是什么让美国的医疗体系如此昂贵?（二）
正文翻译
What makes the US healthcare system so expensive?
是什么让美国的医疗体系如此昂贵?
What makes the US healthcare system so expensive?
是什么让美国的医疗体系如此昂贵?
评论翻译
Andrew Patterson
As an American, why do you prefer the current healthcare system, as opposed to universal healthcare?
The people I know who prefer it are angry Baby Boomers on Medicare who now rage against the system they benefitted from so much.
Let me share a sad story of American healthcare with you. Several years ago I was dropping a kind young woman off after an attempted date that went awful for us both. It was around 0200, Sunday morning, and while driving her back we came across a motor vehicle that had ran highway speed into the concrete Support, the guard rail crumped entirely. No ambulances were on the scene.
I was in the army at the time, wasn’t drunk, and went through CLS. Not being drunk made me the most qualified person on the scene to help. I got her out of the car (she had to be removed from the vehicle) and a safe distance away. She was still conscious the whole time, and crying hysterically. What she said still makes me sad. When she realized people were calling 911, she started screaming at them to stop.
An ambulance arrived and she declined service. The EMT’s said they couldn’t do that, and they loaded this poor girl into the back of the ambulance, with several broken ribs, deep bruising on her knees and thighs, as she cried not because of the pain, but because she had no insurance to pay for anything.
That is America’s health care system. A system that bankrupts people to the point they would rather lay on the side of the road and die. How people can live with themselves supporting this system is beyond me.
Edit: wow, this answer really blew up! 1k upvotes. Thank you all for reading and the comments are greatly appreciated.
作为一个美国人，为什么你更喜欢目前的医疗体系，而不喜欢全民医疗体系？
我认识的那些更喜欢目前的医疗体系的人是那些因医疗保险而愤怒的婴儿潮一代，他们现在对这个让他们受益匪浅的体系怒不可遏。
让我和大家分享一个关于美国医疗保险的悲伤故事。几年前，尝试约会之后我送一位善良的年轻女子回家，结果对我们俩来说都很糟糕。那是周日凌晨2点左右，在开车送她回来的时候，我们遇到了一辆机动车以在高速公路上开车的速度撞上混凝土支架，护栏完全塌陷了，现场没有救护车。
我当时在军队，没有喝醉，通过了战斗救生员 (CLS)培训的士兵；没有喝醉使我成为现场最有资格提供帮助的人。我把她从车里救了出来（她必须被从车里带走），并与现场保持一段安全的距离。她意识一直清醒，哭得歇斯底里；她说的话仍然让我难过，当她意识到有人在拨打911时，她开始对他们大喊大叫，让他们停下来。
救护车来了，她拒绝接受服务。急救人员说他们不能这么做，他们把这个可怜的女孩抬到救护车的后面，她的几根肋骨断了，膝盖和大腿上有很深的淤青，她哭不是因为疼痛，而是因为她没有医疗保险，无法用医疗保险支付任何费用。
这就是美国的医疗保险系统，这是一个让没钱的人宁愿躺在路边死去的地步的制度。我不知道人们怎么能忍受自己去支持这样的系统的。
编辑：哇，这个答案真的爆了！得到1000个赞。感谢大家的阅读，非常感谢您的评论。
As an American, why do you prefer the current healthcare system, as opposed to universal healthcare?
The people I know who prefer it are angry Baby Boomers on Medicare who now rage against the system they benefitted from so much.
Let me share a sad story of American healthcare with you. Several years ago I was dropping a kind young woman off after an attempted date that went awful for us both. It was around 0200, Sunday morning, and while driving her back we came across a motor vehicle that had ran highway speed into the concrete Support, the guard rail crumped entirely. No ambulances were on the scene.
I was in the army at the time, wasn’t drunk, and went through CLS. Not being drunk made me the most qualified person on the scene to help. I got her out of the car (she had to be removed from the vehicle) and a safe distance away. She was still conscious the whole time, and crying hysterically. What she said still makes me sad. When she realized people were calling 911, she started screaming at them to stop.
An ambulance arrived and she declined service. The EMT’s said they couldn’t do that, and they loaded this poor girl into the back of the ambulance, with several broken ribs, deep bruising on her knees and thighs, as she cried not because of the pain, but because she had no insurance to pay for anything.
