Mexico kukhala gawo lalikulu pazambiri zokopa alendo

Poyang'ana mosamalitsa kusintha kwa chiwerengero cha anthu aku US, boma la federal ku Mexico likudandaula kuti kumera kwa Gringolandia kudzapereka chidwi chachikulu ku zokopa alendo zachipatala. "Ana obadwa miliyoni miliyoni, monga amatchedwa ku US, atha kubwera ku Mexico m'zaka zikubwerazi," adatero Nduna ya Zaumoyo ku Mexico a Jose Angel Cordova Villalobos pamwambo womwe unachitika koyambirira kwa mwezi uno ku Mexico kukondwerera National Nursing Day. Cordova ananena kuti mwayi ulipo woti olimbikitsa zokopa alendo azigulitsa osati kokha dzuwa ndi mchenga komanso “mankhwala kapena maopaleshoni.”

Mogwirizana ndi mabungwe ena aboma, Unduna wa Zaumoyo ukukonza zomanga malo oyendera alendo azachipatala m'zaka ziwiri zikubwerazi. Zomwe zili zofunika kwambiri pa ntchitoyi zikuphatikiza kuphunzitsa gulu la anamwino azilankhulo ziwiri a Chisipanishi-Chingerezi, ndikuwonjezera kuchuluka kwa zipatala zapadera zaku Mexico zovomerezedwa ndi bungwe logwirizana la US-Mexico lomwe likugwira ntchito kale. Malinga ndi a Cordova, mabungwe asanu ndi atatu otere ndi omwe adatsimikiziridwa ndi komitiyi.

Ngakhale zoyeserera zachigawo zolimbikitsa zokopa alendo zachipatala zikuyenda m'maboma akumpoto a Chihuahua, Baja California ndi Nuevo Leon, Cordova adati kulumikizana kwakukulu pamaboma ndikofunikira kuti pakhale msika wapadziko lonse lapansi womwe mayiko kuphatikiza Thailand, India, Costa Rica ndi Brazil. . Mkulu wa zaumoyo ku Mexico adatsimikiza kuti pulogalamu yatsopanoyi idzapindulitsa mabungwe azinsinsi.

"Izi zikhala zolimbikitsa msika wamba," adatero Cordova. Cordova adavomereza kuti kuphunzitsa anamwino azilankhulo ziwiri kumayambitsa vuto lalikulu laubongo ku US, komwe madera ena akulembera kale anamwino aku Mexico kuti alandire malipiro ochulukirapo kuposa omwe amalandila kunyumba, koma adasamala kuti awonjezere maphunziro omwe akuyembekezeredwa kuti aziyang'ana magawo osankhika azaumoyo ku Mexico. kupereka chisamaliro monga opaleshoni yodzikongoletsera ndi mankhwala ena apadera. Mapulogalamu oyesa ophunzitsa anamwino azilankhulo ziwiri ali pakukonzekera, Cordova anawonjezera.

Kaya zokopa alendo zachipatala ku Mexico zidalira pazochitika zosiyanasiyana za chikhalidwe, zachuma, ndale ndi chitetezo kumpoto ndi kumwera kwa malire. Ziwawa zomwe zikupitilira m'madera akumalire zitha kulepheretsa kukula kwakanthawi kochepa. Chinthu chachikulu chidzakhala zotsatira za zomwe zimatchedwa kusintha kwa chisamaliro chaumoyo ku US, makamaka ngati malamulo aperekedwa omwe amawonjezeka m'malo mochepetsa ndalama monga momwe Obama akufunira.

Ulendo Wachipatala M'tawuni Yachisangalalo

Mtsogoleri wakale wa Puerto Vallarta Medical Association yemwe panopa akutumikira ku komiti ya zaumoyo mumsewu, Dr. Jorge Roberto Cortes, kapena "Doctor Jorge" monga momwe amafunira kutchedwa, akukayikira kuti chithandizo chamankhwala chidzakhala chifukwa chachikulu choti anthu abwere. ku Mexico kuposa momwe zilili pano.

