奥巴马医改与崇拜课件.ppt

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,1,数十年来美国历任总统推行医改都铩羽而归，皆因反对声四起。奥氏也遇到同样难题。旨在让全民都得到医保的医改计划为何遭遇重重阻挠？既然拦阻甚多，这次怎么又能顺利过关,?,American former presidents had tried to carry out health reforms in the past years but they failed.So many people at all levels reject the health reforms.Obama faced the same difficulties.Why did the health reforms were obstructed heavily even it is good to American?Why Obama got approval this time with solid opposition?,Wait,！,医改与美国传统价值观相悖,Healthcare reform contradicts with,the Americans traditional values,民调显示,48%,的美国人反对医改。反对根本原因在于，医改与美国传统价值观相悖。美国人对政府干预市场、国家控制社会的戒心根深蒂固，对政府主导医疗和国家控制医保的措施保持高度警惕性,.,Polls show 48%of Americans opposed to medical reform.Against the fundamental reason is that health care reform with the United States,contrary to traditional values.U.S.government intervention in the market,state-controlled deep-rooted wariness of society,on the government-led control of health care and national health insurance policy to maintain the high degree of vigilance,奥巴马原想建立非营利公共保险机构，通过与私营保险机构展开竞争有效降低保险费。但大多数人坚决反对，他们认为这是在破坏美国的自由价值观念，他们青睐市场主导的医保，要,把政府的手拿开,。,多数人反对建立公共保险机构,Most people object to establish,the public insurance organization,Obama originally wanted to build non-profit public insurance institutions,by means of competing with the private insurance sector to reduce insurance premiums more effectively.But most people firmly opposed,they think this is undermining the American values of freedom,they favor a market-driven health care,to put the governments hand away.,共和党极力阻挠医改，有党派思维作祟，但更因执政理念不同。共和党人一直主张,小政府大市场,，而医改将形成强势政府，对社会生活和经济产生过分干涉，违背资本主义自由市场经济的原则,共和党极力阻挠医改,The Republican Party obstructs,the healthcare reform vigorously.,Republicans obstruct medical reform with the thought of party mischief,but more because of the ruling idea is different.Republicans have been advocating small government,big market,while the medical reform will form a strong government,social life and the economy too much interference,which is contrary to the principles of capitalist free market economy,保险业坚决抵制医改,The insurance business firm,resisting medicine changes,受医改冲击最大的将是保险业。在美国医保体系中，保险企业是既得利益者，对医改持抵制态度。投票前，保险利益集团游说议员，斥巨资投放广告号召反对医改。,Hardest hit by medical reform will be the insurance industry.In the United States medical insurance system,insurance companies who have vested interests resisted on medical reform.Before the vote,the insurance interest groups lobby the members and cost lots of money in advertising,called against the medical reform.,医药行业反对医改,The medicine oppose the Healthcare reform,some medeine enterprises refuse health reform,for the reforms increase costs.it will use cheap effective medeine and technology,which will cut down the profits of medicine enterprise heavily.what is more,doctor association worry about the reforms may course damage to doctors interests.,药品企业也反对医改，因为医改要控制成本，必然将更多地使用便宜而有效的适宜药品、适宜技术，医药企业的盈利空间将会大大缩小；三是医生协会，也担心医改会损害医生的利益。,除不得不缴纳更多税收来为穷人享受医保“埋单”外，中产阶级、富裕阶层还担心，大量穷人在获保后涌入医疗服务市场，而医疗资源相对有限，富人们曾经享受的,VIP,式服务将可能不复存在,In addition to have to pay more taxes to enjoy medical insurance for the poor,pays the bill,the middle class and wealthy class is also concerned that a large number of poor by the influx of medical services after the insurance market,while relatively limited medical resources,the rich people who enjoy the VIP-style services may no longer exist,中产阶级、富人忧心忡忡,The middle class and the,rich person are heavy-hearted,12,奥巴马策略得当 避免重蹈覆辙,雷厉风行动用舆论压力,Vigorous and resolute use of public pressure,先易后难 逐个击破,The easier one by one break,抢在中期选举前推动改革,Rush to promote the revolution,before the mid-term elections,顶住压力 坚持信念,Withstand the pressure,of its convictions,吸取教训 只提纲领,Lessons provided only program,懂得妥协和放弃,Know how to compromise and give up,奥巴马在,6,月,9,日民主党参议院公布医改方案之后，次日即在全国动员全美,200,万草根支持者在,50,个州展开宣传，掀起一场全国性的大讨论。这实际上也是借助公众舆论的力量迫使既得利益集团低头。,On June 9,Obama announced the Senate Democratic health care reform proposal,the next day in national grassroots mobilization of the nations two million supporters in 50 states to have a publicity,which set off a big national discussion.This is actually using the power of public opinion forced the bow of vested interests.,雷厉风行动用舆论压力,Vigorous and resolute use of public pressure,Obama has the full support of high-profile medical reform program,and then he faced the problems from the interference of Congress and interest groups,and even many voters began to waver on his support.But Obama has not manipulated by them,instead of taking a more active engagement situation to face it,even if such contact is not happy.,顶住压力 坚持信念,Withstand the pressure,of its convictions,奥巴马高调全面支持医改方案之后，面临了来自国会和利益集团的干扰，甚至众多选民也开始动摇对他的支持。