1、Made by 402 The reformation of the medical treatment faces lots of obstacles.The reformation of the medical treatment faces lots of obstacles.How did Obama succeed in breaking out of the crisis?How did Obama succeed in breaking out of the crisis?2 数十年来美国历任总统推行数十年来美国历任总统推行医改都铩羽而归，皆因反对医改都铩羽而归，皆因反对声四起。
2、奥氏也遇到同样难声四起。奥氏也遇到同样难题。旨在让全民都得到医保题。旨在让全民都得到医保的医改计划为何遭遇重重阻的医改计划为何遭遇重重阻挠？既然拦阻甚多，这次怎挠？既然拦阻甚多，这次怎么又能顺利过关么又能顺利过关?American former presidents had tried to carry out health reforms in the past years but they failed.So many people at all levels reject the health reforms.Obama faced the same difficulties.Why d
3、id the health reforms were obstructed heavily even it is good to American?Why Obama got approval this time with solid opposition?3 The difficulty of the health care reform in U.S is encountering with opposition 美国医改难美国医改难 难在遭遇重重反对难在遭遇重重反对 团结民主党团结民主党 巧用程序阻击共和党巧用程序阻击共和党 Obama strategy is properly to a
4、void making the same mistakes 奥巴马策略得当奥巴马策略得当 避免重蹈覆辙避免重蹈覆辙 United Democratic Party attack Republican Party by using procedures smartly 团结民主党团结民主党 巧用程序狙击共和党巧用程序狙击共和党 4 医改与美国传统价值观相悖医改与美国传统价值观相悖 Healthcare reform contradicts with the Americans traditional values 多数人反对建立公共保险机构多数人反对建立公共保险机构 Most people ob
5、ject to establish the public insurance organization 共和党极力阻挠医改共和党极力阻挠医改 The Republican Party obstructs the healthcare reform vigorously.保险业坚决抵制医改保险业坚决抵制医改 The insurance business firm resisting medicine changes 医药行业反对医改医药行业反对医改 The medicine opposethe Healthcare reform 中产阶级、富人忧心忡忡中产阶级、富人忧心忡忡 The middle
6、 class and the rich person are heavy-hearted 医改与美国传统价值观相悖医改与美国传统价值观相悖 Healthcare reform contradicts with the Americans traditional values 民调显示民调显示48%的美国人反对医改。反对的美国人反对医改。反对根本原因在于，医改与美国传统价值观根本原因在于，医改与美国传统价值观相悖。美国人对政府干预市场、国家控相悖。美国人对政府干预市场、国家控制社会的戒心根深蒂固，对政府主导医制社会的戒心根深蒂固，对政府主导医疗和国家控制医保的措施保持高度警惕疗和国家控制医保的措
7、施保持高度警惕性性.Polls show 48%of Americans opposed to medical reform.Against the fundamental reason is that health care reform with the United States,contrary to traditional values.U.S.government intervention in the market,state-controlled deep-rooted wariness of society,on the government-led control of h
8、ealth care and national health insurance policy to maintain the high degree of vigilance 奥巴马原想建立非营利公共保险机构，通过与私营保险机构奥巴马原想建立非营利公共保险机构，通过与私营保险机构展开竞争有效降低保险费。但大多数人坚决反对，他们认为展开竞争有效降低保险费。但大多数人坚决反对，他们认为这是在破坏美国的自由价值观念，他们青睐市场主导的医保，这是在破坏美国的自由价值观念，他们青睐市场主导的医保，要要把政府的手拿开把政府的手拿开。多数人反对建立公共保险机构多数人反对建立公共保险机构 Most peop
9、le object to establish the public insurance organization Obama originally wanted to build non-profit public insurance institutions,by means of competing with the private insurance sector to reduce insurance premiums more effectively.But most people firmly opposed,they think this is undermining the A
10、merican values of freedom,they favor a market-driven health care,to put the governments hand away.共和党极力阻挠共和党极力阻挠医改，有党派思医改，有党派思维作祟，但更因维作祟，但更因执政理念不同。执政理念不同。共和党人一直主共和党人一直主张张小政府大市小政府大市场场，而医改将，而医改将形成强势政府，形成强势政府，对社会生活和经对社会生活和经济产生过分干涉，济产生过分干涉，违背资本主义自违背资本主义自由市场经济的原由市场经济的原则则 共和党极力阻挠医改共和党极力阻挠医改 The Republican
11、 Party obstructs the healthcare reform vigorously.Republicans obstruct medical reform with the thought of party mischief,but more because of the ruling idea is different.Republicans have been advocating small government,big market,while the medical reform will form a strong government,social life an
12、d the economy too much interference,which is contrary to the principles of capitalist free market economy 保险业坚决抵制医改保险业坚决抵制医改 The insurance business firm resisting medicine changes 受医改冲击最大的将是保险业。在美国医保受医改冲击最大的将是保险业。在美国医保体系中，保险企业是既得利益者，对医改持体系中，保险企业是既得利益者，对医改持抵制态度。投票前，保险利益集团游说议员，抵制态度。投票前，保险利益集团游说议员，斥巨资投
13、放广告号召反对医改。斥巨资投放广告号召反对医改。Hardest hit by medical reform will be the insurance industry.In the United States medical insurance system,insurance companies who have vested interests resisted on medical reform.Before the vote,the insurance interest groups lobby the members and cost lots of money in advert
14、ising,called against the medical reform.医药行业反对医改医药行业反对医改 The medicine oppose the Healthcare reform some medeine enterprises refuse health reform,for the reforms increase costs.it will use cheap effective medeine and technology,which will cut down the profits of medicine enterprise heavily.what is mo
15、re,doctor association worry about the reforms may course damage to doctors interests.药品企业也反对医改，因为医改要药品企业也反对医改，因为医改要控制成本，必然将更多地使用便宜控制成本，必然将更多地使用便宜而有效的适宜药品、适宜技术，医而有效的适宜药品、适宜技术，医药企业的盈利空间将会大大缩小；药企业的盈利空间将会大大缩小；三是医生协会，也担心医改会损害三是医生协会，也担心医改会损害医生的利益。医生的利益。除不得不缴纳更多税收来为穷人享受医保“埋单”外，中产除不得不缴纳更多税收来为穷人享受医保“埋单”外，中产阶
16、级、富裕阶层还担心，大量穷人在获保后涌入医疗服务市阶级、富裕阶层还担心，大量穷人在获保后涌入医疗服务市场，而医疗资源相对有限，富人们曾经享受的场，而医疗资源相对有限，富人们曾经享受的VIP式服务将式服务将可能不复存在可能不复存在 In addition to have to pay more taxes to enjoy medical insurance for the poor,pays the bill,the middle class and wealthy class is also concerned that a large number of poor by the influx of medical services after the insurance market,while relatively limited medical resources,the rich people who enjoy the VIP-style services may no longer exist 中产阶级、富人忧心忡忡中产阶级、富人忧心忡忡 The middle class