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Gladtg Uljfrm3 Gldp jfr Amlroban Onioans ani Adasha Natovls
Jrfm Jamodols \RA Monfroty Gladtg Onotoatovls
May 5;1;
I
lspotl tglor dl`ad ro`gt tf gladtg barl, Amlroban
Onioans ani Adasha Natovls jabl iorl gladtg
bfniotofns. Abbfrion` tf rlblnt iata, nlardy 2;
plrblnt fj Amlroban Onioans ani Adasha Natovls arl wotgfut
gladtg bfvlra`l. Amlroban Onioans ani Adasha Natovls
arl adsf iosprfpfrtofnatldy ajjlbtli ey a gfst fj bgrfnob
bfniotofns, subg as ioaeltls, strfhl, ani glart ioslasl.
Yglsl iosparotols arl lvoilnbl fj tgl ompfrtanbl fj tgl
nlw gladtg rljfrm daw, wgobg aiirlssls many fj tgl unoqul
nllis fj tgos pfpudatofn.
Ygl fn`fon` ileatl aefut wgltglr gladtg barl os a ro`gt fr a
provodl`l ifls nft appdy tf Onioan Bfuntry. Amlroban Onioans ani
Adasha Natovls arl tgl fndy botozlns fj tgl \notli Rtatls wgf arl
efrn wotg a dl`ad ro`gt tf gladtg barl. Ygl jlilrad fedo`atofn tf prfvoil
gladtg slrvobls tf mlmelrs fj jlilraddy rlbf`nozli troels was ilvldfpli
jrfm a splboad rldatofnsgop eltwlln tgl jlilrad `fvlrnmlnt ani Onioan
troels tgat was lstaedosgli on 1070.1 On lxbgan`l jfr dani ani rlsfurbls,
tgl jlilrad `fvlrnmlnt mail an a`rllmlnt wotg Amlroban Onioans tf
prfvoil quadoty liubatofn ani gladtg barl tf Onioan plfpdl ani troels.5
Ygos rldatofnsgop, fjtln rljlrrli tf as tgl jlilrad trust rlspfnsoeodoty, gas
elln iljonli on tgl \.R. Bfnstotutofn, trlatols, statutls, ani on Ruprlml
Bfurt ilbosofns.
Yf judjodd tgl jlilrad fedo`atofn, tgl Onioan Gladtg Rlrvobl (OGR) was
lstaedosgli wotgon tgl Ilpartmlnt fj Gladtg ani Guman Rlrvobls
(GGR) on 1?<<. OGR os rlspfnsoedl jfr prfvoion` budturaddy apprfproatl
ani plrsfnad ani puedob gladtg slrvobls tf Amlroban Onioan ani Adasha
Natovl plfpdl. Adsf as part fj troels‟ splboad rldatofnsgop wotg tgl \.R.
[gftf Bfurtlsy fj tgl Onioan Gladtg Rlrvobl/\.R.
Ilpartmlnt fj Gladtg ani Guman Rlrvobls.
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5 Gladtg Uljfrm
`fvlrnmlnt, tgl Onioan Gladtg Barl Omprfvlmlnt Abt (OGBOA) was lnabtli on 1?0: tf lnsurl tgat
Amlroban Onioans ani Adasha Natovls rlblovli tgl gladtg barl slrvobls tgly nllili ani tf ldlvatl
tglor gladtg status tf paroty wotg ftglr ltgnob `rfups on tgl \notli Rtatls. (Jfr mfrl onjfrmatofn
aefut tgl dl`osdatofn dlaion` up tf tgl Onioan Gladtg Barl Omprfvlmlnt Abt, rlai —Dl`osdatovl
Gostfry” eldfw.)
Ilspotl tglsl ljjfrts, OGR gas gostfrobaddy elln unilrjunili ani gas nft elln aedl tf hllp up
wotg tgl gladtg nllis fj Onioan Bfuntry. On aiiotofn, tgl Onioan Gladtg Barl Omprfvlmlnt Abt
lxporli on 5;;5. Ygl passa`l fj natofnad gladtg rljfrm `ovls Onioan Bfuntry tgl fppfrtunoty tf
aiirlss iosparotols ey lxpanion` bfvlra`l ani omprfvon` abblss tgrfu`g erfailr gladtg rljfrms
ani tgrfu`g tgl rlautgfrozatofn fj tgl Onioan Gladtg Barl Omprfvlmlnt Abt (OGBOA).
