中英文本

In some alternate America imagined by Pixar the health-care system could simply be reinvented.
在皮克斯设想的另一个美国，医疗保健系统可以简简单单重建H~Q-%Vq%oR1g1J+OQO6。
In the real world it would be unworkable—and political suicide.
但在现实世界中，这将是一场难以实现的政治自杀n=#R|f07+W-BDKvomV。
Because American health-care costs are so high, making the government assume them all would require a huge increase in taxation.
因为美国的医疗成本如此之高，让政府认为所有这些都需要大幅增加税收Kt0~tST;po3。
Voters in Colorado, California and Vermont, all relatively friendly territory for Democrats, rejected single-payer systems when they realised how much they cost.
科罗拉多州、加利福尼亚州和佛蒙特州的选民都对民主党相对友好，但当意识到单一支付系统的成本时，都拒绝了这一提案L,(i=5s3;6。
The rebellion that would follow an attempt to remove jobs-based health insurance from the 55% of Americans who have it, putting medical-insurance companies out of business in the process, would make the politics of Obamacare look like a church picnic.
在此之前，55%的美国人都有基于工作的医疗保险，在移除保险的过程中，保险公司会破产，这会让奥巴马医改的政治看起来像一场教堂野餐yIG%*@G|s)60jX#g48j9。
A better approach would be to continue changing the health-care system in small steps, frustrating though that might be.
更好的办法是继续逐步改变健康医疗系统，尽管这可能会令人失望i|]d1jf,ocx*ShUBY。
In states that expanded Medicaid, the health-care programme for low-income Americans, the proportion of people without health insurance halved.
在扩大医疗补助计划的州，即扩大低收入群体的医保项目，没有医疗保险的人数已经减半%NV+&zW4D%nLCFHtT。
If Democrats can win power in states that rejected the federal government's offer to pay for Medicaid expansion, they will be able to bring down the number of uninsured further.
有些州拒绝为扩展联邦政府医疗补助计划买单，如果民主党人能够在这些州赢得权力，那么民主党将能够进一步减少没有医保的人数N)H_2-ZUcAc[8|E#。
The markets where individuals can buy insurance should be shored up.
个人可以购买保险的市场应该得到支持qjNtWxQn[c^j^u*U_ZV。

Finally, individuals could be offered the option to buy Medicare, paying an annual premium to the government just as they would to any other provider of health insurance.
最终，个人可以选择购买医疗保险，每年向政府支付保险费，就像他们向任何其他医疗保险公司支付费用一样Fw.|I[4Fu&vU6.5@wV6。
Since Medicare has more pricing power than individual insurers do, this option ought to bring costs down eventually.
由于医疗保险比单个保险公司有更多的定价权，这个选择最终应该会降低成本*]GSmutea62PB。
It would also provide choice for those living in the many rural areas where there is currently no competition in insurance markets.
它还将为生活在许多农村地区的人提供选择，这些地区目前在保险市场上没有竞争L.]PElB[|H。
Senators Michael Bennet and Tim Kaine have a proposal along these lines.
参议员麦克·班尼和蒂姆·凯恩也提出了类似的建议2pmWvJJn7iJBLXLQZg8。
It is not perfect.
它并不完美@8RxM+)C[ws]WPO8fd。
If premiums were not set high enough, the government’s liabilities would increase.
如果保费设置不够高，政府的债务就会增加lw-W;SnNxEVdm@。
It would leave much of America’s frustrating health-care system unreformed.
这将使美国许多令人沮丧的医保系统得不到改革UuZJ*Q=fHR^cZ1qalW5。
But unlike most other versions of Medicare for all, it might actually happen.
但与大部分其他版本的全民医保不同，这项改革可能真的会发生TWmna~,o4~aXb)n,Fje4。

译文由可可原创，仅供学习交流使用，未经许可请勿转载.fQ.G~li^k]IHeSod|r。

词语解释

1.bring down 使垮台
They were threatening to bring down the government by withdrawing from the ruling coalition.
他们威胁要退出统治联盟以让政府垮台766|s5CMiFDiV0ih[EAW。
2.shore up 支持
The democracies of the West may find it hard to shore up their defences.
西方的民主国家可能发现很难加固自己的防御rkmG+KT[_N|;S+qXv_。