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[report整理] SENEWS-2010-03-26

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[report整理] SENEWS-2010-03-26

本帖最后由 csufor 于 2010-3-27 11:11 编辑

SENEWS-20100326 Report


Economics  Report


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This is the VOA Special English Economics Report.

 

President Obama has signed legislation to reform the health care system in the United States. The main goal is to insure about thirty-two million additional people.  That is about ninety-five percent of Americans who are not already covered by Medicare, the government insurance program for older people.

 

About sixteen million people will be added to Medicaid, the government health plan for the poor. The law will require Americans to have health insurance, with a few exceptions, or pay a fine starting in four years.

 

Also, in four years, employers with more than fifty workers will have to offer their employees a health insurance plan.  Employers will pay a fine for each uninsured worker.  Smaller businesses will receive tax credits to help pay for health plans.

 

People not covered by employer plans, Medicaid or Medicare could buy health insurance in marketplaces called exchanges.  The idea is that competition among plans will drive down costs.  States will provide these exchanges by twenty fourteen.

 

The law is the biggest change in American health care since nineteen sixty-five.  But it is not a government operated health care system like the ones in other countries. President Obama says it provides limited reform.

 

BARACK OBAMA: "So this is not radical reform.  But it is major reform.  This legislation will not fix everything that ails our health care system.  But it moves us decisively in the right direction."

 

Barry Arbuckle is chief executive of the non-profit MemorialCare Health System in Fountain Valley, California.  He says the new law gets the issue of health reform moving.  But he notes it is mainly health insurance reform. He says lawmakers will have to reform the way health care is provided.  That means finding ways for hospitals, doctors and other providers to work together more effectively.  Mister Arbuckle also would like to see more attention on prevention so fewer people need costly medical treatment.

 

The law is expected to cost about nine hundred forty billion dollars over ten years.  However, the Obama administration says the plan will cut the nation's budget deficit by more than one hundred billion dollars during that period.

 

Last year, the United States spent two and a half trillion dollars on health care. This was an increase of almost six percent from the year before.

 

And that's the VOA Special English Economics Report, written by Mario Ritter.  I'm Steve Ember.

 

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[Homework]SENEWS-2010-03-26

This is the VOA Special English Economics Report.

President Obama has signed legislation to reform the health care system in the United States. The main goal is to insure about thirty-two million additional people. That is about ninety-five percent of Americans who are not already covered by Medicare, the government insurance programme for older people.

About sixteent million people will be added to Medicaid, the government health plan for the poor. The law will require Americans to have health insurance with a few exceptions or pay a fine starting in four years. Also in four years, emplyers with more than fifty workers will have to offer their employees their health insurance plan. Employers will pay a fine for each uninsured worker. Smaller businesses will receive tax credits to help pay for health plans.

People not covered by employer plans, Medicaid or Medicare could buy health insurance in marketplaces called exchanges. The idea is that competition among plans will drive down costs. States will provide these exchanges by 2014.

The law is the biggest change in American health care since 1965. But it is not a government operated health care system like the ones in other countries. President Obama says it provides limited reform.

This isn't radical reform, but it is major reform. This legislation will not fix everything that ills our health care system but it moves us decisively in the right direction.

Barry ** is chief executive of the non-profit ** Health System in ** Valley, California.  He says the new law gets the issue of health reform moving.  But he notes it is mainly health insurance reform. He says lawmakers will have to reform the way health care is provided. That means finding ways for hospitals, doctors and other providers to work together more effectively.  Mr.** also would like to see more attention on prevention, so fewer people need costly medical treatment.

The law is expected to cost about nine hundred forty billion dollars over ten years.  However, the Obama administration says the plan will cut the nation's budget deficit by more than one hundred billion dollars during that period. Last year, the United States spent two and a half trillion dollars on health care. This was an increase of almost six percent from the year before.

And that's the VOA Special English Economics Report, written by Mario Ritter. I'm Steve Ember.

