Muri Mata 2021, Minisiteri y'Ubutabera yashinje abantu bane batanga amagufwa ya orthopedic na ba nyiri amasosiyete menshi yo kwamamaza kuba barateguye gahunda yo kugarura no gutanga ruswa mu gihugu hose kugira ngo bategeke imiti y’amagufwa idakenewe mu buvuzi ku bagenerwabikorwa b'ubwishingizi bw'ubuvuzi.

Ejo, twaganiriye ku buryo DOJ yatangiye kwitondera uburiganya bukikije icyorezo cya COVID-19.Uyu munsi, iyi ngingo isubiramo indi ngingo "ishyushye" ya DOJ-telemedisine.Mu mwaka ushize, twabonye telemedisine ikunzwe cyane kuruta mbere hose.Nkuko umuntu ashobora kubitekereza rero, Minisiteri yubutabera (DOJ) isa nkaho yibanze kubikorwa byayo kuri telemedine kugirango hubahirizwe amategeko ya federasiyo.
Muri Mata 2021, Minisiteri y'Ubutabera yashinje abantu bane batanga amagufwa ya orthopedic na ba nyiri amasosiyete menshi yo kwamamaza kuba barateguye gahunda yo kugarura no gutanga ruswa mu gihugu hose kugira ngo bategeke imiti y’amagufwa idakenewe mu buvuzi ku bagenerwabikorwa b'ubwishingizi bw'ubuvuzi.
Abaregwa batanu baregwa barimo: Thomas Farese na Pat Truglia, ba nyir'ibicuruzwa bitanga amagufwa, bakurikiranyweho icyaha kimwe cyo gucura umugambi wo gukora uburiganya bwo kwa muganga n'ibyaha bitatu by'uburiganya mu by'ubuvuzi;Christopher Cirri na Nicholas DeFonte, isosiyete ikora ibicuruzwa by’uburiganya Ba nyir'ibikorwa na ba nyir'ibikorwa, bashinjwaga icyaha kimwe cyo gucura umugambi wo gukora uburiganya mu kwivuza;Domenic Gatto, nyir'umushinga akaba n'umukoresha w'ikigo gitanga amagufwa ya orthopedic, yashinjwaga icyaha kimwe cyo gucura umugambi wo gukora uburiganya mu buvuzi.
By'umwihariko, guverinoma yavuze ko kuva mu Kwakira 2017 kugeza muri Mata 2019, uregwa yagize uruhare mu mugambi mubisha wo kwambura ishami rishinzwe ibibazo by’abasirikare (CHAMPVA) Medicare, Tricare, Porogaramu y’ubuzima n’ubuvuzi, hamwe n’izindi gahunda zita ku buzima bw’ubuzima bwa Leta n’abikorera ku giti cyabo; .Abaregwa ngo bishyuye kandi bahabwa inguzanyo zitemewe mu rwego rwo kugurisha amabwiriza y’imitsi y’amagufwa itari nkenerwa mu buvuzi, bikaviramo igihombo cya miliyoni 65.
Ishami ry’ubutabera ryakomeje gushinja Truglia, Cirri, na DeFonte kuba bakora cyangwa bagenzura ibigo byita ku bucuruzi kugira ngo basabe abarwayi kandi babashishikarize kwakira imitsi y’amagufwa, baba babakeneye cyangwa batayikeneye.Abaregwa uko ari batatu bishyuye ruswa mu buryo butemewe n'amategeko na ruswa mu bigo by’itumanaho kugira ngo abaganga n’abandi batanga serivisi basinyire amabwiriza yo gufunga no kurahira ko bakeneye ubuvuzi.Abaregwa uko ari batatu bahishe kandi ruswa na ruswa basinyana amasezerano y'ibinyoma n’amasosiyete akora imiti y’uburiganya no gutanga inyemezabuguzi zikoreshwa mu “kwamamaza” cyangwa “ibikorwa by’ubucuruzi hanze”.
Farese na Truglia baguze ayo mabwiriza ya stent babinyujije mu batanga amagufwa ya orthopedic yo muri Jeworujiya na Floride, aho basabye gahunda z’ubuvuzi bw’ubuzima bwa leta n’abikorera ku giti cyabo.Byongeye kandi, kugirango bahishe inyungu zabo bwite kubatanga ibicuruzwa, Farese na Truglia bakoresheje ba nyir'izina kandi baha ayo mazina Medicare.
Ikirego cyavuze kandi ko Gatto yahujije Cirri na DeFonte n’abandi bafatanyacyaha hamwe anategura ko bagurisha amabwiriza y’amagufwa y’abatanga imiti y’amagufwa muri New Jersey na Floride kugira ngo babone amafaranga yo kwivuza no gutanga ruswa mu buryo butemewe.Gatto (n'abandi) yahise yishyura Cirri na DeFonte kuri buri muntu uhabwa ubuvuzi bwa federasiyo, kandi ibicuruzwa byabo byamaganaga amagufwa byagurishijwe kubatanga amagufwa.Nkuko byavuzwe haruguru, mu rwego rwo guhisha ruswa na ruswa, Xili na Defonte bakoze inyemezabuguzi zitari zo, bagaragaza ko kwishyura ari “marketing” na “gutunganya ibicuruzwa biva hanze”.Kimwe na Farese na Truglia, Gatto yahishe nyir'ugutanga stent akoresheje nyir'izina ku ifishi yashyikirijwe Medicare, kandi akoresha isosiyete ikora ibicuruzwa kugira ngo yimure amafaranga yishyuye uwabitanze.
Ibyaha uregwa ahura nabyo bihanishwa igifungo cy’imyaka 10 n’ihazabu y’amadolari 250.000, cyangwa kabiri inyungu cyangwa igihombo cyose cyatewe n’icyaha (cyaba kiri hejuru).
Thomas Sullivan ni umwanditsi mukuru wa politiki n’ubuvuzi akaba na perezida wa Rockpointe Corporation, isosiyete yashinzwe mu 1995 kugira ngo itange inyigisho z’ubuvuzi ku bakora umwuga w’ubuzima ku isi.Mbere yo gushinga Rockpointe, Thomas yabaye umujyanama wa politiki.