Dl`osdatovl Gostfry
On 1?51, Bfn`rlss lnabtli tgl Rnyilr Abt, tgl pronbopad polbl fj
dl`osdatofn autgfrozon` jlilrad junis jfr gladtg slrvobls tf rlbf`nozli
Onioan troels.2 On 1?0<, [rlsoilnt Jfri so`nli ontf daw tgl Onioan Rldj-
Iltlrmonatofn ani Liubatofn Assostanbl Abt (ORILAA), wgobg rlbf`nozli
tgl so`nojobanbl fj tgl `fvlrnmlnt-tf-`fvlrnmlnt rldatofnsgop eltwlln
tgl \notli Rtatls ani Onioan troels. Ygos dl`osdatofn `avl Onioan troels
tgl fptofn fj assumon` tgl aimonostratofn ani fplratofn fj gladtg barlslrvobls ani prf`rams jrfm tgl Onioan Gladtg Rlrvobl (OGR) ani addfwli
tgl troels tf ilso`n prf`rams tf jot tgl nllis fj tglor bfmmunotols.9 Ygln,
on 1?0:, Bfn`rlss passli tgl Onioan Gladtg Barl Omprfvlmlnt Abt (OGBOA)
tf lnbfura`l troels tf partobopatl on tgl pdannon` ani mana`lmlnt fj
gladtg slrvobls jfr tglor mlmelrs ani tf lnsurl tgat Amlroban Onioans ani
Adasha Natovls rlblovli tgl quadoty ani quantoty fj gladtg barl slrvobls
nlblssary tf omprfvl tglor gladtg status.<
On frilr tf rlblovl slrvobls jrfm OGR fr tf elnljot jrfm tgl prfvosofns
on tgl Onioan Gladtg Barl Omprfvlmlnt Abt, a troel must el jlilraddyrlbf`nozli. A troel os illmli jlilraddy rlbf`nozli oj tgl \notli Rtatls
`fvlrnmlnt abhnfwdli`ls ots status as a `fvlrnmlnt.: Mlmelrs fj troels
arl rlbf`nozli as botozlns fj tglor troels, tgl statl on wgobg tgly rlsoil,
ani tgl \notli Rtatls.
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Gldp jfr Amlroban Onioans ani Adasha Natovls 2
Gladtg UljfrmYgl [atolnt [rftlbtofn ani Ajjfriaedl Barl Abt,
so`nli ontf daw fn Marbg 52, 5;1;, gas mailsfml so`nojobant stlps tfwari maontaonon` ani
omprfvon` prf`rams tgat suppfrt tgl gladtg
fj tgl Amlroban Onioan ani Adasha Natovl
pfpudatofn. Ygl rlautgfrozatofn fj tgl Onioan
Gladtg Barl Omprfvlmlnt Abt, tgl lxpansofn
fj Mliobaoi, ani slvlrad ftglr prfvosofns
sgfw tgl jlilrad `fvlrnmlnt‟s rlnlwli
bfmmotmlnt tf Onioan gladtg.
Ulautgfrozatofn fj tgl Onioan GladtgBarl Omprfvlmlnt Abt
Ygl Onioan Gladtg Barl Omprfvlmlnt Abt
was lnabtli on 1?0: tf lnsurl tgat Amlroban
Onioans ani Adasha Natovls rlblovli tgl
gladtg barl slrvobls tgly nllili. Gfwlvlr,
untod gladtg rljfrm passli, ot gai nft elln
bfmprlglnsovldy upiatli sonbl 1??5.0 On jabt,
abbfrion` tf a bfnblpt paplr tgat tgl bgaorman
fj tgl Rlnatl Onioan Ajjaors Bfmmottll,
Rlnatfr Eyrfn Ifr`an, slnt tf troead dlailrs
rl`arion` gladtg barl, —Plrl ot nft jfr tgl
Rnyilr Abt fj 1?51, tgl OGR wfudi nft gavl
elln autgfrozli tf rlblovl apprfproatli
rlsfurbls tf prfvoil gladtg barl slrvobls tf
Amlroban Onioans ani Adasha Natovls ajtlr tgl
lxporatofn fj tgl OGBOA on 5;;5.”7
OGR prfvoils mfrl tgan gadj fj tgl Amlroban
Onioan ani Adasha Natovl pfpudatofn wotg
gladtg barl slrvobls.? Ilspotl tgos pfpudatofn‟silplnilnbl fn tgos Onioan gladtg barl ildovlry
systlm, OGR os bgrfnobaddy unilrjunili ani
dabhs tgl autgfroty tf gavl junion` apprfproatli
jfr gladtg barl up`rails ani omprfvlmlnts.
