奥巴马总统在白宫玫瑰园就平价医疗法案英语演讲稿
奥巴马英语演讲稿范文
Good evening. It is a great honor and a privilege to stand before you today to share my thoughts and vision for the future. As the 44th President of the United States, I have had the opportunity to witness and participate in some of the most challenging and transformative times in our nation's history. And as we gather here today, I want to reflect on the progress we have made, the challenges we face, and the opportunities that lie ahead.First and foremost, let me express my deepest gratitude to the American people for their unwavering support and confidence in me. It is because of you that we have been able to overcome obstacles and achieve remarkable milestones together. From the depths of the Great Recession to the advancements in healthcare, energy, and education, we have made significant strides as a nation.As we reflect on the past, it is important to remember that our journey has not been without its share of trials and tribulations. The Great Recession of 2008 left millions of Americans unemployed and struggling to make ends meet. It was a moment of crisis, but it also served as a catalyst for change. We came together as a nation, demonstrating the strength and resilience of the American spirit.One of the first actions I took as President was to pass the American Recovery and Reinvestment Act, which not only saved or created millions of jobs but also laid the foundation for a new era of economic growth. We invested in infrastructure, clean energy, and education, knowing that these investments would not only create jobs today but also ensure a brighter future for our children and grandchildren.But our work did not stop there. We also focused on creating a more inclusive economy that would provide opportunities for all. Through the Affordable Care Act, we ensured that millions of Americans could access quality, affordable healthcare. This was a historic achievement that has improved the lives of millions of Americans and put us on a path towards a healthier, more prosperous nation.In the realm of energy, we have made significant progress in reducing our dependence on foreign oil and combating climate change. Through theParis Agreement, we joined forces with nations around the world to address this global challenge. While there are those who question our commitment to this cause, I firmly believe that investing in cleanenergy and reducing carbon emissions is not just good for our planet,but also for our economy and national security.Education has always been a cornerstone of our democracy, and we have made significant strides in ensuring that every child has access to a quality education. Through the Race to the Top initiative, weincentivized states to raise standards, improve teaching, and close achievement gaps. We have also made historic investments in early childhood education, recognizing that the foundation of success beginsin the earliest years.But as we celebrate our achievements, we must also confront the challenges that lie ahead. We live in a world that is increasingly interconnected and complex, and we must be prepared to address thethreats that confront us. From terrorism to cybersecurity, from global pandemics to economic instability, we face a myriad of challenges that require us to come together as a nation and as a global community.One of the greatest threats we face is the growing income inequalitythat divides our society. While we have made progress in liftingmillions out of poverty, there are still far too many Americans who are struggling to make ends meet. We must continue to fight for economic justice, ensuring that hard work is rewarded and that everyone has afair shot at success.Furthermore, we must address the issue of racial inequality and systemic racism that plagues our nation. The recent events in Ferguson, Baltimore, and Charlotte have brought to light the deep wounds that continue to divide us. It is our responsibility to confront these issues head-on, to ensure that justice is served, and to create a more just and equitable society for all.As we look to the future, we must also recognize the importance of international cooperation. In a world that is more interconnected than ever before, our success depends on the success of others. We mustcontinue to build bridges of understanding and cooperation, promoting peace, stability, and prosperity across the globe.In conclusion, as we stand on the precipice of a new era, let us not lose sight of the progress we have made. We have overcome great challenges, achieved remarkable milestones, and laid the foundation for a brighter future. But we must also recognize that our work is far from over. We must continue to fight for the values that define us as a nation: equality, justice, opportunity, and a commitment to the common good.Let us remember that the strength of our democracy lies in the collective will of its people. It is through our unity, our resilience, and our unwavering commitment to the principles that our Founders established that we will continue to overcome the challenges that lie ahead.Together, we can build a future that is more just, more prosperous, and more hopeful. Thank you, God bless you, and God bless the United States of America.Thank you.。
‘Obamacare’ Upheld
‘Obamacare’ UpheldIn the last week of June, almost as if awaiting a providential column在六月的最后一周，如同等待着来自梵蒂冈幸运石柱的烟雾一般。
of smoke from the Vatican, journalists and the partisan faithful记者和党派成员们忠诚的包围在surrounded the Supreme Court in anticipation of its ruling on the最高法院的周围等待着它对白宫医疗法案的裁决。
White House’s Affordable Care Act. ‘Obamacare’—what the plan那个被称为“奥巴马医改”的计划that would extend healthcare to tens of millions of Americans has been dubbed将增加数以百万计的美国公民的医疗保健。
—remains a lightning rod for conservatives who portray it as a “socialist” expansion of big government.那些把医改描述为大政府的“社会主义”扩张的人，给保守党留了一个幌子。
The narrow 5-4 vote that saw the Supreme Court uphold the constitutionality of the law was swung by the conservative Justice John Roberts,有限的4至5票使得保守党法官约翰罗伯茨看到最高法院对法律的合宪法性的支持飘忽不定。
who argued that the law’s mandate requiring the purchase of insurance could be interpreted simply as a tax.他曾证明法律强制要求（民众）购买保险说白了就是一种税收政策。
2017年奥巴马就职演讲稿英文原稿(附中文翻译)
2017年奥巴马就职演讲稿英文原稿(附中文翻译)篇一：奥巴马就职演讲稿中英文对照奥巴马就职演讲稿中英文对照(CNN) -- Barack Obama was sworn in as the 44th president of the United States and the nation's first African-American president Tuesday. This is a transcript of his prepared speech. In his speech Tuesday, President Obama said America must play its role in ushering in a new era of peace.My fellow citizens:I stand here today humbled by the task before us, grateful for the trust you have bestowed, mindful of the sacrifices borne by our ancestors. I thank President Bush for his service to our nation, as well as the generosity and cooperation he has shown throughout this transition.Forty-four Americans have now taken the presidential oath. The words have been spoken during rising tides of prosperity and the still waters of peace. Yet, every so often, the oath is taken amidst gathering clouds and raging storms. At these moments, America has carried on not simply because of the skill or vision of those in high office, but because We the People have remained faithful to the ideals of our forebearers, and true to our founding documents.So it has been. So it must be with this generation of Americans.That we are in the midst of crisis is now well understood. Our nation is at war, against a far-reaching network of violence and hatred. Our economy is badly weakened, a consequence of greed and irresponsibility on the part of some, but also our collective failure to make hard choices and prepare the nation for a new age. Homes have been lost; jobs shed; businesses shuttered. Our health care is too costly; our schools fail too many; and each day brings further evidence that the ways we use energy strengthen our adversaries and threaten our planet.These are the indicators of crisis, subject to data and statistics. Less measurable but no less profound is a sapping of confidence across our land -- a nagging fear that America's decline is inevitable, and that the next generation must lower its sights.Today I say to you that the challenges we face are real. They are serious and they are many. They will not be met easily or in a short span of time. But know this, America: They will be met. On this day, we gather because we have chosen hope over fear, unity of purpose over conflict and discord.On this day, we come to proclaim an end to the petty grievances and false promises, the recriminations and worn-out dogmas, that for far too long have strangled our politics.We remain a young nation, but in the words of Scripture, the time has come to set asidechildish things. The time has come to reaffirm our enduring spirit; to choose our better history; to carry forward that precious gift, that noble idea, passed on from generation to generation: the God-given promise that all are equal, all are free, and all deserve a chance to pursue their full measure of happiness.In reaffirming the greatness of our nation, we understand that greatness is never a given. It must be earned. Our journey has never been one of shortcuts or settling for less. It has not been the path for the fainthearted -- for those who prefer leisure over work, or seek only the pleasures of riches and fame. Rather, it has been the risk-takers, the doers, the makers of things -- some celebrated, but more often men and women obscure in their labor -- who have carried us up the long, rugged path toward prosperity and freedom.For us, they packed up their few worldly possessions and traveled across oceans in search of a new life.For us, they toiled in sweatshops and settled the West; endured the lash of the whip and plowed the hard earth.For us, they fought and died, in places like Concord and Gettysburg; Normandy and Khe Sahn.Time and again, these men and women struggled and sacrificed and worked till their hands were raw so that we might live a better life. They saw America as bigger than the sum of our individual ambitions; greater than all the differences of birth or wealth or faction.This is the journey we continue today. We remain the most prosperous, powerful nation on Earth. Our workers are no less productive than when this crisis began. Our minds are no less inventive, our goods and services no less needed than they were last week or last month or last year. Our capacity remains undiminished. But our time of standing pat, of protecting narrow interests and putting off unpleasant decisions -- that time has surely passed. Starting today, we must pick ourselves up, dust ourselves off, and begin again the work of remaking America.For everywhere we look, there is work to be done. The state of the economy calls for action, bold and swift, and we will act -- not only to create new jobs, but to lay a new foundation for growth. We will build the roads and bridges, the electric grids and digital lines that feed our commerce and bind us together. We will restore science to its rightful place, and wield technology's wonders to raise health care's quality and lower its cost. We will harness the sun and the winds and the soil to fuel our cars and run our factories. And we will transform our schools and colleges and universities to meet the demands of a new age. All this we can do. And all this we will do.Now, there are some who question the scale of our ambitions -- who suggest that our system cannot tolerate too many big plans. Their memories are short. For they have forgotten what this country has already done; what free men and women can achieve when imagination is joined to common purpose, and necessity to courage.What the cynics fail to understand is that the ground has shifted beneath them -- that the stale political arguments that have consumed us for so long no longer apply. The question we ask today is not whether our government is too big or too small, but whether it works -- whether it helps families find jobs at a decent wage, care they can afford, a retirement that is dignified. Where the answer is yes, we intend to move forward. Where the answer is no, programs will end. And those of us who manage the public's dollars will be held to account -- to spend wisely, reform bad habits, and do our business in the light of day -- because only then can we restore the vital trust between a people and their government.Nor is the question before us whether the market is a force for good or ill. Its power to generate wealth and expand freedom is unmatched, but this crisis has reminded us that without a watchful eye, the market can spin out of control -- and that a nation cannot prosper long when it favors only the prosperous. The success of our economy has always depended not just on the size of our gross domestic product, but on the reach of our prosperity; on our ability to extend opportunity to every willing heart -- not out of charity, but because it is the surest route to our common good.As for our common defense, we reject as false the choice between our safety and our ideals. Our Founding Fathers, faced with perils we can scarcely imagine, drafted a charter to assure the rule of law and the rights of man, a charter expanded by the blood of generations. Those ideals still light the world, and we will not give them up for expedience's sake. And so to all other peoples and governments who are watching today, from the grandest capitals to the small village where my father was born: Know that America is a friend of each nation and every man, woman and child who seeks a future of peace and dignity, and that we are ready to lead once more.Recall that earlier generations faced down fascism and communism not just with missiles and tanks, but with sturdy alliances and enduring convictions. They understood that our power alone cannot protect us, nor does it entitle us to do as we please. Instead, they knew that our power grows through its prudent use; our security emanates from the justness of our cause, the force of our example, the tempering qualities of humility and restraint.We are the keepers of this legacy. Guided by these principles once more, we can meet those new threats that demand even greater effort -- even greater cooperation and understanding between nations. We will begin to responsibly leave Iraq to its people, and forge a hard-earned peace in Afghanistan. With old friends and former foes, we will work tirelessly to lessen the nuclear threat, and roll back the specter of a warming planet. We will not apologize for our way of life, nor will we waver in its defense, and for those who seek to advance their aims by inducing terror and slaughtering innocents, we say to you now that our spirit is stronger and cannot be broken; you cannot outlast us, and we will defeat you. For we know that our patchwork heritage is a strength, not a weakness. We are a nation of Christians and Muslims, Jews and Hindus -- and nonbelievers. We are shaped by every language and culture, drawn from every end of this Earth; and because we have tasted the bitter swill of civil war and segregation, and emerged from that dark chapter stronger andmore united, we cannot help but believe that the old hatreds shall someday pass; that the lines of tribe shall soon dissolve; that as the world grows smaller, our common humanity shall reveal itself; and thatAmerica