Chutiang chu a châng chuan i tawng tawh mai thei. Doctor hmuh tumin kar tam tak i nghak a, a tawpah i nghah chuan i hriselna lama harsatna zawng zawng sawi theihna hun pawh i nei lo. Doctor chu mi fel tak niin a lang a, mahse a hlauthawng hle. Tun hma ang a ni lo va, doctor-te chu machine ang maia list-a thil awmte check off ang maiin i hre tawh mai thei. Engvangin nge hetiang hian engkim a lo danglam?
A awlsam zawngin a chhanna chu: Tunlai doctor-te hian i tan hna an thawk lo fo thin. Corporation lian tak takah an thawk thin.
Engvangin nge hetiang hi a lo awm? Health service-ah hian eng thil nge thleng?
Kum sawmhnih kalta chhung khan khawvel hmun hrang hrangah healthcare hian inthlak danglamna lian tak a tawk a ni. Hemi chungchanga zirchiangtu Dr. Jane Zhu sawi dan chuan healthcare system i en hian i hmuh ber chu engkim hi rang takin a inzawm khawm chho zel tih hi a ni. Chu chu, corporation lian tak takte chuan damdawi in, nursing home, medical center, leh damdawi dawr thlengin tam takin an lei ṭan tihna a ni.
United States ang ramah chuan tunah chuan doctor hmun li a\anga hmun thum chu damdawi in emaw, corporate entity dang emaw-ah hna an thawk tawh a ni. Heng institution-te hi doctor-te thunun ni lovin, sumdawnna leh sum leh pai lama miten an thunun a ni. Tunah chuan nonprofit tia sawite pawh hi sumdawnna lian tak angin an kalpui ta a ni.
Hei hi a chhan dang chu ‘private equity’ an tih hi a ni. A awlsam zawngin, hei hian sum hmanga company lian tak, damdawi in emaw clinic awmsa lei a, a rang thei ang bera hlawkna hmuh a, hun rei lote chhunga man to zawka hralh, kum 5 ang chi a huam a ni.
Engvangin nge sum tam tak seng chung pawhin result a chhe em em?
A hmasa berah chuan healthcare hi sumdawnna anga kalpui hi a dik lo vak lo niin a lang. Mi pakhat chuan sumdawnna lama hriatna nei miten heng thilte hi an enkawl chuan system pumpui hi a hlawhtling zawk ang tih a ngaihtuah mai thei. Chu chu, sumdawnna dang ang bawka damdawi lam service enkawl ni ta se, healthcare pawh a tha zawk mai thei tih sawi theih a ni.
Mahse a takah chuan a lehlam a ni.
Kum tam tak chhung chu healthcare chu sumdawnna a lo nih tak avangin sum senso a sang chho zel a, medical bill-te chuan mipuite chu leiba tam zawkah a hruai lut a, a tawpah chuan beisei aia healthcare chhe zawk kan hmu bawk.
Entirnan, khawvela sum lakluh tamna ram zingah United States hian hriselna enkawlna atan sum a hmang tam ber a ni. Mahse chu rama mite chuan ram dang aiin dam rei zawng an tawi zawk a ni. Inven theih natna avanga thi an tam zawk. Tin, nu leh nausen thihna rate sang tak an nei bawk. Chuti a nih chuan engvangin nge sum tam tak seng chung pawhin result a chhe em em?
He thu hi kan ram tan pawh hian eng emaw chen chu a inzawm tlat a ni. Private damdawi in thenkhatah kan kal hian a chang chuan test tul lo tak tak tih a ni a, a senso pawh a to hle niin kan hria a ni lawm ni? Heng zawng zawng kan tih chhan chu sumdawnna rilru kan sawi tak vang a ni.
Goal inhnial pahnih
Hetah hian buaina thinlung chu a awm a ni. Damdawi thil tum leh sumdawnna thil tum hi thil danglam tak pahnih a ni. Heng pahnih an insu hian damlo lam hi a hmasa ber tur a ni reng a, mahse chutiang chu a thleng tak tak em?
| Damdawi hman chhan | Sumdawnna thil tum |
|---|---|
| Damlo enkawl leh tihdam, an thatna tur dah hmasak. | Investor te hnena hlawkna tam ber pek. |
| Science evidence leh doctor professional judgment hmanga thutlukna siam. | Sum hman tihtlem, sum lakluh tihpun leh hlawkna tam ber hmuh theihna tura thutlukna siam. |
Dr. Shue-a sawi angin, "Healthcare lama corporate inrawlhna atana hlauhawm bulpui ber chu thil dang zawng zawng aia hlawkna dahna hlauhawmna a ni." Dik tak chuan he business model-ah hian a ni lo ang tih hi a awm lo.
Heng a rah chhuah hlauhawm tak takte hi hriselna kalphung zawng zawngah hmuh theih a ni.