Jfr wldd fvlr a ilbail, aivfbatls gavl
ashli Bfn`rlss tf aiirlss tglsl ossuls ey
Ygl Onioan Gladtg Rlrvobl (OGR)
OGR, wgobg prfvoils tgl macfroty fjgladtg slrvobls tf tgl Amlroban Onioan
ani Adasha Natovl bfmmunoty, os nft a
jfrm fj gladtg onsuranbl. OGR mana`ls
a unoqul gladtg slrvobl ildovlry systlm
jfr apprfxomatldy 1.? moddofn Amlroban
Onioans ani Adasha Natovls wgf eldfn`
tf <:9 jlilraddy rlbf`nozli troels on
2< statls.1; Gladtg barl slrvobls arl
prfvoili tgrfu`g OGR prf`rams, troead
prf`rams, ani urean Onioan prf`rams. A smadd numelr fj Amlroban Onioans
ani Adasha Natovls dovon` on urean arlas
rlblovl gladtg barl slrvobls jrfm urean
Onioan gladtg prf`rams. Burrlntdy, tglrl
arl 29 urean Onioan gladtg prf`rams
tgat prfvoil slrvobls tf apprfxomatldy
:;;,;;; Amlroban Onioans ani Adasha
Natovls dovon` on botols.11
Ygrfu`g tgl Onioan Gladtg Rlrvobl (OGR),Onioan troels ban bgffsl tf rlblovl
gladtg barl on fnl fj tgrll ways3
ey rlblovon` iorlbt barl jrfm OGR,1.
ey bfntrabton` wotg OGR tf bfntrfd5.
tgl aimonostratofn ani junion` fj
oniovoiuad prf`rams ani slrvobls
tgat tgl Onioan Gladtg Rlrvobl
wfudi nfrmaddy run (hnfwn as sldj-
iltlrmonatofn bfntrabts), fr
ey so`non` a bfmpabt wotg OGR tf2.
ilso`n ani fvlrsll gladtg barl
prf`rams tgat OGR wfudi nfrmaddy
mana`l (hnfwn as sldj-`fvlrnanbl
bfmpabts).15
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9 Gladtg Uljfrm
rlautgfrozon` ani amlnion` tgl Onioan Gladtg
Barl Omprfvlmlnt Abt.
Jfrtunatldy, tgl gladtg rljfrm daw onbduilia rlautgfrozatofn fj tgl Onioan Gladtg Barl
Omprfvlmlnt Abt. Ygos was quotl so`nojobant
jfr Onioan Bfuntry elbausl tgl Abt os nfw
plrmanlntdy rlautgfrozli, ilmfnstraton` tgl
jlilrad `fvlrnmlnt‟s bfmmotmlnt tf gfnfron`
ots trust rlspfnsoeodoty tf Onioan troels.
On aiiotofn tf lxpanion` tgl autgfrotols fj
tgl OGR Iorlbtfr tf onbduil aivfbaby ani
bfnsudtatofn fn mattlrs rldaton` tf Onioangladtg wotgon tgl Ilpartmlnt fj Gladtg ani
Guman Rlrvobls (GGR), eldfw arl a jlw hly
arlas tgat tgl Onioan Gladtg Barl Omprfvlmlnt
Abt (—tgl Abt”) aiirlssls312
Mliobarl, Mliobaoi, ani BGO[
Burrlnt Ossul3 Ilspotl iosprfpfrtofnatldy
go`g ratls fj pfvlrty, Amlroban Onioans
ani Adasha Natovls arl unilr-lnrfddli on
puedob prf`rams dohl Mliobaoi, partobudardy
fn rlslrvatofns. Jfr many, ot os iojjobudt tf
fetaon tglsl slrvobls elbausl mfst troead
bfmmunotols arl on rurad fr rlmftl arlas.
Jurtglr, iul tf gfw tgl burrlnt paymlnt
strubturl os slt up, prfvoilrs on Onioan
Bfuntry may nft el ailquatldy rlomeursli
jfr tgl slrvobls tgly prfvoil.
Gfw tgl Abt Aiirlssls Ygos3 Ygl
rlautgfrozatofn upiatls tgl burrlnt
autgfroty jfr OGR tf ossul `rants fr
bfntrabts tf troels, troead fr`anozatofns,
ani urean Onioan fr`anozatofns sf tgat
tgly ban bfniubt futrlabg tf lnrfdd
ldo`oedl Onioans on Mliobarl, Mliobaoi, ani
BGO[. On aiiotofn, tglrl os a rlquorlmlnt
jfr tgl Blntlrs jfr Mliobarl ani
Mliobaoi Rlrvobls (BMR) tf suemot an
annuad rlpfrt tf Bfn`rlss rl`arion` tgl
lnrfddmlnt ani gladtg status fj Onioans
rlblovon` slrvobls. Ygl Abt adsf upiatls
tgl burrlnt daw rl`arion` bfddlbtofn fj
rlomeurslmlnts jrfm Mliobarl, Mliobaoi,
ani BGO[ ey Onioan gladtg jabodotols ani
rlvosls tgl prfbliurls tgat addfw troeaddy-
fplratli prf`rams tf iorlbtdy bfddlbt subg
rlomeurslmlnts jfr tgl slrvobls tgat tgly
prfvoil.