This post was generated by put listening repetition system,  Check the original dictation thread!
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[Homework]SENEWS-2010-03-26

This is the VOA Special English Economics Report.

President Obama has signed legislation to reform the healthcare system in the United States. The main goal is to ensure about 32 million additional people. That is about 95% of Americans who are not already covered by medicare, the government insurance program for older people.

About 16 million people will be added to Medicaid, the government health plan for the poor. The law will require Americans to have health insurance with a few exceptions or pay a fine starting in four years.

ALso in four years, employers with more than 50 workers will have to offer their employees a health insurance plan. Employers will pay a fine for each uninsured worker. Smaller businesses will receive tax credits to help pay for health plans.

People not covered by employer plans, Medicaid or Medicare could buy health insurance in market places, called Exchanges. The idea is that competitions among plans will drive down costs. States will provide the Exchanges by 2014. The law is the biggest change in American healthcare since 1965. But it is not a government operated healthcare system like the ones in other coutries. President Obama says it provides limited reform.

PRESIDENT OBAMA: This is a radical reform, but it is major reform. This legislation will not fix everything that ails our health care system. But it moves us decisively in the right direction.

Barry Arbuckle is chief executive of the non-profit MemorialCare Health System in Fountain Valley, California. He says the new law gets the issue of health reform moving. But he notes, it is mainly health insurance reform. He says lawmakers will have to reform the way healthcare is provided. That means finding ways for hospitals, doctors and other providers to work together more effectively. Mister Arbuckle also would like to see more attention on prevention so fewer people need costly medical treatment.

The law is expected to cost about 940 billion dollars over ten years. However, the Obama Administration says the plan will cut the nation's budget deficit by more than 100 billion dollars during that period. Last year, the United States spends 2.5 trillion dollars on healthcare. This was an increase of almost 6% from the year before.

And that's the VOA Special English Economics Report wriiten by Mario Ritter. I'm Steve Ember.

This post was generated by put listening repetition system,  Check the original dictation thread!
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实现无障碍英语沟通

[Homework]SENEWS-2010-03-26

This is the VOA special English Economics report.

    President Bobama has signed lagislation to reform the healthcare system in the Unite States.The main goal is to insure about 32 million additional people. That is about 95% of Americans who are not already cover by medicare the government insurance program for older people.

    About 60 millon people will be added to medicate,the government health plan for the poor.The law will require Americans to have health insurance with few exceptions were pay a fine starting in four years.

    Also in four years,employers with more than 50 workers will have to offer their employees a health insurance plan.Employers will pay a fine for each uninsure worker.Smaller bussiness will recieve tax credits to help pay for health plans.People not covered by employer plans medicate or medicare could buy health insurance in market places called exchanges.

    The idea is that competition among plans will drive down costs.States will provide the exchanges by 2014.The law is the biggest change in the Amercian healthcare since 1965.But it is not a government opportied healthcare system like the ones in other countries.President Obama says it provides limited reform.

    This is radical reform,but is major reform.The lagislation will fix everything else are healthcare system.But it move just the size of win in right direction.

    Maria Albarco is chief active of the nonprofit Mamoriacare system in Souten Villy Canifornia. He says the new law gets the issue of health reform moving.But he notes it is mainly health insurance reform.He says low makers will has to reform the way healthcare is provided.That means finding ways for hospitals,doctors and other providers to work together more effectively.

    Mr.ALbarco also would like to say more attention on prevention.So fewer people need costly medical treatment.

    The law is excepted to cost about 940 billion dollars over ten years.However,the Obama Administration says the plan will cut the nation's buaget deficit by more than 100 billon dollars during that period.Last year,the Unite States spends two and a half trallion dollars on healthcare.This was an increase of almost six percent from the year before.

    And that's the VOA special Englsih Economics report.Written by Maria Riter,I'm Steve Ember.

