【英语趣味课堂】卫生保健-Healthcare

 Shiloh: So, Adria, what do you think about nationalized healthcare in the United States? I know that most Democrats¹ are for it, and most Republicans are against it. So, what do you think?

Adria: I think it's really necessary. After, you know, hearing a lot about the healthcare system in other countries, and the healthcare system in our country, comparatively, I'd have to say there are a lot of flaws about the healthcare system in the US, and I think it definitely needed some reform. And I think some of the most poignant² examples are definitely insurance companies, you know, declining coverage³ for, you know, children with cancer, because they developed cancer when their parents were unemployed⁴, so they don't have health insurance, but they deny the children health insurance. And I think that's just absurd.

 

And another, you know, really big issue is that actually being a woman is considered like a pre-existing condition, which in a pre-existing condition, you can be denied healthcare coverage. So, C-sections, for instance, aren't usually covered in having a child; it's considered a pre-existing condition for many health insurance companies. And I think that with nationalized health care, it will allow women to have coverage to have children and then their children to be covered, in case, you know, the parents are unemployed or something happens in the family.

 

So, I think, in those respects, it's a positive, but maybe the way, you know, the Republicans and the Democrats kind of gave and took and from each other, that may be, in the end, it became something that there are, you know, causes in the healthcare bill in the US that I didn't necessarily agree with. What do you think?

 

Shiloh: Well, it sounds to me like maybe you are talking more about health insurance reform instead of healthcare reform, because there's a big difference. I think that what you're talking about is less information or less responsibility put on the government, and more on healthcare being responsible, or the insurance being responsible.

 

And I think that's very important, because I've also been in countries with nationalized healthcare. I spent a lot of time in Japan, which has it. And Japan has a nationalized health insurance program, which is fantastic. If you've got something wrong with you, you can go to the hospital, and it's very cheap. In the United States, we don't have that, and obviously, healthcare in the United States is very expensive.

 

But I think what we need is health insurance reform. We need to make sure that the insurance companies aren't as powerful as they are, that they do have more liberal rules and guidelines. If you have a pre-existing condition and like you want to have a child, the health insurance company shouldn't be able to say, - No, we're not going to pay for that. They should say, well, yes, that is covered, and we will pay for it.

 

But I think that healthcare needs to remain privatized, because private healthcare leads to new technology; it leads to better health care practices. If, all of a sudden, the government is paying for all of our doctors and there's no privatization, there's no capitalism⁵, then how are things going to advance? Because competition between company, when competition between companies increases, so does the technology and the level of healthcare that people receive.

 

Adria: You raised an interesting issue. So, yeah, I agree with the things you said, but don't largely Republicans disagree with socialized medicine or socialized healthcare or insurance, period?

 

Shiloh: They do. They disagree with the whole thing. They believe that the system right now is okay, although they recognize it as being very expensive. And that's why I'm a little different, because I think that the health insurance system needs to be completely reformed. But I think that privatized healthcare, as it is now, is good, because you're able to get fantastic doctors. You're going to have to pay more for them, but that can be fixed⁶ with better insurance programs.

 

Adria: Hmm, interesting.

1 democrats   

n.民主主义者，民主人士( democrat的名词复数 )

参考例句：

• The Democrats held a pep rally on Capitol Hill yesterday. 民主党昨天在国会山召开了竞选誓师大会。
• The democrats organize a filibuster in the senate. 民主党党员组织了阻挠议事。 来自《简明英汉词典》

2 poignant   

adj.令人痛苦的，辛酸的，惨痛的

参考例句：

• His lyrics are as acerbic and poignant as they ever have been.他的歌词一如既往的犀利辛辣。
• It is especially poignant that he died on the day before his wedding.他在婚礼前一天去世了，这尤其令人悲恸。

3 coverage   

n.报导，保险范围，保险额，范围，覆盖

参考例句：

• There's little coverage of foreign news in the newspaper.报纸上几乎没有国外新闻报道。
• This is an insurance policy with extensive coverage.这是一项承保范围广泛的保险。

4 unemployed   

adj.失业的，没有工作的；未动用的，闲置的

参考例句：

• There are now over four million unemployed workers in this country.这个国家现有四百万失业人员。
• The unemployed hunger for jobs.失业者渴望得到工作。

5 capitalism   

n.资本主义

参考例句：

• The essence of his argument is that capitalism cannot succeed.他的论点的核心是资本主义不能成功。
• Capitalism began to develop in Russia in the 19th century.十九世纪资本主义在俄国开始发展。

6 fixed   

adj.固定的，不变的，准备好的；(计算机)固定的

参考例句：

• Have you two fixed on a date for the wedding yet?你们俩选定婚期了吗？
• Once the aim is fixed,we should not change it arbitrarily.目标一旦确定，我们就不应该随意改变。