英语听力资料《医保的成长面对危急》

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英语听力资料《医保的成长面对危急》

　　医保触及人们的亲身好处，也是当局保证民生的一项主要任务。你以为此刻社保的成长怎样样?上面，咱们来看一篇英语听力资料。

英语听力资料《医保的成长面对危急》

　　Cripping health care bills, long emergency-room waits and the inability to find a primary care physician just scratch the surface of the problems that patients face daily.

　　日趋下跌的医保用度，急诊室内永劫候的期待，低级保健大夫的欠缺，这些都只是患者平常面对的一小局部题目。

　　Primary care should be the backbone of any health care system. Countries with appropriate primary care resources score highly when it comes to health outcomes and cost. The U.S. takes the opposite approach by emphasizing the specialist rather than the primary care physician.

　　低级保健应当是全部医保轨制的支柱。在谈到安康状态和医疗用度时，低级保健资本完美的国度环境使人对劲。美国却反其道而行，正视特地大夫而非低级保健大夫。

　　A recent study analyzed the providers who treat Medicare beneficiaries(老年医保沾恩人). The startling finding was that the average Medicate patient saw a total of seven doctors - two primary care physicians and five specialists - in a given year.

　　比来，一项研讨对担任老年医保沾恩人的大夫停止了查询拜访阐发。使人惊奇的发明是，每一个沾恩人每一年均匀看的大夫多达七位——两个低级保健大夫和五个专科大夫。

　　Contrary to popular belief, the more physicians taking care of you doesn't guarantee better care. Actually, increasing fragmentation of care results in a corresponding rise in cost and medical errors.

　　与人们遍及的设法相反，赐顾帮衬你的大夫越多并不能证实医疗保健的结果越好。现实上，医保越分离，医疗用度会越高，医疗毛病也越多。

　　How did we let primary care slip so far? The key is how doctors are paid. Most physicians are paid whenever they perform a medical service. The more a physician does, regardless of quality or outcome, the better he's reimbursed(返还用度). Moreover, the amount a physician receives leans heavily toward medical or surgical procedures.

　　为甚么咱们如斯不正视低级保健呢?题目的关头在于大夫的免费轨制。大大都大夫，不管什么时候，只需他们给人看病便能够收取用度。大夫出诊的次数越多，不管医疗结果若何，他们取得的用度也会越多。别的，大夫在免费时，在很大程度上是按看诊进程或手术内容停止的。

　　A specialist who performs a procedure in a 30-minute visit can be paid three times more than a primary care physician using that same 30 minutes to discuss a patient's disease. Combine this fact with annual government threats to indiscriminately cut reimbursements, physicians are faced with no choice but to increase quantity to boost income.

　　一个专业大夫看诊30分钟收取的用度是一个低级保健大夫一样时候问诊用度的3倍。斟酌到以上缘由，再加之当局每一年随便增添大夫诊费，大夫们别无他法，只能靠增添问诊次数来进步支出。

　　Primary care physicians who refuse to compromise quality are either driven out of business or to cash-only practices, further contributing to the decline of primary care.

　　不愿只求数目而轻忽医疗结果的低级保健大夫或关门停业，或弃医从商，使低级保健的状态进一步好转。

　　Medical students aren't blind to this scenario. They see how heavily the reimbursement deck is stacked against primary care. The recent numbers show that since 1997, newly graduated U.S. medical students who choose primary care as a career have declined by 50%. This trend results in emergency rooms being overwhelmed with patients without regular doctors.

　　医科专业的先生并非不熟悉到这一环境，他们熟悉到用度返还轨制对低级医保极为倒霉。比来的数据显现，自1997年以来，美国医科毕业生挑选低级保健作为职业的人数已降落50%。这一趋向致使急诊室内人满为患，大夫欠缺。

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英语听力资料《医保的成长面对危急》