This post was generated by put listening repetition system,  Check the original dictation thread!
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口译专员推荐—>口译训练软件IPTAM口译通
Homework

This is the VOA Special English Economics Report.

President Obama has signed a legislation to reform the health care system in the United States. The main goal is to insure about thirty two million additional people. That is about ninety five percent of Americans who are not already covered by medicare the government insurance program for older people.

About sixteen million people will be added to medicate the government health plan for the poor. The law wii require Americans do have health insurance with a few exceptions or pay a fine starting in four years. Also in four years employers with more than fifty workers will have to offer their employees a health insurance plan. Employers will pay a fine for each an insurance worker. Smaller businesses will receive tax credits to help pay for health plans.

People not covered by employer plans, medicate or medicare, could buy health insurance in market places called exchanges. The idea is that competition among plans will drive down costs. States will provide the exchanges by 2014.

The law is a biggest change in American health care since 1965. But it is not a government operated health care system like the ones in other countries. President Obama says it provides limited reform. "This is a radical reform, but is a major reform. This legislation will not fix everything - our health care system. But it moves us - in the right direction."

Barry - is chief executive of the nonprofit memorial care health care system in -, Califonia. He says the new law gets the issue of health reform moving. But he notes it is mainly health insurance reform. He says lawmakers will have to reform the way health care is provides. That means finding ways for hospitals, doctors and other providers to work together more effectively. Mr - also would like to say more attention on prevention, so fewer people need costly medical treatment.

The law is expected to cost about nine hundred forty billion dollars over ten years. However the Obama administration says the plan will cut the nation's budget deficit by more than one hundred billion dollars during that period. Last year the United States spend two and a half trillion dollars on health care. This was an increase of almost six percent from the year before.

And that's the VOA Special English Economics Report, written by Mario Ritter.  I'm Steve Ember.
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[Homework]SENEWS-2010-03-26

This is the VOA Speical English Economics Report. President Obama has signed legislation to reform the health care systm in the Unites States. The main goal is to insure about 32 million addtional people. That is about 95% of Americans who are not already covered by medicare,the goverment insurance programme for older people.

About 16 million people will be added to medicade, the gorverment health plan for the poor. The law will require
Ameiricans to have health insurance with few exeptions, or pay a fine starting in 4 years.


Also in 4 year, employers with more than 50 workers will have to offer their employees a health insurance plan. Employers will pay a fine for each uninsured worker. Smaller businesses will recieve tax credit to help pay for health plans. People not covered by employer plans, medicate or medicare could buy health insurance in market places ,called exchanges. The idea is that competetion among plans will drive down costs.

States will provide the exchanges by 2014, the biggest change in American health care since 1965, but it's not a gorverment operated health care systm, like the ones in other countries.

President Obama says, it provides limited reform. This is a radical reform, but it's a major reform. This legislation will not fix everything that else of health care systm. But it moves just the ** way in right direction.  

Barrie R Baggle is cheif executive of the none profit mamoril* care health systm in S valley, California. He says the new laws gets the issue of the health reform moving. But in notes it is mainly health insurance reform. He says law makers will have to reform the way health care is provided. That means finding ways for hospital, doctors and other providers to work together more effectively. Mr.R Baggle also would like to see more attention on prevention. So fewer people need costly medical treatment.  

The law is expected to cost about 940 billion dollars in ten years. However, the Obama administration says the plan will cut the nation's buget deficit by more than 100 billion dollars during that period. Last year, the United States spent 2.5 trillion dollors on health care. This was an increase of almost 14% from the year before.

And that's the VOA Special English Economics Report. Written by MB, I'm Steve Ember.








This post was generated by put listening repetition system,  Check the original dictation thread!
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[Homework]SENEWS-2010-03-26

HW

This is the VOA Special English Economics Report.
President Obama has signed legislation to reform the health care system in the United States. The main goal is to insure about 32 million additional people that is about 95% of Americans who are not already covered by Medicare the government insurance program for older people.

