2020年MPAcc考试英语外刊阅读（九）

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Even a divided America can agree on this goal: a health system that is cheaper but doesn't sacrifice quality. In other words, just get rid of the waste. A new study, published Monday in JAMA, finds that roughly 20 percent to 25 percent of American health care spending is wasteful. It's a startling number but not a new finding. What is surprising is how little we know about how to prevent it.

Because American health spending is so high — almost 18 percent of the economy and over $10,000 per person per year — even small percentages in savings translate into huge dollars. The estimated waste is at least $760 billion per year. That's comparable to government spending on Medicare and exceeds national military spending, as well as total primary and secondary education spending.

If we followed the evidence available, we would save about $200 billion per year, about what is spent on the medical care for veterans, the Department of Education and the Department of Energy, combined. That amount could provide health insurance for at least 20 million Americans, or three-quarters of the currently uninsured population.

选自：The New York Times(纽约时报)

作者：Austin Frakt

原文标题：The Huge Waste in the U.S. Health System

参考翻译

即使是意见不一的美国也有一个目标共识:一个低成本高质量的医疗体系。换言之，就是避免浪费。周一发表在《美国医学会杂志》上的一项新研究发现，美国医疗保健支出中大约20%到25%的是浪费的。这不是什么新发现，尽管数字惊人。令人惊讶的应该是，我们对如何预防浪费知之甚少。

美国的医疗支出如此之高(几乎占经济的18%，每人每年超过1万美元)，因此(医疗支出方面)即使很小的储蓄比例也能转化巨额资金。(医疗支出方面)估计每年至少浪费7600亿美元。这堪比政府在联邦医疗保险上的支出，超过了国家军费支出，以及中小学教育总支出。

如果我们遵循现有的研究证据(推算)，我们每年将节省大约2000亿美元，这相当于用在退伍军人、教育部和能源部的医疗保健费用的总和。这笔钱可以为至少2000万美国人提供医疗保险，或者说为目前未投保人口的四分之三提供医疗保险。

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