must play its role in ushering in a new era of peace.To the Muslim world, we seek a new way forward, based on mutual interest and mutual respect. To those leaders around the globe who seek to sow conflict, or blame their society's ills on the West: Know that your people will judge you on what you can build, not what you destroy. To those who cling to power through corruption and deceit and the silencing of dissent, know that you are on the wrong side of history; but that we will extend a hand if you are willing to unclench your fist.To the people of poor nations, we pledge to work alongside you to make your farms flourish and let clean waters flow; to nourish starved bodies and feed hungry minds. And to those nations like ours that enjoy relative plenty, we say we can no longer afford indifference to suffering outside our borders; nor can we consume the world's resources without regard to effect. For the world has changed, and we must change with it.As we consider the road that unfolds before us, we remember with humble gratitude those brave Americans who, at this very hour, patrol far-off deserts and distant mountains. They have something to tell us today, just as the fallen heroes who lie in Arlington whisper through the ages. We honor them not only because they are guardians of our liberty, but because they embody the spirit of service; a willingness to find meaning in something greater than themselves. And yet, at this moment -- a moment that will define a generation -- it is precisely this spirit that must inhabit us all.For as much as government can do and must do, it is ultimately the faith and determination of the American people upon which this nation relies. It is the kindness to take in a stranger when the levees break, the selflessness of workers who would rather cut their hours than see a friend lose their job which sees us through our darkest hours. It is the firefighter's courage to storm a stairway filled with smoke, but also a parent's willingness to nurture a child, that finally decides our fate.Our challenges may be new. The instruments with which we meet them may be new. But those values upon which our success depends -- hard work and honesty, courage and fair play, tolerance and curiosity, loyalty and patriotism -- these things are old. These things are true. They have been the quiet force of progress throughout our history. What is demanded then is a return to these truths. What is required of us now is a new era of responsibility -- a recognition, on the part of every American, that we have duties to ourselves, our nation and the world; duties that we do not grudgingly accept but rather seize gladly, firm in the knowledge that there is nothing so satisfying to the spirit, so defining of our character, than giving our all to a difficult task.This is the price and the promise of citizenship.This is the source of our confidence -- the knowledge that God calls on us to shape an uncertain destiny.This is the meaning of our liberty and our creed -- why men and women and children of every race and every faith can join in celebration across this magnificent Mall, and why a man whose father less than 60 years ago might not have been served at a local restaurant can now standbefore you to take a most sacred oath.So let us mark this day with remembrance, of who we are and how far we have traveled. In the year of America's birth, in the coldest of months, a small band of patriots huddled by dying campfires on the shores of an icy river. The capital was abandoned. The enemy was advancing. The snow was stained with blood. At a moment when the outcome of our revolution was most in doubt, the father of our nation ordered these words be read to the people:"Let it be told to the future world ... that in the depth of winter, when nothing but hope and virtue could survive... that the city and the country, alarmed at one common danger, came forth to meet [it]."America. In the face of our common dangers, in this winter of our hardship, let us remember these timeless words. With hope and virtue, let us brave once more the icy currents, and endure what storms may come. Let it be said by our children's children that when we were tested, we refused to let this journey end, that we did not turn back, nor did we falter; and with eyes fixed on the horizon and God's grace upon us, we carried forth that great gift of freedom and delivered it safely to future generations.奥巴马就职演讲中文版（供参考）各位同胞：今天我站在这里，为眼前的重责大任感到谦卑，对各位的信任心怀感激，对先贤的牺牲铭记在心。
奥巴马医疗改革演讲稿
奥巴马医疗改革演讲稿Good evening, everybody. Tonight, after nearly 100 years of talk and frustration, after decades of trying, and a year of sustained effort and debate, the United States Congress finally declared that America’s workers and America’s families and America’s small businesses deserve the security of knowing that here, in this country, neither illness nor accident should endanger the dreams they’ve worked a lifetime to achieve.Tonight, at a time when the pundits said it was no longer possible, we rose above the weight of our politics. We pushed back on the undue influence of special interests. We didn’t give in to mistrust or to cynicism or to fear. Instead, we proved that we are still a people capable of doing big things and tackling our biggest challenges. We proved that this government — a government of the people and by the people — still works for the people.I want to thank every member of Congress who stood up tonight with courage and conviction to make health care reform a reality. And I know this wasn’t an easy vote for a lot of people. But it was the right vote. I want to thank Speaker Nancy Pelosi for her extraordinary leadership, and Majority Leader Steny Hoyer and Majority Whip Jim Clyburn for their commitment to getting the job done. I want to thank my outstanding Vice President, Joe Biden, and my wonderful Secretary of Health and Human Services, Kathleen Sebelius, for their fantastic work on this issue.I want to thank the many staffers in Congress, and my own incredible staff in the White House, who have worked tirelessly over the past year with Americans of all walks of life to forge a reform package finally worthy of the people we were sent here to serve.Today’s vote answers the dreams of so many who have fought for this reform. To every unsung American who took the time to sit down and write a letter or type out an e-mail hoping your voice would be heard — it has been heard tonight. To the untold numbers who knocked on doors and made phone calls, who organized and mobilized out of a firm conviction that change in this country comes not from the topdown, but from the bottom up — let me reaffirm that conviction: This moment is possible because of you.Most importantly, today’s vote answers the prayers of every American who has hoped deeply for something to be done about a health care system that works for insurance companies, but not for ordinary people. For most Americans, this debate has never been about abstractions, the fight between right and left, Republican and Democrat —it’s always been about something far more personal. It’s about every American who knows the shock of opening an envelope to see that their premiums just shot up again when ti mes are already tough enough. It’s about every parent who knows the desperation of trying to cover a child with a chronic illness only to be told “no” again and again and again. It’s about every small business owner forced to choose between insuring employees and staying open for business. They are why we committed ourselves to this cause.Tonight’s vote is not a victory for any one party —it’s a victory for them. It’s a victory for the American people. And it’s a victory for common sense.Now, it probably goes without saying that tonight’s vote will give rise to a frenzy of instant analysis. There will be tallies of Washington winners and losers, predictions about what it means for Democrats and Republicans, for my poll numbers, for my administration. But long after the debate fades away and the prognostication fades away and the dust settles, what will remain standing is not the government-run system some feared, or the status quo that serves the interests of the insurance industry, but a health care system that incorporates ideas from both parties — a system that works better for the American people.If you have health insurance, this reform just gave you more control by reining in the worst excesses and abuses of the insurance industry with some of the toughest consumer protections this country has ever known — so that you are actually getting what you pay for.If you don’t have insurance, this reform gives you a chance to be a part of a big purchasing pool that will give you choice and competition and cheaper prices for insurance. And it includes the largest health care tax cut for working families andsmall businesses in history — so that if you lose your job and you change jobs, start that new business, you’ll finally be able to purchase quality, affordable care and the security and peace of mind that comes with it.This reform is the right thing to do for our seniors. It makes Medicare stronger and more solvent, extending its life by almost a decade. And it’s the right thing to do for our future. It will reduce our deficit by more than $100 billion over the next decade, and more than $1 trillion in the decade after that.So this isn’t 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. This is what change looks like.Now as momentous as this day is, it’s not the end of this journey. On Tuesday, the Senate will take up revisions to this legislation that the House has embraced, and these are revisions that have strengthened this law and removed provisions that had no place in it. Some have predicted another siege of parliamentary maneuvering in order to delay adoption of these improvements. I hope that’s not the case. It’s time to bring this debate to a close and begin the hard work of implementing this reform properly on behalf of the American people. This year, and in years to come, we have a solemn responsibility to do it right.Nor does this day represent the end of the work that faces our country. The work of revitalizing our economy goes on. The work of promoting private sector job creation goes on. The work of putting American families’ dreams back within reach goes on. And we march on, with renewed confidence, energized by this victory on their behalf.In the end, what this day represents is another stone firmly laid in the foundation of the American Dream. Tonight, we answered the call of history as so many generations of Americans have before us. When faced with crisis, we did not shrink from our challenge — we overcame it. We did not avoid our responsibility — we embraced it. We did not fear our future — we shaped it.Thank you, God bless you, and may God bless the United States of America.奥巴马政府医改的主要内容（一）奥巴马的政策主张奥巴马主张，对于那些已有保险并且感到满意的民众，这部分人的保险不必作任何改动；而是为那些对现有的制度不满意或者没有保险的人提供帮助。
我最喜欢的政治家英语作文120词
我最喜欢的政治家英语作文120词My favorite politician is Barack Obama, the 44th President of the United States. He served two terms from 2009 to 2017. I admire him for his leadership, eloquence, and dedication to public service. Obama worked tirelessly to improve healthcare with the Affordable Care Act, which helped millions gain access to medical services. He is also known for his efforts to combat climate change and promote equality. His inspiring speeches and ability to connect with people from diverse backgrounds have made a lasting impact. Obama’s vision of hope and change resonates with many, and he continues to influence future generations through his work and advocacy even after leaving office.中文翻译：我最喜欢的政治家是巴拉克·奥巴马，美国第44任总统。
他于2009年至2017年担任两届总统。
我欣赏他出色的领导能力、口才和对公共服务的奉献精神。
奥巴马努力推动医疗改革，通过《平价医疗法案》帮助数百万人获得医疗服务。
奥巴马演讲庆医保医补制度实施50周年
Hi, everybody. This week, there was a big birthday you might have missed. Medicare and Medicaid医疗保险和医疗补助turned 50 years old. And that’s something worth celebrating.If one of the best measures of a country is how it treats its more vulnerable citizens -- seniors, the poor, the sick -- then America has a lot to be proud of. Think about it. Before Social Security, too many seniors lived in poverty. Before Medicare, only half had some form of health insurance. Before Medicaid, parents often had no help covering the cost of care for a child with a disability.But as Americans, we declared that our citizens deserve a basic measure of security and dignity. And today, the poverty rate for seniors is less than half of what it was fifty years ago. Every American over 65 has access to affordable health care医疗保健. And today, we’re finally finishing the job -- since I signed the Affordable Care Act 平价医疗 into law, the uninsured rate for all Americans has fallen by about one-third.These promises we made as a nation have saved millions of our own people from poverty and hardship, allowing us new freedom, new independence, and the chance to live longer, better lives. That’s something to be proud of. It’s heroic. These endeavors -- these American endeavors -- they didn’t jus t make us a better country. They reaffirmed that we are a great country.And a great country keeps the promises it makes. Today, we’re often told that Medicare and Medicaid are in crisis. But that’s usually a political excuse政治理由 to cut their funding, privatize them, or phase them out entirely 逐步淘汰-- all of which would undermine逐渐破坏 their core guarantee. The truth is, these programs aren’t in crisis. Nor have they kept us from cutting our deficits by two-thirds since I took office. What is true is that every month, another 250,000 Americans turn 65 years old, and become eligible for有资格Medicare. And we all deserve a health care system that delivers efficient, high-quality care. So to keep these programs strong, we’ll have to make smart changes over time, just like we always have.Today, we’re actually proving that’s possible. The Affordable Care Act has already helped secure Medicare’s funding for another 13 years. 已经为医疗保健提供13年的资金The Affordable Care Act has saved more than nine million folks on Medicare 15 billion dollars on their prescription medicine. It has expanded Medicaid to help cover 12.8 million more Americans, and to help more seniors live independently. And we’re moving our health care system toward models that reward the quality of the careyou receive, not the quantity of care you receive. That means healthier Americans and a healthier federal budget.Today, these programs are so fundamental to our way of life that it’s easy to forget how hard people fought against them at the time. When FDR 富兰克林 created Social Security, critics called it socialism. When JFK and LBJ worked to create Medicare, the cynics said it would take away our freedom. But ultimately, we came to see these programs for what they truly are -- a promise that if we work hard, and play by the rules, we’ll be rewarded with a basic measure of dignity, security, and the freedom to live our lives as we want.It’s a promise that previous generations made to us, and a promise that our generation has to keep.Thanks, and have a great weekend.。
奥巴马每周电台演讲英语听力
奥巴马每周电台演讲英语听力篇一：奥巴马每周电台演讲Andeveryonewhoalreadyhashealthinsurance,whetherthroughyourem ployer,Medicare,orMedicaid,willkeepthebenefitsandprotectionsthis lawhasalreadyputinplace.Threemillionmoreyoungadultshavehealthins uranceontheirparents’plansbecauseoftheAffordableCareAct.Moretha nsixmillionpeopleonMedicarehavesavedanaverageof$1,000ontheirpres criptionmedicinebecauseoftheAffordableCareAct.每个已经有医保的人，不管你是通过雇主、医保还是医疗救助获得的，将继续享受这个法案已经提供的福利和保障。
