策马优课（南京）丨免费带你逐句读透外刊（语音解析第4期）

策马优课带你玩转高大上英文外刊，指点超地道规范表达，四两拨千斤，晦涩难懂秒变口语日常~

亲爱的小伙伴们，策马优课（南京）第4期栏目新鲜出炉了。今天由Margo老师为大家讲解一篇来自《经济学人》的文章，主题是关于：特朗普上台后美国最新的医保计划。

下面就让我们开始吧~

这里奉上策马优课（南京）第4期的音频，让老师带着我们将音频解析、英文文本、词汇整理一网打尽！

Warfare helps explain why American health care is different

The House Republicans’ health-care plan, the American Health Care Act, may, if enacted, leave 24m Americans without coverage, in the judgment of the Congressional Budget Office. But for those determined to shrink the government that may not be enough. Americans for Prosperity, an influential campaign group, callsit Obamacare 2.0; FreedomWorks,an anti-tax group, Obamacare-lite. The Republican Study Committee, which consists of 170 House Republicans, describes it as “a Republican welfare entitlement”. When Obamacare became law, Democrats crowed that it would prove impossible to take health insurance away from people once they had it. For those on the drown-the-government wing of the Republican Party, the fight over repealing the law is an existence-threatening event. If a Republican president with majorities in both houses of Congress cannot succeed in taking away an entitlement, then they might as well give up.Viewed from the rest of the world, this debate has an unreal quality. America is alone among rich countries in not arranging for its government to provide some form of health care for all its people. When Obamacare became law in 2010, America seemed to be converging with the rest of the world.The share of people who do not have health insurance, and are not covered by government programmes for the elderly or the poor, fell from 16% before the law was passed to 8.8% now, according to the Kaiser Family Foundation. It would have fallen further had more Republican state governors chosen to take federal funds to expand Medicaid, which finances some care for poor Americans. That convergence may now be reversed. 

 词汇整理：

warfare 战争

House Republicans 众议院共和党人

the American Health Care Act 美国医疗法案

Congressional Budget Office 美国国会预算办公室

shrink 缩减，缩水

Americans for Prosperity 繁荣美国人协会

FreedomWorks 自由工作组织

Obamacare-lite 奥巴马医改计划精简版

Republican Study Committee 共和党研究委员会

entitlement 福利系统

crow 自鸣得意

drown-the-government wing（来自drown the government in the bathtub的说法）缩减政府规模派

repeal 废除

existence-threatening 威胁到存在的

arrange for 安排，筹划

converge 汇合

Kaiser Family Foundation 凯泽家族基金会

state governors 州长

federal funds 联邦政府资金

Medicaid 美国医疗补助计划

convergence 趋同性

reverse 逆转

 补充词汇：

House of Representatives 美国众议院

Senate 美国参议院

House of Lords 英国上议院

House of Commons 英国下议院

Obamacare 奥巴马医改计划

the Affordable Care Act (ACA) 平价医疗法案

Medicare 美国国家老年人医疗保险制度

downsize 缩减规模

right-wing 右翼

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