【美国总统电台演说】2009-06-06

Over the past few days, I’ve been traveling through the Middle East and Europe working to renew our alliances, enhance our common security, and propose a new partnership¹ between the United States and the Muslim world.

But even as I’m abroad, I’m firmly focused on the other pressing challenges we face – including the urgent need to reform our health care system.  Even as we speak, Congress is preparing to introduce and debate health reform legislation that is the product of many months of effort and deliberation.  And if you’re like any of the Americans I’ve met across this country who know all too well that the soaring costs of health care make our current course unsustainable, I imagine you’ll be watching their progress closely.

I’m talking about the families I’ve met whose spiraling premiums² and out-of-pocket expenses are pushing them into bankruptcy³ or forcing them to go without the check-ups or prescriptions⁴ they need.  Business owners who fear they’ll be forced to choose between keeping their doors open or covering their workers.  Americans who rightly worry that the ballooning costs of Medicare and Medicaid could lead to fiscal⁵ catastrophe⁶ down the road.

Simply put, the status quo is broken.  We cannot continue this way.  If we do nothing, everyone’s health care will be put in jeopardy⁷.  Within a decade, we’ll spend one dollar out of every five we earn on health care – and we’ll keep getting less for our money.

That’s why fixing what’s wrong with our health care system is no longer a luxury we hope to achieve – it’s a necessity we cannot postpone⁸ any longer.

The growing consensus⁹ around that reality has led an unprecedented¹⁰ coalition¹¹ to come together for change.  Unlike past attempts at reforming our health care system, everyone is at the table – patient’s advocates and health insurers; business and labor¹²; Democrats¹³ and Republicans alike.

A few weeks ago, some of these improbable allies committed to cut national health care spending by two trillion dollars over the next decade.  What makes this so remarkable¹⁴ is that it probably wouldn’t have happened just a few short years ago.  But today, at this historic juncture¹⁵, even old adversaries¹⁶ are united around the same goal: quality, affordable¹⁷ health care for all Americans.

Now, I know that when you bring together disparate groups with differing views, there will be lively debate.  And that’s a debate I welcome.  But what we can’t welcome is reform that just invests more money in the status quo – reform that throws good money after bad habits.

We must attack the root causes of skyrocketing health care costs.  Some of these costs are the result of unwarranted profiteering that has no place in our health care system, and in too many communities, folks are paying higher costs without receiving better care in return.  And yet we know, for example, that there are places like the Mayo Clinic in Minnesota, the Cleveland Clinic in Ohio, and other institutions that offer some of the highest quality of care in the nation at some of the lowest costs in the nation.  We should learn from their successes and promote the best practices, not the most expensive ones.  That’s how we’ll achieve reform that fixes what doesn’t work, and builds on what does.

This week, I conveyed to Congress my belief that any health care reform must be built around fundamental reforms that lower costs, improve quality and coverage¹⁸, and also protect consumer choice.  That means if you like the plan you have, you can keep it.  If you like the doctor you have, you can keep your doctor, too.  The only change you’ll see are falling costs as our reforms take hold.

I also made it very clear to Congress that we must develop a plan that doesn’t add to our budget deficit¹⁹.  My budget included an historic down payment on reform, and we’ll work with Congress to fully²⁰ cover the costs through rigorous spending reductions and appropriate additional revenues.  We’ll eliminate waste, fraud, and abuse in our health care system, but we’ll also take on key causes of rising costs – saving billions while providing better care to the American people.

All across America, our families are making hard choices when it comes to health care.  Now, it’s time for Washington to make the right ones.  It’s time to deliver.  And I am absolutely convinced that if we keep working together and living up to our mutual²¹ responsibilities; if we place the American people’s interests above the special interests; we will seize this historic opportunity to finally fix what ails²² our broken health care system, and strengthen our economy and our country now and for decades to come.

1 partnership   

n.合作关系，伙伴关系

参考例句：

• The company has gone into partnership with Swiss Bank Corporation.这家公司已经和瑞士银行公司建立合作关系。
• Martin has taken him into general partnership in his company.马丁已让他成为公司的普通合伙人。

2 premiums   

n.费用( premium的名词复数 )；保险费；额外费用；（商品定价、贷款利息等以外的）加价

参考例句：

• He paid premiums on his life insurance last year. 他去年付了人寿保险费。 来自《现代英汉综合大词典》
• Moves are afoot to increase car insurance premiums. 现正在酝酿提高汽车的保险费。 来自《简明英汉词典》

3 bankruptcy   

n.破产；无偿付能力

参考例句：

• You will have to pull in if you want to escape bankruptcy.如果你想避免破产，就必须节省开支。
• His firm is just on thin ice of bankruptcy.他的商号正面临破产的危险。

4 prescriptions   

药( prescription的名词复数 )； 处方； 开处方； 计划

参考例句：

• The hospital of traditional Chinese medicine installed a computer to fill prescriptions. 中医医院装上了电子计算机来抓药。
• Her main job was filling the doctor's prescriptions. 她的主要工作就是给大夫开的药方配药。

