Obama Sağlık Reformu: Kanseri Aspirinle Tedavi Etmek!

Öz

2008 krizinin ardından bankaları kurtarmak için trilyonlarca doların harcanması, buna karşılık çalışanların sağlık hizmetlerini elde etme konusunda zorlanmaları Amerikan halkının tepkisini artırmıştı. Öyle ki, son dönemlerde sıkça geniş katılımın sağlandığı ve ciddi bir sağlık reformu talep eden gösteriler ve eylemler yapılıyordu. Çünkü yaşanmakta olan iktisadi krize ilave olarak, ABD sağlık sisteminin krizi de önemli boyutlara ulaşmıştı ve ABD sağlık sistemi – özel sağlık sigortasına rağmen - aileleri finansal yıkıma doğru götürmekteydi. Buna karşılık sağlık reformu yasa tasarısı 212’ye karşı sadece 219 oyla, yani sınırda kabul edildi. Tek bir Cumhuriyetçi üye dahi pakete destek vermedi. Tam tersine muhafazakâr-sağ eğilimli kesimler reform karşıtı kampanyalar düzenlediler, Obama’ yı sosyalistlikle suçladılar. Sağlık reformu yasasının ABD sağlık sisteminde radikal bir dönüşüm sağlayıp sağlayamayacağı hususu hala tartışılan konuların başında geliyor.

Anahtar Kelimeler

• Sağlık reformu yasası, güvencesizlik, asimetrik bilgi, prim, sağlık hizmeti

Öz

In the United States of America, trillions of US dollars were spent to resque the major banks and other financial instutions of Wall Street, immediately after the 2008 crisis. On the other hand, to get healthcare services became increasingly harder for working families and unemployed. This caused a public outrage and a number of rallies and mobilisations for healthcare reform were initiated by labour, community and activist organisations. Because, in addition to the existing economic crisis, healthcare in the states had reached a critical-crisis level, causing families even with private health insurance policies, to face with a financial ruin as health insurance premiums for ordinary American families continued to skyrocket. However, the US Health Care Act passed with a narrow majority of 219-212 with not a single Republican vote in favour. Conservative Republicans and right wing politicians organised “tea parties” and demonstrations against the Act, accused Obama falsely of being a socialist. Whether the socalled Health Care Reform Act is a radical change or not has still been a hot issue

Anahtar Kelimeler

• Healtcare Act, uninsured, asymmetric information, premiums, medicare

Kaynakça

1. Bailey, J. Stephen (2002), Public Sector Economics; Theory, Policy and Practice, 2nd Edt., New York: Palgrave.
2. Begg, David, Fisher, Stanley, Dornbush, Rudiger (2003), Economics, 7th edition, Thr McGraw-Hill Companies.
3. Bank of International Settlements -BIS (2007), Institutional Investors, Global Savings and Asset Allocation.
4. Coverage Denied: How the Current Health Insurance System Leaves millions behind, www.healthreform.gov/reports ,(06.04.2010)
5. Durmuş, Mustafa (2008), Kamu Ekonomisi, Ankara: Gazi Kitapevi.
6. Durmuş, Mustafa(2010), Kapitalizmin Krizi- 2008 Krizinin Eleştirel Bir Değerlendirmesi, 2. Baskı, Ankara: Tan Yayınevi,
7. Executive Office of the President (2009), The Burden of Health Insurance Premium Increases on American Families, www.whitehouse.gov/assets/.../Health_Insurance_Premium_Report.pdf (22.09. 2009).
8. Foster, J. Bellamy, McChesney, W.Robert (2009), Monopoly-Finance Capital and the Paradox of Accumulation, Monthly Review, SAYISI VE SAYFA NUMARASI ???

9. Hidden Costs of Health Care: Why Americans are paying more but getting less, www.healthreform.gov/reports (06.04.2010)
10. Hill, Rod, Myatt, Tony (2010), The Economics of Anti-Text Book, A critical thinker’s guide to micro economics, Zed Books.
11. Kanser Hastasının İlaç Mücadelesi, Taraf Gazetesi, http://www.taraf.com.tr/haber/47851.htm (23.3.2010)
12. International Monetary Found, The State of Public Finances: Outlook and Medium-Term Policies After the 2008 Crisis, (06.03.2009).
13. Insurance Companies Prosper, Families Suffer: Our Broken Health Insurance System, www.healthreform.gov/reports (06.04.2010)
14. Kaiser / HRET (2010), Employer Health Benefits 2009 Annual Survey, www.kff.org/insurance/7936/index.cfm (06.04.2010).
15. Karas, Fran (2010), Democrats Pass Health Care Bill. But is this a Reason to Celebrate, Socialist Alternative, www.socialistalternative.org, (25.03. ???? ) ERİŞİM YILI???
16. Karas, Fran (2010), Dying for Profit- The Grim Truth About Our Helathcare System,, Socialist Alternative, www.socialistalternative.org ( 10.07.2009).
17. Pro-Single-PayerDoctors: Health Bill Leaves 23 Million Uninsured, http://www.pnhp.org/news/2010/march/pro-single-payer-doctors-healthbill-leaves-23-million uninsured. ERİŞİM TARİHİ???
18. League for thr Fifth International, The new US health care bill? A betrayal of working people and women, http://fifthinternational.org (06.04.2010) Marx, Karl (1863), Theories of Surplus Value, Part One, www.marxist.org (10.10.2010)
19. Parenti, Michael (2011), Profit Pathology and Disposable Planet, www.zcommunications.org (02.03.2011).
20. Stiglitz E. Joseph (2000), Economics of the Public Sector, 3rd Edition, New York: W.W.Norton & Company.
21. Stiglitz E. Joseph (1994), “The role of the state in financial markets", Proceedings of the World Band Annual Conference on Development Economics 1993, Washington DC.: World Bank.
22. Treasury Report (2010), The Risk of Losing Health Insurance Over a Decade: New Findings from Longitudinal Data, http://www.treas.gov/press/releases//docs/final-hc-report092009.pdf (06.04.2010).
23. Worker’s Liberty (2010), Obama’s healthcare bill: 23 million people stil uninsured, http://www.workersliberty.org (23.03.2010)