Komabe, kuyendera mwangozi kwa dokotala kapena dotolo wamano ndikofunika kwambiri kumalo oyendera alendo monga Puerto Vallarta. Mwachitsanzo, Cortes anayerekeza kulemedwa kwake kwa odwala ndi 50 peresenti yakunja ndi 50 peresenti ya nzika zaku Mexico. Ku Puerto Vallarta ndi kwina ku Mexico, alendo omwe akudwala ochokera ku US apeza kuti ndalama zachipatala ndizotsika mtengo kwambiri kuposa kunyumba. Malinga ndi Cortes, maulendo amaofesi amakhala pafupifupi $40, pomwe ma X-ray otsika mtengo ngati $40 amatha kutembenuzidwa pasanathe mphindi 45.

Patatha zaka zingapo ku US zomwe zinaphatikizapo stint ku Mt. Sinai, Cortes amalankhula Chingerezi popanda katchulidwe kakang'ono. Ndipo si iye yekha amene amapereka chithandizo chamankhwala m'deralo, m'zinenero ziwiri. Mzinda wa anthu oposa 300,000, Puerto Vallarta ili ndi zipatala zambiri za boma ndi zapadera, mazana a madokotala, ma labu amakono azachipatala ndi ntchito zokonzeka zotulutsira kuchipatala.

"Ndizochuluka, koma Vallarta akukula," atero asing'anga. "Tili ndi luso lonse. Mufa ngati mukufuna. Tili ndi zonse pano. "

Kalozera wazachipatala wakomweko wofalitsidwa ku Puerto Vallarta ali ndi masamba khumi akatswiri otsatsa, madotolo apabanja komanso akatswiri azamisala. Patsamba lake, chipatala cha San Javier chomwe chili ku likulu la Guadalajara chimalemba makampani a inshuwaransi akunja komwe amalandila ndalama.

Makampaniwa akuphatikizapo Cigna, Aetna, Tricare ndi International Health Insurance of Denmark, pakati pa ena. Chipatalachi chimalengeza kubadwa kwapakati pafupifupi $700 ndi hysterectomy pafupifupi $1,000. Mitengoyi ikuphatikiza kugona m'chipatala usiku umodzi ndi uwiri, motsatana.

Chipatala china chapafupi, Chipatala cha Medasist, chimalipira ndalama zosakwana $30 paulendo wamfupi wadzidzidzi, pakati pa $20- $30 chifukwa cha chisamaliro chachangu, komanso kuyambira $90 mpaka $120 usiku uliwonse kuzipinda zachipatala. Ndalama za dokotala ndizowonjezera.

Dr. Cortes ali m'gulu la madokotala omwe amakonda kuchita nawo ndalama. Potengera madandaulo omwe amadziwika ku US, Cortes adati kuchedwa kwa boma komanso kunena mawu achipongwe kungapangitse ma inshuwaransi achinsinsi kukhala ovuta. Nthawi zambiri, makampani a inshuwaransi amatenga miyezi kuti alipire othandizira azaumoyo aku Mexico.

M'madera otentha monga Puerto Vallarta, anthu atsopano komanso alendo odzaona malo ayenera kudziwa kuti angathe kutenga matenda osadziwika bwino monga dengue. Boma la Jalisco limagwira ntchito yopopera mankhwala kuti athetse udzudzu ku Puerto Vallarta, koma anthu osachepera 13 adatenga matendawa mu Januwale malinga ndi lipoti la dipatimenti ya zaumoyo m'boma lomwe latchulidwa m'nyuzipepala.

Kuchokera ku Braceros kupita ku Baby Boomers

Wochokera kubanja la namwino ku San Joaquin Valley ku California, Pamela Thompson nthawi ina adathandizira ogwira ntchito kumunda waku Mexico m'chipinda chodzidzimutsa. Masiku ano, kampani ya Thompson's HeathCare Resources Puerto Vallarta imalumikizana ndi anthu ochokera ku US komanso odzaona malo ndi othandizira azaumoyo aku Mexico. Thompson adati chidwi chachipatala chaku Mexico chikukulirakulira pakati pa ogula aku US komanso ma inshuwaransi apadera.