5 fiscal   

adj.财政的，会计的，国库的，国库岁入的

参考例句：

• The increase of taxation is an important fiscal policy.增税是一项重要的财政政策。
• The government has two basic strategies of fiscal policy available.政府有两个可行的财政政策基本战略。

6 catastrophe   

n.大灾难，大祸

参考例句：

• I owe it to you that I survived the catastrophe.亏得你我才大难不死。
• This is a catastrophe beyond human control.这是一场人类无法控制的灾难。

7 jeopardy   

n.危险；危难

参考例句：

• His foolish behaviour may put his whole future in jeopardy.他愚蠢的行为可能毁了他一生的前程。
• It is precisely at this juncture that the boss finds himself in double jeopardy.恰恰在这个关键时刻，上司发现自己处于进退两难的境地。

8 postpone   

v.延期，推迟

参考例句：

• I shall postpone making a decision till I learn full particulars.在未获悉详情之前我得从缓作出决定。
• She decided to postpone the converastion for that evening.她决定当天晚上把谈话搁一搁。

9 consensus   

n.(意见等的)一致，一致同意，共识

参考例句：

• Can we reach a consensus on this issue?我们能在这个问题上取得一致意见吗？
• What is the consensus of opinion at the afternoon meeting?下午会议上一致的意见是什么？

10 unprecedented   

adj.无前例的，新奇的

参考例句：

• The air crash caused an unprecedented number of deaths.这次空难的死亡人数是空前的。
• A flood of this sort is really unprecedented.这样大的洪水真是十年九不遇。

11 coalition   

n.结合体，同盟，结合，联合

参考例句：

• The several parties formed a coalition.这几个政党组成了政治联盟。
• Coalition forces take great care to avoid civilian casualties.联盟军队竭尽全力避免造成平民伤亡。

12 labor   

n.劳动，努力，工作，劳工；分娩；vi.劳动，努力，苦干；vt.详细分析；麻烦

参考例句：

• We are never late in satisfying him for his labor.我们从不延误付给他劳动报酬。
• He was completely spent after two weeks of hard labor.艰苦劳动两周后，他已经疲惫不堪了。

13 democrats   

n.民主主义者，民主人士( democrat的名词复数 )

参考例句：

• The Democrats held a pep rally on Capitol Hill yesterday. 民主党昨天在国会山召开了竞选誓师大会。
• The democrats organize a filibuster in the senate. 民主党党员组织了阻挠议事。 来自《简明英汉词典》

14 remarkable   

adj.显著的，异常的，非凡的，值得注意的

参考例句：

• She has made remarkable headway in her writing skills.她在写作技巧方面有了长足进步。
• These cars are remarkable for the quietness of their engines.这些汽车因发动机没有噪音而不同凡响。

15 juncture   

n.时刻，关键时刻，紧要关头

参考例句：

• The project is situated at the juncture of the new and old urban districts.该项目位于新老城区交界处。
• It is very difficult at this juncture to predict the company's future.此时很难预料公司的前景。

16 adversaries   

n.对手，敌手( adversary的名词复数 )

参考例句：

• That would cause potential adversaries to recoil from a challenge. 这会迫使潜在的敌人在挑战面前退缩。 来自辞典例句
• Every adversaries are more comfortable with a predictable, coherent America. 就连敌人也会因有可以预料的，始终一致的美国而感到舒服得多。 来自辞典例句

17 affordable   

adj.支付得起的，不太昂贵的

参考例句：

• The rent for the four-roomed house is affordable.四居室房屋的房租付得起。
• There are few affordable apartments in big cities.在大城市中没有几所公寓是便宜的。

18 coverage   

n.报导，保险范围，保险额，范围，覆盖

参考例句：

• There's little coverage of foreign news in the newspaper.报纸上几乎没有国外新闻报道。
• This is an insurance policy with extensive coverage.这是一项承保范围广泛的保险。

19 deficit   

n.亏空，亏损；赤字，逆差

参考例句：

• The directors have reported a deficit of 2.5 million dollars.董事们报告赤字为250万美元。
• We have a great deficit this year.我们今年有很大亏损。

20 fully   

adv.完全地，全部地，彻底地；充分地

参考例句：

• The doctor asked me to breathe in,then to breathe out fully.医生让我先吸气，然后全部呼出。
• They soon became fully integrated into the local community.他们很快就完全融入了当地人的圈子。

21 mutual   

adj.相互的，彼此的；共同的，共有的

参考例句：

• We must pull together for mutual interest.我们必须为相互的利益而通力合作。
• Mutual interests tied us together.相互的利害关系把我们联系在一起。

22 ails   

v.生病( ail的第三人称单数 )；感到不舒服；处境困难；境况不佳

参考例句：

• He will not concede what anything ails his business. 他不允许任何事情来干扰他的工作。 来自《现代英汉综合大词典》
• Measles ails the little girl. 麻疹折磨着这个小女孩。 来自《简明英汉词典》