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[report整理] SENEWS-2010-03-26

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Homework:
This is the VOA Special English economic report.
President Obama has signed legislation to reform the health care system to the United States. The main goal is to insure about 32 million additional people that is about 95% of the 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 were pay a fine starting in four years. Also in four years, employer with more than 50 workers will have to offer their employees a health insurance plan. Employer will take a fine to each uninsured worker. Smaller businesses will receive tax credits to help pay for health plans. People not covered by an employer plans , medicate or medicare could buy health insurance in market places called exchanges. The idea is that competition among plans will dry down cost. States will provide the 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 one in other country. President Obama says it provides limited reform.

“This is radical reform but it is major reform. This legislation will not take everything that yields our health care system but it move us to sight of win the right direction.”

Bari * is chief existed the non-profits * 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 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 cost medical treatment. The law is expected to cost 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 billon dollars during that period. Last year, the United States spent 2.5 trillion dollars on health care. This was an increase about almost 6% from the year before.
And that is the VOA Special English report written by Mario Ritter. I’m Steve Ember.
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[Homework]SENEWS-2010-03-26

[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 ensure about 32 million additional people, that is 95 percent of the Americans who are not already covered by medicare, the goverment ensurance program for older people.About 16 million people will be added to medicaid, the goverment health plan for the poor. The law will require Americans to have health ensurance 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. 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 an employer plans, medicaid or medicare could buy healthy insurance in market places called exchanges.The idea is that competition of plans will drivedown 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 goverment 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 will not fix everything that ills our health care system but it moves us decisively toward the right direction.
__ is cheif executive of the non-profit 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 reformed .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 - also would like to see more attention on prevention,so fewer people need costly medical treatment.
The law is expected to cause about 940 billion dollars over ten years.However, the Obama administration says the plan will cut the nation's budget defict 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 about almost six percent from the year before. And that is the VOA special English Economics Report,recorded by __,I'm _.

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 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 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 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 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 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 else our health care system. But it moves us decisively in the right direction.


Barry A*, 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.A* 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 one hundred billion dollars during that period.

Last year, the United States spent 2.5 trillion dollars on health care. This was an increase of almost 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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实现无障碍英语沟通

[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 about95% 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 will pay a fine starting 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 worker.Smaller businesses will receive Tex 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 competition among plans will drive down costs. States will provide these Exchanges by 2014. The law is the biggest change in American healthcare since 1965.But it is not a government uprated healthcare system like the ones in other countries.  President Obama says it provides limited reform.This is reform,but is reform. Legislation will not fix everything that ails our healthcare system,but it moves us to size in the right direction.Burry Obucle is chief executive of the non-profit momoral care health system in Southern Welly California.He says the new law gets the issue of health reform moving. But enotes it is mainly health insurance reform,.He says law makers will have to reform the way healthcare is provided.That means finding way for hospitals,doctors and other providers to work more effectively.Mr. Obucle 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 10 years.However,the Obama Administration says the plan will cut the nation's budget deficit by more 100 biilion dollars during that period. Last year, the United States spends 2.5 trillion dollars on  healthcare.This was an increase above almost 6% from the year before.

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.
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 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 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 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 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.“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 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 is expected to cost 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 spent 2.5 trillion dollars on health care. This was an increase of almost 6% 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 regislation to reform the health care system in the US.The main goal is to ensure about 32 millon adtional 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 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 is a radical reform,but is a major reform.these legislation will not fix everything the aous our health care system.But it moves us decisively in the right direction.

Barry Albacle is chief executive of the non profit memorial health care 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.Albacle 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 one hundred billion dollars during that period .Last year the US 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 Economics Report,written by 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

This is the VOA Spcial English Economics Report
President Obama has signed legislation to reform the healthcare system in the US.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 older people.About 16 million people will be added to xxx,the government health plan for the poor.
The law will require Americans to have health insurance with a few exceptions will pay a fine starting in 4 years.Also in 4 years,employers with more than 50 workers will have to offer employees a health insurance plan.Employers will pay a fine for each unisured worker.Smaller businesses will receive tax credits to help pay for health plans.
People not coverd by employer plans,medicaid or medicare could buy health insurance in market places called exchanges. The idea is the competition among plans will drive down costs.States will provide the exchanges by 2014.The law is the biggest change in the American healthcare since 1965. But it is not a government operated healthcare system like the ones in other countries.President Obama says it provides limit reform.
This is a radical reform,but it`s major reform.This legistion will not fix everything else on health system,but move us to the decisive way in the right derection.
Berry Arbbago is chief executive of none profit memorial care health system in Foutain Valley California.He says the new law gets the issue of health reform moving.
But in notes it is mainly health insurance reform.He says law makers 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. Arbbago also would like to see more attention on prevention.Fewer peolpe need cost medical treatment.The law is expected to cost about $940 billion over 10 years.
However,the Obama adiminastration says the plan will cut the nation`s budget deficit by more than $100 billion during the period.Last year,the US spent $2.5 trillion on healthcare.This was an increase of the most 6% from the year before.
And that`s the VOA spcial 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

This is the VOA Special English Economics Report.

