñòóïèë â Êîíãðåññ â 1943 è áûë ïîäãîòîâëåí êîíãðåñìåíîì Äæîíîì Äèíãåëîì.

"Ñåé÷àñ, 60 ëåò ñïóñòÿ, - ïîä÷åðêíóë ïðåçèäåíò, - åãî ñûí ïðîäîëæàåò òðàäèöèþ, ïðåäñòàâëÿÿ ïðîåêò ýòîé ðåôîðìû ïåðåä íà÷àëîì ñåññèè êîíãðåññà".

Ïî ñëîâàì Áàðàêà Îáàìû, Àìåðèêà íå ìîæåò ñåáå ïîçâîëèòü äàëüíåéøèõ ïðîâàëîâ â ðåôîðìå çäðàâîîõðàíåíèÿ. Ïîýòîìó ïðåçèäåíò ïðèçâàë äåìîêðàòîâ è ðåñïóáëèêàíöåâ äåéñòâîâàòü ñîîáùà è ïåðåñòàòü èãðàòü â ïîëèòè÷åñêèå èãðû, ñòàâêîé â êîòîðûõ ÿâëÿþòñÿ æèçíè àìåðèêàíñêèõ ãðàæäàí.

Ãîñóäàðñòâåííîå ñòðàõîâàíèå

Êàìíåì ïðåòêíîâåíèÿ â ïðåäëîæåííîé ïðåçèäåíòîì ðåôîðìå çäðàâîîõðàíåíèÿ áûëà òàê íàçûâàåìàÿ "îáùåñòâåííàÿ ñîñòàâëÿþùàÿ" ìåäèöèíñêîãî ñòðàõîâàíèÿ.

Ïëàí îáîéäåòñÿ â 9 ìèëëèàðäîâ äîëëàðîâ çà áëèæàéøèå 10 ëåò. Ýòî ìåíüøå, ÷åì ìû ïîòðàòèëè íà âîéíû â Èðàêå è Àôãàíèñòàíå

Åå ñóòü ñîñòîèò â òîì, ÷òî ó ÷àñòíûõ ñòðàõîâûõ êîìïàíèé â ÑØÀ ïîÿâèòñÿ êîíêóðåíò â ëèöå ãîñóäàðñòâà, êîòîðîå áóäåò ïðåäîñòàâëÿòü áîëåå äåøåâóþ ñòðàõîâêó òåì, êòî íå ìîæåò ïîçâîëèòü ñåáå äîðîãîñòîÿùèå ÷àñòíûå ïîëèñû.

Ýòèì ïðåäëîæåíèåì áûëè êðàéíå íåäîâîëüíû ïîëèòèêè-ðåñïóáëèêàíöû, ëîááèñòû è ñòðàõîâûå êîìïàíèè, êîòîðûì êîíêóðåíöèÿ ñî ñòîðîíû ãîñóäàðñòâà ñîâñåì íè ê ÷åìó.

Õîäèëè ðàçãîâîðû, ÷òî â ïîïûòêå íàéòè êîìïðîìèññ ñ ðåñïóáëèêàíöàìè ðàçðàáîò÷èêè ðåôîðìû îòêàæóòñÿ îò ïðåäëîæåíèé î ãîñóäàðñòâåííîì ìåäèöèíñêîì ñòðàõîâàíèè, îäíàêî ïîêà ýòîãî íå ïðîèçîøëî.

Ïî êðàéíåé ìåðå Áàðàê Îáàìà çàÿâèë, ÷òî ïðèëîæèò ìàêñèìóì óñèëèé ê òîìó, ÷òîáû òàê íàçûâàåìàÿ "îáùåñòâåííàÿ ñîñòàâëÿþùàÿ" ñòàëà ÷àñòüþ ðåôîðìû.

 êàíóí âûñòóïëåíèÿ â êîíãðåññå îò ïðåçèäåíòà æäàëè áîëüøåé êîíêðåòèêè ïî ðåôîðìå çäðàâîîõðàíåíèÿ.

 ñâîåé ðå÷è Îáàìà îáîçíà÷èë ñëåäóþùèå ãëàâíûå ïàðàìåòðû ïðîåêòà ðåôîðìû:

Âñå àìåðèêàíöû äîëæíû èìåòü áàçîâûé ñòðàõîâîé ïëàí. Òåì, êòî íå ìîæåò ñåáå ýòîãî ïîçâîëèòü, áóäóò ïðåäîñòàâëÿòüñÿ ÷àñòè÷íûå ïðàâèòåëüñòâåííûå ãðàíòû.

Ðàáîòîäàòåëè äîëæíû ïðåäîñòàâëÿòü ìåäèöèíñêóþ ñòðàõîâêó ñâîèì ðàáî÷èì è ñëóæàùèì èëè ïî êðàéíåé ìåðå âíîñèòü îïðåäåëåííóþ ñóììó â ñ÷åò ïîêðûòèÿ òàêèõ ñòðàõîâîê.