That is America’s health care system. A system that bankrupts people to the point they would rather lay on the side of the road and die. How people can live with themselves supporting this system is beyond me.
Edit: wow, this answer really blew up! 1k upvotes. Thank you all for reading and the comments are greatly appreciated.
作为一个美国人，为什么你更喜欢目前的医疗体系，而不喜欢全民医疗体系？
我认识的那些更喜欢目前的医疗体系的人是那些因医疗保险而愤怒的婴儿潮一代，他们现在对这个让他们受益匪浅的体系怒不可遏。
让我和大家分享一个关于美国医疗保险的悲伤故事。几年前，尝试约会之后我送一位善良的年轻女子回家，结果对我们俩来说都很糟糕。那是周日凌晨2点左右，在开车送她回来的时候，我们遇到了一辆机动车以在高速公路上开车的速度撞上混凝土支架，护栏完全塌陷了，现场没有救护车。
我当时在军队，没有喝醉，通过了战斗救生员 (CLS)培训的士兵；没有喝醉使我成为现场最有资格提供帮助的人。我把她从车里救了出来（她必须被从车里带走），并与现场保持一段安全的距离。她意识一直清醒，哭得歇斯底里；她说的话仍然让我难过，当她意识到有人在拨打911时，她开始对他们大喊大叫，让他们停下来。
救护车来了，她拒绝接受服务。急救人员说他们不能这么做，他们把这个可怜的女孩抬到救护车的后面，她的几根肋骨断了，膝盖和大腿上有很深的淤青，她哭不是因为疼痛，而是因为她没有医疗保险，无法用医疗保险支付任何费用。
这就是美国的医疗保险系统，这是一个让没钱的人宁愿躺在路边死去的地步的制度。我不知道人们怎么能忍受自己去支持这样的系统的。
编辑：哇，这个答案真的爆了！得到1000个赞。感谢大家的阅读，非常感谢您的评论。
Khrystov Czevak
As a European, would you prefer the US healthcare system?
I lived in America for a few years, and one day through lack of attention while making dinner, I cut into my hand and almost sliced off a finger. In the hospital I required numerous stitches, and my health insurance provider found a way not to pay. I ended up having to go out of pocket by nearly $12000 for a dozen stitches, a bandage, antibiotics and some anaesthetic. By contrast, almost twenty years of living in Britain cost me less than $1000 for medical treatments; I have to pay for prescxtions and nothing else. I cannot fathom how any sane human could believe the American system to be superior.
作为欧洲人，你更喜欢美国的医疗体系吗？
我在美国住了几年，有一天，由于做晚饭时注意力不集中，我割伤了手，差点切下一根手指。在医院里，我需要缝很多针，我的医疗保险提供者找到了一种不予报销的方法。最后，我不得不因缝了十几针、绷带、抗生素和一些麻醉剂而掏腰包近1.2万美元。相比之下，在英国生活了近20年，我的医疗费用不到1000美元；我需要付处方费，其他什么费用都不用付。我无法理解理智的人怎么会认为美国的医疗制度是优越的。
As a European, would you prefer the US healthcare system?
I lived in America for a few years, and one day through lack of attention while making dinner, I cut into my hand and almost sliced off a finger. In the hospital I required numerous stitches, and my health insurance provider found a way not to pay. I ended up having to go out of pocket by nearly $12000 for a dozen stitches, a bandage, antibiotics and some anaesthetic. By contrast, almost twenty years of living in Britain cost me less than $1000 for medical treatments; I have to pay for prescxtions and nothing else. I cannot fathom how any sane human could believe the American system to be superior.
作为欧洲人，你更喜欢美国的医疗体系吗？
我在美国住了几年，有一天，由于做晚饭时注意力不集中，我割伤了手，差点切下一根手指。在医院里，我需要缝很多针，我的医疗保险提供者找到了一种不予报销的方法。最后，我不得不因缝了十几针、绷带、抗生素和一些麻醉剂而掏腰包近1.2万美元。相比之下，在英国生活了近20年，我的医疗费用不到1000美元；我需要付处方费，其他什么费用都不用付。我无法理解理智的人怎么会认为美国的医疗制度是优越的。
Graham Maloney
Why are some Americans so opposed to universal healthcare?
