1: Mr Sunstein is now in charge of overseeing a year-old executive order from Mr Obama telling every agency to slimits rule book. 2: Mr Sunstein says every one has complied, with 580 proposals received from the departments under his purview. (Independent agencies like the Securities and Exchange Commission are not among them.) 3: And he says real savings are on the way. 4: Lifting a requirement for states to require pollution vapour-recovery systems will save $400m in five years. [...]115: Making it easier for doctors and hospitals to participate in the Medicare programme for the elderly will save $5 billion. 6: He adds that agencies have responded not grudgingly (the old stereotype of bureaucrats loth to surrender cash or power), but eagerly.

1:桑斯坦现在负责监督一年前奥巴马总统颁布的行政命令（的执行情况），该命令要求各有关部门精简其规章制度。2:桑斯坦表示所有部门都执行了该法令，并且他管辖的部门已经上交了580份提案（不包括证券交易委员会等独立机构）。3:他表示更切实有效的节省计划即将展开。4:要求各州配备污染蒸汽回收系统的措施可以在未来五年内节约4亿美元。[...]115:让医生和医院更方便参与老年人的美国联邦医疗计划的举措可以节约约50亿美元。6:桑斯坦补充说，各级部门并不是勉强应付该行政令（旧官僚体制往往不愿意交出资金和权力），而是予以积极配合。

属类：时事政治-经济学人双语版-繁文缛节该省省了

1: Death is a difficult subject for anyone, but Americans want to talk about it less than most. 2: They have a cultural expectation that whatever may be wrong with them, it can be fixed with the right treatment, and if the first doctor does not offer it they may seek a second, third or fourth opinion. [...]113: Litigation is a constant threat, so even if a patient is very ill and likely to die, doctors and hospitals will still persist with aggressive treatment, paid for by the insurer or, for the elderly, by Medicare . 4: That is one reason why America spends 18% of its GDP on health care, the highest proportion in the world.

1:死亡对所有人来说都是个难题，相比之下美国人却很少谈起死亡。2:在他们的文化里，大家都觉得不管生了什么病，只要医治得当就能安然无恙；如果一个医生不行，他们就会去找第二个，第三个，第四个……[...]113:他们还常常威胁着要起诉医生，所以就算有人病入膏肓，行将就木，医院和医生也会坚持实施高强度治疗，反正年轻人有保险公司付账，老人也有医疗保险撑腰。4:所以，美国的医疗支出占GDP的18%，高居全球之首。

属类：时事政治-经济学人双语版-温和地走入那个良夜

1:The proposal would also dramatically cut taxes for businesses and individuals—a move it claims could be paid for by eliminating exemptions and deductions.2:It also rehashes Mr Ryan’s scheme to stop the government paying directly for health care for the elderly via Medicare , and instead hand out that could be used to buy private insurance.[...]113:But to ease suspicions that this is simply a ruse to foist rising costs on blameless grannies, Mr Ryan now says that the vouchers could be used to remain in a version of the current Medicare programme; this, however, may cost people money if competition from private providers succeeds in undercutting Medicare.

1:这项提案也会大幅度削减企业所得税和个人所得税——并宣称会通过消除免税额和扣除额来补偿这部分税款。2:在这项提案中，瑞恩先生改变了原计划阻止政府通过医疗保险向老年人直接支付医疗保健费用，而是建议发放可以用来购买私人保险的抵用券。[...]113:但是为了避免让人怀疑这是蒙骗无辜老人钱的伎俩，瑞恩先生现补充说抵用券可能以一种形式存在于目前的医疗保险规划中。然而，如果私人保险企业之间的竞争促使他们廉价出售医疗保险，可能会让人们花很多钱。

属类：时事政治-经济学人双语版-共和党的预算草案

1:The non-partisan Congressional Budget Office calculates that the proposed spending cuts are even more swingeing this time round.2:Only Social Security (the public pension scheme) would remain on its present trajectory.[...]113:The projected growth in Medicare would be crimped, while outlays on Medicaid, the government health-care scheme for the poor, would be halved as a share of GDP by 2050.4:Everything else (such as foreign aid, assistance to veterans and federal funding for schools and roads) would be cut by over two-thirds.

1:中立的国会预算局预测此次提议的开支削减要更严厉。2:只有社会保障制度（公众退休金计划）得以正常运行。[...]113:医疗保险原计划的增长可能会缩减，然而作为GDP一部分，医疗补助计划的开支和政府为穷人制定的卫生保健计划到2050年可能会被缩减一半。4:其他内容（如国外援助，对退伍军人的援助及向学校和道路发放的联邦基金）则可能缩减2/3。

属类：时事政治-经济学人双语版-共和党的预算草案

The idea of Medicare as a money-saving program may seem hard to grasp.

“老年医保”其实是一种节约金钱的计划，这种观点看上去似乎难以理解。

属类：英汉句库-article.yeeyan.org-

Medicare only started to cover spending on drugs in 2003, and the coverage had various defects.

2003年，医疗机制仅仅开始覆盖药物方面的花销，而覆盖面有着众多缺陷。

属类：英汉句库-article.yeeyan.org-

Among Medicare Part D (prescription-drug benefit) enrollees, 7. 1 million, or 28 percent, took an antidepressant in 2008.

