Wadaxaajoodka dawladda ma la geli karaa shirkadaha dawooyinka?
Kharashka daawooyinka ayaa kor u kacaya. Sanadkii 2014, dadka Maraykanku waxay ku qaadatay 12 boqolkiiba daawooyinka dhakhtar qorista ah marka loo eego sannadkii 2002. Inkastoo kiiska, ma jiraan wax aad sameyn karto si aad u bixiso wax ka yar daawooyinkaaga ? Ma jirtaa qaab kasta oo dawladdu ku caawin karto ?
Qiimaha Shirkadaha Dawooyinka
Waxyaabo badan ayaa ka qaybqaata kharashka kordhinta daawooyinka dhakhtarku qoray. Mararka qaarkood, waxaa jiri kara arimo wax soosaaraya oo xaddidaya inta daawo ee la heli karo.
Mararka kale, daroogadu waxay noqon kartaa mid ka mid ah nooca caynkiisa ah si loo daaweeyo xaalad gaar ah. Xaaladahan, waxaa laga yaabaa in la kordhiyo baahida iyo kharashaadka la xiriira daroogada.
Shirkadaha dawooyinka ayaa sidoo kale kordhin kara qiimaha daroogada si faa'iido leh. Farmasiga Turing ayaa sababay khilaafka sannadkii 2015 ka badan Daraprim (pyrimethamine), daawo loo isticmaalo in lagu daweeyo infekshanka AIDS-ka la xiriira toxoplasmosis iyo cudurrada kale ee maskaxda. Martin Shkreli, oo ah agaasimaha shirkadda, ayaa iibsaday patent-kii daroogada iyo kordhiyay qiimaha daawada in ka badan 5,500 boqolkiiba, laga bilaabo $ 13.50 ilaa $ 750 kiniinka.
Shirkadaha dawooyinka ayaa sheeganaya in qiimaha sare uu lagama maarmaan u yahay inuu maalgaliyo mashruucyo cilmi baaris iyo horumarin ah. Iyadoo aan baaritaanno socda, dadku waxay ku dhici karaan cudurro laga yaabo in la daweyn karo.
Kharajka Kharashka Yar ee Dalalka Dibadda
Waddamada Midoobey, ma jiraan xeerar si looga hortago kharashka daawooyinka Medicare ee Medicare.
Xukuumadda federaalku waxay ka baxaysaa dhaqdhaqaaqa qiimaha ilaa heer qaran oo wanaagsan iyo tartan suuqa.
Kharashka daroogada waxaa loo maamulaa si ka duwan dunida oo dhan. Tani waa sababta aad marar badan u aragto in daawooyinka isku midka ah ee lagu iibiyo dadka Maraykanku ay ku kici karaan wax ka yar dalal kale.
| Daroogada | Kanada | Boqortooyada Ingiriiska | Mareykanka |
|---|---|---|---|
| Advair (neefta) | $ 74.12 | $ 46.99 | $ 309.60 |
| Crestor (loogu talagalay kolestaroolka sare) | $ 32.10 | $ 25.80 | $ 216.00 |
| Humira (loogu talagalay rheumatoid arthritis) | $ 1,164.32 | $ 1,157.53 | $ 3,430.82 |
| Januvia (ee cudurka macaanka) | $ 68.10 | $ 48.00 | $ 330.60 |
| Lantus (sonkorow) | $ 67.00 | $ 63.65 | $ 372.75 |
Dadka qaarkiis waxay u maleynayaan in ay ka wanaagsanaan karaan in ay ka iibsadaan mukhadaraadka dalalka kale si ay ugu jaangooyaan kharashka, laakiin Medicare ma arkin sidaas. Medicare ma bixin doono daawooyinka kasta oo laga iibsado meel ka baxsan Mareykanka.
Dadka ka tirsan Medicare ma isticmaali karaan warqadaha dawooyinka
Shirkado farabadan oo badan ayaa qiime sarreeya, laakiin waxay ka soo horjeesanayaan kharashyada iyaga oo bixinaya nambarada dawooyinka iyo foojarrada. Dhibaatada waxaa jira sharciyo meesha ka ilaaliya dad badan in ay isticmaalaan qiimo dhimista.
Xeerka Nabadsugidda Bulshada waxaa ku jira xeer qeexan oo lid ku ah sharciga. Waxay qeexaysaa in shakhsi ama urur uusan bixin karin adeegyo qof loo soo diro oo loogu talagalay gudbinta ama lacag bixinta lacagta ka qaadaneysa barnaamijyada Federaalka. Daawooyinka, nasiib daro, ku dheji qaybtaan. Taas macnaheedu waa in qof kasta oo isticmaalaya Medicare uusan ka faa'iideysan karin qiimo dhimista daawooyinka.