因为可承受的医保，将有三百多万年轻的成人通过父母的险种获得医保。
因为可承受的医保，有六百多万享受医保的人们在处方药上平均节约1,000美元。
Lastyear,morethan8millionAmericansreceivedhalfabilliondollar sinrefundsfromtheirinsurersbecauseoftheAffordableCareAct.Andfort ensofmillionsofwomen,preventivecarelikemammogramsandbirthcontrol arefreebecauseoftheAffordableCareAct.去年，因为可承受的医保，八百多万人获得了保险人五十万美元的返款。
因为可承受的医保法案，成千上万的妇女们将获得诸如妈咪项目和生育之类的免费预防性医保。
奥巴马总统在白宫玫瑰园就《平价医疗法案》英语演讲稿_演讲稿
奥巴马总统在白宫玫瑰园就《平价医疗法案》英语演讲稿THE PRESIDENT: Everybody, have a seat.MS. BAKER: Hello. My name is Janice Baker. I havethe privilege to say that I'm the firstperson in the state of Delaware to enrollfor health insurance through the new marketplace. (Applause.) Like many consumers out there, it took me a number of frustratingattempts beforeI could apply for and select my plan. I kept trying because I needed access to thenew healthcare options.I had applied to three privateinsurance companies only to be rejected due to preexistinghealthconditions. I am too young for Medicare,but I'm too old not to have some health issues. Iwas able to find a policy I am thrilled with, saving $150 a month, andmuch lower deductiblesthan my previous policy thatI held through my smallbusiness.I'm here today to encourage otherpeople like me who needs access to quality, affordableinsurance, and to tellthem to have patience with such a new system. Without this ability toget this insurance, Iknow that a single hospital stay could have1 / 14bankrupted me and mybusiness.Thank you all. And I am now honored to introduce thePresident of the United States. (Applause.)THE PRESIDENT: Great job.MS. BAKER: Thank you. Thank you.THE PRESIDENT: Thank you. (Applause.) Thank you,everybody. Well, thank you, Janice.And thanks to everybody here for coming onthis beautiful day. Welcome to the WhiteHouse.About three weeks ago, as thefederal government shut down, the Affordable Care Act'shealth insurancemarketplaces opened for business across the country. Well, we've now gottenthe government backopen for the American people, and today I want to talk about how we'regoing toget the marketplaces running at full steam, as well. And I'm joined today by folks whohave eitherbenefited from the Affordable Care Act already, or who are helping theirfellowcitizens learn about what this law means for them and how they can get covered.Of course, you've probably heardthat –- the new website where people canapply for healthinsurance, and browse and buy affordable plans in most states –- hasn'tworkedas smoothly as it was supposed to work. And the 2 / 14number of people who have visitedthe site has beenoverwhelming, which has aggravated some of these underlying problems.Despite all that, thousands ofpeople are signing up and saving money as we speak. ManyAmericans with a preexisting condition,like Janice, are discovering that they can finally gethealth insurance likeeverybody else.So today, I want to speak toevery American who's looking to get affordable healthinsurance. I want you to know what's available to youand why it may be a good deal for you.And for those who've had some problems with the website, I want to tellyou what we're doingto make it work better and how you can sign up to getcovered in other ways.But before I do that, let meremind everybody that the Affordable Care Act is not just awebsite. It's much more. For the vast majority of Americans -- for 85percent of Americanswho already have health insurance through your employer orMedicare or Medicaid -– you don'tneed to sign up for coverage through awebsite at all. You've already gotcoverage. What theAffordable Care Actdoes for you is to provide you with new benefits and protections that havebeenin place for some time. You may not knowit, but you're already benefiting from 3 / 14theseprovisions in the law.For example, because of theAffordable Care Act, young people like Jasmine Jennings, andJessica Ugalde,and Ezra Salop, all of whom are here today, they've been able to stay ontheirparents' plans until they're 26. Millions of other young people are currently benefiting fromthat part ofthe law. (Applause.) Another part of the Affordable Care Act isproviding seniors withdeeper discounts on their prescription medicine. Billions of dollars have been saved byseniorsalready. That's part of thelaw. It's already in place. It's happening right now. Already, because of theAffordable Care Act, preventive care like mammograms and birthcontrol are freethrough your employers. That's part ofthis law. (Applause.) So there are a widerange of consumerprotections and benefits that you already have if you've got healthinsurance.You may not have noticedthem, but you've got them, and they're not going anywhere. Andthey're not dependent on a website.Here's another thing that theAffordable Care Act does. In stateswhere governors andlegislatures have wisely allowed it, the Affordable CareAct provides the opportunity for manyAmericans to get covered under Medicaidfor the first time.4 / 14So in Oregon, forexample, that'shelped cut the number of uninsured people by 10 percent just inthe last three weeks. Thinkaboutthat. That's 56,000 more Americans whonow have health care. (Applause.) That doesn'tdepend on a website.Now, if you're one of the 15percent of Americans who don't have health insurance -- eitherbecause you can'tafford it or because your employer doesn't offer it, or because you're asmallbusinessperson and you have to go out on the individual market and buy it onyour ownand it's just too expensive -- October 1st was an important date. That's when we opened thenew marketplaceswhere people without health insurance, or who can't afford healthinsurance, orwho aren't part of a group plan, can finally start getting affordable coverage.And the idea is simple. By enrolling in what we're calling thesemarketplaces, you becomepart of a big group plan -- as if you were working fora big employer -- a statewide group planthat spreads risk between sick peopleand healthy people, between young and old, and thenbargains on your behalf forthe best deal on health care. What we'vedone is essentially create acompetition where there wasn't competitionbefore. We created these big groupplans, and nowinsurers are really interested in 5 / 14getting your business. And so insurers have created new healthcareplans with more choices to be made available through these marketplaces.And as a result of this choiceand this competition, prices have come down. When you addthe new tax credits that many people are eligible forthrough the law, then the prices comedown even further. So one study shows that through new optionscreated by the Affordable CareAct, nearly 6 in 10 uninsured Americans willfind that they can get covered for less than $100 amonth. Think about that. (Applause.)Through the marketplaces, you canget health insurance for what may be the equivalentof your cell phone bill oryour cable bill, and that's a good deal.So the fact is the product of theAffordable Care Act for people without health insurance isquality healthinsurance that's affordable. And thatproduct is working. It's reallygood. And itturns out there's a massivedemand for it. So far, the nationalwebsite, , has beenvisited nearly 20 million times. Twenty million times. (Applause.) And there's great demand atthe state level as well, because there are abunch of states that are running their ownmarketplaces.6 / 14We know that nearly one-third ofthe people applying in Connecticut and Maryland, forexample, are under 35years old. They understand that they canget a good deal at low costs,have the security of health care, and this is notjust for old folks like me -- that everybodyneeds good quality healthinsurance. And all told, more than halfa million consumers across thecountry have successfully submitted applicationsthrough federal and state marketplaces. Andmany of those applications aren't just for individuals, it's fortheir entire families. So evenmorepeople are already looking to potentially take advantage of the high quality,affordableinsurance that is provided through the Affordable Care Act.So let me just recap here. The product is good. The health insurance that's being providedisgood. It's high quality and it'saffordable. People can save money,significant money, bygetting insurance that's being provided through thesemarketplaces. And we know thatthedemand is there. People are rushing tosee what's available. And those who havealready hada chance to enroll are thrilled with the result. Every day, people who were stuck withsky-highpremiums because of preexisting conditions are getting affordableinsurance for the 7 / 14first time, orfinding, like Janice did, that they're savinga lot of money. Every day, women arefinally buyingcoverage that doesn't charge them higher premiums than men forthe same care. (Applause.)Every day, people are discovering that newhealth insurance plans have to cover maternitycare, mental health care, freepreventive care.So you just heard Janice's story-- she owns her own small business. Sherecently became thefirst woman to enroll in coverage through Delaware'sexchange. And it's true, it took her afewtries, but it was worth it after being turned down for insurance threetimes due to minorpreexisting conditions. So now she'll be covered, she'll save 150 bucks a month, and shewon'thave to worry that one illness or accident will cost her her business that she'sworked sohard to build.And Janice is not alone. I recently received a letter from a womannamed Jessica Sanford inWashington State. And here's what she wrote: “I ama single mom, no child support, self-employed, and I haven't had insurance for15 years because it's too expensive. Myson hasADHD and requires regular doctor visits and his meds alone cost $250per month. I have had anongoingtendinitis problem due to my line of work that I 8 / 14haven't had treated. Now, finally, weget to have coverage becauseof the ACA for $169 per month. I wascrying the other day when Isigned up. Somuch stress lifted.”Now, that is not untypical for alot of folks like Jessica who have been struggling withouthealthinsurance. That's what the AffordableCare Act is all about. The point is, theessence of thelaw -- the health insurance that's available to people -- isworking just fine. In somecases,actually, it's exceeding expectations -- the prices are lower than we expected,the choice isgreater than we expected.But the problem has been that the website that'ssupposed to make it easy to apply for andpurchase the insurance is not workingthe way it should for everybody. Andthere's nosugarcoating it. The websitehas been too slow, people have been getting stuck during theapplicationprocess. And I think it's fair to saythat nobody is more frustrated by that than I am -- precisely because theproduct is good, I want the cash registers to work. I want the checkoutlines to be smooth. So I want people to be able to get this greatproduct. And there's no excusefor theproblems, and these problems are getting fixed. But while we're working out the kinks in thesystem, I want 9 / 14everybody to understand thenature of the problem. First of all, even with all the problems , the website isstill working for a lot of people -- just not asquick or efficient or consistent as we want. Andalthough many of these folks have found that they had to wait longerthan they wanted, oncethey complete the process they're very happy with thedeal that's available to them, just likeJanice's.Second, I want everybody toremember that we're only three weeks into a six-month openenrollment period,when you can buy these new plans. (Applause.) Keep in mind theinsurancedoesn't start until January 1st; that's the earliest that theinsurance can kick in. No one whodecidesto purchase a plan has to pay their first premium until December 15th. And unlike theday after Thanksgiving salesfor the latest Playstation or flat-screen TVs, the insurance plansdon't runout. They're not going to sell out. They'll be available through the marketplace-- (applause) -- throughout the open enrollment period. The prices that insurers have set willnotchange. So everybody who wants insurancethrough the marketplace will get insurance,period. (Applause.) Everybody who wants insurance through the marketplace will getinsurance.10 / 14Third, we are doing everything wecan possibly do to get the websites working better, faster,sooner. We've got people working overtime, 24/7, toboost capacity and address the problems.Experts from some of America's top private-sector tech companies who, bythe way, have seenthings like this happen before, they want it to work. They're reaching out. They're offering tosend help. We've had some of the best IT talent in theentire country join the team. Andwe'rewell into a “tech surge” to fix the problem. And we are confident that we will get all theproblems fixed.Number four -- while the websitewill ultimately be the easiest way to buy insurancethrough the marketplace, itisn't the only way. And I want toemphasize this. Even as weredouble ourefforts to get the site working as well as it's supposed to, we're alsoredoubling ourefforts to make sure you can still buy the same quality,affordable insurance plans availableon the marketplace the old-fashioned way-- offline, either over the phone or in person.And, by the way, there are a lotof people who want to take advantage of this who are morecomfortable workingon the phone anyway or in person. So letme go through the specifics as tohow 11 / 14you can do that if you're having problemswith the website or you just prefer dealing witha person.Yesterday, we updated the website'shome page to offer more information about the otheravenues to enroll inaffordable health care until the online option works for everybody. So you'llfind information about how to talkto a specialist who can help you apply over the phone or toreceive adownloadable application you can fill out yourself and mail in.We've also added more staff tothe call centers where you can apply for insurance over thephone. Those are already -- they've beenworking. But a lot of people havedecided first to go tothe website. Butkeep in mind, these call centers are already up and running. And you can getyour questions answered byreal people, 24 hours a day, in 150 different languages. The phonenumber for these call centers is1-800-318-2596. I want to repeat that --1-800-318-2596. Waittimes have averagedless than one minute so far on the call centers, although I admit that thewaittimes probably might go up a little bit now that I've read the number out loudon nationaltelevision. (Laughter.) But the point is the call centersare available. You can talk to somebodydirectly and theycan walk you through the 12 / 14application process. And I guarantee you, if one thing is worththewait, it's the safety and security of health care that you can afford, orthe amount of moneythat you can save by buying health insurance through themarketplaces. (Applause.)Once you get on the phone with atrained representative, it usually takes about 25minutes for an individual toapply for coverage, about 45 minutes for a family. Once you applyfor coverage, you will becontacted by email or postal mail about your coverage status.But you don't have to just gothrough the phone. You can also apply inperson with the helpof local navigators -– these are people specially trainedto help you sign up for health care, andthey exist all across the country, oryou can go to community health centers and hospitals. Justvisit to findout where in your area you can get help and apply forinsurance in person.And finally, if you've alreadytried to apply through the website and you've been stucksomewhere along theway, do not worry. In the coming weeks,we will contact you directly,personally, with a concrete recommendation forhow you can complete your application,shop for coverage, pick a plan 13 / 14thatmeets your needs, and get covered once and for all.So here's the bottom line. The product, the health insurance isgood. The prices are good.It is a good deal. People don't just want it; they're showing upto buy it. Nobody is madder thanmeabout the fact that the website isn't working as well as it should, which meansit's going toget fixed. (Laughter andapplause.)14 / 14。
