2015考研英语阅读医疗改革_大学英语阅读

2015考研英语阅读医疗改革

　　赤字鹰派早已警告说，不缩减医疗支出而抑制住政府支出将是不可能的。民主党声称他们的卫生法会减少花费。奥巴马综合了灰白头发的专家们的意见，建议改变福利计划。众议院预算委员会主席共和党人保罗?瑞安提出了他自己的改革。可是医疗保健支出继续攀升。

　　Last year the actuaries at CMS projected that healthreform would not lower spending, as Democratshoped. From 2009 to 2019 average annual growthfor health spending would be 0.2 percentage pointshigher with Mr Obamas health reform than withoutit. This slight net rise would mask dramatic shifts,the actuaries said. For example, reforms efforts tocontain costs for Medicare, the governmentprogramme for the old, would be dwarfed by theexpansion of Medicaid, the government programmefor the poor.

　　正如民主党希望的那样，去年CMS的精算师预计医疗改革支出不会减少。和没有奥巴马的医疗改革相比，从2009年到 2019年医疗支出平均每年增加高出0.2个百分点。精算师说，这种轻微的净增加掩饰了戏剧性的转变。例如，政府针对穷人的医疗补助费用大幅增加,使得政府为控制老年人医疗保险成本所作的努力大打折扣。

　　The actuaries newest study estimates that health spending grew little last year, mostly becauseof the weak economy. The next decade, however, will bring rapid growth. Governmentspending will be the main driver. Ageing baby-boomers will enroll in Medicare; Medicaid coveragewill swell; Washington will subsidise many of those on the new state exchanges. CMS expectsWashingtons share of health spending to grow from 27% in 2009 to 31% by 2020. Togetherwith spending by states and cities, the public sector will pay for nearly half of Americas healthcare.