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首页> 外文期刊>Journal of American physicians and surgeons / >Editorial: Medicare at 50: Terminally Ill
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Editorial: Medicare at 50: Terminally Ill

机译：社论：50岁时的医疗保险：绝症

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The Medicare Board of Trustees 2015 Annual Report,1 which was published on July 22, 2015, consists of 265 pages of complex tables, graphs, and actuarial technospeak with liberal use of euphemisms, like “financially challenged,” to describe the financial state of the Medicare program. To be fair, the Report does use the word “insolvency” once in the 265 pages to warn about what will happen if continuing deficits are not resolved.The Report, which concedes uncertainty of financial projections, is replete with hopeful speculation about efficiencies not yet achieved, continuing economic recovery, and the endless ability of productive workers and taxpayers to pay more, especially the “wealthy.”If they used the same style to describe an armed robbery, the Trustees might write: Party A, noting a gap between his wants and funding sources, requests a transfer of funds from Party B. Party A visually assists his request with an impressive piece of hardware pointed in Party B’s direction. Party B determines that the requested transfer of funds will reduce his income as a percentage of per capita gross domestic product and hesitates to complete the transaction. Party A insists on the transfer of funds but allows Party B to transfer funds more gradually so as to give Party B more time to adjust to a lighter wallet.
机译：2015年7月22日发布的Medicare Board of Trustees 2015年报1，由265页的复杂表格，图表和精算技巧组成，并大量使用委婉语（例如“受财务挑战”）来描述财务状况。医疗保险计划。公平地说，该报告确实在265页中使用了“破产”一词，以警告如果持续赤字得不到解决会发生什么情况。该报告承认财务预测的不确定性，充满了对效率尚未达到预期的希望实现，持续的经济复苏以及生产工人和纳税人无穷能力支付更多的钱，尤其是“有钱人”。如果他们使用相同的方式来描述武装抢劫，则受托人可能会这样写道：甲方，指出他和他之间的差距需要和资金来源，要求从乙方转移资金。甲方在视觉上以指向乙方方向的令人印象深刻的硬件协助他的请求。乙方确定请求的资金转移将减少其收入占人均国内生产总值的百分比，并犹豫要完成交易。甲方坚持转移资金，但允许乙方逐步转移资金，使乙方有更多时间适应较轻的钱包。

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