NPR边听边练59:2013年美国医疗的几点主要变化

 　　以下段落是摘自新闻里的一些重要信息,并不是一个段落的听写。空内信息可在本新闻中全部找到,大家可以根据这些信息复述新闻。

　　一、泛听建议：

　　1、完整听一遍，掌握大意。

　　2、继续听，特别注意关键信息。遇到相似的词，写下来。

　　3、复述新闻。

　　There's another tax change for wealthy individuals earning more than $200,000 a year and couples earning more than $250,000. They'll see a nearly 1 percentage point increase in their Medicare _1_ . And they'll also have to pay a 3.8 percent Medicare tax on their _2_ income. Moon says that represents a big change.

　　The payroll¹ tax usually applies only to wages. And now, this law will extend it to investment income as well.

　　Those who take deductions² for _3_ on their income taxes will also see a change starting in 2013. Right now, expenses in excess of 7 1/2 percent of _4_ growth income are deductible. That's going up to 10 percent. It will _5_ some people who _6_ medical care, says Moon,but the new law should also reduce the number of people with those very large bills.

　　Because if everyone has health insurance, many _7_ people should have to pay large amounts out of pocket on health care. Ten percent _8_ very many people in the future, one would hope, when they get better insurance coverage³.

　　Finally, there is a key change made by the health law for 2013 that will affect only the poor. State Medicaid programs will _9_ reimbursedoctors who provide primary care at Medicare rates, which are substantially higher. The idea is to get more doctors into the Medicaid program, which will itself _10_ in 2014.

　　词汇解析：

　　1、reimburse⁴. 偿还；赔偿

　　eg: I'll be happy to reimburse you for any expenses you've had.

　　我很乐意报销你的所有花费。

　　2、substantially adv. 实质上；大体上；充分地

　　eg::The percentage of girls in engineering has increased substantially.

　　工科女生的比例已经大大增长了。

　　1、payroll tax 2、nonwage 3、medical expenses 4、adjusted 5、impact

　　6、spend a lot on 7、fewer 8、would not affect 9、be required to 10、expand

1 payroll   

n.工资表，在职人员名单，工薪总额

参考例句：

• His yearly payroll is $1.2 million.他的年薪是120万美元。
• I can't wait to get my payroll check.我真等不及拿到我的工资单了。

2 deductions   

扣除( deduction的名词复数 )； 结论； 扣除的量； 推演

参考例句：

• Many of the older officers trusted agents sightings more than cryptanalysts'deductions. 许多年纪比较大的军官往往相信特务的发现，而不怎么相信密码分析员的推断。
• You know how you rush at things,jump to conclusions without proper deductions. 你知道你处理问题是多么仓促，毫无合适的演绎就仓促下结论。

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 reimburse   

v.补偿，付还

参考例句：

• We'll reimburse you for your travelling expenses.我们将付还你旅费。
• The funds are supposed to reimburse policyholders in the event of insurer failure.这项基金将在保险公司不能偿付的情况下对投保人进行赔付。