Gladtg Barl [rfvoilr Rgfrta`l
Burrlnt Ossul3 Mfst Onioan gladtg barl
jabodotols arl dfbatli on osfdatli rurad arlas
fn fr nlar rlslrvatofns. As a rlsudt, many
Onioan gladtg prf`rams gavl gostfrobaddy
lxplrolnbli iojjobudty rlbruoton` ani
rltaonon` stajj. Abbfrion` tf tgl datlst iata,
vabanby ratls arl 5: plrblnt jfr nursls,
59 plrblnt jfr ilntad prfjlssofnads, 51
plrblnt jfr pgysoboans, ani 11 plrblnt jfr
pgarmabosts.19
Gfw tgl Abt Aiirlssls Ygos3 Ygl Abt
strln`tglns sbgfdarsgop ani dfan prf`rams
tf attrabt gladtg prfjlssofnads tf, ani tf
rltaon tglm at, OGR jabodotols ani troead
sotls. Ot adsf strln`tglns sbgfdarsgop
prf`rams tf rlbruot Amlroban Onioan
stuilnts ontf psybgfdf`y ani elgavofrad
gladtg prfjlssofns, ani ot lstaedosgls aBfmmunoty Gladtg Ulprlslntatovl prf`ram
jfr urean Onioan fr`anozatofns tf traon ani
lmpdfy oniovoiuads tf prfvoil gladtg barl
slrvobls.
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Gldp jfr Amlroban Onioans ani Adasha Natovls <
Jabodotols ani Ranotatofn
Burrlnt Ossul3 OGR gladtg barl jabodotols
arl, fn avlra`l, mfrl tgan 2; ylars fdi.Mliobad lquopmlnt, wgobg gas an avlra`l
dojl span fj sox ylars, os `lnlraddy usli jfr
twobl as dfn` on Onioan Bfuntry. On aiiotofn,
many fj tglsl gladtg barl jabodotols arl
fvlrbrfwili’tglrl osn‟t lnfu`g spabl
tf abbfmmfiatl tgl aiiotofnad stajj fr
slrvobls tgat arl ilsplratldy nllili.1<
Pgln OGR ifls nft gavl tgl rlsfurbls tf
aiirlss fplratofn ani maontlnanbl nllis,
tgly arl aiili tf tgl maontlnanbl eabhdf`
labg ylar. Ygl OGR ani troead eabhdf` os
burrlntdy lstomatli tf el $90: moddofn.1:
Gfw tgl Abt Aiirlssls Ygos3 Ygl Abt
addfws OGR ani troead gladtg jabodotols tf
bfml up wotg onnfvatovl ways tf aiirlss
iljobolnbols on glatg barl jabodotols,
sanotatofn systlms, ani bfnstrubtofn
eabhdf`s. Ot adsf autgfrozls tgl
ilvldfpmlnt fj nlw gladtg prf`ramstgat prfvoil barl on adtlrnatovl sltton`s fr
futsoil fj rl`udar bdonob fplraton` gfurs.
Ldilr ani Dfn`-Ylrm Barl
Burrlnt Ossul3 Abrfss Onioan Bfuntry, tglrl
arl jlwlr tgan 5< assostli dovon` jabodotols
jfr tgl ldilrdy fr plfpdl wotg iosaeodotols.
Ygl dabh fj jabodoty spabl ani autgfroty tf
prfvoil tgos typl fj barl mlans tgat mfst
ldilrdy Onioans fr Onioans wotg iosaeodotolsmust travld fjj tglor rlslrvatofn tf `lt
nllili barl.
Gfw tgl Abt Aiirlssls Ygos3 Ygl Abt
plrmots OGR ani troead jabodotols tf brlatl
ldilr barl prf`rams tgat jfbus fn
elgavofrad gladtg. Ot adsf addfws gfspobl,
assostli dovon`, dfn`-tlrm barl, ani gfml-
ani bfmmunoty-easli slrvobls tf el
lstaedosgli.
Banblr Rbrllnon`
Burrlnt Ossul3 Burrlntdy, OGR ani troead
jabodotols dabh tgl autgfroty tf prfvoil
banblr sbrllnon`s, lxblpt mammf`rams.
Datl iltlbtofn ani trlatmlnt fj banblr
bfntroeutl tf dfwlr survovad ratls jfr tgos
pfpudatofn.
Gfw tgl Abt Aiirlssls Ygos3 Ygl Abtlxpanis OGR ani troead jabodotols‟ bapaboty
tf prfvoil prlvlntovl slrvobls, subg as
ftglr banblr sbrllnon`s on aiiotofn tf
mammf`rams.
Ioaeltls
Burrlnt Ossul3 Abbfrion` tf tgl datlst iata,
Amlroban Onioan ani Adasha Natovl aiudts
arl nlardy tgrll tomls mfrl dohldy tgan
nfn-Gospanob wgotls tf el ioa`nfsli wotgioaeltls ani admfst twobl as dohldy tf iol
jrfm ot.10
Gfw tgl Abt Aiirlssls Ygos3 Ygl Abt
rlautgfrozls lxoston` ioaeltls sbrllnon`
ani prlvlntofn prf`rams ani plrmots
junion` fj ioadysos prf`rams.
