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

　　Those who take deductions 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 coverage.

　　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、reimburse. 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