英语演讲原文：The Patient's Bill of Rights and Health Reform
The Patient's Bill of Rights and HealthReformOver the past few decades, there has been an intense struggle in Washington between the lobbyists游说者 for the insurance industry and the interests of the American people over what has been called a Patient’s Bill of Rights – a set of rules to protect Americans from some of the worst practices of the health insurance industry; rules to ensure that all Americans are getting the care they need from their doctors and the care they deserve from their insurance companies.The last time a Patient’s Bill of Rights was within reach was roughly a decade ago, and it was supported by Democrats 2 and Republicans alike, from Ted 1 Kennedy to John McCain. It included the right to an appeals process so you could challenge an unfair decision by an insurance company before a third party. It included the right to choose your own doctor. It included the right to access接入，访问 information about what your health insurance plan means for you. And it called for a new level of transparency so that patients would know if their doctors had a conflict of interest when providing services.Now, this Patient’s Bill of Rights n ever made it into law. Itfell victim – again and again – to the same special interest lobbying that has blocked passage of health insurance reform for so many decades. But today, we are being given another chance to make it a reality, because each of these rights, and many more, are incorporated in the health insurance reform bill that recently passed the House of Representatives and in the bill that is currently making its way through the Senate.Both the House and Senate bills would make it against the law for insurance companies to deny you coverage 3 on the basis of a pre-existing condition or illness. Both would stop insurers from charging exorbitant 4 过高的，过分的 premiums 赠品，保险费 on the basis of age, health, or gender 6 . Both would prevent insurance companies from dropping your coverage when you get sick. And both would put a limit on how much you have to pay out of pocket for the treatments you need in a year or lifetime.Simply put, the protections currently included in both the health insurance reform bill passed by the House and the version currently on the Senate floor would represent the toughest measures we’ve ever taken to hold the insurance industry accountable. Anyone who says otherwise simply hasn’t read the bills. Just open these pro posals at random 随意地，任意地and you’ll find on almost any page patientprotections that dwarf侏儒，矮子 any of those passed by Congress in at least a decade.These protections are just one part of a landmark 9 reform that will finally reduce the cost of health care. When it becomes law, families will save on their premiums 5 . Small businesses and Americans who don’t get any insurance today through their employers will no longer be forced to pay punishingly high rates to get coverage. This legislation will also strengthen Medicare and extend the life of the program, while saving senior citizens hundreds of dollars a year in prescription 10 costs. And reforms to target waste, inefficiency 11 , and price-gouging by the insurance industry will help make this the largest deficit 12 reduction plan in over a decade.The insurance industry knows all this. That’s why they’re at it again, using their muscle in Washington to try to block a vote they know they will lose. They’re lobbying. They’re running ads. T hey’re spending millions of dollars to kill health insurance reform, just like they’ve done so many times before. They want to preserve a system that works better for the insurance industry than it does for the American people.But now – for the first time – there is a clear majority in the Senate that’s willing to stand up to the insurance lobby and embrace lasting 13 health insurance reforms that have eluded 14 us for generations. The question is whether the minority that opposes these reforms will continue to use parliamentary maneuvers 15 to try and stop the Senate from voting on them.Whatever their position on health insurance reform, Senators ought to allow an up or down vote. Let’s bring this long and vigorous debate to an end. Let’s del iver on the promise of health insurance reforms that will make our people healthier, our economy stronger, and our future more secure. And as this difficult year comes to a close, let’s show the American people that we are equal to the task of meeting our great challenges.Thanks for listening, and on behalf of Michelle, Malia, Sasha, and Bo, happy holidays, from our family to yours.■文章重点单词注释：1tedvt.翻晒，撒，撒开参考例句：The invaders gut ted the village.侵略者把村中财物洗劫一空。
奥巴马演讲英文及其汉语翻译
奥巴马演讲改善医保法案为老年人谋求更多福利-英语演讲-
奥巴马演讲改善医保法案为老年人谋求更多福利更多英语演讲-请点击这里获得Hi, everybody. Over the last few weeks, there's been a lot of talk about Medicare, with a lot of accusations and misinformation flying around. So today I want to step back for a minute and share with you some actual facts and news about the program.This week, we found out that, thanks to the health care law we passed, nearly 5.4 million seniors with Medicare have saved over $4.1 billion on prescription drugs. That's an average of more than $700 per person. And this year alone, 18 million seniors with Medicare have taken advantage of preventive care benefits like mammograms or other cancer screenings that now come at no extra cost. That's progress. It means that seniors everywhere are getting the care they need for less.And if you have questions about what benefits you're entitled to, you can go to find out. This news is also a reminder of what's really at stake when we talk about the future of Medicare. It's not about overheated rhetoric（修辞）at election time. It's about a promisethis country made to our seniors that says if you put in a lifetime of hard work, you shouldn't lose your home or your life savings just because you get sick.Over the last 47 years, millions of Americans have worked for that promise. They've earned it. And for many seniors, the care they've gotten through Medicare has made all the difference in the world. Growing up as the son of a single mother, I was raised with the help of my grandparents.I saw how important things like Medicare and Social Security were in their lives. And I saw the peace of mind it gave them.That's why, as President, my goal has been to strengthen these programs now, and preserve them for future generations. Because today's seniors deserve that same peace of mind. And the millions of Americans who are working hard right now deserve to know that the care they need will be available when they need it. That's why, as part of the Affordable Care Act, we gave seniors deeper discounts on prescription drugs, and made sure preventive care like mammograms are free without a co-pay.We've extended the life of Medicare by almost a decade. And I'veproposed reforms that will save Medicare money by getting rid of wasteful spending in the health care system and reining in insurance companies—reforms that won't touch your guaranteed Medicare benefits. Not by a single dime.Republicans in Congress have put forward a very different plan. They want to turn Medicare into a voucher program. That means that instead of being guaranteed Medicare, seniors would get a voucher to buy insurance, but it wouldn't keep up with costs. As a result, one plan would force seniors to pay an extra $6,400 a year for the same benefits they get now. And it would effectively end Medicare as we know it. I think our seniors deserve better. I'm willing to work with anyone to keep improving the current system, but I refuse to do anything that undermines the basic idea of Medicare as a guarantee for seniors who get sick.Here in America, we believe in keeping our promises—especially to our seniors who have put in a lifetime of hard work and deserve to enjoy their golden years. That's what Medicare is all about. That's why we need to strengthen and preserve it for future generations. And as long as I have the honor of serving as your President, that's exactly what I'll do.Thanks, and have a great weekend.本文章由顺道电子商务/收集整理。
奥巴马英语演讲稿
奥巴马英语演讲稿Ladies and gentlemen, distinguished guests, fellow Americans,I stand before you today as the President of the United States, honored and humbled by the opportunity to address you all. As I reflect on the past eight years, I am proud of the progress we have made, but I also acknowledge that there is still much work to be done.When I first took office, our nation was in the midst of one of the greatest economic crises in our history. Millions of Americans were losing their homes, their jobs, and their hope. We faced challenges that seemed insurmountable, but we came together as a nation and refused to surrender to cynicism and division.Through the tireless efforts of our citizens, we were able to stabilize our economy and create millions of new jobs. We invested in clean energy and innovation, paving the way for a more sustainable future. We fought for equal pay for equal work, women's rights, and LGBTQ+ rights. We expanded access to healthcare, ensuring that every American has the opportunity to live a healthy and fulfilling life. We took steps towards comprehensive immigration reform, recognizing the contributions of immigrants to our nation and their vital role in our economy.But progress is never linear, and we have faced setbacks along the way. We have seen the rise of divisive rhetoric and the erosion of trust in our institutions. We have witnessed the devastating impacts of climate change, from record-breaking hurricanes to droughts that threaten our food security. We have witnessed acts of violencethat have shaken our sense of security and tested our resolve.Now, more than ever, we must come together as a nation and confront these challenges head-on. We must reject the politics of fear and division, and instead embrace the politics of hope and unity. We must listen to one another, respect one another, and work together to find common ground. This is the only way we can build a brighter future for ourselves and for generations to come.There are no quick fixes or easy answers, but I am confident in the resilience and the spirit of the American people. I have seen firsthand the extraordinary talent, creativity, and determination that resides in every corner of this great nation. I have seen communities come together after tragedy, and individuals rise above adversity to make a positive difference. This is the essence of America – the belief that together, we can overcome any challenge and achieve greatness.In the years to come, I challenge all of you to be engaged citizens, active participants in our democracy. Stay informed, hold your elected officials accountable, and be the change you wish to see in the world. Whether you are a student, a worker, a parent, or a retiree, your voice matters, and your actions have the power to shape our collective future.But let us not forget the values that define us as a nation – equality, justice, and freedom. Let us never lose sight of the fact that we are all Americans, bound together by a common destiny. Let us embrace our diversity and celebrate the strength that comes from our differences.I am confident that the future of our nation is bright. Together, we can tackle the greatest challenges of our time and build a more inclusive, prosperous, and just America. Let us keep moving forward, with hope in our hearts and a determination to create a better world for all.Thank you, and may God bless the United States of America.在接下来的几年里，我们将面临一系列紧迫的问题和挑战。
美国总统奥巴马每周演讲2015.6.27
【美国总统演讲】2015.06.27平价医保法通过高院裁决Five years ago, we finally declared that in America, health care is not a privilege for a few, but a right for all. And this week, after more than fifty votes in Congress to repeal or weaken this law; after a Presidential election based in part on preserving or repealing this law; after multiple challenges to this law before the Supreme Court, we can now say this for certain: the Affordable Care Act still stands, it is working, and it is here to stay.On Thursday, when the Court upheld a critical part of the Affordable Care Act, it was a victory for hardworking Americans all across this country whose lives are more secure because of this law. This law means that if you’re a parent, you can keep your kids on your plan until they turn 26. If you’re a senior, or an American with a disability, this law gives you discounts on your prescriptions. You can’t be charged more just because you’re a woman.And you can’t be discriminated against just for having a pre-existing condition. This law is working exactly as it’s supposed to – and in some ways, better than we expected it to. So far more than 16 million uninsured Americans have gained coverage. Nearly one in three Americans who was uninsured a few years ago is insured today. The uninsured rate in America is the lowest since we began to keep such records.The law has helped hold the price of health care to its slowest growth in 50 years. If your family gets insurance through the workplace, not through the Affordable Care Act, you’re paying about $1,800 less per year on average than you would be if trends before this law had continued – which is good for workers and it's good for the economy.The point is, this is not some abstract political debate. For all the misinformation campaigns, and doomsday predictions; for all the talk of death panels and job destruction; for all the repeal attempts – this law is helping tens of millions of Americans. This isn’t just about Obamacare.This is health care in America.With this case behind us, we’re going to keep working to make health care in America even better and more affordable, and to get more peoplecovered. But it is time to stop refighting battles that have been settled again and again. It’s time to move on.Because as Americans, we don’t go backwards, we move forwards.We take care of each other. We root for one another’s success.We strive to do better, to be better, than the generation before us, and we try to build something better for the generation coming behind us. With this behind us, let’s come together and keep building something better right now.Thanks, and have a great weekend.。
英语演讲原文：President Obama Hosts Doctors for Health Reform