Bfvlra`l Lxpansofn
Gavon` gladtg onsuranbl gas elln sgfwn tf
onbrlasl an oniovoiuad‟s abblss tf gladtg barl
ani tf omprfvl gladtg futbfmls. Ilspotl
tgl \.R. `fvlrnmlnt‟s rlspfnsoeodoty tf
prfvoil gladtg barl tf Amlroban Onioans
ani Adasha Natovls, tgos pfpudatofn rlmaons
iosprfpfrtofnatldy unonsurli fr rldols sfdldy
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: Gladtg Uljfrm
fn tgl iorlbt slrvobls prfvoili ey OGR. On
5;;7, nlardy fnl on tgrll nfnldilrdy Amlroban
Onioans fr Adasha Natovls was unonsurli.17 As
a rlsudt, Amlroban Onioans ani Adasha Natovls
arl dlss dohldy tf gavl a rl`udar prfvoilr ani
mfrl dohldy sujjlr jrfm wfrsl gladtg ani tf iol
prlmaturldy.
Ygl gladtg rljfrm daw os brotobad tf bdfson`
tgos bfvlra`l `ap ani os lsplboaddy ompfrtant
jfr dfw-onbfml oniovoiuads. Jfr moddofns fj
Amlrobans, partobudardy jfr tgfsl dovon` on
pfvlrty, gladtg onsuranbl os cust tff bfstdy. On
5;;7, mfrl tgan a quartlr fj tgl AmlrobanOnioan ani Adasha Natovl pfpudatofn dovli at
fr eldfw tgl jlilrad pfvlrty dlvld ($10,:;;
jfr jamody fj tgrll on 5;;7)’mfrl tgan any
ftglr raboad fr ltgnob `rfup. Ygl mfst rlblnt
lstomatls sgfw tgat admfst gadj (99 plrblnt)
fj Amlroban Onioans ani Adasha Natovls wgf
wlrl unonsurli fr gai fndy OGR bfvlra`l dovli
on jamodols wotg onbfmls eldfw tgl jlilrad
pfvlrty dlvld.1? Jfr many fj tglsl oniovoiuads,
puedob gladtg bfvlra`l prf`rams arl an
ompfrtant sajlty nlt.
Adtgfu`g OGR prfvoils Amlroban Onioans ani
Adasha Natovls wotg gladtg barl slrvobls, tgat
barl gas ots domotatofns. Jorst, tgl macfroty
fj OGR jabodotols arl dfbatli fn rlslrvatofns,
wgobg ban el a bgaddln`l jfr tgfsl dovon`
fjj rlslrvatofns. Rlbfnidy, oniovoiuads wgf
rlblovl barl jrfm OGR jabodotols arl domotli tf
tgl slrvobls prfvoili tglrl fr prfvoilrs wgfbfntrabt wotg OGR. Dastdy, OGR unilrjunion`
gas mail ot iojjobudt tf up`rail jabodotols wotg
nlw tlbgnfdf`ols ani tf lxpani slrvobls. As
a rlsudt, fjtlntomls, fndy easob gladtg barl
slrvobls arl avaodaedl, ani wgln avaodaedl,
abblss may el domotli iul tf ilmani fr tf tgl
rlmftl dfbatofn fj tgl jabodoty.5;
[uedob gladtg bfvlra`l prf`rams, subg asMliobaoi, gavl elln a hly sfurbl fj bfvlra`l
jfr tgl Amlroban Onioan ani Adasha Natovl
pfpudatofn. Jfr lxampdl, on 5;;7, Mliobaoi
ani/fr BGO[ bfvlrli admfst a quartlr fj
Amlroban Onioan ani Adasha Natovl aiudts ani
nlardy 9< plrblnt fj bgodirln.51 Ygl prf`ram
fjjlrs bfmprlglnsovl gladtg barl elnljots ani
sfml slrvobls nft typobaddy bfvlrli ey provatl
onsurlrs, subg as transpfrtatofn ani dan`ua`l
assostanbl slrvobls.
Gfwlvlr, bfntrary tf pfpudar plrblptofn, tgl
Mliobaoi prf`ram gas nft elln avaodaedl tf
add dfw-onbfml plfpdl. On jabt, on 92 statls,
aiudts wotgfut ilplnilnt bgodirln bannft
lnrfdd on Mliobaoi, lvln oj tgly arl plnnodlss.
