奥巴马医改与崇拜课件

1、Made by william 王如伟The reformation of the medical treatment faces lots of obstacles.How did Obama succeed in breaking out of the crisis ? 2数十年来美国历任总统推行医改都铩羽而归，皆因反对声四起。奥氏也遇到同样难题。旨在让全民都得到医保的医改计划为何遭遇重重阻挠？既然拦阻甚多，这次怎么又能顺利过关 ?American former presidents had tried to carry out health reforms in the past yea

2、rs but they failed. So many people at all levels reject the health reforms. Obama faced the same difficulties. Why did the health reforms were obstructed heavily even it is good to American? Why Obama got approval this time with solid opposition?Wait！5The difficulty of the health care reform in U.Si

3、s encountering with opposition美国医改难 难在遭遇重重反对 团结民主党 巧用程序阻击共和党 Obama strategy is properly to avoid making the same mistakes奥巴马策略得当 避免重蹈覆辙 United Democratic Party attack Republican Party by using procedures smartly团结民主党 巧用程序狙击共和党 医改与美国传统价值观相悖Healthcare reform contradicts with the Americans traditional

4、values 民调显示48%的美国人反对医改。反对根本原因在于，医改与美国传统价值观相悖。美国人对政府干预市场、国家控制社会的戒心根深蒂固，对政府主导医疗和国家控制医保的措施保持高度警惕性 .Polls show 48% of Americans opposed to medical reform. Against the fundamental reason is that health care reform with the United States, contrary to traditional values. U.S. government intervention in the

5、 market, state-controlled deep-rooted wariness of society, on the government-led control of health care and national health insurance policy to maintain the high degree of vigilance 奥巴马原想建立非营利公共保险机构，通过与私营保险机构展开竞争有效降低保险费。但大多数人坚决反对，他们认为这是在破坏美国的自由价值观念，他们青睐市场主导的医保，要把政府的手拿开。多数人反对建立公共保险机构Most people objec

6、t to establish the public insurance organization Obama originally wanted to build non-profit public insurance institutions, by means of competing with the private insurance sector to reduce insurance premiums more effectively. But most people firmly opposed, they think this is undermining the Americ

7、an values of freedom, they favor a market-driven health care, to put the governments hand away.保险业坚决抵制医改The insurance business firm resisting medicine changes受医改冲击最大的将是保险业。在美国医保体系中，保险企业是既得利益者，对医改持抵制态度。投票前，保险利益集团游说议员，斥巨资投放广告号召反对医改。Hardest hit by medical reform will be the insurance industry. In the U

8、nited States medical insurance system, insurance companies who have vested interests resisted on medical reform. Before the vote, the insurance interest groups lobby the members and cost lots of money in advertising, called against the medical reform.医药行业反对医改 The medicine oppose the Healthcare refor

9、msome medeine enterprises refuse health reform, for the reforms increase costs. it will use cheap effective medeine and technology, which will cut down the profits of medicine enterprise heavily.what is more, doctor association worry about the reforms may course damage to doctors interests.药品企业也反对医改

10、，因为医改要控制成本，必然将更多地使用便宜而有效的适宜药品、适宜技术，医药企业的盈利空间将会大大缩小；三是医生协会，也担心医改会损害医生的利益。除不得不缴纳更多税收来为穷人享受医保“埋单”外，中产阶级、富裕阶层还担心，大量穷人在获保后涌入医疗服务市场，而医疗资源相对有限，富人们曾经享受的VIP式服务将可能不复存在 In addition to have to pay more taxes to enjoy medical insurance for the poor, pays the bill, the middle class and wealthy class is also conce

11、rned that a large number of poor by the influx of medical services after the insurance market, while relatively limited medical resources, the rich people who enjoy the VIP-style services may no longer exist中产阶级、富人忧心忡忡The middle class and the rich person are heavy-hearted 奥巴马在6月9日民主党参议院公布医改方案之后，次日即在

12、全国动员全美200万草根支持者在50个州展开宣传，掀起一场全国性的大讨论。这实际上也是借助公众舆论的力量迫使既得利益集团低头。On June 9 , Obama announced the Senate Democratic health care reform proposal, the next day in national grassroots mobilization of the nations two million supporters in 50 states to have a publicity, which set off a big national discussi

13、on. This is actually using the power of public opinion forced the bow of vested interests.雷厉风行动用舆论压力Vigorous and resolute use of public pressure Obama has the full support of high-profile medical reform program,and then he faced the problems from the interference of Congress and interest groups, and