About 16 million people will be added to Medicate, the government health plan for the poor. The law will require Americans to have health insurance with a few exceptions will pay a fine staring in 4 years.

Also in 4 years, employers with more than 50 workers will have to offer their employees a health insurance plan.

Employers will pay a fine for each uninsured workers. Smaller businesses will receive tax credits to help pay for health plans. People not covered by employer plans, Medicate or Medicare could buy health insurance in market places called exchangers.

The idea is that the competition among plans will drive down costs. States will provide these exchangers by 2014.

The law is the biggest change in the American health care since 1965. But it is not a government operated health care system like the ones in other countries. President Obama says it provides limited reform.

This is radical reform, but it is major reform. This legislation we must face everything to else are health care system, but it moves us the signs in the right direction.

Barry Albarcle is chief executive of the non-profit memorial care health system in Fountain Valley California. He says the new law gets the issue of health reform moving.

But he knows it is mainly health insurance reform. He says lawmakers will have to reform the way health care is provided. That means finding ways for hospitals, doctors and other providers to work together more effectively.

Mr. Albarcle also would like to see more attention on prevention. So fewer people need costly medical treatment. The law is expected to cost about 940 billions dollars over 10 years.

However, the Obama administration says the plan will cut the nation's budget deficit by more than 100 billion dollars during that period. Last year the United States spent 2.5 trillion dollars on health care. This was an increase of most 6% from the year before.

And that's the Special English Economics Report, written by Mario Ritter. I'm Steve Ember.




This post was generated by put listening repetition system,  Check the original dictation thread!
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实现无障碍英语沟通

[Homework]SENEWS-2010-03-26

HW
This is the VOA Special English Economic Report.

President Obama has signed legislation to reform the healthcare system in the US.The main goal is to ensure about 95% of Americans who are not already cover by medicaew,the goverment insurance program for older people.Anout 16 million people will be added to medicaid,the goverment health plan for the poor.The law will require Americans to have health insurance,with few exceptions,or pay a fine starting in 4 years.Also in 4 years,employees with morethan 50 workers will have to offer ttheir employees a health insurance plan.Employers will pay a fine for each uninsured worker.Smaller businesses will receive tax credits to help pay for health plan.

People not coverd by employee plans, medicare or medicaid,could buy health insurance in market places called exchanges.The idea is that competetion among plans will drives down costs. States will provide the exchange by 24.The law is the biggest change in American healthcare since 1965. But it is not a goverment operated healthcare system like the one in other country.President Obama say it provides limited reform.This is not radical reform, but it's major reform.This legislation will not fix everything that aids our healthcare system.But it moves us decisively in the right direction.

BA is CEO the non-profit M Health System in California.He says the new law gets the issue of health reform moving.But he notes it is mainly health insurance reform.He says lawmaker will have to reform the way healtcare is provided.That means finding ways for hosiptals,doctor and other providers to work together more effectively.Mister A also wi=ould like to see more attention on provention so fewer people need costly medical treatment.The law is excepted to cost about 940 billion dollar over 10 years.However,the Obama administration says the plan will cut the nation's budgt deficit by  more than 100 billion dollars during that period.

Last year, the United States spent two and a half trillion dollars on health care. This was an increase of almost six percent from the year before.And that's the VOA Special English Economics Report, written by Mario Ritter.  I'm Steve Ember



This post was generated by put listening repetition system,  Check the original dictation thread!
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普特听力大课堂