I know that this is going to come off as indecorous, but I'm gonna go ahead and answer with it anyway
Americans are opposed to universal healthcare because the post-Reagan United States is full of a few things that will most likely never be dislodged from the national unus mundus: greed, deception, wrath, stupidity, judgement, and selfishness. It's simply become terribly good business to exploit others, their desperation, and their misfortune for personal profit.What are you gonna do, move to another country? Live in the street? You have no real choice while you live here and the powers that profit from the system know that
The program in place for decades has been to accelerate the extraction any kind of profit possible from any system imaginable. Who cares if your kids have an education, a job, or health coverage? Who cares if they have a home or food? For that matter, who cares if you do? Who cares if you retire after your body is ruined? Who cares if your kids go to college? Who cares if they have jobs? Who cares whether or not the system is structured to provide all the things people thought the US would in a past age of optimism?
为什么一些美国人如此反对全民医疗？
我知道这会被认为是不得体的，但我还是要继续回答这个问题。
美国人反对全民医疗，因为后里根时代的美国充满了一些很可能永远不会从国家这个一元世界中消失的东西：贪婪、欺骗、愤怒、愚蠢、判断和自私。利用他人的绝望和不幸来谋取个人利益，这已经成为一门非常好的生意。你打算怎么做，搬到另一个国家吗?住在街上?当你住在这里的时候，你没有真正的选择，从体制中获利的当权者知道这一点。
几十年来，该计划一直在加速从任何可以想象的系统中提取任何可能的利润。谁在乎你的孩子是否受过教育、谁在乎你的孩子是否有工作或有医疗保险？谁在乎他们是否有家或食物？就这件事而言，谁在乎你是否反对？谁在乎你在身体被毁后是否退职？谁在乎你的孩子上不上大学？谁在乎他们有没有工作？谁在乎这个体系的结构是否能提供人们认为的美国在过去乐观时代会提供的所有东西？
Why are some Americans so opposed to universal healthcare?
I know that this is going to come off as indecorous, but I'm gonna go ahead and answer with it anyway
Americans are opposed to universal healthcare because the post-Reagan United States is full of a few things that will most likely never be dislodged from the national unus mundus: greed, deception, wrath, stupidity, judgement, and selfishness. It's simply become terribly good business to exploit others, their desperation, and their misfortune for personal profit.What are you gonna do, move to another country? Live in the street? You have no real choice while you live here and the powers that profit from the system know that
The program in place for decades has been to accelerate the extraction any kind of profit possible from any system imaginable. Who cares if your kids have an education, a job, or health coverage? Who cares if they have a home or food? For that matter, who cares if you do? Who cares if you retire after your body is ruined? Who cares if your kids go to college? Who cares if they have jobs? Who cares whether or not the system is structured to provide all the things people thought the US would in a past age of optimism?
为什么一些美国人如此反对全民医疗？
我知道这会被认为是不得体的，但我还是要继续回答这个问题。
美国人反对全民医疗，因为后里根时代的美国充满了一些很可能永远不会从国家这个一元世界中消失的东西：贪婪、欺骗、愤怒、愚蠢、判断和自私。利用他人的绝望和不幸来谋取个人利益，这已经成为一门非常好的生意。你打算怎么做，搬到另一个国家吗?住在街上?当你住在这里的时候，你没有真正的选择，从体制中获利的当权者知道这一点。
几十年来，该计划一直在加速从任何可以想象的系统中提取任何可能的利润。谁在乎你的孩子是否受过教育、谁在乎你的孩子是否有工作或有医疗保险？谁在乎他们是否有家或食物？就这件事而言，谁在乎你是否反对？谁在乎你在身体被毁后是否退职？谁在乎你的孩子上不上大学？谁在乎他们有没有工作？谁在乎这个体系的结构是否能提供人们认为的美国在过去乐观时代会提供的所有东西？
Welcome to the real America, where people work multiple low wage jobs just to stay broke at the end of every month until they die. Where people give the better part of their lives to companies that terminate them with expert timing so they don't have to pay for their retirement or the damage they've incurred to their bodies. Where student loans crush those trying to benefit their nation or their economy or their world for decades, loans some will take to their graves. And those are the fortunate few who are even actually able to secure enough financing to attend school or complete degrees! Welcome to the world of sprawling homeless camps that only grow, constantly bemoaned by a nose-wrinkling class of citizens that are themselves a few poor turns of fortune from joining them. Welcome to a land where real wages, compensation, and benefits have fallen while the costs of basics have skyrocketed. Welcome to a land where public investments and the administration of any remaining public good is transferred over to some billionaire fop that’s never done anything of real significance but somehow has an axe to grind using the bones of the citizenry. Welcome to a land where organizations will spend billions to ensure that the members of groups that they dislike have no dignity or protection under the law. Welcome to a land that will kill its own through neglect a thousand or a million times before it will discontinue the production of a fighter jet that doesn't work and will only ever rot in a boneyard. Welcome to a land that will fatally shoot you even when you aren't involved in a crime or an investigation or are even complying entirely with police instructions. Welcome to a land of urban neglect and decay, and the outright condemnation of the people who have no choice but to live there. Welcome to a land that will consistently choose the most poorly structured, most expensive, and least efficient system every single time because the alternative might unduly benefit an Other.