Ñòðàõîâûå êîìïàíèè áîëüøå íå ñìîãóò îãðàíè÷èâàòü ñóììû ìåäèöèíñêèõ ñòðàõîâîê ïî êîíêðåòíûì ñòðàõîâûì ñëó÷àÿì.

"Ñîãëàñíî ýòîìó ïëàíó ñèñòåìà ìåäèöèíñêîãî ñòðàõîâàíèÿ áóäåò ðàáîòàòü íà âàñ è äëÿ âàñ. Ïî ýòîìó ïëàíó, ñòðàõîâùèêè áîëüøå íå áóäóò èìåòü ïðàâà îòêàçûâàòüñÿ ïðåäîñòàâëÿòü ñòðàõîâêó òåì, ó êîãî óæå åñòü ñåðüåçíîå çàáîëåâàíèå", - çàÿâèë ïðåçèäåíò.

"Êàê òîëüêî ÿ ïîäïèøó ýòîò çàêîí, äëÿ ñòðàõîâûõ êîìïàíèé áóäåò ïðîòèâîçàêîííûì îòêàçûâàòüñÿ îò êëèåíòîâ, êîòîðûå ñåðüåçíî çàáîëåâàþò è èìåííî â ýòîò ìîìåíò áîëüøå âñåãî íóæäàþòñÿ â ñòðàõîâàíèè. Îíè áîëüøå íå ñìîãóò îãðàíè÷èâàòü ñóììû ñòðàõîâêè. Ìû ââåäåì ëèìèò íà îïëàòó íå âõîäÿùèõ â ñòðàõîâêó ìåäèöèíñêèõ óñëóã, ïîòîìó ÷òî â Ñîåäèíåííûõ Øòàòàõ Àìåðèêè íèêòî íå äîëæåí ñòàíîâèòñÿ áàíêðîòîì â ðåçóëüòàòå áîëåçíè", - çàÿâèë Îáàìà.

Ðå÷ü, åñòåñòâåííî, çàøëà è î öåíå âîïðîñà. Ïðîòèâíèêè ðåôîðìû íåîäíîêðàòíî çàÿâëÿëè, ÷òî îíà ëÿæåò íåïîñèëüíûì áðåìåíåì íà ïëå÷è àìåðèêàíñêèõ íàëîãîïëàòåëüùèêîâ.

Ïðåçèäåíò Îáàìà ýòó âåðñèþ îòâåðã: "Ïëàí, êîòîðûé ÿ ïðåäëàãàþ, áóäåò ñòîèòü 900 ìèëëèàðäîâ äîëëàðîâ, êîòîðûå ìû ïîòðàòèì â áëèæàéøèå 10 ëåò. Ýòî ìåíüøå, ÷åì ìû ïîòðàòèëè íà âîéíû â Èðàêå è Àôãàíèñòàíå. Îí òàêæå îáîéäåòñÿ ñòðàíå äåøåâëå, ÷åì ñíèæåíèå íàëîãîâ äëÿ óçêîãî êðóãà î÷åíü ñîñòîÿòåëüíûõ àìåðèêàíöåâ, çà êîòîðîå êîíãðåññ ïðîãîëîñîâàë â íà÷àëå ñðîêà ïðåäûäóùåé ïðåçèäåíòñêîé àäìèíèñòðàöèè".

"Áîëüøàÿ ÷àñòü áóäåò ïîòðà÷åíà èç äåíåã, êîòîðûå óæå ðàñõîäóþòñÿ, íî ðàñõîäóþòñÿ íåýôôåêòèâíî, â ñóùåñòâóþùåé ñèñòåìå çäðàâîîõðàíåíèÿ", - çàÿâèë Áàðàê Îáàìà.

"Ýòî íå áóäåò ñïîñîáñòâîâàòü ðîñòó äåôèöèòà íàøåãî áþäæåòà. Ñðåäíèé êëàññ ïî÷óâñòâóåò ñåáÿ áîëåå çàùèùåííûì, à îòíþäü íå îáâîðîâàííûì âûñîêèìè íàëîãàìè. È åñëè åæåãîäíî íàì óäàñòñÿ çàìåäëèòü ðîñò öåí íà ìåäèöèíñêèå óñëóãè íà âñåãî ëèøü íà îäíó äåñÿòóþ ïðîöåíòà, â äîëãîñðî÷íîé ïåðñïåêòèâå ýòî ñíèçèò äåôèöèò íà 4 òðèëëèîíà äîëëàðîâ", - ïðîäîëæèë ïðåçèäåíò.