[Homework]SENEWS-2010-03-26

Homework Economics Report
President Obama has sigh legislation to reform the health care system in the United States. The main goal is to ensure about 32 million additional people that is about 95% of Americans who are not already covered by medicare the government insurance programme for old people. about 16 million people will be added to medicade the government health plan for the poor. The law will require Americans to have insurance with a few acceptions will pay a fine starting in four years. Also in 4 years employers with more than 50 workers will have to offer their employees a health insurance plan. Employers will pay a fine for each uninsured worker. Smaller businesses will  recieve tax credits to help pay for health plans. People not coverd by employer plans of medicade or medicare could by health insurance in market places called exchanges. the idea is that competition among plans will drive down costs. States will provide these exchanges by 2014.
The law is the biggest change in the America health care since 1965. But it is not a government operated health care system like the ones in other countries.
President obama says it provide limited reform. this is a medical reform but is a major reform, this legislation will not pays everything for ills on health system but it moves us the size of legislation.  Verry R Bucklle is the chief executive of the non-profit memorial care health system in south California. He says the new law get the issue of health reform moving. But in notes it is mainly a health insurance reform. He says law makers will have to reform the way health care is provided. That means finding ways for hospitals, doctors and other providers to work together more effectively ,Mr R Buckle also decieve more attemtion on provision so fewer people need costly medical treatment. the law is expected to cause  about 940 billion dollars over 10 years. However, the Obama administration says the plan will cut the nation's budget deficit by more than 100 billion dollars during that period. Last year, the United States spends 2.5 trillion dollars on health care, this was an increase about more of 6% from the year before.

This post was generated by put listening repetition system,  Check the original dictation thread!
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好栏目推荐之美国口语俚语

[Homework]SENEWS-2010-03-26

字体怎么也改不回来了,我知道蓝色字体是禁止的。对不起,斑竹。
This is the VOA Special English Economics Report.

President Obama has signed legislation to reform the health care system in the United States. The main goal is to insure about thirty-two million additional people. That is about ninety-five percent of Americans who are not already covered by Medicare, the government insurance program for older people. About sixteen million people will be added to Medicaid, the government health plan for the poor.

The law will require Americans to have health insurance with a few exceptions or pay a fine starting in four years. Also in four years, employers with more than fifty workers will have to offer their employees a health insurance plan. Employers will pay a fine for each uninsured worker. Smaller businesses will receive tax credits to help pay for health plans.

People not covered by employer plans, Medicaid or Medicare could buy health insurance in marketplaces called exchanges. The idea is that competition among plans will drive down costs. States will provide these exchanges by twenty fourteen.

The law is the biggest change in American health care since nineteen sixty-five. But it is not a government operated health care system like the ones in other countries. President Obama said it provides limited reform.

This is a radical reform but is major reform. This legislation will not fix everything that ails our health care system. But it moves us decisively in the right direction.

Barry Arbuckle, is chief executive of the non-profit Memorial Care Health System in Fountain Valley, California. He says the new law gets the issue of health reform moving. But he notes it is mainly health insurance reform.

He says lawmakers will have to reform the way health care is provided. That means finding ways for hospitals, doctors and other providers to work together more effectively. Mr.Arbuckle also would like to see more attention on prevention, so fewer people need costly medical treatment.

The law in expected to cost about nine hundred forty billion dollars over ten years. However, the Obama Administration says the plan will cut the nation's budget deficit by more than one hundred billion dollars during that period.

Last year, the United States spent two and a half trillion dollars on health care. This was an increase of almost six percent from the year before.

And that's the VOA Special English Economics Report, written by Mario Ritter. I'm Steve Ember.

This post was generated by put listening repetition system,  Check the original dictation thread!
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[Homework]SENEWS-2010-03-26

This is the VOA Special English Economics Report.

President has signed regestration to reform the health care system in the United State. The main goal is to ensure about 32 million additional people. That is about 92% Americans who are not covered by medicare the governmnet insurance program for older people.

About 61 million would be added to medicate the government health plan for the poor. The law will require Americans to have health insurance with a few exception or pay a fine starting four years. Also in four years employers with more than 50 workers will have to offer their employees a health insurance plan.

Employers will have to pay a fine for each uninsured worker. Smaller employers will receive tax credits to have pay for health plans. People not covered by employer plans medicated or medicare could buy health insurance in market places called exchanges.