欢迎来到真正的美国，在这里，人们从事多种低薪工作，只是为了在每个月底保持破产状态，直到他们死去。在这里，人们把生命中更好的时光交给公司，而这些公司很专业，会在某个时机终止他们的工作，这样他们就不必为这些人的退休或对身体造成的损害而支付费用。几十年来，当学生贷款摧毁了那些试图造福国家、经济或世界的人时，一些人会把贷款带到坟墓里；只有少数幸运的人，甚至能够获得足够的资金来上学或完成学位！欢迎来到这个庞大的无家可归者营地的世界，这些营地只会不断壮大，不断被皱着鼻子的公民阶层哀叹，而他们自己也因为加入他们而遭遇了几次不幸。欢迎来到这片土地，这里的实际工资、薪酬和福利都在下降，而基本生活必需品的成本却在飙升。欢迎来到这片土地，在这里，公共投资和任何剩余公共利益的管理都被移交给了一些亿万富翁，他们从未做过任何真正有意义的事情，但不知何故，他们却在利用公民的骨头来磨他们的斧头。欢迎来到这片土地，在这里，组织将花费数十亿美元来确保他们不喜欢的团体成员没有尊严，也得不到法律的保护。欢迎来到这片土地，它会因为疏忽而杀死自己一千次或一百万次，然后才会停止生产一架不起作用的战斗机——只会在墓地里腐烂。欢迎来到这片土地，即使你没有参与犯罪或调查，甚至完全服从警察的指示，警察也会射杀你，让你致命。欢迎来到这片土地，城市被忽视和衰败，对那些别无选择只能住在那里的人公然谴责。欢迎来到这片土地，它每次都会选择结构最糟糕、最昂贵、效率最低的系统，因为另一种选择可能会使另一方过度受益。
欢迎来到真正的美国，在这里，人们从事多种低薪工作，只是为了在每个月底保持破产状态，直到他们死去。在这里，人们把生命中更好的时光交给公司，而这些公司很专业，会在某个时机终止他们的工作，这样他们就不必为这些人的退休或对身体造成的损害而支付费用。几十年来，当学生贷款摧毁了那些试图造福国家、经济或世界的人时，一些人会把贷款带到坟墓里；只有少数幸运的人，甚至能够获得足够的资金来上学或完成学位！欢迎来到这个庞大的无家可归者营地的世界，这些营地只会不断壮大，不断被皱着鼻子的公民阶层哀叹，而他们自己也因为加入他们而遭遇了几次不幸。欢迎来到这片土地，这里的实际工资、薪酬和福利都在下降，而基本生活必需品的成本却在飙升。欢迎来到这片土地，在这里，公共投资和任何剩余公共利益的管理都被移交给了一些亿万富翁，他们从未做过任何真正有意义的事情，但不知何故，他们却在利用公民的骨头来磨他们的斧头。欢迎来到这片土地，在这里，组织将花费数十亿美元来确保他们不喜欢的团体成员没有尊严，也得不到法律的保护。欢迎来到这片土地，它会因为疏忽而杀死自己一千次或一百万次，然后才会停止生产一架不起作用的战斗机——只会在墓地里腐烂。欢迎来到这片土地，即使你没有参与犯罪或调查，甚至完全服从警察的指示，警察也会射杀你，让你致命。欢迎来到这片土地，城市被忽视和衰败，对那些别无选择只能住在那里的人公然谴责。欢迎来到这片土地，它每次都会选择结构最糟糕、最昂贵、效率最低的系统，因为另一种选择可能会使另一方过度受益。
Why would anyone who understands the true lack of care for one another that is prent in the US assume any of us have the capability to create a system of universal health coverage?