2008年医疗照顾处方药物保险计划（处方药救济金）的参与者中，有710万，即百分之28的人，服用抗抑郁剂。

属类：英汉句库-article.yeeyan.org-

A meeting to consider Medicare coverage is set for Nov.

9月17号召开的会议将讨论医疗保险所覆盖幅度的问题。

属类：英汉句库-article.yeeyan.org-

Medicare costs are more difficult to control, but not impossible.

Medicare的花销控制起来要难得多，但并非不可能。

属类：英汉句库-article.yeeyan.org-

As President Obama said, most of the uncontrolled growth in federal spending and the deficit comes from Medicare ; nothing else comes close.

奥巴马总统指出，联邦政府的不受控制地增长的花销和赤字来自于医疗保险；其他任何开销都没有这个显著。

属类：英汉句库-article.yeeyan.org-

PAUL KRUGMAN: I basically buy the view that Medicare spends a lot for care that’s of little or no medical value.

保罗.克鲁格曼：基本上我认为医疗保险制度在很少或没有医疗价值的东西是花费太多。

属类：英汉句库-article.yeeyan.org-

The images advocate for the homeless, Medicare recipients and college graduates with large student-loan debts.

标贴上的形象有的是同情无家可归者，有的涉及医保问题，还有的为负担巨额学生贷款的大学毕业生代言。

属类：英汉句库-article.yeeyan.org-

Medicare has traditionally excluded psychiatrists from demonstration projects of these types of care approaches .

传统的医疗保险通常将精神病医师排除在这些治疗计划之外。

属类：英汉句库-article.yeeyan.org-

Much of the additional cost to Medicare , Medicaid, and other public programs is borne by taxpayers who are not obese.

大部分医疗保健、医疗补助和其他公共项目上的额外支出是由不肥胖的纳税人承担的。

属类：英汉句库-article.yeeyan.org-

When he was convicted, on charges of Medicare fraud and misappropriating funds from a charity he ran, the community was divided.

但当他因被指控医疗保险欺诈和从其开办的慈善机构挪用资金而裁定有罪时，社区出现了分裂。

属类：英汉句库-article.yeeyan.org-

But what about the claim that none of this matters, because Medicare as we know it is unsustainable?

但是，如何评价那些认为所有这些都没有关系，因为我们所知的老年医保无法持续的观点？

属类：英汉句库-article.yeeyan.org-

But the biggest cost booster is the way doctors are paid under most insurance systems, including Medicare .

但是费用增加的最大因素是大多数保险体系（医保）下医生获取报酬的方式。

属类：英汉句库-article.yeeyan.org-

But I’m not willing to do that by punishing hard-working physicians or the millions of Americans who count on Medicare .

但我并不希望通过惩罚辛劳的医生或是无数依赖医保的人们来实现这一目标。这绝对是错误的。

属类：英汉句库-article.yeeyan.org-

Once physicians are liberated under Medicare , private insurers will follow.

当内科医生从医疗规定中解放出来，个人健康保险将会跟上。

属类：英汉句库-article.yeeyan.org-

Dollar spending on Medicare patients would increase to over a trillion dollars by 2020.

到2020年，为享受医保的病人所投入的金额将增长到一万亿美元。

属类：英汉句库-article.yeeyan.org-

Medicare , in most cases.

多数情况下，是医疗保险制度。

属类：英汉句库-article.yeeyan.org-

The suit also charges that the IPAB’s actions will deprive Medicare beneficiaries of services to which they are entitled by law.

该诉讼还指控说，IPAB的行动将剥夺医疗保险受益人的接受服务的权利，这些服务是由法律赋予他们的。

属类：英汉句库-article.yeeyan.org-

According to summaries of the bill, the measure wouldcut Medicare spending by $500 billion over a decade to helppay for reform.

根据该法案概要，该措施将在10年内削减医疗支出5000亿美元以帮助支付改革。

属类：英汉句库-article.yeeyan.org-

Phase out Medicare , as Republicans have proposed, and health care costs would still spiral out of control.

共和党提出的淘汰医疗保险，但卫生保健的费用仍会急剧增加。

属类：英汉句库-article.yeeyan.org-

And the key problems are not just that more people as they retire are going to be part of Medicare .

关键不只是有更多的人要退休，成为医疗保险的对象。

属类：英汉句库-article.yeeyan.org-

Congress would be limited to approving the annual recommendations to increase of decrease Medicare ’s budget.

国会只有权力同意或反对每年对老年医保增加或减少预算的建议。

属类：英汉句库-article.yeeyan.org-

A number of people have pointed out that this is a bit funny coming from a party that tried to block Medicare ’s creation.

很多的人都挑明了说：这一点由一个曾试图制止设立医疗保险体系的党提出来实在有些搞笑。

属类：英汉句库-article.yeeyan.org-

Family doctors and internists are pressing Congress for an increase in their Medicare payments.

家庭医生和内科医生正在向国会施压以增加他们的医疗保险报酬。

属类：英汉句库-article.yeeyan.org-

Throwing millions of Americans off Medicare and pushing them into the arms of private insurers is another story.

将数百万美国赶出“老年医保计划”并把他们推入私营保险公司的怀抱则是另一回事情。

属类：英汉句库-article.yeeyan.org-

The average Medicare patient undergoing end-of-life treatment spends 21. 9 days in a Manhattan hospital.

接受最后看护的医保病人平均在曼哈顿医院度过21.9天。

属类：英汉句库-article.yeeyan.org-