纽约时报 民主党人警告称 医改法案将引发"5级火警"(5)

Encouraging enrollment² has never been a priority for Trump³ administration officials,

特朗普政府的官员从来就没有拿鼓励登记当他们的当务之急，

and confusion caused by the court decision in Texas could further depress enrollment, which was already lagging behind last year’s numbers.

而且，今年的登记人数较去年已经落后了，而德克萨斯法院这次的裁决带来的困惑可能还会进一步压低登记人数。

From Nov. 1 to Dec. 8, about 4.1 million people had signed up for Affordable⁴ Care Act coverage⁵ through the federal marketplace,

从11月1日到12月8日，通过联邦市场签署平价医疗法案的人数才410万左右，

with new enrollment in the 39 states that use the federal website Healthcare.gov down by 20 percent compared with the same period last year.

使用联邦网站Healthcare.gov的39个州新登记人数与去年同期相比下降了20%。

In all, 11.8 million people in all 50 states signed up for health insurance through the law’s marketplaces for 2018.

总体来看，2018年全美50个州共有1180万人通过该法案的市场注册申请医疗保险。

This year’s enrollment period is now ending except for in Rhode Island, where it will end Dec. 23,

今年的注册时间即将结束，除了罗德岛，该地区的注册时间要到12月23日才结束，

and in California, Colorado, Massachusetts, Minnesota, New York and the District of Columbia, where it will end in January.

以及加州、科罗拉多、马萨诸塞、明尼苏达、纽约和哥伦比亚特区，这些地方的注册将持续到明年1月。

“During a year when most people don’t know when the deadline is,

“在今年这个大多数人都不知道截止日期的年头，

if the only news you hear is that the A.C.A. was struck down, that is only going to hurt enrollment,”

如果大家听到的唯一的消息还是《平价医疗法案》被废除了，那结果只会影响登记人数，”

Josh Peck, a co-founder of the group Get America Covered and the former chief marketing⁶ officer for Healthcare.gov during the Obama administration, said in an email.

“覆盖全美”医保组织联名创始人，奥巴马政府Healthcare.gov网站前首席市场官乔什·佩克在一封邮件里说到。

The administration has slashed⁷ marketing efforts and enrollment assistance

特朗普政府大幅削减了营销力度和登记援助，

and encouraged people to buy skimpier, less expensive plans that do not meet the standards of the law.

还鼓励人们购买不满足法律标准的更不全面、更便宜的保险。

These actions, and the elimination⁸ of the law’s tax penalty for not having coverage starting next year, are most likely among the reasons fewer people are signing up.

这些举措，以及从明年开始取消因没有医保而罚税的规定，很有可能就是登记人数减少的原因之一。

Even as enrollment in private plans under the Affordable Care Act will most likely be smaller next year,

即使明年根据《平价医疗法案》加入私人保险计划的人数很可能会减少，

hundreds of thousands more low-income adults are expected to enroll¹ in expanded Medicaid in five states that recently gave them the option through citizens’ initiatives or legislative⁹ action.

在最近通过公民倡议或立法行动为低收入人群提供了加入私人保险计划这一选择的五个州，预计还是会有数十万低收入成年人在医疗补助计划扩大后加入补助计划。

Those states are Idaho, Maine, Nebraska, Utah and Virginia.

这五个州分别是爱达荷、缅因、内布拉斯加、犹他和弗吉尼亚州。

Last month’s Kaiser tracking poll found that 59 percent of respondents living in the 14 states that have not yet expanded Medicaid want them to do so.

凯撒上个月的追踪调查发现，居住在尚未扩大医疗补助的14个州的受访者有59%的人都希望政府能扩大医疗补助。

Other broadly popular provisions of the law are one that allows young people to stay on their parents’ health insurance plan until they turn 26,

该法案中其他广受欢迎的条款还包括允许年轻人在26岁之前继续享受父母的医疗保险计划，

and another that allows people to get certain types of preventive care, like vaccinations¹⁰, mammograms and other types of screenings for diseases, at no charge.

以及允许人们免费获得某些类型的预防保健，比如疫苗接种、乳房x光检查和其他类型的疾病筛查。

1 enroll   

v.招收；登记；入学；参军；成为会员（英)enrol

参考例句：

• I should like to enroll all my children in the swimming class.我愿意让我的孩子们都参加游泳班。
• They enroll him as a member of the club.他们吸收他为俱乐部会员。

2 enrollment   

n.注册或登记的人数；登记

参考例句：

• You will be given a reading list at enrollment.注册时你会收到一份阅读书目。
• I just got the enrollment notice from Fudan University.我刚刚接到复旦大学的入学通知书。

3 trump   

n.王牌，法宝；v.打出王牌，吹喇叭

参考例句：

• He was never able to trump up the courage to have a showdown.他始终鼓不起勇气摊牌。
• The coach saved his star player for a trump card.教练保留他的明星选手，作为他的王牌。

4 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。

5 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。

6 marketing   

n.行销，在市场的买卖，买东西

参考例句：

• They are developing marketing network.他们正在发展销售网络。
• He often goes marketing.他经常去市场做生意。

7 slashed   

v.挥砍( slash的过去式和过去分词 )；鞭打；割破；削减

参考例句：

• Someone had slashed the tyres on my car. 有人把我的汽车轮胎割破了。
• He slashed the bark off the tree with his knife. 他用刀把树皮从树上砍下。 来自《简明英汉词典》

8 elimination   

n.排除，消除，消灭

参考例句：

• Their elimination from the competition was a great surprise.他们在比赛中遭到淘汰是个很大的意外。
• I was eliminated from the 400 metres in the semi-finals.我在400米半决赛中被淘汰。

9 legislative   

n.立法机构，立法权；adj.立法的，有立法权的

参考例句：

• Congress is the legislative branch of the U.S. government.国会是美国政府的立法部门。
• Today's hearing was just the first step in the legislative process.今天的听证会只是展开立法程序的第一步。

10 vaccinations   

n.种痘，接种( vaccination的名词复数 )；牛痘疤

参考例句：

• Vaccinations ensure one against diseases. 接种疫苗可以预防疾病。 来自《简明英汉词典》
• I read some publicity about vaccinations while waiting my turn at the doctor's. 在医生那儿候诊时，我读了一些关于接种疫苗的宣传。 来自《简明英汉词典》