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奥巴马签历史性医改法案

kira86 于2010-03-24发布 l 已有人浏览
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Obama Signs Historic Health Care Bill高速下载 This is the VOA Special English Health Report.President Obama ha
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Obama Signs Historic Health Care Bill


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This is the VOA Special English Health Report.

President Obama has signed legislation to make the biggest changes in the health care system in forty-five years.

BARACK OBAMA: "Today, after almost a century of trying; today, after over a year of debate; today, after all the votes have been tallied, health insurance reform becomes law in the United States of America. [Applause]"

Many parts of the plan will fully take effect in four years. But some take effect quickly. For example, in six months the new law will bar insurance companies from denying coverage to children with pre-existing health conditions. Adults with pre-existing conditions will be added in four years.

The government will help millions of people pay for insurance. It will also permit millions more to receive free coverage through the Medicaid program for the poor.

In all, the plan aims to make health insurance available to thirty-two million people now without it. People will be able to buy private policies through marketplaces called exchanges to be administered by the states. Illegal immigrants will not be able to take part.

An estimated eighty-three percent of people under age sixty-five who are in the United States legally now have insurance coverage. The plan is expected to raise that to ninety-five percent within several years.

People over sixty-five are covered by the Medicare insurance program which the government created in nineteen sixty-five.

For the first time, Americans will be required to have health insurance or face a yearly fine starting in four years. The law will also require companies with more than fifty employees to offer coverage. If not, they could face a fine of two thousand dollars a year for every worker.

Also, this year the law will start closing what is known as "the doughnut hole." That is a lack of Medicare coverage for some drug costs for older Americans. President Obama promised senior citizens that the reforms will not cut their guaranteed benefits.

He signed the bill Tuesday at the White House, before Democratic lawmakers and people with stories of health insurance problems.

BARACK OBAMA: "We have now just enshrined, as soon as I sign this bill, the core principle, that everybody should have some basic security when it comes to their health care."

The president said he expected the Senate to quickly make a last set of legislative fixes needed in the new law. Republicans are promising to fight the Senate bill. And some states have already gone to court the fight the new law.

The changes are expected to cost about nine hundred forty billion dollars over ten years, but also help reduce the federal budget deficit.

And that's the VOA Special English Health report, written by Caty Weaver. I'm Steve Ember.


其它相关新闻:

美国总统贝拉克·奥巴马23日在白宫签署参议院版本的医疗保险改革法案,使这一法案成为法律。

  然而,奥巴马的“医改”并未尘埃落定,他需要继续说服对医改案持有异议的近半数美国民众。

  拜登致谢,历史性一天

  美国医改议案21日分两个版本在众议院获得通过,其中参议院版本的法案23日经奥巴马签字,成为法律。

  签署法案仪式在白宫东厅举行,奥巴马、副总统乔·拜登以及国会众议院议长南希·佩洛西等民主党人出席仪式。

  拜登首先发表讲话,感谢民主党同仁为医改议案投下赞成票。

  “这是历史性的一天,”拜登说,“你们负起责任,改写历史……你们是领导者。”在场者随即热烈鼓掌。

  掌声中,拜登侧身对站在身旁的奥巴马说:“这是你应得的……你是令医改成为现实的那个人。”

  掌声过后,拜登继续说:“健康是最大的财富,如今,美国人更加富有,因为他们更加健康。”现场再次响起掌声。

  总统签字,我感谢你们

  拜登讲话结束后,奥巴马面带笑容,开始致辞。

  “今天,经过近一个世纪的尝试,经过一年多的争论……医疗保险改革成为美国法律,”奥巴马说,“从现在开始,我们铭记一条核心原则,那就是每个人都应有基本医疗保障。”

  奥巴马当场感谢众议院议长佩洛西、参议院民主党领袖哈里·里德等大力支持医改的民主党人,称佩洛西为“最出色的众议院议长”。

  奥巴马还对民主党同仁说:“我感谢你们,不仅这一代美国人、下一代美国人也会感谢你们。”

  奥巴马在致辞中提及一些曾与现行医疗保障体系“作斗争”的普通民众,其中包括自己的母亲。他说,母亲去世前一边受癌症折磨,一边与保险公司“斗争”。

  讲话结束后,奥巴马走向摆在一旁的桌椅。桌上放置着历经一年争论的医改法案。奥巴马使用20支笔,以每支笔写下一个字母,完成签名。

  美国有线电视新闻网报道,奥巴马将把这20支笔送给20名促成医改法案获得通过的“关键人物”。

  尚需“推销”,13州称违宪

  仪式结束后,奥巴马与拜登等民主党人前往内政部,参加规模更大的庆祝活动。共和党人则继续与医改“势不两立”。

  共和党全国委员会主席迈克尔·斯蒂尔认为,民主党无视民众诉求,“美国民众对这件事(医改)感到愤怒”。

  众议院共和党领袖约翰·博纳说,奥巴马总统放弃原则签署这项法案。“只有当政府贴近民众时,执政才会最好”。

  奥巴马签署法案后,美国13个州的总检察长随即宣布,他们将对联邦政府提起诉讼,理由是医改法案中部分条款违背美国宪法。他们中的大多数是共和党人。

  美联社认为,民主党眼下必须向民众“推销”医改。

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