Working for it

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Working for it

机译：为它工作

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KENTUCKY, a poor, rural state nostalgic for coal, has never been quite sure of its politics. For three years it was the darling of Obamacare. Governor Steve Beshear, a rare Appalachian Democrat, complied with the reform by creating a statewide health-insurance exchange and expanding Medicaid (government-subsidised coverage for the poor and disabled). Between 2013 and 2015, uninsured rates for poor adults fell from 40% to 9%-the biggest improvement in the country. But now that the state is under new management-the Republican governor, Matt Bevin (pictured above), is a Tea Party favourite-Kentucky may soon be notable in health-policy circles for a new reason: it wants to become the first state in history to require some Medicaid recipients to work.

机译：肯塔基州是一个贫穷的农村怀旧煤炭国家，从来没有完全确定其政治立场。三年来，这一直是奥巴马医改的宠儿。州长史蒂夫·贝希尔（Steve Beshear）是阿巴拉契亚人，他是罕见的民主党人，他通过建立全州范围的医疗保险交易所和扩大医疗补助（政府对穷人和残疾人的医疗保险）来遵守改革。在2013年至2015年之间，贫困成年人的未保险率从40％下降至9％，这是该国最大的改善。但是现在该州处于新的管理之下-共和党州长马特·贝文（Matt Bevin）（上图）是茶党的最爱-肯塔基州可能很快因新的原因而在卫生政策界引起关注：它希望成为该州的第一个州要求某些医疗补助接收者工作的历史。

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《The economist》 |2018年第9075期|30-31|共2页
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7. The Framingham Offspring Study: a commentary1150th AnniversaryHistorical ArticleINTRODUCTIONIn this edition of the Journal, we release the fifth in a series of reviews of influential articles that have been previously published in ACC journals, including the American Journal of Cardiology(from 1958 to 1982) and JACC(from 1983 to the present). The publication of these articles is only one aspect of the ACC’s 50th anniversary commemoration, which highlights 50 years of leadership in cardiovascular care and education. The articles are intended to encourage reflection on the remarkable progress made in cardiovascular medicine over time, as well as to acknowledge the amazing prescience of some early investigators in anticipating and, in many cases, later guiding developments in their field.The working group responsible for selecting these articles and asking reviewers to write editorials solicited suggestions from the ACC’s clinical committees and individual members.The group achieved consensus fairly easily, including whom the group should ask to prepare the accompanying editorials. We initially drew up a list of 14 general areas to cover in this series, but later found that there are several major areas of modern cardiology, prominently molecular cardiology, in which the truly landmark articles have, alas, not yet been published in JACC. Therefore, the working group decided not to categorize by subject, but instead, to concentrate on the most important articles.The working group, a task force of the Subcommittee for the Commemoration of the ACC 50th Anniversary, owes a great deal to Ms. May A. Roustom and the efficient and tireless staff at Heart House for facilitating this project. We also wish to thank all who suggested articles and, most important, the authors who prepared reviews for their willingness to contribute their time and wisdom.Influential Articles in JACC Working GroupSharon A. Hunt, M.D., F.A.C.C.Rick A. Nishimura, M.D., F.A.C.C.H.J.C. Swan, M.D., Ph.D., M.A.C.C.Michael J. Wolk, M.D., F.A.C.C. [O] . Swan H.J.C 1999

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