求奥巴马医改方案的背景 内容及社会各界的评论和反应,要英文的

求奥巴马医改方案的背景 内容及社会各界的评论和反应,要英文的
求奥巴马医改方案的背景 内容及社会各界的评论和反应,要英文的

求奥巴马医改方案的背景 内容及社会各界的评论和反应,要英文的
Medical Reform Background: The United States is the world's only failed to establish universal health care system in developed countries; medical expenses grew faster than economic growth is also higher than income growth and inflation; 30 million Americans have no health insurance.
　　Medical Reform Highlights: In 2014, all Americans realize that "everyone has health insurance."
　　Focus of debate: the House version, "state-run healthcare" content is deleted; in how to finance payment of medical reform bill, the House and Senate have different options.
　　After months of arduous negotiations and debate, the Senate finally voted on the 24th local time has been the focus of health care reform bill at home and abroad. This marks Obama's health care reform legislation passed by the key in the first place, followed by House and Senate will negotiate and form a unified text medical reform bill, signed into law by the President.
　　Aimed at "everyone has health insurance"
　　Medical reform bill the Senate is designed to 30 million Americans without access to health insurance into the areas of medical reform. After the entry into force of the first 10 years, the bill is expected to cost 871 billion U.S. dollars, but will reduce the government budget deficit 132 billion U.S. dollars.
　　Act expressly provides for the first time, almost all Americans should have health insurance in 2014. Annual income below 43,320 U.S. dollars for individuals and less than 73,240 U.S. dollars for a family of three, the federal government will provide health insurance subsidies. The Act also provides that the Government could urge the company through a series of incentives to provide health insurance to employees, prohibiting insurance companies insure themselves because of health problems and refuse coverage or raise premiums required.
　　House and Senate have differences with the House-passed health care reform bill text than there is a big difference with the Senate version. It is anticipated that the Bill sent to President Obama signed unified text before both houses of Congress but also in a difficult negotiation and compromise.
　　Unified case sent a copy of Obama sign before both houses of Congress but also in a difficult negotiation and compromise.
　　Comparison of the two texts, the most prominent difference is whether the "state-run health insurance" content. The House bill, including the content, purpose is to allow government insurance agency to compete with the private insurance companies to provide low-cost insurance products insured group. But the Senate version without the content, only requires the government to the private sector contracting of selected national insurance scheme.
　　Another contentious point focused on whether federal subsidies for abortion. Some conservative Democrats in the House of Representatives of the strong demand of the House health care reform law strictly prohibits the federal health insurance subsidies for abortion. However, the Senate on this issue in a more relaxed position.
　　Furthermore, how to pay for medical reform bill financing, houses have also suggested different options. House of Representatives proposed tax increases to the rich in order to fill this gap, the Senate has its own way on the idea of tax increases, while more upholding tax policies through the high way to get money.
　　Still difficult to predict success or failure of the political point of view, as the Obama administration's policy priorities, medical reform bill introduced if successful, is undoubtedly a major highlight of his career he came to power, but also demonstrate the capacity of Democrats in Congress introduced legislation. From an economic point of view, medical reform can have a positive effect on the U.S. economy, helped reduce the fiscal deficit. From the perspective of people's livelihood, the bill if they could guarantee health care level, effectively reducing healthcare costs and expand health insurance coverage, will give the U.S. health care system and bring about major changes in social life.
　　But experts point out that health care reform is a gradual process to start the short term, can not determine its success or failure. For now, the face of economic crisis, high unemployment and rising budget deficits, many people found it difficult to accept "compensation after the first gain" of healthcare reform package.
　　Around the medical reform, the Democratic and Republican-tat struggle against the liberals and conservatives within the Democratic Party is also increasing differentiation. Thus, even the successful completion of health care reform legislation, the program Obama is "the fortunes of dependency" on the U.S. political, economic and social impact will be what the short term is difficult to answer.
　　你的条件可真是苛刻
　　下面是中文版的：
　　医改背景：美国是当今世界惟一没有建立全民医疗保障制度的发达国家；医疗开支
　　增速快于经济增速,也高于收入增速和通货膨胀率；3000万美国人没有医疗保险.
　　医改要点：在2014年前所有美国人实现"人人有医保".
　　争论焦点：众议院版"国营医保"内容被删除；在如何筹资支付医改法案上,参众两院有不同方案.
　　经过几个月的艰苦谈判和辩论,美国国会参议院终于在当地时间24日投票通过了备受国内外关注的医疗改革法案.这标志着奥巴马的医改立法闯过了关键的一关,随后参众两院将协商并形成医改法案统一文本,交由总统签署生效.
　　意在“人人有医保”
　　参议院的医改法案旨在将3000万不享受医疗保险的美国人纳入医改范畴.在生效后的第一个10年内,该法案预计将耗资8710亿美元,但会将政府预算赤字减少1320亿美元.
　　法案首次明文规定,几乎所有美国人都应在2014年前拥有医疗保险.对于年收入低于43320美元的个人和低于73240美元的三口之家,联邦政府将给予医保补贴.法案还规定,政府可以通过一系列奖惩措施敦促企业向雇员提供医保,禁止保险公司因投保者本身存在健康问题而拒绝其投保要求或抬高保费.
　　参众两院有分歧
　　与众议院通过的医改法案文本相比,参议院文本与之存在很大差异.可以预见,在法案统一文本送交奥巴马总统签署前,国会两院还要经历艰难的磋商和妥协.
　　案统一文本送交奥巴马总统签署前,国会两院还要经历艰难的磋商和妥协.
　　对比两份文本,最突出的差异在于有无“国营医保”内容.众议院文本包括这一内容,目的是让政府保险机构与私营保险公司展开竞争,向投保人群提供廉价保险产品.但参议院文本没有这一内容,只规定政府可选定私营机构承包经营国家保险计划.
　　另一个争议点集中在联邦补贴能否用于堕胎.在一些保守派民主党众议员的强烈要求下,众议院医改法案严格禁止将联邦医保补贴用于堕胎手术.然而,参议院在这一问题上采取较为宽松的立场.
　　此外,在如何筹资支付医改法案上,两院也提出不同方案.众议院提出向富裕阶层增税以弥补资金缺口,参议院对增税办法有自己的主张,同时更坚持通过向高额保单征税的方式获得资金.
　　成败得失尚难料
　　从政治角度上看,作为奥巴马政府的施政重点,医改法案如果能够顺利出台,无疑是他执政生涯一大亮点,也能彰显国会民主党人推行立法的能力.从经济角度看,医改也能对美国经济产生积极作用,有助于减少财政赤字.从民生角度看,该法案如能在保证医疗服务水平的同时,切实降低医保开支和扩大医保覆盖面,也会给美国医疗体制和社会生活带来重大变化.
　　但专家指出,医疗改革是一个逐步展开的过程,短期内无法判定其成败.就目前而言,面对经济危机、高失业率和不断上升的财政赤字,已有不少民众表示难以接受“先赔后赚”的医改方案.
　　围绕医改,民主党和共和党进行了针锋相对的斗争,民主党内部自由派和保守派的分化也日益严重.由此可见,就算医疗改革立法顺利完成,该方案对奥巴马政府是“福祸相依”,对美国政局、经济和社会将产生何种影响,短期内还难以作答.
　　鄙视COPY的!