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History of Healthcare Reform


MSNBC – September 21, 2014 Roundtable discussion on the political history of healthcare reform in America, beginning with former President Bill Clinton's efforts in 1993.

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Steve Kornacki, Anchor, MSNBC: All right, [we're] back, talking about the politics of Obamacare. I just...something that's always stuck in my mind about this is back in 1993, when the [former President Bill] Clinton Administration was trying to do healthcare reform of its own, [The Weekly Standard Editor] Bill Kristol - conservative Bill Kristol - put this famous memo together where he told Republicans (GOP), "You have to oppose it. You just have to kill it and not let it happen." And, his rationale was political: He said that if you let this go through, you will have allowed a Democratic Administration to provide this new benefit that millions of people will enjoy, and you will then have created millions of new Democratic voters. And that was sort of the political fear for Republicans then, and even as Obamacare was going through. It does strike me, Beth, as we're talking about how people think about this, and don't necessarily recognize that this is Obamacare, I don't know that those millions of new voters are ever going to materialize, even if this works.
Beth Fouhy, Contributor, MSNBC: Yeah, we're not quite seeing that, are we? We still have that Kentucky woman in The New York Times saying she loves her care plan, but she's a Republican [and] she's going to vote Republican (GOP) henceforth. Let's remember: I mean, the creation of new entitlements has always been controversial. I mean, when Medicare and Medicaid went through in the [19]60s, it took a long time for states to even embrace that. And then, once they did, the idea was how could they ever go back? And I think that's fundamentally the fear that Republicans have, is that this is creating a new...a very expensive entitlement that people, once they have it, of course they're never going to want to lose. It is a vital thing for families to have affordable healthcare. And, Republicans know that once families have that, they're not going to want to lose it. Does that make them Republican voters...I mean, Democratic voters? I don't think necessarily.
Carrie Sheffield, Contributor, Forbes: Well, going back to the history: So, I covered [the] Medicare Part D rollout. And, Republicans (GOP) were hoping that this would be, "We are going to get the seniors in our pocket." [Republican Speaker of the House of Representatives (HR)] Tom DeLay said that they were just hoping that this would be the new constituency, because it's expanding prescription drug coverage. That didn't happen either. And frankly, healthcare, in general...so, when I covered healthcare for The Hill newspaper, I was very excited in [20]06 and thought, "Oh! This will be a major issue." Healthcare would be a major issue. No. It ended up being [the] Iraq [War]. And so, it's the same thing here with healthcare. It's #5 according to Gallup in terms of the national priorities in a poll taken pre-ISIS (Islamic State of Iraq and Syria). So, we could see national security even bumping it down to #6. So, healthcare, just generally...
SK: It's a phase, yeah. Very quickly, April. Final thought.
April Ryan, White House Correspondent, American Urban Radio Networks: Final thought on this is that those who had Affordable Care [Act] (ACA) insurance from the website from the first open enrollment...if they're expecting...the White House is expecting those people who had lower premiums, but had higher deductibles, to go back in November to get new insurance because the deductibles were too high. So, you're going to see people who had old insurance from the first open enrollment go back and try to navigate and get something cheaper.
SK: That's another thing to be keeping an eye on. Anyways, what should be we know for the week ahead? Back with the panel, our answers, right after this [commercial].

  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    a poll taken pre-ISIS 在最新的ISIS(伊拉克和叙利亚的伊斯兰国家)问题出现之前进行的一项民意调查
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    administration 【名词】1. 管理,经营;行政 2. 行政机关,局[处、署];(A- 主美)政府; 3. 给与;施行; 4. 给药,(药的)服法; 5. 【军事】后方勤务; 6. 【法律】施行,执行
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    affordable 负担得起的;价格实惠的
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    affordable healthcare 负担得起的医疗保健
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    American Urban Radio Networks 美国 都市广播网
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    anchor 【名词】1. 锚;新闻主播 2. 桩; 支架; 依靠; 【不及物动词】1. 抛锚; 2. 停泊;固定; 【及物动词】1. 抛锚泊(船); 2. 把…固定住
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    benefit 【名词】1. 利益,好处;利润 2. 恩惠 3. 义演,义赛; 4. 退休金;(依照社会保险付给的)津贴,救济金,抚恤金; 5. (俚、反)好机会,好差事; 【及物动词】对…有利,有益于…;使得利益; 【不及物动词】得益,受益