14、 even many voters began to waver on his support. But Obama has not manipulated by them, instead of taking a more active engagement situation to face it , even if such contact is not happy.顶住压力 坚持信念Withstand the pressure of its convictions 奥巴马高调全面支持医改方案之后，面临了来自国会和利益集团的干扰，甚至众多选民也开始动摇对他的支持。但奥巴马并未因此受制于人

15、，而是采取了更积极的接触态势，哪怕这样的接触并不愉快吸取教训 只提纲领Lessons provided only program 克林顿也曾力推医改，拿出长达数百页的报告，却连国会投票也没争取到。有了前车之鉴，奥巴马没有推出几百页方案，让议员在看懂之前就失去耐心，而是推出一些纲领和方针，交由国会自行拟订方案。Clinton has pressed for medical reform with hundreds of pages of reports but it failed to get any votes from the Congress. With this lesson, Obam

16、a did not release hundreds of pages of the program which will make the Members lose patience before understand, but to introduce programs and policies which is drafted by Congress.抢在中期选举前推动改革 Rush to promote the revolution before the mid-term elections奥巴马他在上任后第一年就开始大刀阔斧推行这一改革，争取在中期选举季节到来之前取得成果，以免因改革

17、努力受到政治需求限制 懂得妥协和放弃Know how to compromise and give up 奥巴马作出了让步，有关设立公共保险机构的构想在参议院的最终版本医改议案中消失了。这不仅平息了巨大争议，也将大大降低政府开支。Obama made a concession that the relevant idea of setting up public insurance institutions was die out in the final Medical reform. This not only put down a huge controversy, but also w

18、ill greatly reduce government expenditure.To avoide the reforms will be limited by political demand19团结民主党 巧用程序阻击共和党 共和党想用“阻碍议事程序”拖延改法案Republicans want to impede the proceedings in order to delay healthcare reform bill民主党人用“预算协调”程序迂回推进Democrats use the “budget coordination” program advance roundabou

19、t奥巴马和佩洛西紧盯摇摆议员Mr. Obama and Pelosi keep a close eye on the hesitative US Congressman强化堕胎限制 奥巴马凑足票数Obama gather votes to strengthen restrictions on abortions投票进行时，大约300名反对者聚集在国会大厦附近一处草坪，高举自制标牌及美国国旗。其中一条标语写道：“扼杀法案！”1 根据数据表及其所得到的曲线走势图可以看出，幼龄银杏树其黄酮含量明显优于10年以上大树；2 不同产区银杏叶黄酮含量相比，云南地区银杏叶黄酮含量明显高于其他省市；3 从目前所

20、测定数据得到的银杏叶黄酮含量随季节的走势图来看，各地黄酮含量分别在5月至6月达到一个最高点，至7月份有所下降，但到8、9月时又开始回升（此时黄酮含量虽好，但应考虑峰比及其转移率问题）；4 从各产地黄酮含量槲皮素、山奈素、异鼠李素的峰比情况来看，5月、6月峰比除云南外，其他省份基本符合要求，云南产区银杏叶普遍出现槲皮素与山奈素峰比偏高问题；9月份峰比（槲皮素/山奈素）普遍不达标；3月23日，在美国首都华盛顿白宫，美国总统奥巴马签署医疗保险改革法案，美国民主党人努力多年的全面医改目标终将实现 Moment of the great successBarack Obama Presidential

21、Victory Speech美国首位黑人总统巴拉克奥巴马奥巴马If there is anyone out there who still doubts that America is a place where all things are possible, who still wonders if the dream of our founders is alive in our time, who still questions the power of our democracy, tonight is your answer. 美国是一个一切皆有可能的地方，如果还有人对这一点心存怀

22、疑，如果还有人怀疑美国奠基者的梦想在我们时代是否还有活力，还有人怀疑我们民主制度的力量，那么，你们今晚正是对那些疑问作出了回答。 Its the answer told by lines that stretched around schools and churches in numbers this nation has never seen, by people who waited three hours and four hours, many for the first time in their lives, because they believed that this tim

23、e must be different, that their voices could be that difference. 在学校和教堂周围所出现的前所未有的长队是答案，这个国家从未见过这么多的人前来投票，人们排三个、四个小时的队来进行有生以来的第一次投票，因为他们相信这一次将会不同，他们发出的声音可能就是那个差别。 这是一个年轻人和年老人、富人和穷人、民主党人和共和党人、黑人、白人、西班牙裔人、亚裔、印第安人、同性恋和异性恋、残障人士和健全人士所作出的回答。美国人向世界发出一个信息：我们从不只是一些个人的累加或者“红色州”和“蓝色州”的累加。 Its the answer spoken by young and old, rich and poor, Democrat and Republican, black, white, Hispanic, Asian, Native American,