Ygos dlavls moddofns fj dfw-onbfml aiudts wotg
nf fptofns jfr ajjfriaedl gladtg bfvlra`l,
onbduion` many Amlroban Onioans ani Adasha
Natovls. Gladtg rljfrm strln`tglns tglslpuedob bfvlra`l prf`rams ani mahls bfvlra`l
avaodaedl tf tgfsl wgf nlli ot.
Ygl gladtg rljfrm daw lxpanis Mliobaoi
ldo`oeodoty dlvlds tf 122 plrblnt fj tgl jlilrad
pfvlrty dlvld ($19,9;9 jfr a son`dl aiudt ani
$59,2<5 jfr a jamody fj tgrll on 5;;?) ani
onbduils bgodidlss aiudts. Yglsl bfvlra`l
lxpansofns wodd fjjlr Amlroban Onioans ani
Adasha Natovls abblss tf tgl gladtg slrvoblstgat arl avaodaedl tf tgfsl wotg gladtg
onsuranbl. Ygly wodd adsf gldp tf rliubl
iosparotols on bfvlra`l ani omprfvl tgl fvlradd
gladtg fj Amlroban Onioans ani Adasha Natovls,
mfvon` us bdfslr tf tgl udtomatl `fad fj gladtg
lquoty.
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Gldp jfr Amlroban Onioans ani Adasha Natovls 0
Junion` jfr [rlvlntofn ani Plddnlss
Ygl gladtg rljfrm daw bfntaons a so`nojobant
amfunt fj `rant junion` jfr prlvlntofnani wlddnlss prf`rams. Ygl nlw daw
bfnsoilrs troead fr`anozatofns, urean Onioan
fr`anozatofns, ani Amlroban Onioans ani
Adasha Natovls tf el ldo`oedl jfr tglsl `rants.
Ygl gladtg rljfrm daw onbduils junion` jfr
matlrnad ani bgodi gladtg slrvobls, subg as
lardy bgodigffi gfml vosotatofn prf`rams, as
wldd as `rants jfr trauma blntlrs, sbgffd-easli
gladtg bdonobs, ani an onjant mfrtadoty podft
prf`ram. On aiiotofn, tglrl os `rant junion`
jfr tgl omprfvlmlnt fj rl`ofnadozli systlms
fj lmlr`lnby barl rlspfnsl, tgl lstaedosgmlnt
fj bfmmunoty gladtg tlams tf suppfrt tgl
patolnt-blntlrli mliobad gfml, ani frad
gladtg barl prlvlntofn abtovotols.
Ftglr [rfvosofns
Many Amlroban Onioans ani Adasha Natovls
rlblovl gladtg barl slrvobls tgat arl assfboatli
wotg gladtg bfvlra`l tgrfu`g OGR, wgobg os nft
a jfrm fj gladtg onsuranbl. Gfwlvlr, gladtg
rljfrm rlbf`nozls tgl lxoston` fedo`atofn fj
tgl jlilrad `fvlrnmlnt tf prfvoil gladtg barl
tf Amlroban Onioans ani Adasha Natovls. Iul tf
tgl unoqul rldatofnsgop tgat Amlroban Onioans
ani Adasha Natovls gavl wotg tgl `fvlrnmlnt,
gladtg rljfrm wodd nft rlquorl Amlroban
Onioans ani Adasha Natovls tf purbgasl gladtg
onsuranbl.Gladtg rljfrm ldomonatls tgl bfst-sgaron` jfr
onsuranbl pdans fjjlrli tgrfu`g nlw gladtg
onsuranbl marhltpdabls, fr lxbgan`ls, jfr any
Amlroban Onioan fr Adasha Natovl oniovoiuad
wgf mahls dlss tgan $25,9?; a ylar, ani
lstaedosgls splboad mfntgdy lnrfddmlnt plrofis
jfr Amlroban Onioans ani Adasha Natovls. Ot adsf
rlbf`nozls Onioan troels, troead fr`anozatofns,
ani urean Onioan fr`anozatofns as lntotols
tgat ban lnrfdd Onioans on Mliobaoi, Mliobarl,
ani BGO[ uson` prlsumptovl ldo`oeodoty, wgobg
wodd lmpfwlr Onioan gladtg prfvoilrs ani
fr`anozatofns tf `ovl tlmpfrary onsuranbl
baris ani bfvlra`l tf Amlroban Onioans ani
Adashan Natovls.
\nilr tgl nlw daw, OGR, troels, ani troead ani
urean Onioan fr`anozatofns arl bfnsoilrli tgl
paylr fj dast rlsfrt jfr slrvobls prfvoili tfOnioans. Uljfrm adsf ldomonatls tgl sunslt jfr
rlomeurslmlnt jfr add Mliobarl [art E slrvobls
jurnosgli ey blrtaon Onioan gfspotads ani
bdonobs.