Ðåñïóáëèêàíñêèé îòâåò

Ðåñïóáëèêàíöû êîíãðåññà, ñ ñàìîãî íà÷àëà ïðèíÿâøèå ðåôîðìó â øòûêè, ñëóøàëè ïðåçèäåíòà âíèìàòåëüíî, íî áåç ýíòóçèàçìà.

Êîãäà äåìîêðàòû ñòîÿ àïëîäèðîâàëè ðå÷è, ðåñïóáëèêàíöû ñ ìåñò íå ïîäíèìàëèñü. Êîãäà æå ïðåçèäåíò çàÿâèë, ÷òî ðåôîðìà çäðàâîîõðàíåíèÿ íå áóäåò âêëþ÷àòü ãàðàíòèé äëÿ íåëåãàëüíûõ èììèãðàíòîâ, îäèí èç êîíãðåññìåíîâ ãðîìêî íàçâàë Îáàìó ëæåöîì. Ýòó ðåïëèêó ñ ìåñòà óñëûøàëè âñå.

Ïðåçèäåíò îñòàëñÿ íåâîçìóòèì è íåñêîëüêî ðàç â õîäå ñâîåé ðå÷è ïðèçâàë ðåñïóáëèêàíöåâ è äåìîêðàòîâ ðàáîòàòü íàä ðåôîðìîé ñîîáùà. Íå îáîøëîñü, ïðàâäà, áåç ïðåäóïðåæäåíèÿ òåì, êòî ðåøèò ñàáîòèðîâàòü ðåôîðìó: "Ýòî ïëàí, êîòîðûé ÿ ïðåäëàãàþ. ß áóäó ïðîäîëæàòü èñêàòü êîìïðîìèññíûå ïóòè â áëèæàéøèå íåäåëè. Åñëè âû îáðàòèòåñü êî ìíå ñ ñåðüåçíûìè ïðåäëîæåíèÿìè, ÿ ãîòîâ èõ âûñëóøàòü. Ìîÿ äâåðü âñåãäà îòêðûòà".

"Íî èìåéòå ââèäó, - çàÿâèë ïðåçèäåíò, - ÿ íå áóäó òðàòèòü âðåìÿ íà òåõ, ÷üÿ ïîçèöèÿ îñíîâàíà íà ïîëèòè÷åñêèõ èãðàõ, è êòî äóìàåò, ÷òî ëåã÷å ïîñòàâèòü êðåñò íà ðåôîðìå, ÷åì ïîïûòàòüñÿ ÷òî-òî óëó÷øèòü. ß íå áóäó ñòîÿòü â ñòîðîíå è æäàòü, ïîêà êòî-òî ðàäè ñâîèõ ëè÷íûõ èíòåðåñîâ, èñïîëüçóÿ ñòàðûå ìåòîäû, áóäåò ïûòàòüñÿ ñîõðàíèòü ñòàòóñ-êâî. Åñëè êîìó òî ïðèäåò â ãîëîâó èñêàæàòü ñîäåðæàíèå íàøåãî ïëàíà, ìû ïðèçîâåì åãî ê îòâåñòâåííîñòè", - ïîä÷åðêíóë Îáàìà.

Ïðè ýòîì Îáàìà óêàçàë, ÷òî â ñâîåì ïðîåêòå ðåôîðìû èñïîëüçîâàë ïðåäëîæåíèÿ, êîòîðûå âûäâèãàëè åãî ñîïåðíèêè ïî ïðåçèäåíñêèì âûáîðàì.  ÷àñòíîñòè, îí ñîñëàëñÿ íà Äæîíà Ìàêêåéíà, êîòîðûé â èíòåðâüþ Ñè-ýí-ýí ñðàçó ïîñëå ïðåçèäåíòñêîé ðå÷è âûðàçèë íàäåæäó íà òî, ÷òî ïîëèòè÷åñêèì ïðîòèâíèêàì â Êîíãðåññå âñå æå óäàñòñÿ ïðèéòè ê êîìïðîìèññó ïî ðåôîðìå.

Ðåñïóáëèêàíåö ×àðëüç Áóñòàíè ïðåäñòàâèë îòâåò ðåñïóáëèêàíöåâ Êàïèòàëèéñêîãî õîëìà ïðåçèäåíòó Îáàìå.  ñâîåì îáðàùåíèè Áóñòàíè, â ÷àñòíîñòè, çàÿâèë, ÷òî "ðåñïóáëèêàíöû äîâîëüíû ïîÿâëåíèåì ïðåçèäåíòà â êîíãðåññå".