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    billing 计费【名词】1. (节目单、剧院门口华盖等上的)演员表; 2. (演员表上的)演员名次
  • bumping 爆沸;喷沸
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    bumping it down to #6 下滑到名单第6位
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    commercial 【名词】商业广告【形容词】1. 商务的;贸易的 2. 营利性的;广告性质的
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    conservative 保守【形容词】1. 保守的,守旧的;有保存力的; 2. (C-) 保守党的; 3. 稳健的;(估计等)谨慎的; 【名词】1. 保守主义者;(C-) 保守党员;稳健派; 2. 防腐剂;保护料
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    constituency 组别【名词】1. (议员所代表的)选民(全体);选(举)区; 2. (集合词)顾客;(期刊的)订户,赞助者
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    contributor 参与者 【名词】1. 贡献者; 2. 捐助者,赠送者; 3. 投稿人
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    controversial 有争议【形容词】1. (有)争论的,被争论的; 2. 好争论的
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    correspondent 通讯记者【名词】通信者;通讯员;【商业】外地客户,外地代理店
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    coverage 覆盖范围【名词】范围,规模,总额;(美国)保险额;保证金,现金准备;(美国)(新闻)报导(范围);【植物;植物学】优势度
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    deductible 【形容词】可扣除的;可减免的【名词】自付额 ; 免赔额
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    democratic 【形容词】1. 民主的;民主政体的,民主主义的;民主作风的 2. 民众的;平等的 3. (Democratic) (美国)民主党的
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    Democratic administration 民主政府
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    Democratic voter 民主党选民
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    drug coverage 药物保险
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    drugged 【及物动词】用药麻醉;使服药;使服毒品
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    editor 编辑器【名词】1. 编者,编辑;校刊者;校订者; 2. 影片剪辑装置; 3. 社论撰写人 (=(美国) editorial writer)
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    embrace 拥抱 【及物动词】1. 拥抱,抱; 2. 包括,包含;包围,环绕; 3. 皈依,信奉; 4. 抓紧(机会),趁; 5. 采用,接受; 6. 参加,着手; 7. 看出,领悟; 拥抱 【不及物动词】; 【名词】拥抱;包围;接受;领会;【动物;动物学】交尾
  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    ending up 结果是;最终; 终止于
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    enrollment 【名词】1. 登记,注册; 2. 入伍,参军; 3. 入会; 4. 注册人数
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    entitlement 应享权利 【名词】权利
  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    even as Obamacare was going through 当奥巴马医疗法案得以通过成为法律◆患者保护与平价医疗法案◆ 也称为Obamacare(奥巴马医改)◆【正式名称】The Patient Protection and Affordable Care Act (ACA)
  • Extracting Microarray Gene Expression Patterns and Identifying co-expressed Genes 提取微阵列基因表达模式和确认共表达基因◆【略】EPIG
  • eye 眼【名词】眼睛,眼部,眼球,眼神,眼科,目光,眼光,视线,注意
  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    final thought 最后的想法
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    Former President 前任总统
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    frankly 坦率地说
  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    healthcare 医疗保健;医疗卫生;健康服务
  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    healthcare reform 医疗体制改革◆患者保护与平价医疗法案◆ 也称为Obamacare(奥巴马医改)◆【正式名称】The Patient Protection and Affordable Care Act (ACA)
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    henceforth 从此【副词】(书面语)从今以后,今后
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    higher deductible 更高的自付额
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    House of Representatives 众议院◆ HR
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    housing 壳体; 住房
  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    how could they ever go back? 他们怎么能废除这个计划呢?
  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    I covered healthcare 我报道医疗保健行业
  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    insurance 保险【名词】1. 安全保障; 2. 保险,保险业; 3. 保险单(通称 insurance policy); 4. 保险费(通称 premium); 5. 保险额
  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    Islamic State of Iraq and Syria 伊斯兰国家伊拉克和叙利亚◆ ISIS
  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    keep an eye on 密切注视
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    Kentucky 肯塔基州
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    lower premium 降低保费; 较低的保费
  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    materialize 实现【及物动词】赋与…以形体,使具体化;使物质化;实现;使(鬼魂等)现形; 【不及物动词】具体化,体现;(希望、计划等)实现,成为事实
  • medicaid 医疗补助
  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    Medicare 医疗保险
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    Medicare and Medicaid 联邦医疗保险和医疗补助计划
  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    Medicare Part D 联邦医疗保险D部分(处方药物计划)◆【同】prescription drug plan
  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    millions of new Democratic voters 数百万的新民主党选民
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    MSNBC 微软全国有线广播电视公司(由微软MSN和美国国家广播环球公司合资成立的广播公司)◆ Microsoft/National Broadcasting Company
  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    national priority 国家重点
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    national security 国家安全