President Obama Hosts Doctors forHealth ReformIt might seem merely symbolic 1 that there were doctors from all 50 states here at the White House, but it’s symbolic of a deep truth about the health insurance reform debate. As the President said today, "when you cut through all the noise and all the distractions 2 that are out there, I think what's most telling is that some of the people who are most supportive of reform are the very medical professionals who know the health care system best -- the doctors and nurses of America."He continued: These men and women here would not be supporting health insurance reform if they really believed that it would lead to government bureaucrats 3 making decisions that are best left to doctors. They wouldn't be here today if they believed that reform in any way would damage the very critical and sacred doctor-patient relationship. Instead, the reason these doctors are here is because they have seen firsthand what's broken about our health care system. They've seen what happens when their patients can't get the care they need because some insurance company has decided 4 to drop their coverage 5 or water itdown. They've seen what happens when a patient is forcedto pay out of pocket thousands of dollars she doesn't have for treatments that she desperately 6 needs. They've seen what happens when patients don't come in for regular check-ups or screenings because either their insurance company doesn't cover it or they can't afford insurance in the first place. And they've seen far too much of time that they want to devote to taking care of patients spent filling out forms and haggling 7 with insurance companies about payments. So these doctors know what needs to be fixed 8 about our health care system. And they know that health insurance reform will do -- that it will go a long way towards making patients healthier and doctors and nurses to be able to perform that -- those tasks that are so important to them and led them into medicine in the first place.■文章重点单词注释：1symbolicadj.象征性的，符号的，象征主义的参考例句：It is symbolic of the fighting spirit of modern womanhood.它象征着现代妇女的战斗精神。
奥巴马英文演讲稿
奥巴马英文演讲稿IntroductionLadies and gentlemen, esteemed guests, and fellow citizens, it is truly an honor to stand before you today. I am deeply grateful for the opportunity to share my thoughts and vision for our great nation. As the President of the United States, I am committed to working tirelessly for the betterment of our society and the world at large.Achievements and ChallengesDuring my time in office, we have achieved significant milestones. We have made tremendous progress in the areas of healthcare reform, economic recovery, and technological advancements. However, we must acknowledge the challenges that lie ahead. Climate change, income inequality, and racial injustice continue to persist. It is our duty to address these issues head-on, with determination and compassion.Climate ChangeClimate change is not a distant problem; it is happening right now. Rising global temperatures, extreme weather events, and the depletion of natural resources threaten the very fabric of our planet. We must take immediate action to combat this existential crisis. The Paris Agreement was a step in the right direction, but much more needs to be done. We need to invest in clean energy, reduce carbon emissions, and promote sustnable practices in every sector. Our children and future generations deserve a livable planet.Income InequalityThe gap between the rich and the poor has widened significantly over the years. This growing income inequality is not only morally wrong but also undermines the fabric of our society. We must work towards creating an economy that works for everyone, not just the privileged few. This means advocating for fr tax policies, rsing the minimum wage, and investing in affordable housing and education. It is only by uplifting the most vulnerable members of our society that we can truly thrive as a nation.Racial InjusticeAmerica is a diverse nation, built on the principles of equality and justice for all. However, racial injustice continues to persist in our society. Systemic racism, police brutality, and discriminatory practices have no place in our country. We must confront these issues with honesty and empathy. By reforming our criminal justice system, promoting diversity and inclusion, and fostering open dialogue, we can build a nation that lives up to its ideals.ConclusionIn conclusion, my fellow citizens, we face immense challenges, but we also have tremendous opportunities for progress and change. By harnessing the power of our collective voice and actively engaging in the democratic process, we can shape a brighter future for ourselves and for generations to come. Let us remember that change does not happen overnight; it takes persistence, resilience, and unity. Together, we can build a stronger, frer, and more prosperous nation. Thank you, and may God bless the United States of America.。
英语演讲稿-26日：总统呼吁全美国人民支持平价医保法(中英lrc)
英语演讲稿26日：总统呼吁全美国人民支持平价医保法(中英lrc)Obama’s Weekly Address WEEKLY ADDRESS: Enrolling in the Affordable Care Act Marketplace奥巴马每周电视讲话:总统呼吁全美国人民支持平价医保法Hi, everybody.大家好。
A few weeks ago, we launched an important new part of the Affordable Care Act.我们开始实施一项事关全美国人的《平价医保法》。
It’s called the Marketplace.我们称之为医保市场。
And for Americans without health insurance, and Americans who buy insurance on their own because they can’t get it at work, it’s a very big deal.对于没有医疗保险的人，以及由于无法经工作单位而只能自己购买医疗保险的人来说，这是一件大事。
If you’re one of those people, the Affordable Care Actmakes you part of a big group plan for the first time.如果你是这些人中的一份子，《平价医保法》将让你第一次成为这一宏大保障计划的参与者。
The Marketplace is where you can apply and shop for affordable new health insurance choices.医保市场可以让大家申请并购买到价格合理的新的医疗保险。
It gathers insurers under one system to compete for your business.它将保险商集中到统一体系下参与竞争，为大家提供服务。
奥巴马总统在白宫玫瑰园就《平价医疗法案》英语演讲稿_英语演讲稿_
奥巴马总统在白宫玫瑰园就《平价医疗法案》英语演讲稿THE PRESIDENT: Everybody, have a seat.MS. BAKER: Hello. My name is Janice Baker. I havethe privilege to say that I'm the firstperson in the state of Delaware to enrollfor health insurance through the new marketplace. (Applause.) Like many consumers out there, it took me a number of frustratingattempts beforeI could apply for and select my plan.I kept trying because I needed access to thenew healthcare options.I had applied to three privateinsurance companies only to be rejected due to preexistinghealthconditions. I am too young for Medicare,but I'm too old not to have some health issues. Iwas able to find a policy I am thrilled with, saving $150 a month, andmuch lower deductiblesthan my previous policy that I held through my smallbusiness.I'm here today to encourage otherpeople like me who needs access to quality, affordableinsurance, and to tellthem to have patience with such a new system. Without this ability toget this insurance, Iknow that a single hospital stay could have bankrupted me and mybusiness.Thank you all. And I am now honored to introduce thePresident of the United States. (Applause.)THE PRESIDENT: Great job.MS. BAKER: Thank you. Thank you.THE PRESIDENT: Thank you. (Applause.) Thank you,everybody. Well, thank you, Janice.And thanks to everybody here for coming onthis beautiful day. Welcome to the WhiteHouse.About three weeks ago, as thefederal government shut down,the Affordable Care Act'shealth insurancemarketplaces opened for business across the country. Well, we've now gottenthe government backopen for the American people, and today I want to talk about how we'regoing toget the marketplaces running at full steam, as well. And I'm joined today by folks whohave eitherbenefited from the Affordable Care Act already, or who are helping theirfellowcitizens learn about what this law means for them and how they can get covered.Of course, you've probably heardthat –- the new website where people canapply for healthinsurance, and browse and buy affordable plans in most states –- hasn'tworkedas smoothly as it was supposed to work. And the number of people who have visitedthe site has beenoverwhelming, which has aggravated some of these underlying problems.Despite all that, thousands ofpeople are signing up and saving money as we speak. ManyAmericans with a preexisting condition,like Janice, are discovering that they can finally gethealth insurance likeeverybody else.So today, I want to speak toevery American who's looking to get affordable healthinsurance. I want you to know what's available to youand why it may be a good deal for you.And for those who've had some problems with the website, I want to tellyou what we're doingto make it work better and how you can sign up to getcovered in other ways.But before I do that, let meremind everybody that the Affordable Care Act is not just awebsite. It's much more. For the vast majority of Americans -- for 85percent of Americanswho already have health insurance through your employer orMedicare or Medicaid -– you don'tneed to sign up for coverage through awebsite at all. You've already gotcoverage. WhattheAffordable Care Actdoes for you is to provide you with new benefits and protections that havebeenin place for some time. You may not knowit, but you're already benefiting from theseprovisions in the law.For example, because of theAffordable Care Act, young people like Jasmine Jennings, andJessica Ugalde,and Ezra Salop, all of whom are here today, they've been able to stay ontheirparents' plans until they're 26. Millions of other young people are currently benefiting fromthat part ofthe law. (Applause.) Another part of the Affordable Care Act isproviding seniors withdeeper discounts on their prescription medicine. Billions of dollars have been saved byseniorsalready. That's part of thelaw. It's already in place. It's happening right now.Already, because of theAffordable Care Act, preventive care like mammograms and birthcontrol are freethrough your employers. That's part ofthis law. (Applause.) So there are a widerange of consumerprotections and benefits that you already have if you've got healthinsurance.You may not have noticedthem, but you've got them, and they're not going anywhere. Andthey're not dependent on a website.Here's another thing that theAffordable Care Act does. In stateswhere governors andlegislatures have wisely allowed it, the Affordable CareAct provides the opportunity for manyAmericans to get covered under Medicaidfor the first time. So in Oregon, forexample, that'shelped cut the number of uninsured people by 10 percent just inthe last three weeks. Thinkaboutthat. That's 56,000 more Americans whonow have health care. (Applause.) That doesn'tdepend on a website.Now, if you're one of the 15percent of Americans who don't have health insurance -- eitherbecause you can'tafford it orbecause your employer doesn't offer it, or because you're asmallbusinessperson and you have to go out on the individual market and buy it onyour ownand it's just too expensive -- October 1st was an important date. That's when we opened thenew marketplaceswhere people without health insurance, or who can't afford healthinsurance, orwho aren't part of a group plan, can finally start getting affordable coverage.And the idea is simple. By enrolling in what we're calling thesemarketplaces, you becomepart of a big group plan -- as if you were working fora big employer -- a statewide group planthat spreads risk between sick peopleand healthy people, between young and old, and thenbargains on your behalf forthe best deal on health care. What we'vedone is essentially create acompetition where there wasn't competitionbefore. We created these big groupplans, and nowinsurers are really interested in getting your business. And so insurers have created new healthcareplans with more choices to be made available through these marketplaces.And as a result of this choiceand this competition, prices have come down. When you addthe new tax credits that many people are eligible forthrough the law, then the prices comedown even further. So one study shows that through new optionscreated by the Affordable CareAct, nearly 6 in 10 uninsured Americans willfind that they can get covered for less than $100 amonth. Think about that. (Applause.)Through the marketplaces, you canget health insurance for what may be the equivalentof your cell phone bill oryour cable bill, and that's a good deal.So the fact is the product of theAffordable Care Act for people without health insurance isquality healthinsurance that'saffordable. And thatproduct is working. It's reallygood. And itturns out there's a massivedemand for it. So far, the nationalwebsite, , has beenvisited nearly 20 million times. Twenty million times. (Applause.) And there's great demand atthe state level as well, because there are abunch of states that are running their ownmarketplaces.We know that nearly one-third ofthe people applying in Connecticut and Maryland, forexample, are under 35years old. They understand that they canget a good deal at low costs,have the security of health care, and this is notjust for old folks like me -- that everybodyneeds good quality healthinsurance. And all told, more than halfa million consumers across thecountry have successfully submitted applicationsthrough federal and state marketplaces. Andmany of those applications aren't just for individuals, it's fortheir entire families. So evenmorepeople are already looking to potentially take advantage of the high quality,affordableinsurance that is provided through the Affordable Care Act.So let me just recap here. The product is good. The health insurance that's being providedisgood. It's high quality and it'saffordable. People can save money,significant money, bygetting insurance that's being provided through thesemarketplaces. And we know thatthedemand is there. People are rushing tosee what's available. And those who havealready hada chance to enroll are thrilled with the result. Every day, people who were stuck withsky-highpremiums because of preexisting conditions are getting affordableinsurance for the first time, orfinding, like Janice did, that they're savinga lot of money. Every day, women arefinally buyingcoverage that doesn't charge them higher premiums than men forthe same care.