"Ìû ñîãëàñíû ñ òåì, ÷òî íåîáõîäèìî ïðåäïðèíèìàòü óñèëèÿ, ÷òîáû ñíèçèòü ñòîèìîñòü ìåäèöèíñêîãî îáñëóæèâàíèÿ äëÿ àìåðèêàíñêèõ ãðàæäàí.  ýòîì àñïåêòå ðåñïóáëèêàíöû ãîòîâû - è âñåãäà áûëè ãîòîâû – ðàáîòàòü ñ ïðåçèäåíòîì íàä ïðîâåäåíèåì ðåôîðìû, êîòîðàÿ áóäåò ïî êàðìàíó ñòðàíå", - ïîä÷åðêíóë ïðåäñòàâèòåëü ðåñïóáëèêàíöåâ.

"Ðàáîòàÿ âìåñòå è âûñëóøèâàÿ ìíåíèÿ îáåèõ ñòîðîí, ìû ñìîæåì ñäåëàòü ìåäîáñëóæèâàíèå äîñòóïíûì è â òî æå âðåìÿ ñîõðàíèòü åãî êà÷åñòâî äëÿ àìåðèêàíöåâ», - çàÿâèë Áóñòàíè.

Óþò çàñòîÿ

Êàê îòìå÷àåò ýêîíîìè÷åñêèé îáîçðåâàòåëü Áè-áè-ñè Ñòåôàíè Ôëàíäåðñ, ñòðàñòè ïî ïîâîäó ðåôîðìû çäðàâîîõðàíåíèÿ â ÑØÀ êèïÿò óæå äîâîëüíî äàâíî, íî - êàê ÿâñòâóåò èç ïîñëåäíèõ îïðîñîâ îáùåñòâåííîãî ìíåíèÿ - îòíîøåíèå ê ïðîáëåìå çà ëåòî èçìåíèëîñü î÷åíü íåçíà÷èòåëüíî.

×èñëî ñòîðîííèêîâ îáàìîâñêèõ ðåôîðì ñíèçèëîñü - íî íå íàñòîëüêî: â èþëå èõ áûëî 66%, ñåãîäíÿ - 60%.

Ïî ñëîâàì Ôëàíäåðñ, "îäíî èç áîëüøèõ îòêðûòèé ïîâåäåí÷åñêîé ýêîíîìèêè çàêëþ÷àåòñÿ â òîì, ÷òî ëþäè èñïûòûâàþò ïîðîé íåîáúÿñíèìóþ ïðèâÿçàííîñòü ê ñòàòóñó-êâî. Îíè áîÿòñÿ ïåðåìåí è äåðæàòñÿ çà òî, ÷òî åñòü - äàæå åñëè îíî, ìÿãêî ãîâîðÿ, íå ëèøåíî íåäîñòàòêîâ".

Ïðîøåäøèì ëåòîì Áðèòàíèÿ ïåðåæèëà íå÷òî ïîõîæåå: îáùåñòâåííîñòü è ÑÌÈ ÷ðåçâû÷àéíî ùåäðû â êðèòèêå íàöèîíàëüíîé ñèñòåìû çäðàâîîõðàíåíèÿ, NHS. Îäíàêî, êîãäà ïðàâèòåëüñòâî ïðåäëîæèëî ðÿä åå ñåðüåçíûõ ðåôîðì, "ëþäè âîñïðèíÿëè ýòî êàê óãðîçó ñòàòóñó-êâî è âñå âäðóã çàãîâîðèëè î òîì, ÷òî íàøà ñèñòåìà çäðàâîîõðàíåíèÿ - ëó÷øàÿ â ìèðå", - çàìå÷àåò ýêîíîìè÷åñêèé îáîçðåâàòåëü Áè-áè-ñè Ñòåôàíè Ôëàíäåðñ.
Âåðíóòüñÿ ê íà÷àëó
Ïîñìîòðåòü ïðîôèëü Îòïðàâèòü ëè÷íîå ñîîáùåíèå Ïîñåòèòü ñàéò àâòîðà
Chief



Çàðåãèñòðèðîâàí: 30.06.2009
Ñîîáùåíèÿ: 174
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AndreyN ïèñàë(à):
Åå ñóòü ñîñòîèò â òîì, ÷òî ó ÷àñòíûõ ñòðàõîâûõ êîìïàíèé â ÑØÀ ïîÿâèòñÿ êîíêóðåíò â ëèöå ãîñóäàðñòâà, êîòîðîå áóäåò ïðåäîñòàâëÿòü áîëåå äåøåâóþ ñòðàõîâêó òåì, êòî íå ìîæåò ïîçâîëèòü ñåáå äîðîãîñòîÿùèå ÷àñòíûå ïîëèñû.
...
Ïî ýòîìó ïëàíó, ñòðàõîâùèêè áîëüøå íå áóäóò èìåòü ïðàâà îòêàçûâàòüñÿ ïðåäîñòàâëÿòü ñòðàõîâêó òåì, ó êîãî óæå åñòü ñåðüåçíîå çàáîëåâàíèå