Want to know the best part about all of it? Despite all of this, the nation has a built-in fleet of enthusiastic headbobbers (and aspiring immigrants) that will hoot and holler endlessly about how great the place is.
为什么任何了解“美国普遍存在的缺乏对彼此的关心”这一事实的人都会假设我们社会中没有人有能力去建立一个全民健康覆盖体系?
想知道最棒的是什么吗?尽管如此，这个国家还是有一支由热情的头巾客（和有抱负的移民）组成的队伍，他们会无休止地呼喊"这个地方有多棒"。
Want to know the best part about all of it? Despite all of this, the nation has a built-in fleet of enthusiastic headbobbers (and aspiring immigrants) that will hoot and holler endlessly about how great the place is.
为什么任何了解“美国普遍存在的缺乏对彼此的关心”这一事实的人都会假设我们社会中没有人有能力去建立一个全民健康覆盖体系?
想知道最棒的是什么吗?尽管如此，这个国家还是有一支由热情的头巾客（和有抱负的移民）组成的队伍，他们会无休止地呼喊"这个地方有多棒"。
Franklin Veaux
What are some of the biggest problems with America's health care system?
Price and outcomes.
The US has incredibly expensive health care. I mean incredibly expensive. Health care is one of the biggest for-profit industries in the country. A long time ago, some enterprising capitalists figured out that if you sell a product that people have to have or they will literally die, if you conceal the price of the product, and if you design the product in such a way that people can’t comparison shop, you can charge any price you want.
As a result, well…
A few weeks ago, I slipped with a razor knife and cut myself at the base of my thumb. I needed four stitches.
The stitches were removed two days ago. It really wasn’t that big a deal:
So far, I have received two bills.
This for four stitches and a tetanus booster. Total price (so far):
$2,603.45.
I do qualify for subsidized insurance under the ACA. My price for a basic plan is $570/month with a $6,000 deductible.
美国医疗保健系统最大的问题是什么？
价格和结果。
美国的医疗保健费用高得令人难以置信,我的意思是难以置信的昂贵。医疗保健是美国最大的营利性行业之一。很久以前，一些有进取心的资本家发现，如果你出售一种人们必须拥有的产品，若没有这种产品，他们就会死，如果你隐瞒产品的价格，如果你设计产品的方式让人们无法进行比较，你就可以随便要价。
至于结果，嗯…
几周前，我用剃须刀时滑倒，割伤了自己的拇指根部，我缝了四针。
两天前拆线了，这真的没什么大不了的：
到目前为止，我已经收到两张账单。
这是缝针和破伤风加强针的钱，总价（到目前为止）：2603.45美元。
根据平价医疗法案，我有资格获得补贴保险。我的基本保费是每月570美元，，但有6000美元的免赔额。
What are some of the biggest problems with America's health care system?
Price and outcomes.
The US has incredibly expensive health care. I mean incredibly expensive. Health care is one of the biggest for-profit industries in the country. A long time ago, some enterprising capitalists figured out that if you sell a product that people have to have or they will literally die, if you conceal the price of the product, and if you design the product in such a way that people can’t comparison shop, you can charge any price you want.
As a result, well…
A few weeks ago, I slipped with a razor knife and cut myself at the base of my thumb. I needed four stitches.
The stitches were removed two days ago. It really wasn’t that big a deal:
So far, I have received two bills.
This for four stitches and a tetanus booster. Total price (so far):
$2,603.45.
I do qualify for subsidized insurance under the ACA. My price for a basic plan is $570/month with a $6,000 deductible.