但奥巴马并未因此受制于人，而是采取了更积极的接触态势，哪怕这样的接触并不愉快,先易后难 逐个击破,The easier one by one to break,奥巴马针对各个利益集团，按难易程度采取分别谈判、各个击破的战略。奥巴马积极游说此前一直被称为“医改禁区”的美国医学协会，与全美医院体系达成共识，并得到了全美护士协会的支持,Obama have a active lobby with the American Medical Association,which is referred to as restricted medical reform.Then reach a consensus with the nations hospital system and has been supported by the National Nurses Association.,吸取教训 只提纲领,Lessons provided only program,克林顿也曾力推医改，拿出长达数百页的报告，却连国会投票也没争取到。有了前车之鉴，奥巴马没有推出几百页方案，让议员在看懂之前就失去耐心，而是推出一些纲领和方针，交由国会自行拟订方案。,Clinton has pressed for medical reform with hundreds of pages of reports but it failed to get any votes from the Congress.With this lesson,Obama did not release hundreds of pages of the program which will make the Members lose patience before understand,but to introduce programs and policies which is drafted by Congress.,抢在中期选举前推动改革,Rush to promote the revolution,before the mid-term elections,奥巴马他在上任后第一年就开始大刀阔斧推行这一改革，争取在中期选举季节到来之前取得成果，以免因改革努力受到政治需求限制,懂得妥协和放弃,Know how to compromise and give up,奥巴马作出了让步，有关设立公共保险机构的构想在参议院的最终版本医改议案中消失了。这不仅平息了巨大争议，也将大大降低政府开支。,Obama made a concession that the relevant idea of setting up public insurance,institutions was die out in the final Medical reform.This not only put down a huge controversy,but also will greatly reduce government expenditure.,To avoide the reforms will be limited by political demand,18,团结民主党 巧用程序阻击共和党,共和党想用“阻碍议事程序”拖延改法案,Republicans want to impede the proceedings in order to delay healthcare reform bill,民主党人用“预算协调”程序迂回推进,Democrats use the“budget coordination”program advance,roundabout,奥巴马和佩洛西紧盯摇摆议员,Mr.Obama and Pelosi keep a close eye on the,hesitative US Congressman,强化堕胎限制 奥巴马凑足票数,Obama gather votes to strengthen restrictions on abortions,投票进行时，大约,300,名反对者聚集在国会大厦附近一处草坪，高举自制标牌及美国国旗。其中一条标语写道：“扼杀法案！”,1,根据数据表及其所得到的曲线走势图可以看出，幼龄银杏树其黄酮含量明显优于,10,年以上大树；,2,不同产区银杏叶黄酮含量相比，云南地区银杏叶黄酮含量明显高于其他省市；,3,从目前所测定数据得到的银杏叶黄酮含量随季节的走势图来看，各地黄酮含量分别在,5,月至,6,月达到一个最高点，至,7,月份有所下降，但到,8,、,9,月时又开始回升（此时黄酮含量虽好，但应考虑峰比及其转移率问题）；,4,从各产地黄酮含量槲皮素、山奈素、异鼠李素的峰比情况来看，,5,月、,6,月峰比除云南外，其他省份基本符合要求，云南产区银杏叶普遍出现槲皮素与山奈素峰比偏高问题；,9,月份峰比（槲皮素,/,山奈素）普遍不达标；,3,月,23,日，在美国首都华盛顿白宫，美国总统奥巴马签署医疗保险改革法案，美国民主党人努力多年的全面医改目标终将实现,Moment of the great success,Barack Obama Presidential Victory Speech,美国首位黑人总统,巴拉克奥巴马,奥巴马的白宫之路,奥巴马,奥巴马,一个顾家的人,If there is anyone out there who still doubts that America is a place where all things are possible,who still wonders if the dream of our founders is alive in our time,who still questions the power of our democracy,tonight is your answer.,美国是一个一切皆有可能的地方，如果还有人对这一点心存怀疑，如果还有人怀疑美国奠基者的梦想在我们时代是否还有活力，还有人怀疑我们民主制度的力量，那么，你们今晚正是对那些疑问作出了回答。,Its the answer told by lines that stretched around schools and churches in numbers this nation has never seen,by people who waited three hours and four hours,many for the first time in their lives,because they believed that this time must be different,that their voices could be that difference.,在学校和教堂周围所出现的前所未有的长队是答案，这个国家从未见过这么多的人前来投票，人们排三个、四个小时的队来进行有生以来的第一次投票，因为他们相信这一次将会不同，他们发出的声音可能就是那个差别。,这是一个年轻人和年老人、富人和穷人、民主党人和共和党人、黑人、白人、西班牙裔人、亚裔、印第安人、同性恋和异性恋、残障人士和健全人士所作出的回答。美国人向世界发出一个信息：我们从不只是一些个人的累加或者“红色州”和“蓝色州”的累加。,Its the answer spoken by young and old,rich and poor,Democrat and Republican,black,white,Hispanic,Asian,Native American,gay,straight,disabled and not disabled.Americans who sent a message to the world that we have never been just a collection of individuals or a collection of red states and blue states.,我们是，我们永远是美利坚合众国。这是一个引导人们的答案，太多的人在很长的时间内给他们说这个答案，以至于他们对此持愤世疾俗的态度，对我们是否可以再一次把握历史的希望感到担心和怀疑。,We are,and always will be,the United States of America.,Its the answer that led those whove been told for so long by so many to be cynical and fearful and doubtful about what we can achieve to put their hands on the arc of history and bend it once more toward the hope of a better day.,Its been a long time coming,but tonight,because of what we did on this date in this election at this defining moment change has come to America.,已经过去了很长时间，但是今晚，由于我们今天在这场选举所采取的行动，在这个决定性的时候，变革来到了美国,。,35,Thank you!,