Íà¿âí³. Öå â íèõ áóäå ðåôîðìà ÍÅ ìåäè÷íî¿ ãàëóç³, À ñòðàõîâî¿.
Ãåîïîë³òè÷íèé îôòîï³ê Laughing
Âåðíóòüñÿ ê íà÷àëó
Ïîñìîòðåòü ïðîôèëü Îòïðàâèòü ëè÷íîå ñîîáùåíèå
Chief



Çàðåãèñòðèðîâàí: 30.06.2009
Ñîîáùåíèÿ: 174
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Ñîîáùåíèå: #11   ÑîîáùåíèåÄîáàâëåíî: Ïí Ñåí 14, 2009 2:32 pm    Çàãîëîâîê ñîîáùåíèÿ: Îòâåòèòü ñ öèòàòîé

Èçìåíèâ ñïîñîá ïîäà÷è ðåñóðñà áåç èçìåíåíèÿ ñïîñîáà åãî ïîëó÷åíèÿ – íè÷åãî íå èçìåíèòü â ëó÷øóþ ñòîðîíó, ñêîðåå ïðîèçîéäåò ðàçâàë òîãî ÷òî óæå íàëàæåíî.

Òåì áîëåå, íàñêîëüêî ÿ ïîíÿë, îíè äàæå è òîãî íå èçìåíÿþò, à âñåãî ëèøü óæåñòî÷àþò ñóùåñòâóþùèå óñëîâèÿ äâèæåíèÿ äåíåã. Ýòà ìåðà äàñò î÷åíü íåñóùåñòâåííîå è âðåìåííîå îùóùåíèå íàëè÷èÿ ýôôåêòà îò íîâøåñòâ, âìåñòå ñ íåçàìåòíûì ãëîáàëüíûì äåñòðóêòèâîì.
Ðûíî÷íàÿ ñðåäà ñåé÷àñ ðàçâèâàåòñÿ íàìíîãî áûñòðåå, ÷åì ñðåäñòâà çàùèòû îò å¸ äåñòðóêòèâíûõ ýëåìåíòîâ. Ïîòîìó ïîêà îíè áóäóò íàëàæèâàòü íîâøåñòâà, ïðîáëåìà äåñòðóêòèâà åù¸ áîëüøå óãëóáèòñÿ.

Ýòà êàê äâå íåçàâèñèìûå ïåðåìåííûå îäíîé ôóíêöèè ðàçâèòèÿ – ïîçèòèâ è íåãàòèâ, ãäå íåãàòèâ ðàñò¸ò â êëþ÷å êâàäðàòè÷íîé çàâèñèìîñòè, à åãî êîìïåíñàòîð – ïîçèòèâ, çèãçàãîîáðàçíî – øàã âïåðåä äâà øàãà íàçàä.
Äâà øàãà íàçàä – ñëåäñòâèÿ îáñòîÿòåëüñòâ, êàê ïðàâèëî âíåøíå íàïîìèíàþùèõ ïîçèòèâ (øàã âïåð¸ä), îáîðà÷èâàþòñÿ ñòîêðàòíûì íåãàòèâîì, â ñòðàòåãè÷åñêîì ïëàíå.

 îáùåì, èõ ðåôîðìà, íà÷àâøèñü íèêîãäà íå êîí÷èòñÿ, äî òåõ ïîð, ïîêà îíè íå îáðàòÿò âíèìàíèå íà ïåðåìåííóþ íåãàòèâà – ÷òî îò íå¸ íóæíî íå çàùèùàòüñÿ, å¸ íóæíî èíâåðòèðîâàòü íà ïîçèòèâ. Íî ñ ðîñòîì, å¸ âñå òÿæåëåå áóäåò èíâåðòèðîâàòü, à ìîæåò óæå äàæå è íåâîçìîæíî. À òåì áîëåå â óñëîâèÿõ òàê ñêîíñòðóèðîâàííîãî ãîñóäàðñòâà.
Âåðíóòüñÿ ê íà÷àëó
Ïîñìîòðåòü ïðîôèëü Îòïðàâèòü ëè÷íîå ñîîáùåíèå
AndreyN



Çàðåãèñòðèðîâàí: 09.09.2008
Ñîîáùåíèÿ: 1380
Îòêóäà: Kiev, UKRAINE

Ñîîáùåíèå: #12   ÑîîáùåíèåÄîáàâëåíî: Ñð Ñåí 16, 2009 9:19 pm    Çàãîëîâîê ñîîáùåíèÿ: Îòâåòèòü ñ öèòàòîé

http://newtimes.ru/articles/detail/5182/
Âåðíóòüñÿ ê íà÷àëó
Ïîñìîòðåòü ïðîôèëü Îòïðàâèòü ëè÷íîå ñîîáùåíèå Ïîñåòèòü ñàéò àâòîðà
Chief



