比尔马厄:美国医疗全球最贵，医疗既得利益集团可恶

Bill Maher 比尔·马厄｜美国医疗与医保体系评述

格式：一小段原文，一小段中文翻译交替排列，出自HBO《Real Time》独白

原文

America has the most expensive healthcare system on the entire planet. We spend far more money per person than any other developed country, yet our health outcomes are worse.

翻译

美国拥有全世界最昂贵的医疗体系。人均医疗开销远超其他所有发达国家，但国民健康指标反而更差。

原文

Our life expectancy ranks 49th in the world, and our infant mortality rate sits at number 54. That is embarrassing for the richest country on Earth.

翻译

我们的人均寿命全球排第49位，婴儿死亡率排在第54位。对于全球最富裕的国家来说，这是一件非常难堪的事。

原文

Many people live in constant fear of getting sick. One serious illness can wipe out a family’s savings, even for people who already have insurance.

翻译

很多人常年活在生病的恐惧之中。一场重病就可以掏空一个家庭全部积蓄，哪怕这个人本身已经买了保险。

原文

Insurance premiums keep climbing year after year. People pay higher and higher monthly bills, only to discover huge deductibles when they finally need treatment.

翻译

保险保费年年上涨。人们每个月交越来越多的钱，等到真的需要看病的时候，才发现还有高额自付额。

原文

Pharmaceutical companies set drug prices however they want. The government is often banned from negotiating lower prices for medicine that citizens desperately need.

翻译

药企可以随意设定药品售价。很多时候政府甚至无权为民众急需的药品谈判降价。

原文

The healthcare industry is not built around healing patients first. It is built around profit. Hospitals, insurers and drug companies all fight to maximize their own bottom line.

翻译

这套医疗行业的首要目标已经不再是治愈病人，而是追逐利润。医院、保险公司、药企全都拼命让自己的收益最大化。

原文

Obamacare helped millions who previously could not get coverage, but it did not fix everything. Many middle‑class families still struggle with sky‑high costs.

翻译

奥巴马医改帮助了数百万过去无法参保的人，但它并没有解决全部问题。大量中产家庭依旧被高昂的医疗开支压得喘不过气。

原文

You can carry an insurance card, yet still find yourself trapped inside a narrow provider network, unable to see the doctor you want.

翻译

你手里虽然拿着医保卡，却会被狭窄的医疗服务网络困住，想看的医生根本约不到。

原文

Politicians endlessly debate healthcare reform, but big healthcare lobbyists have enormous power over both political parties in Washington.

翻译

政客没完没了地辩论医疗改革，但是大型医疗行业的说客，对华盛顿两党都拥有巨大的影响力。

原文

Other wealthy nations decided healthcare is a human right. America still treats medical care like just another consumer product you have to buy.

翻译

其他富裕国家把医疗保障当作一项人权。而美国依旧把看病当成一件需要花钱购买的普通商品。

原文

A civilized society should not force its citizens to choose between paying for medicine and paying their rent. That is the standard we have failed to meet.

翻译

一个文明的社会，绝不应该让民众在买药和交房租之间二选一。而我们至今都没能达到这个基本标准。