美国医疗保健系统最大的问题是什么？
价格和结果。
美国的医疗保健费用高得令人难以置信,我的意思是难以置信的昂贵。医疗保健是美国最大的营利性行业之一。很久以前，一些有进取心的资本家发现，如果你出售一种人们必须拥有的产品，若没有这种产品，他们就会死，如果你隐瞒产品的价格，如果你设计产品的方式让人们无法进行比较，你就可以随便要价。
至于结果，嗯…
几周前，我用剃须刀时滑倒，割伤了自己的拇指根部，我缝了四针。
两天前拆线了，这真的没什么大不了的：
到目前为止，我已经收到两张账单。
这是缝针和破伤风加强针的钱，总价（到目前为止）：2603.45美元。
根据平价医疗法案，我有资格获得补贴保险。我的基本保费是每月570美元，，但有6000美元的免赔额。
Conservatives blather about how the US has such expensive healthcare because it’s sooooo good and American hospitals have the best equipment and Americans do all this research and…
Ah HA ha ha ha ha ha ha ha.
Some of them, they…they actually…BWAH ha ha ha…they actually believe that.
This torrent of money doesn’t go into healthcare. A huge volume of it goes into health insurance profits. Every dollar an insurance company takes in profit or overhead is a dollar that isn’t going to treatment and isn’t going to pretty shiny machines that go beep and isn’t going to research.
Libertarians love to talk about how the market promotes efficiency. Which is true. It promotes efficiency at making profit, which is not necessarily the same as efficiency at delivering goods and services.
保守派喋喋不休地说美国医疗保健非常昂贵是因为它太好了，美国的医院有最好的设备，美国人做了所有的研究，等等。
原创翻译：龙腾网 https://www.ltaaa.cn 转载请注明出处
Ah HA ha ha ha ha ha ha ha.
Some of them, they…they actually…BWAH ha ha ha…they actually believe that.
This torrent of money doesn’t go into healthcare. A huge volume of it goes into health insurance profits. Every dollar an insurance company takes in profit or overhead is a dollar that isn’t going to treatment and isn’t going to pretty shiny machines that go beep and isn’t going to research.
Libertarians love to talk about how the market promotes efficiency. Which is true. It promotes efficiency at making profit, which is not necessarily the same as efficiency at delivering goods and services.
保守派喋喋不休地说美国医疗保健非常昂贵是因为它太好了，美国的医院有最好的设备，美国人做了所有的研究，等等。
原创翻译：龙腾网 https://www.ltaaa.cn 转载请注明出处
LOL
他们中的一些人，他们实际上，哈哈，他们真的相信。
这一大笔钱并没有用于医疗保健。其中很大一部分进入了医疗保险利润。保险公司从利润或管理费用中获得的每一美元，都不会用于治疗，不会用于那些闪亮的发出哔哔声的机器，也不会用于研究。
自由主义者喜欢谈论市场如何提高效率。这是真的。它促进了盈利效率，而盈利效率并不一定与提供商品和服务的效率相同。
他们中的一些人，他们实际上，哈哈，他们真的相信。
这一大笔钱并没有用于医疗保健。其中很大一部分进入了医疗保险利润。保险公司从利润或管理费用中获得的每一美元，都不会用于治疗，不会用于那些闪亮的发出哔哔声的机器，也不会用于研究。
自由主义者喜欢谈论市场如何提高效率。这是真的。它促进了盈利效率，而盈利效率并不一定与提供商品和服务的效率相同。
The outcomes of this system are plain:
Shorter lifespan than other developed countries
Higher infant mortality than other countries
Evidence demolishes ideology. If the US had cutting edge healthcare, you would expect it to be expensive but effective.
It’s not. It’s expensive but delivers inferior results.
Part of that is the unequal access, of course, but part of it is by design. Because the goal of American healthcare is profit, not treatment, it discourages preventive care and regular checkups, which are low-margin services, in favor of dramatic interventions for serious conditions, which are high-margin services.
This isn’t a grand conspiracy. It’s the natural consequence of a system tuned to maximize profit instead of maximizing number of people cared for.
