Madeby402Thereformationofthemedicaltreatmentfaceslotsofobstacles.HowdidObamasucceedinbreakingoutofthecrisis?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?Americanformerpresidentshadtriedtocarryouthealthreformsinthepastyearsbuttheyfailed.Somanypeopleatalllevelsrejectthehealthreforms.Obamafacedthesamedifficulties.WhydidthehealthreformswereobstructedheavilyevenitisgoodtoAmerican?WhyObamagotapprovalthistimewithsolidopposition?3ThedifficultyofthehealthcarereforminU.Sisencounteringwithopposition美国医改难难在遭遇重重反对Obamastrategyisproperlytoavoidmakingthesamemistakes奥巴马策略得当避免重蹈覆辙UnitedDemocraticPartyattackRepublicanPartybyusingproceduressmartly团结民主党巧用程序狙击共和党4医改与美国传统价值观相悖HealthcarereformcontradictswiththeAmerican'straditionalvalues多数人反对建立公共保险机构Mostpeopleobjecttoestablishthepublicinsuranceorganization共和党极力阻挠医改TheRepublicanPartyobstructsthehealthcarereformvigorously.保险业坚决抵制医改Theinsurancebusinessfirmresistingmedicinechanges医药行业反对医改ThemedicineopposetheHealthcarereform中产阶级、富人忧心忡忡Themiddleclassandtherichpersonareheavy-hearted医改与美国传统价值观相悖HealthcarereformcontradictswiththeAmerican'straditionalvalues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.Pollsshow48%ofAmericansopposedtomedicalreform.AgainstthefundamentalreasonisthathealthcarereformwiththeUnitedStates,contrarytotraditionalvalues.U.S.governmentinterventioninthemarket,state-controlleddeep-rootedwarinessofsociety,onthegovernment-ledcontrolofhealthcareandnationalhealthinsurancepolicytomaintainthehighdegreeofvigilance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MostpeopleobjecttoestablishthepublicinsuranceorganizationObamaoriginallywantedtobuildnon-profitpublicinsuranceinstitutions,bymeansofcompetingwiththeprivateinsurancesectortoreduceinsurancepremiumsmoreeffectively.Butmostpeoplefirmlyopposed,theythinkthisisunderminingtheAmericanvaluesoffreedom,theyfavoramarket-drivenhealthcare,to"putthegovernment'shandaway."共和党极力阻挠医改,有党派思维作祟,但更因执政理念不同。共和党人一直主张"小政府大市场",而医改将形成强势政府,对社会生活和经济产生过分干涉,违背资本主义自由市场经济的原则共和党极力阻挠医改TheRepublicanPartyobstructsthehealthcarereformvigorously.Republicansobstructmedicalreformwiththethoughtofpartymischief,butmorebecauseoftherulingideaisdifferent.Republicanshavebeenadvocating"smallgovernment,bigmarket",whilethemedicalreformwillformastronggovernment,sociallifeandtheeconomytoomuchinterference,whichiscontrarytotheprinciplesofcapitalistfreemarketeconomy保险业坚决抵制医改Theinsurancebusinessfirmresistingmedicinechanges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。Hardesthitbymedicalreformwillbetheinsuranceindustry.IntheUnitedStatesmedicalinsurancesystem,insurancecompanieswhohavevestedinterestsresistedonmedicalreform.Beforethevote,theinsurancein...