- Staff tihtlem: Hlawkna tihpun nan emergency treatment unit (ETU)-a doctor awm zat tihtlem a ni. A rah chhuah chu? Damlote hian line-ah rei zawk an nghah a ngai a, doctor nena inbiakna hun an nei tlem zawk bawk.
- Damlo tam zawk, hun tlem zawk: Doctor-te chu ni khata damlo tam zawk en turin nawrna an tawk a, chu chuan damlo pakhat zel chunga hun leh ngaihvenna an pek theih zat a ti tlem a ni. A châng chuan, doctor chuan zawhna i neih apiang chhân hun an neih tam lutuk chuan a ti buai hle thei a ni.
- A hmaa kai a nih chuan awlsam taka enkawl theih natna pumpelh dan: Zunthlum ang natna hi ke tan a ngai hma loh chuan hriat theih a ni lo mai thei, a chhan chu mumal taka inbiakna leh a chipchiar taka ngaihthlak hun a awm loh vang a ni.
- Test tul lo: A chang chuan bill tihpun nan lab test clinically a tul lo lehDoctor-te chu scan (imaging test) ti turin nawr an ni thei.
He pressure hian doctor-te zingah pawh rilru hahna nasa tak leh burnout nasa tak a thlen a ni.
A pawimawh ber chu he system hian doctor leh damlo inkara inrintawkna a tichhia a ni. Doctor hnenah i lamah a awm ang tih ringin i kal a, i tana tha ber tur thutlukna i siam thin. Mahse, chu thutlukna siamnaah chuan sum a tel chuan, chu rinna chu zawi zawiin a bo ta a ni.
Doctor-te hian hei hi an dodal em?
Tunah hian damlo kan nih angin heng thilte hi kan hrethiam tan tawh chung pawhin doctor-te chuan nitin hetiang hi kan hmachhawn thin. Mahse he thu sawi hi a hlauhawm hle. A chhan chu, doctor tam tak chuan contract basis-in hna an thawk a ni. Chuvangin company kalphung an sawisel a nih chuan chhan awm lova ban theih an ni.
Entirnan, kum 2017 khan American doctor Dr. Raymond Brovont chu a hnathawhna Pediatric ETU-ah thawktu an tlem thu leh naupangte himna atana hlauhawm a nih thu a sawi avangin ban a ni.
Hei hi doctor-te tan chuan harsatna lian tak a ni a, a chhan chu an professional oath chu "thil tisual lo la, damlo tana ṭha ber tur dah hmasak rawh" tih a ni.
Mahse, tunah chuan doctor-te chuan he thil hi an dodal ta a ni.
- Dan anga hmalak: Ram thenkhatah chuan doctor ni lote tan damdawi lam service pek khapna dan a awm a. Heng dan hmang hian medical association thenkhat chuan heng company lian te lakah hian thubuai an thehlut mek a ni.
- Trade Union: Doctor-te chuan trade union an zawm nasa hle a, collective bargaining hi an dikna leh an damlote dikna humhimna kawng tha ber a ni tih an hre chiang hle.
Damlo kan nih angin eng nge kan tih theih ang?
A chinfelna hnuhnung ber chu mipui kutah a awm a ni. Hei hi kan hriat chian a ngai a ni. Zawhna kan zawh a ngai a ni.
America rama damlote beisei loh taka bill lian tak tak laka humhimna dan ``No Surprises Act'' chu mi pangngai an inkhawm a, an aw an chhuah avangin siam a ni. Company lian tak takin lobby mah se, sorkar chuan mipui thu a ngaithla a.
He zawhna hi kan inzawt vek a ngai a ni:
"Profit-driven, commercial healthcare system, a tum ber chu i hnen atanga sum hmuhna tur chauh i duh em? A nih loh leh socially responsible healthcare system, i tanpui tum ber i duh em?".. tiin a sawi.
Hei hi ngaihtuah te, sawi te, fimkhur te hi inthlak danglamna bul tanna a ni. Doctor i hmuh leh hunah hengte hi hre reng ang che. I zawhnate chiang takin zawt la, a enkawl dan hrethiam la, i hriselnaah mawhphurhna la rawh.
Take-Home Thuchah a ni
- I doctor hian i appointment chhungin hun a nei tlem hle nia i hriat chuan, mimal tlin lohna aiin, a hnathawhna institution sumdawnna lama nawrna vang a ni mai thei.
- Healthcare chu sumdawnna a nih hunah chuan a thil tum ber chu damlo enkawlna aiin hlawkna siamna a nih theihna a awm zawk .
- Hetiang dinhmun hian hriselna enkawlna senso a tipung thei a, doctor nena inbiakna hun a ti tlem thei a, hriselna lama rah tha lo a thlen thei bawk.
- Damlo hriatna nei tak nih a pawimawh. I dinhmun, test rawtna leh enkawl dan tur chungchangah doctor hnenah zawhna chiang takin zawt rawh.
- Healthcare system-a thil awmte mipui hriatthiamna leh aw sawi hian healthcare service ṭha zawk neih theihna kawng a hawng thei a ni.
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