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VOA常速英语新闻:美国医院同一手术收费乱象丛生(双语)

Lily85 于2013-05-31发布 l 已有人浏览
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利克·达娜是数以百万计长期身受病魔困扰美国人中的其中之一。
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Rickey Dana is one of millions of Americans living with a long-term illness.
利克·达娜是数以百万计长期身受病魔困扰美国人中的其中之一。

"I would wake up in the middle of the night, vomiting whatever I had eaten, if there was anything left in there.
“我会在午夜醒来,不管吃了什么东西,如果还有的话,都会吐出来。

It was disastrous," said Dana.
对我而言它就是场灾难,” 达娜说道。

The diagnosis: chronic Lyme disease, a tick-borne bacterial infection.
诊断书上这样写道:慢性莱姆病,蜱传播的细菌感染。

Her pre-existing condition of depression had already caused insurance companies to either deny her coverage or offer unaffordable policies.
她已有的抑郁症已经令保险公司否认其保险项目或提供负担不起的政策。

And the bills kept adding up.
而且账单一直增加。

"March. March. March. March.
“三月。

These were all due within a week of each other," she said.
这些都是在一个星期内对方寄来的。”她说道。

Her doctor put her on four different drugs and told her she needed rest.
她的医生给她开了四种不同的药物并告诉她需要休息。

But all she could think about was how to get by after losing her job and racking up tens of thousands of dollars in medical bills.
但所有她能想到的都是如何在丢掉工作后,筹集那数万美元的医药费。

"I have to pay rent, and you're charging me $400 for a 30-minute consult.
“我要付房租, 而对于一次30分钟的咨询你收取我400美元。

But you don't want me to have stress in my life," she said.
但你不希望我的生活有压力,”她说道。

New data released from the government this month reveal the costs of care vary wildly from hospital to hospital.
而本月政府新公布的数据显示各个医院的医疗费用差距很大。

For example, the same procedure can cost $12,000 or $37,000 in Arkansas;
例如,同样的手术在阿肯色州要花费12000美元至37000美元;

$35,000 or about $100,000 in different California hospitals;
在加州的不同医院需要35000美元至约100000美元;

and $14,000 or $32,000 in Virginia.
但在弗吉尼亚需要14000美元至32000美元。

Dr. Gerard Anderson heads the Johns Hopkins Center for Hospital Finance and Management.
杰拉德·安德森博士负责约翰霍普金斯医院财务及管理。

He says hospitals have marked up the charges so much over the past 30 years that they no longer have any ties to actual costs.
他表示过去30年中医院已经如此提高费用,他们不再与实际成本有任何联系。

"It's not the input prices.
“这不是投入价格。

It's not the cost of nurses and labor and those kinds of things.
这不是护士,劳力及其他的成本。

It is just what they choose to charge," said Anderson.
这只是他们选择这样来收费,”安德森说道

Michelle Katz is a nurse and health care consultant.
米歇尔·卡茨是一名护士及医疗顾问。

She says those pricing practices are unfair.
她表示那些定价实践是不公平的。

"There needs to be some sort of regulation, some sort of transparency, where if I go to the hospital I know I'm not going to go into debt because I went into the hospital," said Katz.
“需要有某种形式的规定,某种透明度,在我去医院的时候,我知道我不会欠债,因为我进的是医院,”卡茨说道。

Millions of Americans like Dana are hoping when a key part of the Obama Administration's health care reform initiative goes into effect next year, it will fix these sky-rocketing costs.
像达娜这样数以百万计的美国人希望明年生效的奥巴马政府医疗改革计划关键的一部分将解决这些比例成本问题。

The Affordable Care Act will give tens of millions of Americans new access to health care services.
平价医保法将提供给数以百万计的美国人新医疗保健服务。

But Dr.Anderson says the wild and inconsistent charges won't be going down.
但安德森博士表示疯狂且不一致的费用不会下降。

"It's not bringing them back to a normal, reasonable amount.
“这不是让这些价格回归正常、合理的收费。

It's just constraining the rate of increase," he said.
它只是约束增加的比率。”他说道。

Dana applied for financial aid and reduced her bills from $40,000 to $10,000.
达娜申请金融援助并减少将她的费用从40000美元减少到10000美元。

"I didn't even have to fight them or anything.
“我甚至不用为这些或任何东西争取权利。

They were great," she said.
他们太伟大了,”她说道。

But even then, the remaining cost has placed such a burden on her that she's had no choice but to leave her home for a cheaper place to live.
但即便如此,剩下的开销仍将是她的负担,但她除了离开自己的家前往更便宜的地方住别无选择。

词语解释

1.vomit v.吐出;呕吐

to empty the contents of the stomach through the mouth

He vomited up all he had eaten.
他把吃下的东西全吐了出来。

2.disastrous a.灾难性的;极糟的

extremely bad or unsuccessful

The new system has had a disastrous effect on productivity.
新制度已对生产力造成了灾难性的影响。

3.diagnosis n.诊断;调查分析

a judgment about what a particular illness or problem is, made after examining it

The two doctors made different diagnosis of my disease.
两位医生对我的病作出了不同的诊断。

4.bacterial a.细菌的

caused by, made from, or relating to bacteria

Bacterial digestion may continue.
细菌可能继续分解。

5.transparency n.透明度;幻灯片

the characteristic of being easy to see through

But do not underestimate the power of transparency.
但不要低估透明度的力量。

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