Çàðåãèñòðèðîâàí: 30.06.2009
Ñîîáùåíèÿ: 174
Îòêóäà: ʳðîâîãðàä

Ñîîáùåíèå: #13   ÑîîáùåíèåÄîáàâëåíî: Ïò Ñåí 18, 2009 3:02 pm    Çàãîëîâîê ñîîáùåíèÿ: Îòâåòèòü ñ öèòàòîé

AndreyN ïèñàë(à):
http://newtimes.ru/articles/detail/5182/
Ñïàñèáî, ïî÷èòàë, îñòàâèë êîììåíòàðèé.
Âñå òàê è åñòü, êàê ÿ è ïðåäïîëàãàë.
- Èõ "Îáàìà" ýòî íàø "Ãîðáà÷åâ". Laughing
Âåðíóòüñÿ ê íà÷àëó
Ïîñìîòðåòü ïðîôèëü Îòïðàâèòü ëè÷íîå ñîîáùåíèå
AndreyN



Çàðåãèñòðèðîâàí: 09.09.2008
Ñîîáùåíèÿ: 1380
Îòêóäà: Kiev, UKRAINE

Ñîîáùåíèå: #14   ÑîîáùåíèåÄîáàâëåíî: Âò Ñåí 22, 2009 3:17 pm    Çàãîëîâîê ñîîáùåíèÿ: Îòâåòèòü ñ öèòàòîé

Ðåôîðìà çäðàâîîõðàíåíèÿ Áàðàêà Îáàìû

14 Ñåíòÿáðü, 2009 - 10:31

Ïðåçèäåíò ÑØÀ Áàðàê Îáàìà èçëîæèë îñíîâíûå ïóíêòû ïðîãðàììû ðåôîðìèðîâàíèÿ ñèñòåìû çäðàâîîõðàíåíèÿ. Â îñíîâå ïëàíà ðåôîðì ëåæàò òðè öåëè.

Ïåðâîé èç íèõ ÿâëÿåòñÿ óëó÷øåíèå óñëîâèé ìåäèöèíñêîãî ñòðàõîâàíèÿ äëÿ òåõ ãðàæäàí, êîòîðûå óæå ïðèîáðåëè ïîëèñ. Ðå÷ü èäåò îá îãðàíè÷åíèè ñòðàõîâûõ âçíîñîâ è çàïðåòå äëÿ ñòðàõîâùèêîâ óñòàíàâëèâàòü ëèìèòû ñòîèìîñòè ïðîãðàìì ëå÷åíèÿ.

Âòîðîé öåëüþ ïðîãðàììû ÿâëÿåòñÿ ñîçäàíèå áèðæè äëÿ ñòðàõîâùèêîâ, êîòîðàÿ ïîçâîëèò ïðèîáðåñòè ñòðàõîâêó çà ðàçóìíûå äåíüãè òåì àìåðèêàíöàì, ó êîòîðûõ åå ïîêà íåò. Äëÿ ôèçè÷åñêèõ è þðèäè÷åñêèõ ëèö, êîòîðûå íå ðàñïîëàãàþò äîñòàòî÷íûìè ñðåäñòâàìè, áóäóò ïðåäóñìîòðåíû êðåäèòû è ëüãîòíûå öåíû.

Òðåòèé ïóíêò ïëàíà, ñîîáùèë ïðåçèäåíò ÑØÀ, ïðåäóñìàòðèâàåò ââåäåíèå îáÿçàòåëüíîãî ìåäèöèíñêîãî ñòðàõîâàíèÿ, êîòîðîå ïîçâîëèò ñîêðàòèòü íåçàïëàíèðîâàííûå áþäæåòíûå ðàñõîäû íà îïëàòó ëå÷åíèÿ íåçàñòðàõîâàííûõ ëèö. Íîâîââåäåíèå çàòðîíåò òîëüêî òåõ ãðàæäàí è ó÷ðåæäåíèé, êîòîðûå áóäóò â ñîñòîÿíèè âûïëà÷èâàòü ñîîòâåòñòâóþùèå âçíîñû.

Ïî ñëîâàì Áàðàêà Îáàìû, îáùàÿ ñòîèìîñòü ïðîãðàììû, ðàññ÷èòàííîé íà 10 ëåò, ñîñòàâèò $900 ìëðä. Ïðåçèäåíò çàâåðèë çàêîíîäàòåëåé, ÷òî ýòè ðàñõîäû íå ïðèâåäóò ê äàëüíåéøåìó ðîñòó áþäæåòíîãî äåôèöèòà. Ïî åãî ñëîâàì, ðåôîðìà îáîéäåòñÿ ñòðàíå äåøåâëå âîéí â Àôãàíèñòàíå è Èðàêå èëè ñîêðàùåíèé íàëîãîâ, ïðåäïðèíÿòûõ àäìèíèñòðàöèåé Äæîðäæà Áóøà.

