Thereformationofthemedicaltreatmentfaceslotsofobstacles.HowdidObamasucceedinbreakingoutofthecrisis?Madeby402第一页,共二十页。Americanformerpresidentshadtriedtocarryouthealthreformsinthepastyearsbuttheyfailed.Somanypeopleatalllevelsrejectthehealthreforms.Obamafacedthesamedifficulties.WhydidthehealthreformswereobstructedheavilyevenitisgoodtoAmerican?WhyObamagotapprovalthistimewithsolidopposition?数十年来美国历任总统推行医改都铩羽而归,皆因反对声四起。奥氏也遇到(yùdào)同样难题。旨在让全民都得到医保的医改计划为何遭遇重重阻挠?既然拦阻甚多,这次怎么又能顺利过关?2第二页,共二十页。ThedifficultyofthehealthcarereforminU.Sisencounteringwithopposition美国医改难难在遭遇重重反对Obamastrategyisproperlytoavoidmakingthesamemistakes奥巴马策略得当避免重蹈覆辙UnitedDemocraticPartyattackRepublicanPartybyusingproceduressmartly团结民主党巧用程序狙击共和党3第三页,共二十页。医改与美国传统价值观相悖保险业坚决抵制医改HealthcarereformcontradictswithTheinsurancebusinessfirmtheAmerican'straditionalvaluesresistingmedicinechanges多数人反对建立公共保险机构医药行业反对医改MostpeopleobjecttoestablishThemedicinethepublicinsuranceorganizationopposethe共和党极力阻挠医改HealthcarereformTheRepublicanPartyobstructsthehealthcarereformvigorously.中产阶级、富人忧心忡忡Themiddleclassandthe4richpersonareheavy-hearted第四页,共二十页。医改与美国传统价值观相悖民调显示48%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相悖。美国人对Healthcarereformcontradictswith政府干预(gānyù)市场、国家控制社会的戒心根theAmerican'straditionalvalues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性.Pollsshow48%ofAmericansopposedtomedicalreform.AgainstthefundamentalreasonisthathealthcarereformwiththeUnitedStates,contrarytotraditionalvalues.U.S.governmentinterventioninthemarket,state-controlleddeep-rootedwarinessofsociety,onthegovernment-ledcontrolofhealthcareandnationalhealthinsurancepolicytomaintainthehighdegreeofvigilance第五页,共二十页。多数人反对建立公共保险机构Mostpeopleobjecttoestablishthepublicinsuranceorganization奥巴马原想建立(jiànlì)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"把政府的手拿开"。Obamaoriginallywantedtobuildnon-profitpublicinsuranceinstitutions,bymeansofcompetingwiththeprivateinsurancesectortoreduceinsurancepremiumsmoreeffectively.Butmostpeoplefirmlyopposed,theythinkthisisunderminingtheAmericanvaluesoffreedom,theyfavoramarket-drivenhealthcare,to"putthegovernment'shandaway."第六页,共二十页。共和共和党党极极力力阻挠医改Republicansobstructmedical(jílTì)h阻eR挠ep医ub改lica,nPartyobstructsreformwiththethoughtofparty有th党eh派ea思lthc维arereformvigorously.mischief,butmorebecauseofthe作祟,但更rulingideaisdifferent.因执政理念Republicanshavebeen不同。共和advocating"smallgovernment,党人一直主bigmarket",whilethemedical张"小政府reformwillformastrong大市场",government,sociallifeandthe而医改将形economytoomuchinterference,成强势政府,whichiscontrarytotheprinciples对社会生活ofcapitalistfreemarketeconomy和经济产生过分干涉,第七页,共二十页。违背资本主义自由市场经济的原则保险业坚决抵制医改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,对医改持抵制态度。投票前,保险利Theinsurancebusinessfirm益集团游说议员,斥巨资投放广告(guǎnggào)号召反对resistingmedicinechanges医改。Hardesthit...