Bfnbdusofn
Amlroban Onioans ani Adasha Natovls jabl
many earrolrs tf fetaonon` quadoty gladtg
barl. Ygl passa`l fj gladtg rljfrm ani tglrlautgfrozatofn fj tgl Onioan Gladtg Barl
Omprfvlmlnt Abt gldp tf aiirlss tgl gladtg
iosparotols tgat arl prlvadlnt on Onioan Bfuntry.
Ygl bfvlra`l lxpansofns on tgl gladtg rljfrm
daw wodd lnsurl tgat mfrl Amlroban Onioans
ani Adasha Natovls ban `lt tgl barl tgly nlli.
Ygl Onioan Gladtg Barl Omprfvlmlnt Abt wodd
gldp tf omprfvl tgl sgfrta`l fj gladtg barl
prfvoilrs, maontaon OGR jabodotols, ani brlatl
prf`rams tf lnganbl tgl gladtg fj tgl Onioanplfpdl. Gladtg rljfrm lnaedls tgl \notli
Rtatls tf el`on tf elttlr judjodd ots rlspfnsoeodoty
tf prfvoil quadoty gladtg barl slrvobls ani
rlsfurbls tf Amlroban Onioans ani Adasha
Natovls.
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7 Gladtg Uljfrm
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Gldp jfr Amlroban Onioans ani Adasha Natovls ?
Lninftls1 Onioan Gladtg Rlrvobl, Onioan Gladtg Rlrvobl Ontrfiubtofn (Ufbhvoddl3 OGR, Canuary 5;1;), avaodaedl fndonl at gttp3//www.ogs.`fv/
[uedobOnjf/[uedobAjjaors/PldbfmlVOnjf/OGRontrf.asp.5 Natofnad Bfn`rlss fj Amlroban Onioans, An Ontrfiubtofn tf Onioan Natofns on tgl \notli Rtatls (Pasgon`tfn3 Natofnad Bfn`rlss fj Amlroban Onioans, 5;;9), avaodaedl fndonl at gttp3//www.nbao.fr`/jodlaimon/onotoatovls/NBAOVOnioanVNatofnsVOnVYglV\R.pij.2 Onioan Gladtg Rlrvobl, OGR Jabt Rgllts3 Ygl Onioan Gladtg Barl Omprfvlmlnt Abt (Ufbhvoddl3 OGR, Canuary 5;1;), avaodaedl fndonl at gttp3// onjf.ogs.`fv/GdtgOmprvAbt.asp.
9 Onioan Gladtg Rlrvobl, OGR Jabt Rgllts3 Yroead Rldj- @fvlrnanbl (Ufbhvoddl3 OGR, Canuary 5;1;), avaodaedl fndonl at gttp3//onjf.ogs.`fv/ [email protected].< Ygl Onioan Gladtg Rlrvobl, OGR Jabt Rgllts3 Ygl Onioan Gladtg Barl Omprfvlmlnt Abt , fp. bot.: Natofnad Bfn`rlss fj Amlroban Onioans, fp. bot.
0 Rlnatfr Eyrfn D. Ifr`an, Uljfrmon` tgl Onioan Gladtg Barl Rystlm (Pasgon`tfn3 \notli Rtatls Rlnatl Bfmmottll fn Onioan Ajjaors, Cudy :, 5;;?), avaodaedl fndonl at gttp3//www.onioan.slnatl.`fv/puedob/Vjodls/OnioanGladtgBfnblpt[aplr5;;?.pij.7 Oeoi.? Ygl Onioan Gladtg Rlrvobl, OGR Jabt Rgllts3 Onioan Gladtg Iosparotols (Ufbhvoddl3 OGR, Canuary 5;1;), avaodaedl fndonl at gttp3//onjf.ogs.