(Applause.)Every day, people are discovering that newhealth insurance plans have to cover maternitycare, mental health care, freepreventive care.So you just heard Janice's story-- she owns her own small business. Sherecently became thefirst woman to enroll in coverage through Delaware'sexchange. And it's true, it took her afewtries, but it was worth it after being turned down for insurance threetimes due to minorpreexisting conditions. So now she'll be covered, she'll save 150 bucks a month, and shewon'thave to worry that one illness or accident will cost her her business that she'sworked sohard to build.And Janice is not alone. I recently received a letter from a womannamed Jessica Sanford inWashington State. And here's what she wrote: “I ama single mo m, no child support, self-employed, and I haven't had insurance for15 years because it's too expensive. Myson hasADHD and requires regular doctor visits and his meds alone cost $250per month. I have had anongoingtendinitis problem due to my line of work that I haven't had treated. Now, finally, weget to have coverage becauseof the ACA for $169 per month. I wascrying the other day when Isigned up. Somuch stress lifted.”Now, that is not untypical for alot of folks like Jessica who have been struggling withouthealthinsurance. That's what the AffordableCare Act is all about. The point is, theessence of thelaw -- the health insurance that's available to people -- isworking just fine. In somecases,actually, it's exceeding expectations -- the prices are lower than we expected,the choice isgreater than we expected.But the problem has been that the website that'ssupposed to make it easy to apply for andpurchase the insurance is notworkingthe way it should for everybody. Andthere's nosugarcoating it. The websitehas been too slow, people have been getting stuck during theapplicationprocess. And I think it's fair to saythat nobody is more frustrated by that than I am -- precisely because theproduct is good, I want the cash registers to work. I want the checkoutlines to be smooth. So I want people to be able to get this greatproduct. And there's no excusefor theproblems, and these problems are getting fixed.But while we're working out the kinks in thesystem, I want everybody to understand thenature of the problem. First of all, even with all the problems , the website isstill working for a lot of people -- just not asquick or efficient or consistent as we want. Andalthough many of these folks have found that they had to wait longerthan they wanted, oncethey complete the process they're very happy with thedeal that's available to them, just likeJanice's.Second, I want everybody toremember that we're only three weeks into a six-month openenrollment period,when you can buy these new plans. (Applause.) Keep in mind theinsurancedoesn't start until January 1st; that's the earliest that theinsurance can kick in. No one whodecidesto purchase a plan has to pay their first premium until December 15th. And unlike theday after Thanksgiving salesfor the latest Playstation or flat-screen TVs, the insurance plansdon't runout. They're not going to sell out. They'll be available through the marketplace-- (applause) -- throughout the open enrollment period. The prices that insurers have set willnotchange. So everybody who wants insurancethrough the marketplace will get insurance,period. (Applause.) Everybody who wants insurance through the marketplace will getinsurance.Third, we are doing everything wecan possibly do to get the websites working better, faster,sooner. We've got people working overtime, 24/7, toboost capacity and address the problems.Experts from some of America's top private-sector tech companies who, bythe way, have seenthings like this happen before, they want it to work. They're reaching out. They're offering tosend help. We've had some of the best IT talent in theentire country join the team. Andwe'rewell into a “tech surge” to fix the problem. And we are confident that we will get all theproblems fixed.Number four -- while the websitewill ultimately be the easiest way to buy insurancethrough the marketplace, itisn't the only way. And I want toemphasize this. Even as weredouble ourefforts to get the site working as well as it's supposed to, we're alsoredoubling ourefforts to make sure you can still buy the same quality,affordable insurance plans availableon the marketplace the old-fashioned way-- offline, either over the phone or in person.And, by the way, there are a lotof people who want to take advantage of this who are morecomfortable workingon the phone anyway or in person. So letme go through the specifics as tohow you can do that if you're having problemswith the website or you just prefer dealing witha person.Yesterday, we updated the website'shome page to offer more information about the otheravenues to enroll inaffordable health care until the online option works for everybody. So you'llfind information about how to talkto a specialist who can help you apply over the phone or toreceive adownloadable application you can fill out yourself and mail in.We've also added more staff tothe call centers where you canapply for insurance over thephone. Those are already -- they've beenworking. But a lot of people havedecided first to go tothe website. Butkeep in mind, these call centers are already up and running. And you can getyour questions answered byreal people, 24 hours a day, in 150 different languages. The phonenumber for these call centers is1-800-318-2596. I want to repeat that --1-800-318-2596. Waittimes have averagedless than one minute so far on the call centers, although I admit that thewaittimes probably might go up a little bit now that I've read the number out loudon nationaltelevision. (Laughter.)But the point is the call centersare available. You can talk to somebodydirectly and theycan walk you through the application process. And I guarantee you, if one thing is worththewait, it's the safety and security of health care that you can afford, orthe amount of moneythat you can save by buying health insurance through themarketplaces. (Applause.)Once you get on the phone with atrained representative, it usually takes about 25minutes for an individual toapply for coverage, about 45 minutes for a family. Once you applyfor coverage, you will becontacted by email or postal mail about your coverage status.But you don't have to just gothrough the phone. You can also apply inperson with the helpof local navigators -–these are people specially trainedto help you sign up for health care, andthey exist all across the country, oryou can go to community health centers and hospitals. Justvisit to findout where in your area you can get help and apply forinsurance in person.And finally, if you've alreadytried to apply through the website and you've been stucksomewhere along theway, do not worry. In the coming weeks,we will contact youdirectly,personally, with a concrete recommendation forhow you can complete your application,shop for coverage, pick a plan thatmeets your needs, and get covered once and for all.So here's the bottom line. The product, the health insurance isgood. The prices are good.It is a good deal. People don't just want it; they're showing upto buy it. Nobody is madder thanmeabout the fact that the website isn't working as well as it should, which meansit's going toget fixed. (Laughter andapplause.)。
英语演讲原文：奥巴马演讲 Medicare Officially Safer
奥巴马演讲 Medicare Officially SaferForty-five years ago, we made a solemn（庄严的，严肃的）compact as a nation that senior citizens would not go without the health care they need. This is the promise we made when Medicare was born. And it’s the responsibility of each generation to keep that promise.That’s why a report issued this week by the Trustees who oversee 1 （监督，审查） Medicare was such goodnews. According to this report, the steps we took this year to reform the health care system have put Medicare on a sounder financial footing. Reform has actually added at least a dozen years to the solvency 2 （偿付能力，溶解力） of Medicare – the single longest extension in history – while helping 3 to preserve Medicare for generations to come.We’ve made Medicare more solvent 4 by going after waste, fraud, and abuse –not by changing seniors’guaranteed benefits. In fact, seniors are starting to see that because of health reform, their benefits are getting better all the time.Seniors who fall into the “doughnut hole” – the gap in Medicare Part D drug coverage 5 – are eligible 6 （合格的，合适的） right now for a $250 rebate 7 to help cover the cost of their prescriptions 8 （处方，药方） . Now, I know for people facing drug costs far higher than that, they need more help. That’s why we negotiated a better deal with the pharmaceutical 9 （制药的） companies for seniors. So starting next year, if you fall in the doughnut hole, you’ll get a 50-percent discount on the brand-name medicine you need. And in the coming years, this law will close the doughnut hole completely once and for all.Already, we have put insurance companies on notice that we have the authority to review and reject unreasonable 10 rate increases for Medicare Advantage plans. And we’ve made it clear to the insurers that we won’t hesitate to use this authority to protect seniors.Beginning next year, preventive care – including annual physicals, wellness exams, and tests like mammograms（乳房X线照片）– will be free for seniors as well. That will make it easier for folks to stay healthy. But it will also mean that doctors can catch things earlier, so treatment may be less invasive and less expensive.And as reform ramps 11 up in the coming years, we expect seniors to save an average of $200 per year in premiums 12and more than $200 each year in out of pocket costs, too.This is possible in part through reforms that target waste and abuse and redirect those resources to where they’re supposed to go: our seniors. We’re already on track to cut improper 13 payments in half – including money that goes to criminals who steal taxpayer 14 dollars by setting up insurance scams（诈骗，诡计） and other frauds. And we won’t stop there. Because by preventing the loss of these tax dollars, we can both address the runaway 15 costs of Medicare and improve the quality of care seniors receive –and we can crack down on those who prey 16 on seniors and take advantage of people.So we are no longer accepting business as usual. We’re making tough decisions to meet the challenges of our time. And as a result, Medicare is stronger and more secure. That’s important.Because Medicare isn’t just a program. It’s a commitment to America’s seniors – that after working your whole life, you’ve earned the security of quality health care you can afford. As long as I am President, that’s a commitment this country is going to keep.Thank you.■文章重点单词注释：1overseevt.监督，管理参考例句：Soldiers oversee the food handouts.士兵们看管着救济食品。
英语演讲原文：奥巴马演讲 Put People Ahead of Insurance Companies
奥巴马演讲 Put People Ahead ofInsurance CompaniesRemarks by the President on Health Care Reform East Room 1:50 P.M. ESTTHE PRESIDENT: Thank you so much, all of you, for joining us today. And I want to thank Julie, Barbara, Roland, Stephen, Renee, and Christopher, standing 1 behind me -- physicians, physicians assistants, and nurses who understand how important it is for us to make much needed changes in our health care system.I want to thank all of you who are here today. I want to specially 2 recognize two people who have been working tirelessly on that -- on this effort, my Secretary of Health and Human Services, Kathleen Sebelius -- (applause) -- as well as our quarterback for health reform out of the White House, Nancy-Ann DeParle. (Applause.)We began our push to reform health insurance last March, in this room, with doctors and nurses who know the system best. And so it’s fitting to be joined by all of you as we bring this journey to a close.Last Thursday, I spent seven hours at a summit where Democrats 3 and Republicans engaged in a public and very substantive 4 （大量的，实质的） discussion about health care. This meeting capped off a debate that began with a similar summit nearly one year ago. And since then, every idea has been put on the table. Every argument has been made. Everything there is to say about health care has been said -- (laughter) -- and just about everybody has saidit. (Laughter.) So now is the time to make a decision about how to finally reform health care so that it works, not just for the insurance companies, but for America’s families and America’s businesses.Now, where both sides say they agree is that the status quo （现状） is not working for the American people. Health insurance is becoming more expensive by the day. Families can’t afford it.Businesses can’t afford it. The federal government can’t afford it. Smaller businesses and individuals who don’t get coverage 5 at work are squeezed especially hard. And insurance companies freely ration 6 （配给，定量供应）health care based on who’s sick and who’s healthy; who can pay and who can’t. That's the status quo. That's the system we have right now.Democrats and Republicans agree that this is a seriousproblem for America. And we agree that if we do nothing -–if we throw up our hands and walk away -–it’s a problem that will only grow worse. Nobody disputes that. More Americans will lose their family's health insurance if they switch jobs or lose their job. More small businesses will be forced to choose between health care and hiring. More insurance companies will deny people coverage who have preexisting conditions, or they'll drop people's coverage when they get sick and need it most. And the rising cost of Medicare and Medicaid will sink our government deeper and deeper and deeper into debt. On all of this we agree.So the question is, what do we do about it?On one end of the spectrum 7 , there are some who've suggested scrapping 8 our system of private insurance and replacing it with a government-run health care system. And though many other countries have such a system, in America it would be neither practical nor realistic.On the other end of the spectrum, there are those, and this includes most Republicans in Congress, who believe the answer is to loosen regulations on the insurance industry -- whether it's state consumer protections or minimum standards for the kind of insurance they can sell. Theargument is, is that that will somehow lower costs. I disagree with that approach. I'm concerned that this would only give the insurance industry even freer rein 9 （驾驭，控制） to raise premiums 10 and deny care.So I don't believe we should give government bureaucrats11 （官僚） or insurance company bureaucrats more control over health care in America. I believe it's time to give the American people more control over their health care andtheir health insurance. I don't believe we can afford to leave life-and-death decisions about health care to the discretion 12 of insurance company executives alone. I believe that doctors and nurses and physician assistants like the ones in this room should be free to decide what's best for their patients. (Applause.)Now, the proposal I put forward gives Americans more control over their health insurance and their health care by holding insurance companies more accountable. It builds on the current system where most Americans get their health insurance from their employer. If you like your plan, you can keep your plan. If you like your doctor, you can keep your doctor. I can tell you as the father of two young girls, I would not want any plan that #p#分页标题#e# interferes with（干扰，妨碍） the relationship between a family and their doctor.Essentially 13 , my proposal would change three things about the current health care system. First, it would end the worst practices of insurance companies. No longer would they be able to deny your coverage because of a preexisting condition. No longer would they be able to drop your coverage because you got sick. No longer would they be able to force you to pay unlimited 14 amounts of money out of your own pocket. No longer would they be able to arbitrarily（武断地，专横地） and massively raise premiums like Anthem 15 Blue Cross recently tried to do in California -- up to 39 percent increases in one year in the individual market. Those practices would end.Second, my proposal would give uninsured individuals and small business owners the same kind of choice of private health insurance that members of Congress get for themselves -- because if it’s good enough for members of Congress, it’s good enough f or the people who pay their salaries. (Applause.)The reason federal employees get a good deal on health insurance is that we all participate in an insurance market