The idea that competition among plans will drive down cost. States will provide these exchanges by 2014.

The law is the biggest change in the Amercian health care since 1965. But it is a government operated health care system like the ones in other countries. President Obama says it provides limited reform.

This is radical perform. But it's a major reform. The legislation will tax everything but else our health care system. But it moves us decively in the right direction.

Bary Olearbago is cheif exsecutive of the none-profit a more care health system in South Bali, Califonia. He says the new law gets the issue of the health reform moving. But he notes it is mainly health insurance reform. He says law maker will have to reform the way health care is provided. That means finding ways for hospitals, doctors and other providers to work togethor more effecively. Mr. Olearbago also would like to see more attention on prevention so fewer people need costly medicial treatment.

The law is expected to cost 940 billion dollars over 10 years. However, the Obama Adiministration says the plan will cut nations the budget deficit by more than 100 billion dollars during that period.

Last year the United States spend two and a half trillion dollars on health care. This was an increase Obama's 6% from year before.

And that's The VOA Special English Economics Report, written Mario Writter. I'm Steve Ember.




This post was generated by put listening repetition system,  Check the original dictation thread!
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[Homework]SENEWS-2010-03-26

Homework

This is the VOA Special English Economics Report .

President Obama has signed legislation to reform the health care system in the United States .The main goal is to ensure about thirty-two million additional people .That is about ninety-five percent of Americans who are not already covered by medical care the government insurance program for the old people .

About sixteen million people will be added to medicaid the government health plan for the poor .The law will require Americans to have health insurance with a few exceptions or pay a fine starting in four years .Also in four years ,employers with more than fifty workers will have to offer their employees a health insurance plan .Employers will pay a fine for each uninsured worker .Smaller businesses will receive tax credits to help pay for health plans .

People not covered by an employer plans ,medicaid or medicare could buy health insurance in market places called exchanges .The idea is that competition among plans will drive down costs .States will provide these exchanges by 2014 .The law is the biggest change in American health care since 1965 .It is not a government operated health care systems like the ones in other countries .President Obama says it provides limited reform .This is a radical reform ,but is a major reform .This legislation will not fix everything the ales are health care system ,but moves us to sides of right direction .

Bary Abacal is chief executive of the nonprofit memorial care health system in southern valley California .He says the new law gets the issue of health reform moving .But he notes it is mainly health insurance reform .He says law makers will have to reform the way health care is provided .That means finding ways for hospiatals ,doctors and other providers to work together more effectively .Mr. Abacal also would like to see more attention on prevention .So fewer people need costly medical treatment .The law is expected to cost about nine hundred forty billion dollars over ten years .However ,the Obama Administration says the plan will cut the nation's budget deficit by more than one hundred billion dollars during that period .Last year ,the United States spent two and a half trillion dollars on health care .This was an increase of almost six percent from the year before .

And that's the VOA Special English Economics Report , written by Mario Ritter .I'm Steve Ember .



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每天半小时 轻松提高英语口语

[Homework]SENEWS-2010-03-26

or pay a fine starting in four years, also in four years ,employers with more than 50 workers will offer their employees a health insurance plan, and employers will pay a fine for each uninsured worker ,smaller businesses will receive tax credits to help pay for health plans ,people not covered by employer plans medicate or medicare could buy health insurance in market places called exchanges ,the idea is that competition among plans will drive down costs ,states will provide these exchanges by 2024 ,the law is the biggest change in american healthcare since 1965.but it is not a government operated healthcare system like the ones in other countries ,president obama says it provides limited reform,this is not radical reform ,but it's  major reform this legislation will not fix everything that ills our healthcare system .but it moves us decisively in the right direction .;.....is chief executive of the nonprofit memorial care health system in ....california,he says the new law gets the issue of the health reform moving ,but he notes ,it is mainly health insurance reform ,he says lawmakers will have to reform the way healthcare is providedthat means   finding ways for hospitals doctors and other providers to work together more effectively .... also would like to say more attention on prevention so fewer people need costly medical treatment ,the law is expected to cost about 940 billion dollars over ten years ,however the abama administration says  the plan will cut the nation's budget deficit by more than 100 billion during that period last year the united states  spend two and  a half trillion dollars on health care,this was an increase of almost 6percent from the year before
This post was generated by put listening repetition system,  Check the original dictation thread!
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Homework:
This is the VOA Special English Economics Report.