Atafunsidwa pa tsiku lotanganidwa kwambiri, mlangiziyo adati kuchepa kwachuma sikunachedwetse kwambiri maulendo a alendo, makamaka amuna ogonana amuna kapena akazi okhaokha, kufunafuna maopaleshoni ngati opaleshoni yapulasitiki. Malinga ndi tsamba la HealthCare Resources Puerto Vallarta, maphukusi angapo apadera opangira opaleshoni ndi otsika mtengo ndi 30-40 peresenti ku Mexico kuposa ku US ndi Canada.

Thompson adati adalandira mafunso aposachedwa kuchokera kumakampani a inshuwaransi aku US okhudza kutumiza odwala ku Mexico. "Ndikuganiza kuti izi zichitika posachedwa," adatero Thompson. "(Ma inshuwaransi wamba) ayamba kuganiza za izi, lankhulani."

Malinga ndi a Thompson, mitundu inayi ya inshuwaransi imapezeka kwa alendo komanso okhala ku Mexico - mayiko, maulendo, anthu aku Mexico, komanso boma la Mexican Social Security Institute (IMSS). Kwa alendo akanthawi kochepa kapena nyengo yachisanu ku Mexico omwe amadziwika kuti "mbalame za chipale chofewa," inshuwaransi yoyendera ndiyo njira yothandiza kwambiri, Thompson adatsimikiza.

Namwino wakaleyo adati nzika zambiri zaku US zidadabwa kumva kuti inshuwaransi yazaumoyo ku Mexico imawononga ndalama zokwana $1,500 pachaka, ngakhale vuto lalikulu kwa ambiri ndikuti makampani salipira aliyense wazaka zopitilira 62. Anthu okhala ku Mexico anthawi zonse omwe amakhala ndi ma visa a FM-3 tsopano atha kukhala oyenerera kulandila IMSS, Thompson adati, kuchenjeza kuti gulu lazambiri komanso khalidwe labwino silingakhale lofunika. Komabe, adati, inshuwaransi ya IMSS "ndiyabwinoko kuposa kalikonse." Kwa mlendo yemwe ali wosowa kwenikweni, zipatala zaboma zam'deralo zivomera kuloledwa.

Chifukwa cha kukalamba kwa anthu ambiri okhala ku US ku Mexico, kulephera kugwiritsa ntchito Medicare kulipira ndalama zokhudzana ndi zaumoyo kumwera kwa malire ndizovuta kwa anthu ambiri ochokera kumayiko ena komanso omwe angakhale osamukira kumayiko ena - mpaka pano. Pakadali pano, kuchuluka kwa anthu opuma pantchito aku US m'malo ngati Puerto Vallarta kwakopa chidwi cha zipatala kumpoto kwa malire, zomwe zimapereka zipatala zaulere ku Mexico panthawi yayikulu kukhothi odwala omwe angakhale nawo. Mogwirizana ndi zipatala, Thompson adati adathandizira kusamutsa anthu opuma pantchito aku US kuchokera ku Puerto Vallarta kupita ku mabungwe omwe kale anali kudziko lakale.

Komabe mochulukirachulukira, Thompson adati adachitira umboni za chizoloŵezi china: nzika zazing'ono zaku US zimasamukira ku Puerto Vallarta ndi mabanja awo. Kuthekera kogwira ntchito kunyumba kudzera pa intaneti kumakonda izi, adawonjezeranso munthu wokhala ku Puerto Vallarta kwanthawi yayitali. "Ndakhala ndikuyitanitsa madokotala ambiri pano m'miyezi yapitayi ya 6," adatero Thompson.