where insurance companies give better coverage and better rates, because they get more customers. It's an idea thatmany Republicans have embraced in the past, before politics intruded 16 .And my proposal says that if you still can’t afford the insurance in this new marketplace, even though it's going to provide better deals for people than they can get right now in the individual marketplace, then we'll offer you tax credits to do so -- tax credits that add up to the largest middle-class tax cut for health care in history. After all, the wealthiest among us can already buy the best insurance there is, and the least well off are able to get coverage through Medicaid. So it's the middle class that gets squeezed（挤，勒索）, and that’s who we have to help.Now, it is absolutely true that all of this will cost some money -- about $100 billion per year. But most of this comes from the nearly $2 trillion a year that America already spends on health care -- but a lot of it is not spent wisely. A lot of that money is being wasted or spent badly. So within this plan, we’re going to make sure the dollars we spend go towards making insurance more affordable 17 and more secure. We’re going to eliminate wasteful 18 taxpayer 19 subsidies 20 （津贴，补助金） that currently go to insurance and pharmaceutical 21 （制药的） companies; set a new fee on insurance companies that stand to gain a lot of moneyand a lot of profits as millions of Americans are able to buy insurance; and we're going to make sure that the wealthiest Americans pay their fair share on Medicare.The bottom line is our proposal is paid for. And all the new money generated in this plan goes back to small businesses and middle-class families who can't afford health insurance. It would also lower prescription 22 drug pricesfor seniors. And it would help train new doctors and nurses and physician assistants to provide care for American families.Finally, my proposal would bring down the cost of health care for millions -- families, businesses, and the federal government. We have now incorporated most of the serious ideas from across the political spectrum about how to contain the rising cost of health care --- ideas that go after the waste and abuse in our system, especially in programslike Medicare. But we do this while protecting Medicare benefits, and extending the financial stability of the program by nearly a decade.Our cost-cutting measures mirror most of the proposals in the current Senate bill, which reduces most people's premiums and brings down our deficit 23 by up to a trillion dollars over the next two decades -- brings down ourdeficit. Those aren't my numbers; those are the savings 24 determined 25 by the Congressional Budget Office, which is the Washington acronym 26 （首字母缩略词） for the nonpartisan（无党派的）, independent referee 27 （裁判员，调解人） of Congress in terms of how much stuff costs. (Laughter.)So that's our proposal. This is where we've ended up. It's an approach that has been debated and changed and I believe improved over the last year. It incorporates the best ideas from Democrats and Republicans --- including some of the ideas that Republicans offered during the health care summit, like funding state grants on medical malpractice（玩忽职守，不法行为） reform, and curbing 28 waste and fraud and abuse in the health care system. My proposal also gets rid of many of the provisions that had no place in health care reform -- provisions that were more about winning individual votes in Congress than improving health care for all Americans. #p#分页标题#e#Now, despite all that we agree on and all the Republican ideas we've incorporated, many -- probably most -- Republicans in Congress just have a fundamental disagreement over whether we should have more or less oversight 29 of insurance companies. And if they trulybelieve that less regulation would lead to higher quality,more affordable health insurance, then they should vote against the proposal I've put forward.Now, some also believe that we should, instead of doing what I'm proposing, pursue a piecemeal 30 （零碎的，逐渐的）approach to health insurance reform, where we tinker（修补）around the edges of this challenge for the next fewyears. Even those who acknowledge the problem of the uninsured say we just can't afford to help them right now --- which is why the Republican proposal only covers 3 million uninsured Americans while we cover over 31 million.The problem with that approach is that unless everyone has access to affordable coverage, you can't prevent insurance companies from denying coverage based on preexisting conditions; you can't limit the amount families are forced to pay out of their own pockets. The insurance reforms rest on everybody having access to coverage. And you also don't do anything about the fact that taxpayers 31 currently end up subsidizing the uninsured when they're forced to go to the emergency room for care, to the tune 32 of about a thousand bucks 33 per family. You can't get those savings if those people are still going to the emergency room. So the fact is, health reform only works if you take care of all ofthese problems at once.Now, both during and after last week's summit, Republicans in Congress insisted that the only acceptable course on health care reform is to start over. But given these honest and substantial differences between the parties about the need to regulate the insurance industry and the need to help millions of middle-class families get insurance, I don't see how another year of negotiations 34 would help.Moreover, the insurance companies aren't startingover. They're continuing to raise premiums and deny coverage as we speak. For us to start over now could simply lead to delay that could last for another decade, or even more. The American people, and the U.S. economy, just can't wait that long. So, no matter which approach you favor, I believe the United States Congress owes the American people a final vote on health care reform. (Applause.)We have debated this issue thoroughly 35 , not just for the past year but for decades. Reform has already passed the House with a majority. It has already passed the Senate with a supermajority（绝对多数制） of 60 votes. And now it deserves the same kind of up or down vote that was cast on welfare reform, that was cast on the Children's HealthInsurance Program, that was used for COBRA health coverage for the unemployed 36 , and, by the way, for both Bush tax cuts --- all of which had to pass Congress with nothing more than a simple majority.I, therefore, ask leaders in both houses of Congress to finish their work and schedule a vote in the next few weeks. From now until then, I will do everything in my power to make the case for reform. (Applause.) And I urge every American who wants this reform to make their voice heard as well --- every family, every business, every patient, every doctor, every nurse, every physician’s assistant. Make your voice heard.This has been a long and wrenching 37 debate. It has stoked great passions among the American people and their representatives. And that's because health care is a difficult issue. It is a complicated issue. If it was easy, it would have been solved long ago. As all of you know from experience, health care can literally 38 be an issue of life or death. And as a result, it easily lends itself to demagoguery（煽动行为）and political gamesmanship（扰乱战术，制胜绝招） , and misrepresentation（误传，歪曲） and misunderstanding.But that’s not an excuse for those of us who were sent here to lead. That's not an excuse for us to walk away. We can’tjust give up because the politics are hard. I know there’s been a fascination 39 , bordering on obsession 40 （困扰，痴迷） , in this media town about what passing health insurance reform would mean for the next election and the one after that. How will this play? What will happen with the polls? I will leave it to others to sift 41 through the politics, because that’s not what this is about.That’s not why we’re here.This is about what reform would mean for the mother with breast cancer whose insurance company will finally have to pay for her chemotherapy. This is about what reform would mean for the small business owner who will no longer have to choose between hiring more workers or offering coverage to the employees she has. This is about what reform would mean for middle-class families who will be able to afford health insurance for the very first time in their lives and get a regular checkup once in a while, and have some security about their children if they get sick. #p#分页标题#e#This is about what reform would mean for all those men and women I’ve met over the last few years who’ve been brave enough to share their stories. When we started our push for reform last year, I talked to a young mother in Wisconsin named Laura Klitzka. She has two young children. Shethought she had beaten her breast cancer but then later discovered it had spread to her bones. She and her husband were working and had insurance, but their medical bills still landed them in debt. And now she spends time worrying about that debt when all she wants to do is spend time with her children and focus on getting well.This should not happen in the United States of America. And it doesn’t have to. (Applause.)In the end, that's what this debate is about. It's about what kind of country we want to be. It's about the millions of lives that would be touched and, in some cases, saved by making private health insurance more secure and more affordable.So at stake（在危险中，紧要关头） right now is not just our ability to solve this problem, but our ability to solve any problem. The American people want to know if it's still possible for Washington to look out for their interests and their future. They are waiting for us to act. They are waiting for us to lead. And as long as I hold this office, I intend to provide that leadership. I do not know how this plays politically, but I know it's right. (Applause.) And so I ask Congress to finish its work, and I look forward to signing this reform into law.Thank you very much, everybody. Let's get itdone. (Applause.)END 2:09 P.M. EST■文章重点单词注释：1standingn.持续，地位；adj.永久的，不动的，直立的，不流动的参考例句：After the earthquake only a few houses were left standing.地震过后只有几幢房屋还立着。
英语演讲原文：奥巴马演讲 签署不当支付消除与回收法案2
奥巴马演讲签署不当支付消除与回收法案2We’re creating a single electronic medical record for our men and women in uniform that will follow them from the day they enlist 1 until the day that they are laid to rest. We’re revamping（修改，翻新） our Social Security and citizenship 2 processes so that folks can book appointments and check the status of their applications online. We’ve created mobile apps that provide everything from disaster assistance to product safety information to the latest wait times for security lines at your local airport. And we’ve begun an unprecedented 3 effort to put an end to a problem known as improper 4 payments, which is the purpose of the bill that I’m signing into law today. Now, these are payments sent by the government to the wrong person, or for the wrong reasons, or in the wrong amount. Payments to a defense 5 contractor 6 that’s been disbarred for（因……不准） shoddy work but somehow managed to get through the system. Payments to companies that haven’t paid their taxes, or to folks who are incarcerated 7 （监禁）–- or who are dead. Sometimesthese payments are the result of innocent mistakes or reflect valid 8 （有效的，正当的） claims that were paid at the wrong time. But sometimes, they result from abuses by scam（欺诈）artists and crooked 9 （弯曲的，不正当的） companies. And all told, they added up to $110 billion. I want everybody to understand -- just get some perspective on that. That is more than the budgets of the Department of Education and the Small Business Administration combined. And that’s unacceptable. That’s why, earlier this year, I directed our federal agencies to launch rigorous（严格的，严密的）audits 11 （审计） conducted by auditors 12 who are paid based on how many abuses or errors they uncover -– the more they find, the more money they make. So they are highly incentivized. We’re also creating a “Do Not Pay”list –- a consolidated 13 （巩固的，统一的） database of every individual and company that’s ineligible 14 （不合格的） for federal payments. Before checks are mailed, agencies will be required to check this list to make sure that the payment is to the right person, in the right amount, forthe right reason. With these new tools, the challenge I’m making to my team today is to reduce improper payments by $50 billion between now and 2012. This goal is fully 15 achievable due in no small part to some of the great work of the members of Congress standing 16 with me today, particularly Senator Tom Carper and Representative PatrickMurph y, who sponsored the bill I’m about to sign and worked with all the other members of Congress who are here today to get it passed. And I think, by the way, it’s worth noting that this bill passed unanimously（全体一致地） in both the House and the Senate -– a powerful reminder 17 of what we can accomplish when we put partisanship 18 （党派偏见）aside and do what’s best for the people we serve. So this bill will dramatically expand and intensify 19 our efforts to end improper payments. And going forward, every agency in our government will be required to conduct annual assessments 20 to determine which of their programs are at risk of making improper payments. Agencies will be required to audit 10 more of their programs and recapture more taxpayer 21 dollars. And we now have rigorous enforcement mechanisms 22 to hold agencies accountable for how much money they save. So, in large part, thanks to the great work of the people in this room, I think we’re headed in the right direction. And today, I’m pleased to announce that I will be charging Jack 23 Lew, my choice for director of Office of Management and Budget -- once Peter Orszag, the current OMB director, departs -- with building on the good work that Peter began. I’m entrusting 24 Jack with carrying forward our Accountable Government Initiative in the months ahead. I will be asking him and Jeff to give me regular updates on our progress incutting waste and making our government more efficient and effective. And as the only OMB director in history to preside over a budget surplus for three consecutive 25 years, Jack Lew knows a thing or two about making government work. I’m confident he’s up to the challenge of building the kind of government that the American people expect and deserve -– one that spends their money wisely, serves their interests well, and is fully worthy 26 of their trust and respect. So I want to again thank these outstanding members of Congress who are here today who have been on the case in both chambers 27 for quite some time. I want to thank all the people who worked on this bill in this room for your outstanding efforts. Thank you. God bless you. God bless America. And let me sign thisbill. (Applause.) (The bill is signed.)(Applause.) END 11:39 A.M. EDT■文章重点单词注释：1enlistvt.谋取(支持等)，赢得；征募；vi.入伍参考例句：They come here to enlist men for the army.他们来这儿是为了召兵。