`fv/Iosparotols.asp.1; Ygl Onioan Gladtg Rlrvobl, OGR Jabt Rgllts3 Onioan Gladtg Rlrvobl3 A Quobh Dffh (Ufbhvoddl3 Onioan Gladtg Rlrvobl, Cunl 5;;7), avaodaedlfndonl at gttp3//onjf.ogs.`fv/QuobhDffh.asp.11 \.R. Ilpartmlnt fj Guman ani Gladtg Rlrvobls, Fjjobl fj Monfroty Gladtg, Amlroban Onioan/Adashan Natovl [rfjodl (Ufbhvoddl3 Fjjoblfj Monfroty Gladtg, Fbtfelr 5;1;), avaodaedl fndonl at gttp3//monfrotygladtg.ggs.`fv/tlmpdatls/erfwsl.aspx6dvd=5&dvdOI=<58 YglOnioan Gladtg Rlrvobl, OGR Jabt Rgllts3 \rean Onioan Gladtg [rf`ram (Ufbhvoddl3 OGR, Canuary 5;1;), avaodaedl fndonl at gttp3//onjf.ogs.`fv/\renOnis.asp.15 Ygl Onioan Gladtg Rlrvobl, OGR Jabt Rgllts3 Yroead Rldj- @fvlrnanbl, fp. bot.12 Clnnojlr Bffplr, [rldomonary Rummary fj tgl [atolnt [rftlbtofn ani Ajjfriaedl Barl Abt ani tgl Onioan Gladtg Barl Omprfvlmlnt
Abt (Pasgon`tfn3 Ygl Natofnad Onioan Gladtg Efari, Marbg 5:, 5;1;), avaodaedl fndonl at gttp3//www.noge.fr`/ifbs/;25?5;1;/ Rummary%5;fj%5;OGBOA%5;ani%5;[[ABAVMarbg%5;5:%5;5;1;.pij8 Clnnojlr Bffplr, Gfw tgl Onioan Gladtg Barl Omprfvlmlnt Abt
Aiirlssls Gladtg Ossuls on Onioan Bfuntry (Pasgon`tfn3 Ygl Natofnad Onioan Gladtg Efari, Cudy 5;;?), avaodaedl fndonl at gttp3//www.noge.fr`/ifbs/1;;15;;?/OGBOA%5;Gladtg%5;Iosparotols%5;Fnl%5;[a`lrVCudy%5;5;;?.pij8 Ygl \notli Rtatls Rlnatl Bfmmottll fnOnioan Ajjaors, Ygl Onioan Gladtg Barl Omprfvlmlnt Ulautgfrozatofn ani Lxtlnsofn Abt fj 5;;?, Irajt Rlbtofn-ey-Rlbtofn Rummary (Fbtfelr
12, 5;;?), avaodaedl fndonl at gttp3//www.onioan.slnatl.`fv/puedob/Vjodls/OnioanGladtgBarlRlbtofneyRlbtofn1;12;?.pij.19 Ygl Onioan Gladtg Rlrvobl, OGR Jabt Rgllts3 Pfrhjfrbl (Ufbhvoddl3 OGR, Canuary 5;1;), avaodaedl fndonl at gttp3//onjf.ogs.`fv/Pfrhjfrbl.asp.1< Ygl Onioan Gladtg Rlrvobl, OGR Jabt Rgllts3 Jabodotols Bfnstrubtofn (Ufbhvoddl3 OGR, Canuary 5;1;), avaodaedl fndonl at gttp3//onjf.ogs.`fv/ JbdtBnstr.asp.1: Oeoi.
10 \.R. Ilpartmlnt fj Gladtg ani Guman Rlrvobls, Fjjobl fj Monfroty Gladtg, Ioaeltls ani Amlroban Onioans/Adasha Natovls (Ufbhvoddl3GGR, Marbg <, 5;1;), avaodaedl fndonl at gttp3//monfrotygladtg.ggs.`fv/tlmpdatls/bfntlnt.aspx6OI=2;59.17 Jamodols \RA, Gladtg Bfvlra`l on Bfmmunotols fj Bfdfr3 Yadhon` aefut tgl Nlw Blnsus Numelrs (Pasgon`tfn3 Jamodols \RA, Rlptlmelr5;;?), avaodaedl fndonl at gttp3//www.jamodolsusa.fr`/asslts/pijs/monfroty-gladtg-blnsus-slpt-5;;?.pij.
1? Bara Camls, Haryn Rbgwartz, ani Cudoa Elrnit, A [rfjodl fj Amlroban Onioans ani Adasha Natovls ani Yglor Gladtg Bfvlra`l (Pasgon`tfn3Haoslr Jamody Jfuniatofn, Rlptlmelr 5;;?), avaodaedl fndonl at gttp3//www.hjj.fr`/monfrotygladtg/updfai/0?00.pij. [dlasl nftl tgattgl datlst iata avaodaedl arl jrfm 5;;:-5;;0.
5; Oeoi.51 Jamodols \RA, fp. bot.
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1; Gladtg Uljfrm
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Gldp jfr Amlroban Onioans ani Adasha Natovls 11
Abhnfwdli`mlnts
Ygos rlpfrt was wrottln ey3
Rglrobl [lrry
[rf`ram Mana`lr, Monfroty Gladtg Onotoatovls
Jamodols \RA
ani
Cfnay Jfstlr
Plddstfnl Jlddfw
Jamodols \RA
Ygl jfddfwon` Jamodols \RA stajj bfntroeutli tf tgl
prlparatofn fj tgos rlpfrt3
Ula [añarls, Iorlbtfr fj Monfroty Gladtg Onotoatovls
[l``y Ilnhlr, Iorlbtfr fj [uedobatofns
On`roi ZanYuonln, Rlnofr Liotfr
Yara Efstfbh, Liotfr
Bfddlln Gaddlr, Liotfroad Assostant
Nanby Ma`odd, Rlnofr @rapgob Ilso`nlr
Rplboad tganhs tf3
Clnnojlr Bffplr
Natofnad Onioan Gladtg Efari