今天的句子:
美国制度的独特之处让美国医保注定成为一个世纪难题。美国医保机构的大头是私营的医保机构,占比约70%,自己可以购买,但实际操作中,大部分是由雇主为雇员购买。政府的公共医保只保残疾人、末期肾脏病人(Medicare)、65岁以上的老年人以及贫困线以下的低收入人群(Medicaid),而这仅占到20%左右。那么问题来了,剩余的那10%人群处于无医保的状态。美国上一波婴儿潮出现在1946年-1964年,现在这批人群已逐步迈入老龄化阶段,预计到2030年美国人口年龄中位数将会突破40岁。那么,根据Population Reference Bureau的预测,当这批婴儿潮时期出生的人进入老年阶段时,美国家庭医护的需求量将增加75%,人数达到230万人(2010年仅130万人);到2050年,社会保险和医疗支出占美国GDP的比例也将从8%上升至12%。谁当总统都不好处理这个问题。而特朗普在竞选时候的承诺注定很难实现。特兰普新版医改法案因远未争取到多数票支持,共和党内一些强硬的保守派(conservative hard-liner)认为新的法案避重就轻、变化不大(left too much of the ACA in place),与之前的奥巴马医改法案没有本质上的区别,予以坚决反对;而另一些温和派(moderates)则认为法案过于激进,担心太多的美国人民将失去医保(leave their constituents uncovered),也不愿出面支持。
(这就是考点之一:有人认为保守,有人认为激进!)
新的计划什么时候能出来,估计等特朗普的下一任吧。
Republican leaders abruptly pulled their overhaul of the nation’s health-care system from the House floor on Friday, a dramatic defeat for President Trump and House Speaker Paul D. Ryan that leaves a major campaign promise unfulfilled and casts doubt on the Republican Party’s ability to govern.
词汇突破:
1.Abruptly 突然地;意外地
2.Overhaul 大修;改革
3.Dramatic 戏剧性的;重大的
4.Unfulfilled 未兑现的;未实现的
5.Cast doubt on 引起怀疑
6.Govern 治理;执政
7. campaign promise 竞选承诺
识别主干:
Republican leaders abruptly pulled their overhaul of the nation’s health-care system from the House floor on Friday
切成成分+独立成句:
1. a dramatic defeat for President Trump and House Speaker Paul D. Ryan同位语
=This is a dramatic defeat for President Trump and House Speaker Paul D. Ryan
(this= 句子)
2. that leaves a major campaign promise unfulfilled and casts doubt on the Republican Party’s ability to govern. 定语从句
That= defeat
参考译文:共和党领导人周五突然从众议院撤回旨在改革全国医保系统的法案。这对特朗普总统和众议院议长保罗•瑞恩来说堪称重挫,这个大选时作出的重要承诺未能兑现,令共和党的执政能力受到质疑。
思考题:
President Trump once promised the reform on nation’s health-care system.
特朗普总统曾经承诺对国家健康医疗系统进行改革。(正确)
特朗普还遇到了一件打脸的事情
今年5月31日,特朗普在讲话中提出,“一些大型连锁药店将在两周内宣布…自愿性的大幅降价。”
一个月后,药品价格确实发生变化,变得更贵了!
7月1日起,辉瑞旗下100种药品涨价,提价幅度略高于9%;
Acella 提高了公司20种药品价格;
Accorda 将旗下硬化症药物Ampyra提价9.5%;
Intercept将旗下治疗肝脏的药物Ocaliva提价7%。
改天我们必须再来聊一下美国医药行业的事,先让出题人安静的出题。
明天的句子:
Superhigh scores like vos Savant’s are no longer possible, because scoring is now based on a statistical population distribution among age peers, rather than simply dividing the mental age by the chronological age and multiplying by 100. Other standardized tests, such as the Scholastic Assessment Test (SAT) and the Graduate Record Exam (GRE), capture the main aspects of IQ tests.
思考题:
28. People nowadays can no longer achieve IQ scores as high as vos Savant’s because
[A] the scores are obtained through different computational procedures.
[B] creativity rather than analytical skills is emphasized now.
[C] vos Savant’s case is an extreme one that will not repeat.
[D] the defining characteristic of IQ tests has changed.