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奥巴马总统在白宫玫瑰园就《平价医疗法案》英语演讲稿THE PRESIDENT: Everybody, have a seat.MS. BAKER: Hello. My name is Janice Baker. I havethe privilege to say that I’m the firstperson in the state of Delaware to enrollfor health insurance through the new marketplace. (Applause.) Like many consumers out there, it took me a number of frustratingattempts beforeI could apply for and select my plan. I kept trying because I needed access to thenew healthcare options.I had applied to three privateinsurance companies only to be rejected due to preexistinghealthconditions. I am too young for Medicare,but I’m too old not to have some health issues. Iwas able to find a policy I am thrilled with, saving $150 a month, andmuch lower deductiblesthan my previous policy that I held through my smallbusiness.I’m here today to encourage otherpeople like mewho needs access to quality, affordableinsurance, and to tellthem to have patience with such a new system. Without this ability toget this insurance, Iknow that a single hospital stay could have bankrupted me and mybusiness.Thank you all. And I am now honored to introduce thePresident of the United States. (Applause.)THE PRESIDENT: Great job.MS. BAKER: Thank you. Thank you.THE PRESIDENT: Thank you. (Applause.) Thank you,everybody. Well, thank you, Janice.And thanks to everybody here for coming onthis beautiful day. Welcome to the WhiteHouse.About three weeks ago, as thefederal government shut down, the Affordable Care Act’shealth insurancemarketplaces opened for business across the country. Wel l, we’ve now gottenthe government backopen for the American people, and today I want to talk about how we’regoing toget the marketplaces running at full steam, as well. And I’m joined today byfolks whohave eitherbenefited from the Affordable Care Act already, or who are helping theirfellowcitizens learn about what this law means for them and how they can get covered.Of course, you’ve probably heardthat –- the new website where people canapply for healthinsurance, and browse and buy affordable plans in most states –- hasn’tworkedas smoothly as it was supposed to work. And the number of people who have visitedthe site has beenoverwhelming, which has aggravated some of these underlying problems.Despite all that, thousands ofpeople are signing up and saving money as we speak. ManyAmericans with a preexisting condition,like Janice, are discovering that they can finally gethealth insurance likeeverybody else.So today, I want to speak toevery American who’s looking to get affordable healthinsurance. I want you to know what’s available to youand why it may be a good deal for you.And for those who’ve had some problemswith the website, I want to tellyou what we’re doingto make it work better and how you can sign up to getcovered in other ways.But before I do that, let meremind everybody that the Affordable Care Act is not just awebsite. It’s much more. For the vast majority of Americans -- for 85percent of Americanswho already have health insurance through your employer orMedicare or Medicaid -–you don’tneed to sign up for coverage through awebsite at all. You’ve already gotcoverage. What theAffordable Care Actdoes for you is to provide you with new benefits and protections that havebeenin place for some time. You may not knowit, but you’re already b enefiting from theseprovisions in the law.For example, because of theAffordable Care Act, young people like Jasmine Jennings, andJessica Ugalde,and Ezra Salop, all of whom are here today, they’ve been able to stay ontheirparents’ plans until they’re 26. M illions of other young people are currently benefiting fromthat part ofthe law. (Applause.) Anotherpart of the Affordable Care Act isproviding seniors withdeeper discounts on their prescription medicine. Billions of dollars have been saved byseniorsalready. That’s part of thelaw. It’s already in place. It’s happening right now.Already, because of theAffordable Care Act, preventive care like mammograms and birthcontrol are freethrough your employers. That’s part ofthis law. (Applause.) So there are a widerange of consumerprotections and benefits that you already have if you’ve got healthinsurance.You may not have noticedthem, but you’ve got them, and they’re not going anywhere. Andthey’re not dependent on a website.Here’s another thing that theAffordable C are Act does. In stateswhere governors andlegislatures have wisely allowed it, the Affordable CareAct provides the opportunity for manyAmericans to get covered under Medicaidfor the first time. So in Oregon, forexample, that’shelped cut the number of unins ured people by 10percent just inthe last three weeks. Thinkaboutthat. That’s 56,000 more Americans whonow have health care. (Applause.) That doesn’tdepend on a website.Now, if you’re one of the 15percent of Americans who don’t have health insurance -- eitherbecause you can’tafford it or because your employer doesn’t offer it, or because you’re asmallbusinessperson and you have to go out on the individual market and buy it onyour ownand it’s just too expensive -- October 1st was an important date. That’s w hen we opened thenew marketplaceswhere people without health insurance, or who can’t afford healthinsurance, orwho aren’t part of a group plan, can finally start getting affordable coverage.And the idea is simple. By enrolling in what we’re calling thesemarketplaces, you becomepart of a big group plan -- as if you were working fora big employer -- a statewide group planthat spreads risk between sick peopleand healthy people, between young and old, and thenbargains on your behalf forthe best deal on healthcare. What we’vedone is essentially create acompetition where there wasn’t competitionbefore. We created these big groupplans, and nowinsurers are really interested in getting your business. And so insurers have created new healthcareplans with more choices to be made available through these marketplaces.And as a result of this choiceand this competition, prices have come down. When you addthe new tax credits that many people are eligible forthrough the law, then the prices comedown even further. So one study shows that through new optionscreated by the Affordable CareAct, nearly 6 in 10 uninsured Americans willfind that they can get covered for less than $100 amonth. Think about that. (Applause.)Through the marketplaces, you canget health insurance for what may be the equivalentof your cell phone bill oryour cable bill, and that’s a good deal.So the fact is the product of theAffordable Care Act for people without health insurance isquality healthinsurance that’s affordable. And thatproduct isworking. It’s reallygood. And itturns out there’s a massivedemand for it. So far, the nationalwebsite, , has beenvisited nearly 20 million times. Twenty million times. (Applause.) And there’s great demand atthe state level as well, because there are abunch of states that are running their ownmarketplaces.We know that nearly one-third ofthe people applying in Connecticut and Maryland, forexample, are under 35years old. They understand that they canget a good deal at low costs,have the security of health care, and this is notjust for old folks like me -- that everybodyneeds good quality healthinsurance. And all told, more than halfa million consumers across thecountry have successfully submitted applicationsthrough federal and state marketplaces. Andmany of those applications aren’t just for individuals, it’s fortheir entire families. So evenmorepeople are already looking to potentially take advantage of the high quality,affordableinsurance that is provided through the Affordable Care Act.So let me just recap here. The product is good. The health insurance that’s being providedisgood. It’s high quality and it’saffordable. People can save money,significant money, bygetting insurance that’s being provided through thesemarketplaces. And we know thatthedemand is there. People are rushing tosee what’s available. And those who havealready hada chance to enroll are thrilled with the result. Every day, people who were stuck withsky-highpremiums because of preexisting conditions are getting affordableinsurance for the first time, orfinding, like Janice did, that they’re savinga lot of money. Every day, women arefinally buyingcoverage that doesn’t charge them higher premiums than men forthe same care. (Applause.)Every day, people are discovering that newhealth insurance plans have to cover maternitycare, mental health care, freepreventive care.So you just heard Janice’s story-- she owns her own small business. Sherecently became thefirst woman to enroll in coverage through Delaware’sexchange. Andit’s true, it took her afewtries, but it was worth it after being turned down for insurance threetimes due to minorpreexisting conditions. So now she’ll be covered, she’ll save 150 bucks a month, and shewon’thave to worry that one illness or accident will cost her her business t hat she’sworked sohard to build.And Janice is not alone. I recently received a letter from a womannamed Jessica Sanford inWashington State. And here’s what she wrote: “I ama single mom, no child support, self-employed, and I haven’t had insurance for15 ye ars because it’s too expensive. Myson hasADHD and requires regular doctor visits and his meds alone cost $250per month. I have had anongoingtendinitis problem due to my line of work that I haven’t had treated. Now, finally, weget to have coverage becauseof the ACA for $169 per month. I wascrying the other day when Isigned up. Somuch stress lifted.”Now, that is not untypical for alot of folks like Jessica who have been struggling withouthealthinsurance.That’s what the AffordableCare Act is all about. The point is, theessence of thelaw -- the health insurance that’s available to people -- isworking just fine. In somecases,actually, it’s exceeding expectations -- the prices are lower than we expected,the choice isgreater than we expected.But the problem has been that the website that’ssupposed to make it easy to apply for andpurchase the insurance is not workingthe way it should for everybody. Andthere’s nosugarcoating it. The websitehas been too slow, people have been getting stuck during theapplicationproce ss. And I think it’s fair to saythat nobody is more frustrated by that than I am -- precisely because theproduct is good, I want the cash registers to work. I want the checkoutlines to be smooth. So I want people to be able to get this greatproduct. And th ere’s no excusefor theproblems, and these problems are getting fixed.But while we’re working out the kinks in thesystem, I want everybody to understand thenature of the problem.First of all, even with all the problems , the website isstill working for a lot of people -- just not asquick or efficient or consistent as we want. Andalthough many of these folks have found that they had to wait longerthan they wanted, onCEThey complete the process they’re very happy with thedeal that’s available to them, just likeJanice’s.Second, I want everybody toremember that we’re only three weeks into a six-month openenrollment period,when you can buy these new plans. (Applause.) Keep in mind theinsurancedoesn’t start until January 1st; that’s the earliest that theinsurance can kick in. No one whodecidesto purchase a plan has to pay their first premium until December 15th. And unlike theday after Thanksgiving salesfor the latest Playstation or flat-screen TVs, the insurance plansdon’t runout. They’re not goi ng to sell out. They’ll be available through the marketplace-- (applause) -- throughout the open enrollment period. The prices that insurers have set willnotchange. So everybody who wantsinsuranCEThrough the marketplace will get insurance,period. (Applause.) Everybody who wants insurance through the marketplace will getinsurance.Third, we are doing everything wecan possibly do to get the websites working better, faster,sooner. We’ve got people working overtime, 24/7, toboost capacity and address the probl ems.Experts from some of America’s top private-sector tech companies who, bythe way, have seenthings like this happen before, they want it to work. They’re reaching out. They’re offering tosend help. We’ve had some of the best IT talent in theentire countr y join the team. Andwe’rewell into a “tech surge” to fix the problem. And we are confident that we will get all theproblems fixed.Number four -- while the websitewill ultimately be the easiest way to buy insuranCEThrough the marketplace, itisn’t the only way. And I want toemphasize this. Even as weredouble ourefforts to get the site working as well as it’s supposed to, we’re alsoredoubling ourefforts to make sure you can still buythe same quality,affordable insurance plans availableon the marketplace the old-fashioned way-- offline, either over the phone or in person.And, by the way, there are a lotof people who want to take advantage of this who are morecomfortable workingon the phone anyway or in person. So letme go through the specifics as tohow you ca n do that if you’re having problemswith the website or you just prefer dealing witha person.Yesterday, we updated the website’shome page to offer more information about the otheravenues to enroll inaffordable health care until the online option works for everybody. So you’llfind information about how to talkto a specialist who can help you apply over the phone or toreceive adownloadable application you can fill out yourself and mail in.We’ve also added more staff tothe call centers where you can apply for insurance over thephone. Those are already -- they’ve beenworking. But a lot of people havedecided first to go tothe website. Butkeep in mind,these call centers are already up and running. And you can getyour questions answered byreal people, 24 hours a day, in 150 different languages. The phonenumber for these call centers is1-800-318-2596. I want to repeat that --1-800-318-2596. Waittimes have averagedless than one minute so far on the call centers, although I admit that thewaittimes probably might go up a little bit now that I’ve read the number out loudon nationaltelevision. (Laughter.)But the point is the call centersare available. You can talk to somebodydirectly and theycan walk you through the application process. And I guarantee you, if one thing is worththewait, it’s the safety and security of health care that you can afford, orthe amount of moneythat you can save by buying health insurance through themarketplaces. (Applause.)Once you get on the phone with atrained representative, it usually takes about 25minutes for an individual toapply for coverage, about 45 minutes for a family. Once you applyfor coverage, you will becontactedby email or postal mail about your coverage status.But you don’t have to just gothrough the phone. You can also apply inperson with the helpof local navigators -–these are people specially trainedto help you sign up for health care, andthey exist all across the country, oryou can go to community health centers and hospitals. Justvisit to findout where in your area you can get help and apply forinsurance in person.And finally, if you’ve alreadytried to apply through the website and you’ve been stucksomewhere along theway, do not worry. In the coming weeks,we will contact you directly,personally, with a concrete recommendation forhow you can complete your application,shop for coverage, pick a plan thatmeets your needs, and get covered once and for all.So here’s the bottom line. The product, the health insurance isgood. The prices are good.It is a good deal. People don’t just want it; they’re showing upto buy it. Nobody is madder thanmeabout the fact that the websiteisn’t working as well as it should, which meansit’s going toget fixed. (Laughter andapplause.)。