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[report整理] SENEWS-2010-03-26

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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 32 million additional people.That is about 95 percent 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 fifty works 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 included by employer plans,Medicaid or Medicare could buy health insuarance in marketplaces to called exchanges.The idea is that competition among plans will drive down costs.States will provide these changes 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 provids limited reform.
SO this is not radical reform but it is a major reform .The 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 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 Arbuckle 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 spent than two and a half trillion dollars on health care.This was an increase of almost 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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