President Obama has signed legislation to reform the healthcare system in the United States. The main goal is to insure about thirty-two million additional people. That is about ninety-five percent of Americans who are not already covered by medicare, the government insurance program for older people.

About sixteen million people will be added to medicated, the government health plan for the poor. The law will require Americans to have health insurance with a few exceptions or pay a fine starting in four years. Also in four years, employers with more than fifty workers will have to offer their employees a health insurance plan. Employers will pay a fine for each un-insuranced worker. Smaller business will receive tax credits to help pay for health plans.

People not covered by employer plans, medicated or medicare could buy health insurance in market places called exchanges. The idea is that competition among plans will drive down costs. States will provided the exchanges by twenty fourteen. The law is the biggest change in American healthcare since nineteen sixty-five. But it is not a government operated healthcare system like the ones in other countries. President Obama says it provides limited reform.

"This is radical reform, but it's major reform. This legislation will not takes everything but else are healthcare system, but it moved * the ** direction."

BA is chief executive of the non-profit Memorial Care Health System in FL, California. He says the new law gets the issue of health reform moving. But he knows it is mainly health insurance reform. He says lawmakers will have to reform the way healthcare is provided. That means finding ways for hospitals, doctors and other providers to work together more effectively. Mr. A also would like to say more attention on prevention so fewer people need costly medical treatment.

The law is expected to cost about nine hundred forty billion dollars over ten years. However, the Obama administration says the plan will cut the nation's budget deficit by more than one hundred billion dollars during that period. Last year, the United States spent two and half trillion dollars on healthcare. This was an increase of almost six percent from the year before.

And that's the VOA Special English Economics Report, written Mario Ritter. I'm Steve Ember.
1

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口译专员推荐—>口译训练软件IPTAM口译通
Homework

This is the VOA Special English Economics Report.

President Obama has signed legislation to reform the health care system in the United States.

The main goal is to ensure about 32 million additional people. That is about 95% of Americans who are not already covered by Medic Care - the government insurance programme for older people. About 16 million people will be added to Medic Aid - the government health plan for the poor.

The law will require Americans to have health insurance with a few exceptions all pay a fine starting in four years. Also in four years, employers with more than 50 workers will have to offer their employees a health insurance plan. Employers will pay a fine for each uninsured worker. Smaller businesses will receive tax credits to help pay for health plans.

People not covered by employer plans Medic Aid or Medic Care could buy health insurance in market places called exchanges. The idea is that competition among plans will drive down the costs. States will provide these exchanges by 2014.

The law is the biggest change in the American health care since 1965. But it is not a government-operated health care system like the ones in other countries.

President Obama says it provides limited reform. "This is a radical reform, but is a major reform. This legislation will not fix everything the else our health care system, but it moves us the regisrection."

Barrey Albarcol is chief executive of a non-profit care health system in Southern Valley, California. He says the new law gets the issue of health reform moving. But he notes it is mainly health insurance reform. He says law makers will have to reform the way health care is provided. That means finding ways for hospitals, doctors and other providers to work together more effectively.Mr. Albarcol also would like to see more attention on provension so fewer people live costly medical treatment.

The law is expected to cost about 940 billion dollars over ten years. However, the Obama administration says the plan will cut the nation's budget deficit by more than 100 billion dollars during that period. Last year, the United States spent two and a half trillion dollars on health care. This was an increase above more 6% from the year before.

And that's the VOA Special English Economics Report written by Mario Ritter, I'm Steve Ember.
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