这个系统的结果是显而易见的：
寿命比其他发达国家的医疗体系短
婴儿死亡率高于其他国家
证据摧毁了意识形态。如果美国有尖端的医疗保健，你会认为它昂贵但有效。
事实并非如此，它价格昂贵，但效果较差。
当然，其中一部分是不平等的准入（机制），但也有一部分是故意的。因为美国医疗保健的目标是利润，而不是治疗，它不鼓励预防性护理和定期检查，这是一种低利润的服务，而支持对严重疾病进行夸张的干预，这是高利润的服务。
这不是什么大阴谋，这是追求利润最大化而不是照顾人数最大化的系统的自然结果。
Shorter lifespan than other developed countries
Higher infant mortality than other countries
Evidence demolishes ideology. If the US had cutting edge healthcare, you would expect it to be expensive but effective.
It’s not. It’s expensive but delivers inferior results.
Part of that is the unequal access, of course, but part of it is by design. Because the goal of American healthcare is profit, not treatment, it discourages preventive care and regular checkups, which are low-margin services, in favor of dramatic interventions for serious conditions, which are high-margin services.
This isn’t a grand conspiracy. It’s the natural consequence of a system tuned to maximize profit instead of maximizing number of people cared for.
这个系统的结果是显而易见的：
寿命比其他发达国家的医疗体系短
婴儿死亡率高于其他国家
证据摧毁了意识形态。如果美国有尖端的医疗保健，你会认为它昂贵但有效。
事实并非如此，它价格昂贵，但效果较差。
当然，其中一部分是不平等的准入（机制），但也有一部分是故意的。因为美国医疗保健的目标是利润，而不是治疗，它不鼓励预防性护理和定期检查，这是一种低利润的服务，而支持对严重疾病进行夸张的干预，这是高利润的服务。
这不是什么大阴谋，这是追求利润最大化而不是照顾人数最大化的系统的自然结果。
Alain Claverie
As a European, would you prefer the US healthcare system?
Two years ago, I was found to have cancer. I live in the country and as I started to pee blood in my urine at 3am, an ambulance came to pick me up 40 minutes later. I was hospitalized in emergency, ultrasound at 7am, MRI around 11am, multiple biological tests, decision of surgery in late afternoon. Heavy surgery 3 days later, hospitalization for 3 weeks, chemotherapy for 10 weeks, various treatments. I was in an individual room (Cable TV, Wifi) where my wife joined me to support me.
Unluckily, I did not bear the pain well and had a depression and stopped working for 6 months. Care, psychological follow-up, staying at home. I went back to work part time, my employer had no right to fire me and was compensated. After a year, I went back to work full time. During all this time, I have of course received my full salary.
作为欧洲人，你更喜欢美国的医疗体系吗？
两年前，我被检查出患有癌症。我住在乡下，凌晨3点我开始尿血，40分钟后救护车来接我。我被紧急送进了医院，早上7点做超声波检查，上午11点做核磁共振检查，做多项生物检查，下午晚些时候决定手术。大手术3天后住院3周，化疗10周，各种治疗。我在一个单独的房间里（有有线电视，无线网络），我的妻子和我一起支持我。
不幸的是，我无法很好地忍受疼痛，患上了抑郁症，并在6个月的时间里停止工作。护理，心理随访，居家治疗。我回去做兼职，我的雇主无权解雇我，并得到了补偿。一年后，我回到了全职工作岗位。在这段时间里，我当然是拿到了全额工资。
As a European, would you prefer the US healthcare system?
Two years ago, I was found to have cancer. I live in the country and as I started to pee blood in my urine at 3am, an ambulance came to pick me up 40 minutes later. I was hospitalized in emergency, ultrasound at 7am, MRI around 11am, multiple biological tests, decision of surgery in late afternoon. Heavy surgery 3 days later, hospitalization for 3 weeks, chemotherapy for 10 weeks, various treatments. I was in an individual room (Cable TV, Wifi) where my wife joined me to support me.
Unluckily, I did not bear the pain well and had a depression and stopped working for 6 months. Care, psychological follow-up, staying at home. I went back to work part time, my employer had no right to fire me and was compensated. After a year, I went back to work full time. During all this time, I have of course received my full salary.