Ñîãëàñíî ïëàíó ðåôîðìèðîâàíèÿ ñèñòåìû çäðàâîîõðàíåíèÿ, ñðåäñòâà íà ðåôîðìó áóäóò ïîëó÷åíû çà ñ÷åò ñîêðàùåíèÿ äðóãèõ ñòàòåé áþäæåòíûõ ðàñõîäîâ, à òàêæå áîëåå ðàöèîíàëüíîãî ðàñïðåäåëåíèÿ äîõîäîâ â ñàìîì ñåêòîðå ìåäèöèíñêîãî ñòðàõîâàíèÿ.  ïåðñïåêòèâå, åñëè òåìïû ðîñòà ðàñõîäîâ íà ñòðàõîâàíèå óäàñòñÿ îãðàíè÷èòü, áþäæåò âûèãðàåò, ïî ìåíüøåé ìåðå, ÷åòûðå òðèëëèîíà äîëëàðîâ.
Êðîìå òîãî, Îáàìà çàâåðèë, ÷òî ðàñõîäû íà ðåôîðìó íå ñòàâÿò ïîä óãðîçó èíòåðåñû ïîæèëûõ àìåðèêàíöåâ, ïîÿñíèâ, ÷òî ýôôåêòèâíîñòü îáñëóæèâàþùåé èõ ïðîãðàììû Medicare áóäåò íàîáîðîò óâåëè÷åíà. Òàêèì îáðàçîì, ïðåçèäåíò îòâåòèë íà óòâåðæäåíèÿ êðèòèêîâ î òîì, ÷òî ðåôîðìà áóäåò ïðîâîäèòüñÿ â óùåðá ïîæèëûì ãðàæäàíàì.

Èñòî÷íèê: medportal.ru
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Ïîñìîòðåòü ïðîôèëü Îòïðàâèòü ëè÷íîå ñîîáùåíèå Ïîñåòèòü ñàéò àâòîðà
AndreyN



Çàðåãèñòðèðîâàí: 09.09.2008
Ñîîáùåíèÿ: 1380
Îòêóäà: Kiev, UKRAINE

Ñîîáùåíèå: #15   ÑîîáùåíèåÄîáàâëåíî: Âñ Íîÿ 08, 2009 1:40 pm    Çàãîëîâîê ñîîáùåíèÿ: Îòâåòèòü ñ öèòàòîé

Êîíãðåññ ÑØÀ îäîáðèë ðåôîðìó çäðàâîîõðàíåíèÿ

Ïàëàòà ïðåäñòàâèòåëåé ÑØÀ ïðèíÿëà çàêîí î ðåôîðìå ñèñòåìû ìåäèöèíñêîãî ñòðàõîâàíèÿ, ïðåäëîæåííûé ïðåçèäåíòîì Áàðàêîì Îáàìîé. Êàê ïåðåäàåò BBC, äîêóìåíò ïðèçâàí ñäåëàòü ìåäèöèíñêèå óñëóãè äîñòóïíûìè áîëüøåìó êîëè÷åñòâó àìåðèêàíöåâ.

Äîñëîâíî :
Äæîí Äèíãåëë
êîíãðåññìåí


Çàêîí îáåñïå÷èò ñòðàõîâêó 96-òè ïðîöåíòàì àìåðèêàíöàì. Îí îáåñïå÷èò âñåì - íåçàâèñèìî îò ñîñòîÿíèÿ çäîðîâüÿ è óðîâíÿ äîõîäîâ - óâåðåííîñòü â òîì, ÷òî îíè ìîãóò ðàññ÷èòûâàòü íà ìåäèöèíñêèå óñëóãè, åñëè îíè èì íåîáõîäèìû, è ÷òî îíè ñìîãóò ñåáå ýòî ïîçâîëèòü.
BBC, 8.11.2009

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Çàêîíîïðîåêò ïîääåðæàëè 220 ÷ëåíîâ êîíãðåññà, 215 âûñêàçàëèñü ïðîòèâ. Òåïåðü çàêîí î ðåôîðìå çäðàâîîõðàíåíèÿ ïðåäñòîèò ðàññìîòðåòü ñåíàòó ÑØÀ.

Ñïèêåð Ïàëàòû ïðåäñòàâèòåëåé Íåíñè Ïåëîñè íàçâàëà ãîëîñîâàíèå èñòîðè÷åñêèì è ñðàâíèëà åãî ñ ïðèíÿòèåì âàæíåéøåãî çàêîíà î ñîöèàëüíîì îáåñïå÷åíèè, ïðèíÿòîì â 1935 ãîäó è àêòà î çäðàâîîõðàíåíèè, îäîáðåííîì â 1965-ì.