Kuuboonada iyo foojarrada waxay dadka ku dhiiri geliyaan inay lacag ku qaataan daawooyinka qaaliga ah. Marka qiimo dhimis aan la heli karin, xukuumadda ayaa looga tegayaa inay bixiso kharash aad u qiimo badan marka loo eego haddii bukaanku isticmaalay daawo qaali ah. Sharciga lidka-kicinta waxaa loola jeedaa in uu ka ilaaliyo dhaqdhaqaaqa khiyaanada, hase yeeshee ugu dambeyntii wuxuu cadeeyaa macaamiisha.
Wada-xaajoodka Shirkadaha Dawooyinka
Haddii bukaanku si toos ah uga heli karin shirkadaha dawooyinka, waa in xukuumaddu ka xaajooto qiimaha daroogada ee iyaga oo metelaya? Jawaabta cajiibka ah waa in ay hore u sameeyaan. Wixii Medicaid ah, shirkaduhu waxay u xilsaaran yihiin inay bixiyaan dib u dhigidda qiimaha daawada. Wixii Maamulka Veterans (VA), shirkadaha daroogada waa inay ka qaadaan qiimaha ugu hooseeya ee ay u bixiyaan cid kasta oo ka tirsan waaxda gaarka loo leeyahay. Maahan wax daaweyn ah oo lagu bixiyo barnaamijyadan kale ee federaalku ka raqiisan yihiin Medicare.
Sababtee tani lagama samayn karo Medicare-da?
Medicaid waxay leedahay hal daweyn oo gobol kasta ah.
VA waxay leedahay hal shaybaar. Tani ma aha kiis marka ay timaado Medicare. Qorshayaasha dawooyinka D-D ee D-shati ayaa maamula shirkadaha caymiska gaarka ah shirkad kastana waxay leedahay noocyo kala duwan oo leh kharashyo kala duwan oo ku xiran mid kasta oo iyaga ka mid ah. Muhiimad ahaan, caymisyadaas waxay ujeedadoodu tahay inay faa'iido sameeyaan.
Tani waxay caqabad ku tahay xukuumadda. Marka hore, waxay u baahan doontaa in la baddalo sharciyada hadda jira oo ka reeban xukuumadda in ay dhexgalaan kharashka daaweynta Medicare. Marka labaad, waa inay go'aamisaa sida loo sii wado wadahadalka. Sidee ay xukuumaddu si caddaalad ah u maamuli kartaa shirkado badan marka daroogooyinka kala duwan ay ku lug leeyihiin nooc kasta? Miyuu bedeli lahaa sida qaababka loo qaabeeyey? Miyuu ku qeexi karaa naqshad guud? Noocyada daroogada nooca ay tahay waa inay nidaamiyaan? Ma u baahan tahay in dib-u-habeyn lagu sameeyo qaybta D?
Tani waa dood doodeed oo joogto ah iyo mid ka mid ah in lagu soo kordhiyo wareegyada siyaasadeed. Xafiiska Miisaaniyadeed ee Kongareeska wuxuu soo jeedinayaa in qiimaha gorgortanka uusan si weyn u saameyn doonin kharashka federaalka. Taas ma aha jawaab badan oo Maraykan ah oo doonaya inay maqlaan. Waayeelayaal badan ayaa ku dhibtoonaya in ay daawada qaataan waqti noloshooda ah marka ay u baahanyihiin daryeel caafimaad inta badan. Waxyaabaha loo baahan yahay in la sameeyo si loo yareeyo kharashka sii kordhaya ee daawooyinka rijeetada ee waddankeena.
Ilaha:
Kubanski J, Neuman T. Raadinta Kaydinta ee Wadaxaajoodka Qiimaha Daroogada ee Medicare. Henry J. Kaiser Foundation Foundation. http://kff.org/medicare/issue-brief/searching-for-savings-in-medicare-drug-price-negotiations/. La daabacay Febraayo 9, 2016.
Langreth R, Migliozzi B, Gokhale K. Maraykanku waxa uu lacag badan u bixiyaa daroogada ugu badan dalalka kale. Bloomberg. http://www.bloomberg.com/graphics/2015-drug-prices/. Laga soo daabacay Disembar 18, 2015.
Xafiiska Kormeeraha Guud. Waraaqaha Qalabka Wareejinta Farmasiga. http://oig.hhs.gov/fraud/docs/alertsandbulletins/2014/SAB_Copayment_Coupons.pdf. La daabacay September 2014.
Pollack A. Aaladda daroogada ayaa ka timid $ 13.50 jadwalka ilaa $ 750, Habeenimo. New York Times. http://www.nytimes.com/2015/09/21/business/a-huge-inthight-increase-in-a-drugs-price-raises-protests.html?_r=0. La daabacay September 20, 2015.
Shih C, Schwartz J, Coukell A. Sidee Dowlada Looga Shaacin Karaa Qeybta Daawada Qaybta D Qiimaha Daroogada? Caafimaadka Blog. http://healthaffairs.org/blog/2016/02/01/how-would- government-negotiation-of-medicare-part-d-drug-prices- work /. La daabacay Febraayo 1, 2016.