Podziwa bwino zomwe zikuchitika m'deralo, Thompson adavomereza kuti panali "aquack" pafupi "monga kwina kulikonse." Koma katswiri wazachipatala adayimilira ndi kuchuluka kwa madotolo ndi ntchito zomwe zimapezeka mumzinda wa doko la Pacific.

“Tili ndi madotolo akulu mderali. Madokotala kuno amakhala nanu nthawi, "adatero Thompson. “Mutha kuwaimbira foni ndipo simuyenera kudutsa anthu 20 kuti mukakumane. Madokotala onse amene ndimagwira nawo ntchito ali choncho.”

Ku Mexico, kupeza malingaliro anu kuchokera kwa anthu odziwa bwino komweko ndi njira yabwino yochotsera chinyengo.

Nanga bwanji Old Choppers?

Kubwerera ku US, panthawiyi, nkhani ya chithandizo cha mano yakhala ikusowa pa zomwe zimatchedwa mkangano wokonzanso chisamaliro chaumoyo. Koma kungoyang'ana mitengo yomwe madokotala a mano aku Mexico amaipiritsa kumawonetsa mwachangu kukopa komwe kumapitilira, okopa alendo komanso omwe akuyembekezeka kusamukira.

Pafupi ndi ofesi ya Cortes, komanso pafupi ndi mlatho womwe umawoloka Mtsinje wa Cuale wokhala ndi mbalame zothamanga komanso mbalame zomenyana ndi iguana, madokotala a mano Jessica Portuguez ndi Gloria Carrillo amagwira ntchito ku Old Town Vallarta nthambi ya Solu/Dent, bizinesi yachinsinsi. . Posachedwapa, chipatalachi chinapereka zoyeretsera ziwiri $12 ndi kuchotsa $9 pa dzino. Malinga ndi Carrillo, mano asanu adothi a mlatho amawononga pafupifupi $500.

Pambuyo pazaka zitatu akugwira ntchito pamalowa, Portuguez ndi Carrillo akuti 40 peresenti ya odwala awo ndi alendo panyengo yotalikirapo alendo yomwe imatenga miyezi kuyambira Okutobala mpaka Marichi. Anthu ochokera kumayiko ena, omwe amaphatikizapo makasitomala ochokera kufupi, malo akale a hippie a Yelapa, amafalitsa dzina la Solu/Dent polankhula pakamwa ndikubweretsa achibale ndi abwenzi. "Amakonda momwe timakhalira nawo kuno," adatero Carrillo.

Wophunzira ku yunivesite ya Veracruz, Portuguez anabwera ku Puerto Vallarta zaka ziwiri zapitazo atamva momwe anthu ambiri oyandama komanso okhala m'mayiko ena adapangira mwayi wochuluka wa ntchito kwa madokotala a mano atsopano. Malinga ndi wakummwera yemwe adasamutsidwa, madokotala a mano aku Mexico ayenera kumaliza zaka zisanu zamaphunziro ndi chaka chimodzi chothandizira anthu kuti apeze ziphaso zoyambira. "Tili ndi mitengo yofikira komanso yabwino," adatero Portuguez. “Tawaphunzitsa madokotala. Tinaphunzira za izi. Ntchito zonse ndi zotsimikizika. ”

Ku Puerto Vallarta, zikwangwani “zolankhula Chingelezi” zimaikidwa moonekera kunja kwa maofesi ambiri a mano. Chipwitikizi, yemwe anati amaphunzira Chingelezi panthawi yake yopuma, adatsimikizira kuti pali munthu wolandira alendo wolankhula zinenero ziwiri kuti athandize madokotala a mano a ofesi kumasulira ndi odwala. Solu/Dent posachedwapa anatsegula nthambi yachitatu ku Bucerias, dera lomwe lili kumpoto kwa Puerto Vallarta kumene anthu ambiri osamukira ku United States anasamukira. "Tikukhulupirira kuti palibe chomwe chidzasinthe ndipo tikhala pano," adatero Portuguez.