作为欧洲人，你更喜欢美国的医疗体系吗？
两年前，我被检查出患有癌症。我住在乡下，凌晨3点我开始尿血，40分钟后救护车来接我。我被紧急送进了医院，早上7点做超声波检查，上午11点做核磁共振检查，做多项生物检查，下午晚些时候决定手术。大手术3天后住院3周，化疗10周，各种治疗。我在一个单独的房间里（有有线电视，无线网络），我的妻子和我一起支持我。
不幸的是，我无法很好地忍受疼痛，患上了抑郁症，并在6个月的时间里停止工作。护理，心理随访，居家治疗。我回去做兼职，我的雇主无权解雇我，并得到了补偿。一年后，我回到了全职工作岗位。在这段时间里，我当然是拿到了全额工资。
At the end of the year, I received the bill, or rather the "rest to pay", at my expense. 360 Euros (320 US$) corresponding to the 18 nights during which an additional bed had been installed for my wife in my room.
I contribute 9.7% of my monthly salary, because it is obviously not fixed but proportional to the salary received.
Seriously, do you have something better to offer me?
Let this true story help you understand why ALL developed countries have such a system, except the Americans who prefer to fatten a few big companies that offer them a shitty service. I lived in California for 6 years, I know what it's like.
年底，我收到了账单，或者更确切地说是“未付清的钱”，费用由我承担。360欧元（320美元），对应的是我的房间里为我妻子安装陪护床的18个晚上的费用。
我每月贡献9.7%的工资，因为它显然不是固定的，而是与收到的工资成比例的。
说真的，能提供更好的医疗保险体制吗？
让这个真实的故事帮助你理解为什么所有发达国家都有这样的医疗体系，除了美国人，美国更喜欢养大一些为他们提供糟糕服务的大公司。我在加州住过6年，我知道那是什么感觉。
原创翻译：龙腾网 https://www.ltaaa.cn 转载请注明出处
I contribute 9.7% of my monthly salary, because it is obviously not fixed but proportional to the salary received.
Seriously, do you have something better to offer me?
Let this true story help you understand why ALL developed countries have such a system, except the Americans who prefer to fatten a few big companies that offer them a shitty service. I lived in California for 6 years, I know what it's like.
年底，我收到了账单，或者更确切地说是“未付清的钱”，费用由我承担。360欧元（320美元），对应的是我的房间里为我妻子安装陪护床的18个晚上的费用。
我每月贡献9.7%的工资，因为它显然不是固定的，而是与收到的工资成比例的。
说真的，能提供更好的医疗保险体制吗？
让这个真实的故事帮助你理解为什么所有发达国家都有这样的医疗体系，除了美国人，美国更喜欢养大一些为他们提供糟糕服务的大公司。我在加州住过6年，我知道那是什么感觉。
原创翻译：龙腾网 https://www.ltaaa.cn 转载请注明出处
Anthony Lawson
Why are some Americans so opposed to universal healthcare?
As a Physician, a USA Naval Officer and an American, I can say it is because we are SELFISH.
We have been raised on the American myth of the rugged individualist. That we get ahead in life by pulling up our bootstraps and britches or the Calvinist ideal of “ the lord help those who help themselves”
On the other hand, look at nations with universal healthcare and you see that the welbeing of the Nation supersedes the individual. Which in turn feeds the healthcare of the individual.
为什么一些美国人如此反对全民医疗？
作为一名医生、一名美国海军军官和一名美国人，我可以说这是因为我们是“自私的”。
我们是在美国粗犷的个人主义神话中长大的。我们在生活中要取得成功，就要自食其力或秉持“自助者天助”的加尔文主义思想。
另一方面，看看那些拥有全民医保的国家，你会发现国家的福祉高于个人。这反过来又为个人的医疗保健提供了资金。
Why are some Americans so opposed to universal healthcare?
As a Physician, a USA Naval Officer and an American, I can say it is because we are SELFISH.
We have been raised on the American myth of the rugged individualist. That we get ahead in life by pulling up our bootstraps and britches or the Calvinist ideal of “ the lord help those who help themselves”
On the other hand, look at nations with universal healthcare and you see that the welbeing of the Nation supersedes the individual. Which in turn feeds the healthcare of the individual.
为什么一些美国人如此反对全民医疗？
作为一名医生、一名美国海军军官和一名美国人，我可以说这是因为我们是“自私的”。
我们是在美国粗犷的个人主义神话中长大的。我们在生活中要取得成功，就要自食其力或秉持“自助者天助”的加尔文主义思想。
另一方面，看看那些拥有全民医保的国家，你会发现国家的福祉高于个人。这反过来又为个人的医疗保健提供了资金。
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