President Obama has signed legislation to reform the health care systerm in the United States.Tha main goal is to ensure about  32 million additional people.This 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 the Medicaid(医疗补助计划) the government health plan for the poor.The law will require Americans to have health insurance with fewer exceptions  or pay a fine starting in 4 years.

Also in 4 years,employers with  more than 15 workers will have to offer  their employees a health insurance plans.Employers will pay a fine for each unsured  worker.Smaller businesses will receive taxes 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 competition among plans will drive down costs.States will provide the 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 systerm like the one in other countries.President Obma says it provides limited reform.

This is radical reform but it is a major reform.This legislation will not fix everything the ails our health care system.But it move just the size of win in right direction.

Maria Albarco is chief executive of the nonprofit Mamoriacare system in Souten Villy Canifornia.He say the new law gets the issue of health care reform  moving.But in notes it is mainly health insurance reform .He say 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.Albarco 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 President Obama adimistration says the plan will cut the nations' budget deficit (赤字,亏空)by more than 100 billion dollars during that period .Last year the United States spent  2.5 trillion dallars on health care.This was an increase of almost 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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[Homework]SENEWS-2010-03-26

This is the VOS Special English Economic 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 will require Americans to enhance 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 onion to worker. Smaller businesses will receive tax credits to resave 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 twenty fourteen.


  


The law is the biggest change in America 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.


  


This is a radical reform, but is a major reform. This legislation will not take everything the else are health care system. But it more just decides the *.


  


Berry is chief executive of the nonprofit *care system in Southern Valley California. He says the new law gets the issue of the health reform moving. But 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. * 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 definite by more than one hundred billion dollars during that period. Last year the United States spent two and half trillion dollars on health care. This wasn’t increase Obama’s six percent form the year before.


  


And that’s the VOS Special English Economic Report written by Mario. I’m Steve Ember.



This post was generated by put listening repetition system,  Check the original dictation thread!
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Homework
President Obma 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 ninty percent of Americans who are not already  covered by medicare.

The government insurance programme for older people .About sixty million people will be added to medicate .
The government healpth plan for the poor ,the law wiil require Americans to have health insurance with a few acceptions or pay a fine starting in four years, also in four years emploreers with more than fifty workers will have to offer their emploreers are health insurance plan.Emploreers will pay a fine for each unsured worker ,smaller business will receive tax credit to help pay for health plans .People not covered by emploreer plans ,medicared or medicare coule buy health insurance in markt places called exchanges.

The ideas id that competition among plans will drive down causes.

States will provide the exchangs by twenty forty,The law is the bigest change in the American health care since ninty sixty five,but it is not a government operated health care system like the ones in the other countries .Presidend Obma says it provide limited reform.

Obma: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.

Berry is chief exactive of the  nonprofit Mamoriacare system in Souten Villy Canifornia. He says the new law get the issue of the health reform moving,but in notes it is mainly health insurance reform ,He says law makes will have to reform the way heath care is provided ,that means finding ways for  hospitals ,doctors,and anther provided to work together more effectively.
Mr.ALbarco also would like to seem more attation 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,Obma aderministration says the plan will cut the nation's  bugget deficit by more than hundred billon dollars during that period .