  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    navigate 【及物动词】1. 驾驶;导航 2. 航行于 3. (稳定地)笔直走;使通过(议案等); 【不及物动词】航行;航空;驾驶船舶
  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    new entitlement 新的政府社会津贴计划
  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    Obamacare 患者保护与平价医疗法案◆ 也称为Obamacare(奥巴马医改)◆【正式名称】The Patient Protection and Affordable Care Act (ACA)
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    open enrollment 开始注册;开放登记
  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    panel 小组【名词】1. 面,板;【建筑】四分板,门窗材;(木工)线板; 2. 【法律】陪审员名单;全体陪审员; 3. 进行公开讨论会的小组;(大会中的)小组委员会;一组调查对象;典型调查; 4. 鞍褥,鞍垫;木架鞍; 5. (苏格兰语)【法律】刑事被告
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    poll 轮询【名词】1. (古;谑)脑袋;人,人数; 2. 纳税人[选举人]名册; 3. 投票,投票数; 投票处; 4. 人头税; 5. 民意测验所; 6. (锤等的)宽平端;【及物动词】1. 把(选民)登记入名册; 2. (候选人)得(票);查(票);投(票); 3. 作…的民意调查; 4. 剪短(头发);锯下(家畜的角);(古语)剪(毛,枝,草等);【不及物动词】投票
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    premium 【名词】1. 溢价;(具体指)利息;股金 2. 奖金;奖品【桥牌】奖分; 3. 保险费 4. 非常珍贵;重视 5. 额外费用
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    prescription 【名词】1. 处方;处方的药;解救方法 2. 命令;规定;法规 3.【法律】(由于长期使用等而)获得权利 【形容词】按处方配制的◆【対】over-the-counter (OTC)
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    prescription drug 处方药
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    prescription drug coverage 处方药承保范围
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    president 主席【名词】1. 总统; 2. 总裁;长官;主席;议长;【法律】院长;庭长; 3. 会长;校长;(英国)大学院长;(美国)大学校长; 4. (银行等的)行长;董事长;总经理,社长; 5. 【历史】州长,知事;(殖民地)总督
  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    President Bill Clinton 比尔·克林顿总统◆ Former President William (Bill) Jefferson Clinton (1993-2001)
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    priority 优先【名词】优先级,优先权,优先考虑,优先事项,优先次序,当务之急,重点,首要
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    put this famous memo together 把这个著名的政治备忘录编撰起来
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    rationale 【名词】基本原理;理论基础; 原理的阐述
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    representative 代表【形容词】1. 表示的;表现的,描写的;象征的; 2. 能代表…的;可作…的典型[模范]的; 3. 代理的,代表的,代议制的; 4. 相当[类似](另一种属)的;【名词】1. 代表,代理(人);继任者,继承人;议员;(美国)众议员;驻外代表[大使,公使,领事]; 2. 类似物;样本,标本;典型
  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    Republican 【名词】共和党人,(美国)共和党员; 【形容词】共和党的,共和政体的
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    Republican voter 共和党选民
  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    rights [法] 权利;权限;权益 [All rights reserved] 版权所有
  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    rollout 首次展示【名词】推出
  • Sound e31a43d441998f862b764d17930467a5a23de45c433219259bed5eb42e3a7615
    security 安全【名词】保安,安全性,安防,保安局,安保,保障,证券,安检,安全感,担保
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    seniors 高级【1名词】西尼尔(姓氏); 【2名词】1. 年长者; 2. 前辈;上司;上级;资历深者; 3. (英国)高班生;(美国)(中学)最高年级生,(大学)四年级生;毕业班生;(英国)高年级生
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    Speaker 美国众议院议长◆ Speaker of the United States House of Representatives (HR)
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    Speaker of the House 美国众议院议长◆ House of Representatives (HR)
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    Speaker of the House [of Representatives] 代表众议院议长◆ House of Representatives (HR)
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    standards 标准【名词】1. 标准,水准,规格,模范; 2. 旗;军旗,队旗;【徽章】标帜,标记;旗标,象征; 3.【植物;植物学】旗瓣; 4. 金[银]的纯度标准;(硬币的)法定纯度比例; 5. (度量衡的)原基;原器; 6. (英国)(小学的)学年,年级; 7. 直立支柱;灯台;烛台,电杆,垂直的水管(电管)
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    strikes me 我的印象是 ; 我觉得
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    the Hill 国会山◆ Capitol Hill◆ U.S. Congress
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    the House 众议院◆ House of Representatives (HR)
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    the House of Representatives 众议院◆ HR
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    The Patient Protection and Affordable Care Act 患者保护与平价医疗法案◆ 也称为Obamacare(奥巴马医改)◆【正式名称】The Affordable Care Act (ACA)
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    the political fear for Republicans 共和党的政治恐惧◆ the R- Party (美国)共和党【形容词】共和党的; 共和政体的 (R)
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    the politics of Obamacare 围绕平价医疗法案的政治辩论◆患者保护与平价医疗法案◆ 也称为Obamacare(奥巴马医改)◆【正式名称】The Patient Protection and Affordable Care Act (ACA)
  • The Ryan White Comprehensive AIDS Resources Emergency Act 综合艾滋病资源紧急法案◆【略】CARE Act
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    urban 城市的
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    very expensive entitlement 非常昂贵的政府福利计划
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    vital 【形容词】1. 至关重要的;维持生命所必需的 2. 充满活力的 3. 致命的
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    White House 白宫
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    White House Correspondent 白宫记者
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