Ïðåçèäåíò ÑØÀ òàêæå ïðèâåòñòâîâàë ðåøåíèå Ïàëàòû ïðåäñòàâèòåëåé è âûðàçèë óâåðåííîñòü â òîì, ÷òî ñåíàò ïîñëåäóåò ïðèìåðó íèæíåé ïàëàòû. Îáàìà ðàíåå ãîâîðèë, ÷òî íàäååòñÿ ïîäïèñàòü îêîí÷àòåëüíûé âàðèàíò çàêîíà î ðåôîðìå çäðàâîîõðàíåíèÿ óæå äî êîíöà ýòîãî ãîäà.

 ñóááîòó Îáàìà ïðîâåë ÷àñòíûå êîíñóëüòàöèè ñ ÷ëåíàìè êîíãðåññà, à çàòåì îáðàòèëñÿ ê íèì ñ ïóáëè÷íûì ïðèçûâîì ïðîãîëîñîâàòü çà çàêîí î ðåôîðìå. Ïðåçèäåíò îòìåòèë, ÷òî ïîäîáíûå âîçìîæíîñòè ïðåäñòàâëÿþòñÿ, âîçìîæíî, "îäèí ðàç çà æèçíü öåëîãî ïîêîëåíèÿ".

"Äàæå åñëè ýòî òðóäíî ñäåëàòü – îñîáåííî, åñëè ýòî òðóäíî ñäåëàòü, ìû îáÿçàíû äåéñòâîâàòü, - ñêàçàë ïðåçèäåíò ÑØÀ. – ß ïðèçûâàþ ÷ëåíîâ êîíãðåññà îñîçíàòü âàæíîñòü ìîìåíòà, îòâåòèòü íà ïðèçûâ èñòîðèè è ïðîãîëîñîâàòü çà ðåôîðìó ñèñòåìû ìåäèöèíñêîãî ñòðàõîâàíèÿ â Àìåðèêå".

Ìåäèöèíñêàÿ ðåôîðìà áûëà îäíèì èç ãëàâíûõ ïðåäâûáîðíûõ ëîçóíãîâ íûíåøíåãî ïðåçèäåíòà ÑØÀ. Ñåé÷àñ îêîëî 47 ìèëëèîíîâ àìåðèêàíöåâ íå èìåþò ìåäèöèíñêîé ñòðàõîâêè, à ñòðàõîâêà 25 ìèëëèîíîâ ÷åëîâåê íå îáåñïå÷èâàåò èì ïîëíóþ îïëàòó ìåäèöèíñêèõ óñëóã. Ïî ñëîâàì ñòîðîííèêîâ çàêîíà, ñ åãî ïîìîùüþ äîñòóï ê ìåäèöèíñêîìó îáñëóæèâàíèþ äîïîëíèòåëüíî ïîëó÷àò 36 ìèëëèîíîâ àìåðèêàíöåâ.

Ðåñïóáëèêàíöû âûñòóïàþò ïðîòèâ ìåäèöèíñêèõ ðåôîðì Îáàìû, íàçûâàÿ èõ ñëèøêîì äîðîãèìè äëÿ áþäæåòà è óãðîæàþùèìè ñòàáèëüíîñòè ýêîíîìèêè.

Åñëè ïðåäëîæåííûé Îáàìîé çàêîí áóäåò îêîí÷àòåëüíî ïðèíÿò, ïðàâèòåëüñòâî ÑØÀ ñìîæåò ïðîäàâàòü ãðàæäàíàì ìåäèöèíñêóþ ñòðàõîâêó íàðàâíå ñ ÷àñòíûìè êîìïàíèÿìè. Âëàñòè òàêæå áóäóò ñóáñèäèðîâàòü ñòðàõîâêó äëÿ òåõ, êòî íå ìîæåò ñåáå åå ïîçâîëèòü, à êðóïíûå êîìïàíèè îáÿæóò îáåñïå÷èâàòü ìåäèöèíñêîå ñòðàõîâàíèå äëÿ ñâîèõ ñîòðóäíèêîâ. Êðîìå òîãî, ñòðàõîâùèêè áîëüøå íå ñìîãóò îòêàçûâàòü ëþäÿì, ó êîòîðûõ óæå íàéäåíû ñåðüåçíûå çàáîëåâàíèÿ.

http://www.grani.ru/Politics/World/US/m.161771.html
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Íà÷àòü íîâóþ òåìó   Îòâåòèòü íà òåìó    Ñïèñîê ôîðóìîâ ×àñòíàÿ ìåäèöèíà è ðåôîðìà çäðàâîîõðàíåíèÿ Óêðàèíû -> Ðåôîðìà çà ðóáåæîì ×àñîâîé ïîÿñ: GMT + 2
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