Last year ,The United States spend two and half trillion dollars on health care  ,This was an increasing of almost  six precent from the year befor
And that is the voa special english econonics report  ,written by by Maria Riter,I'm Steve Ember
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{ Homework }
It is the VOA special English economics report.
President Obama has signed the legislation to reform the healthcare systerm in the U.S..
The main goal is to insure about 32 million additional people. That is about 95% of Americans who are not already covered by medical care government 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 do half health insurance with few exceptions will pay a fine starting in 4 years. Also in 4 years, employers more than 50 workers will have to offer their employees a health insurance claim. Employers will pay a fine for each uninsured employee. Smaller business will receive tax credits to help pay for health plans. People no covered by a 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 2014. The law is the biggest change in the American healthcare since 1965. But it is not a government opperated healthcare systerm like the ones in other countries.
President Obama say it provides limited reform.”This is a radical reform, but it is a major reform. The legislation will not fix everything but else and healthcare systerm. But it moves us the sicel of medical rush.”
B.B. is a chief executive of non-profit medical care health systerm in sunton vally in califorlia. He says the new law gets the issue of health reform moving. But it notes it`s mainly health insurance reform. He says the lawmakers will have to reform the way healthcare is provided. That means finding ways for hospitals, doctors and other providers to work toghther more effectively.
Mr.A.B. 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 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 U.S. spends two and a half trillion dollars on healthcare. This was an increase Obama`s 6% from the year before.
And this is the VOA special English economics report, written by Maria retter. I`m Steven 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 healthcare system in the United States. The main goal is to ensure about 32 million additional people. That is about 95 percent of Americans who are not already covered by medicare insurance program for older people.About 16 million people will be added to Medicaid, the government 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 taxes 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 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.

This is a radical reform, but it is a major reform. This legislation will not face everything else our health care system. But it moves us * in...

Berry A. is chief ex of the non-profit memorial healthcare system in F. Valley, California. He says the new law gets the issue of health reform moving. But it 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 see more attention on prevention so fewer people need costly medical treatment.

The law is expected to cost about 9 hundred and forty billion dollars over ten years. However, the Obama Administration says the plan will cut the nation's budget * by more than 100 billion dollars during that period. Last year, the United States spent two and a half trillion dollars on healthcare. This was an increase of almost 6 percent from the year before.

And that's the VOA Special English Economics Report wriiten 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 regeslation to reform the house care system int the United States.The main goal is to insure about thirty two million addtional people.
That is about ninty five persent 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.An employers will pay a fine for each uninsured worker.
Smaller buniesses 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 the exchanges by twenty forteen.
The law is the biggest change in American health care since niteen sixty five.But it is not a government operated health care system like the one in other countries.
President Obama says it provides limited reform.This is radical reform,but is major reform.This regeslation will not face everything else are the health care system,but move us the ...of regulation.
B is chief executive of the none profit M care health system in southern vary California.He says the new law gets the issue of health reform moving,but he notices 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 effectivly.
Mr I also would like to say more attention on provincial,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 increase a bormed six percent form the year before.
And that is the VOA Special English Economics Report,written by M.I am 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 system in the United States. The main goal is to insure about 32 million additional people, that is about 95 percent of Americans who are not already covered by medicare the government insurance programe 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 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 worker. Small 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 exchances. The idea is that competition among plans will drive down costs. States will provide the exchanges by 2040. The law is the biggest change in American health care since 1965. But it is not a government operated health care systems like the ones in other countries.


Precident Obama says it provides limited reform. This is a redical reform. But is major reform. This legisaltion will not fix everything that else our healthcare system. But it moves us the size of win in the regurash. BR is chief executive of the non profit A care health system in southern villey C. He says the new law gets the issue of 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 hospitals, doctors and other providers to work together more effectively.


Mr.R also could like to say more attention on provention, so fewer people need costly medical treatment. The law is expected to cost about 940 billion dollars over ten years. However, the Obama and administration says the plan will cut the nations burget deficit by more than one hundred dollars during that period. That year, the United States spent 2 and a half trillion dollars on hearlth care. This was an increase Obama's 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

This is the VOA Speacil English Economics Report.

President Obama has signed legislation to reform the health care system in United States. The main goal is to ensure about 72million additional people. That’s about 95percent of American who are not already covered by medicare. The government ensures programs for older people. About 16million people will be added to medcate. The government health plan for the poor.

The law will require Americans to have health insurance with a few exceptions were paid a fine started in 4 years. Also in 4 years. Employers with more than 40 workers will have to offer their employees a health insurance plan. Employers will pay a fine for each un-ensure worker. Smaller businesses will receive tax credits to help pay for health plans. People not covered by a employer plans, medicate or medicare, could buy health insurance in market places called exchanges.

The idea is that competition among plants will drive out costs. States will provide the exchanges by 2040.
The law is the biggest change in American health care since 1945.
But it is not a government operated health system like the one in other countries. President Obama says it provide limited reform. “This isn’t radical reform, but it is major reform. The legislation will not fix everything that ails our health care system, but it moves us ____in the right direction.”


B.A is chief executive of the non-profit _____care health system in ____, California. He says the law gets the issue of health reform moving. But he knows it’s mainly health insurance reform. He says lawmaker 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. A also would like to see more attention on prevention. So fewer people need costly medical treatment. The law is expected to cost 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 spent two and a half trillion dollars on health care. This was a increase about most 6 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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