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时间:2020年01月22日 14:34:11

What Health Reform Will Deliver – This Year In this week’s address, President Obama describes how American families will have more control over their health care this year, after health reform passes. Download Video: mp4 (125MB) | mp3 (4MB) Here are a few more points about how health insurance reform measures will benefit Americans this year: Hold Insurance Companies Accountable:Eliminate lifetime limits and restrictive annual limits on benefits in all new plans; Prohibit rescissions of health insurance policies in all individual plans; Prohibit pre-existing condition exclusions for children in all new plans; Require premium rebates to enrollees from insurers with high administrative expenditures and require public disclosure of the percent of premiums applied to overhead costs; Establish a process for the annual review of unreasonable increases in premiums, requiring State insurance commissioners to work with the HHS Secretary and States. Protect Consumers:Provide grants to States to support health insurance consumer assistance and ombudsman programs to help consumers; Ensure consumers have access to an effective internal and external appeals process to appeal new insurance plan decisions; Require all insurance plans to use uniform coverage documents so consumers can make easy comparisons when shopping for health insurance; Establish an internet portal to assist Americans in identifying coverage options; Prohibit insurers from discriminating in favor of highly compensated employees by charging them lower premiums. Ensure Affordable Choices and Quality Care:Provide immediate access to insurance for uninsured Americans who are uninsured because of a pre-existing condition through a temporary high-risk pool; Create a temporary re-insurance program for early retirees; Require new plans to cover an enrollee’s dependent children until age 26; Require new plans to cover preventive services and immunizations without cost-sharing; Offer tax credits to small businesses to purchase coverage; Facilitate administrative simplification to lower health system costs. 201003/97989

mp4 下载 Remarks of President Barack ObamaWeekly AddressSaturday, April 18, It’s not news to say that we are living through challenging times: The worst economic downturn since the Great Depression. A credit crisis that has made that downturn worse. And a fiscal disaster that has accumulated over a period of years.In the year 2000, we had projected budget surpluses in the trillions, and Washington appeared to be on the road to fiscal stability. Eight years later, when I walked in the door, the projected budget deficit for this year alone was .3 trillion. And in order to jumpstart our struggling economy, we were forced to make investments that added to that deficit through the American Recovery and Reinvestment Act.But as surely as our future depends on building a new energy economy, controlling health care costs and ensuring that our kids are once again the best educated in the world, it also depends on restoring a sense of responsibility and accountability to our federal budget. Without significant change to steer away from ever-expanding deficits and debt, we are on an unsustainable course.So today, we simply cannot afford to perpetuate a system in Washington where politicians and bureaucrats make decisions behind closed doors, with little accountability for the consequences; where billions are squandered on programs that have outlived their usefulness, or exist solely because of the power of a lobbyist or interest group; and where outdated technology and information systems undermine efficiency, threaten our security, and fail to serve an engaged citizenry. If we’re to going to rebuild our economy on a solid foundation, we need to change the way we do business in Washington. We need to restore the American people’s confidence in their government – that it is on their side, spending their money wisely, to meet their families’ needs.That starts with the painstaking work of examining every program, every entitlement, every dollar of government spending and asking ourselves: Is this program really essential? Are taxpayers getting their money’s worth? Can we accomplish our goals more efficiently or effectively some other way? It’s a process we have aly begun, scouring our budget line by line for programs that don’t work so we can cut them to make room for ones that do. That means ending tax breaks for companies shipping jobs overseas; stopping the fraud and abuse in our Medicare program; and reforming our health care system to cut costs for families and businesses. It means strengthening whisteblower protections for government employees who step forward to report wasteful spending. And it means reinstating the pay-as-you-go rule that we followed during the 1990s – so if we want to spend, we’ll need to find somewhere else to cut. And this Monday, at my first, full Cabinet meeting, I will ask all of my department and agency heads for specific proposals for cutting their budgets. Aly, members of my Cabinet have begun to trim back unnecessary expenditures. Secretary Napolitano, for example, is ending consulting contracts to create new seals and logos that have cost the Department of Homeland Security million since 2003. In the largest Department, Secretary Gates has launched an historic project to reform defense contracting procedures and eliminate hundreds of billions of dollars in wasteful spending and cost overruns. And I commend Senators McCain and Levin – a Republican and a Democrat – who have teamed up to lead this effort in Congress. Finally, in the coming weeks, I will be announcing the elimination of dozens of government programs shown to be wasteful or ineffective. In this effort, there will be no sacred cows, and no pet projects. All across America, families are making hard choices, and it’s time their government did the same. That is why I have assembled a team of management, technology, and budget experts to guide us in this work – leaders who will help us revamp government operations from top to bottom and ensure that the federal government is truly working for the American people. I have named Jeffrey Zients, a leading CEO, management consultant and entrepreneur, to serve as Deputy Director for Management of the Office of Management and Budget and as the first ever Chief Performance Officer. Jeffrey will work to streamline processes, cut costs, and find best practices throughout our government. Aneesh Chopra, who is currently the Secretary of Technology for Governor Kaine of Virginia, has agreed to serve as America’s Chief Technology Officer. In this role, Aneesh will promote technological innovation to help achieve our most urgent priorities – from creating jobs and reducing health care costs to keeping our nation secure. Aneesh and Jeffrey will work closely with our Chief Information Officer, Vivek Kundra, who is responsible for setting technology policy across the government, and using technology to improve security, ensure transparency, and lower costs. The goal is to give all Americans a voice in their government and ensure that they know exactly how we’re spending their money – and can hold us accountable for the results.None of this will be easy. Big change never is. But with the leadership of these individuals, I am confident that we can break our bad habits, put an end to the mismanagement that has plagued our government, and start living within our means again. That is how we will get our deficits under control and move from recovery to prosperity. And that is how we will give the American people the kind of government they expect and deserve – one that is efficient, accountable and fully worthy of their trust. Thank you.04/67490

Download Video: mp4 (81MB) | mp3 (8MB) 201106/142160

Another difficulty with giving a Harvard commencement address is that some students may disapprove of the fact that I will borrow material from previous speeches, as well from others. I ask that you forgive me for two reasons.[qh]在哈佛大学毕业典礼上发表演说,还有一个难处,那就是有些毕业生可能有意见,不喜欢我重复前人演讲中说过的话。我请你们谅解我,有两个理由。[qh] First, in order to be heard, it is important to deliver the same message more than once.[qh]首先,为了能让你们听进去,很重要的方法就是重复传递同样的信息。[qh] Second, authors who borrow from others are following in the footsteps of the best. Ralph Waldo Emerson, who graduated from Harvard at the age of 18, noted “All my best thoughts were stolen by the ancients.” Picasso declared “Good artists borrow. Great artists steal.” Why should commencement speakers be held to a higher standard?[qh]其次,借鉴他人的作者,正走在一条前人开辟的最佳道路上。拉尔夫·瓦尔多·爱默生18岁从哈佛大学毕业时曾写过这样的话:“我最好的一些思想曾被古人偷用过。” 画家毕加索宣称:“优秀的艺术家借鉴,伟大的艺术家偷窃。”那么,毕业典礼的演说者为什么就不适用同样的标准呢?[qh] I also want to point out the irony of speaking to graduates of an institution that would have rejected me, had I the chutzpah to apply. I am married to “Dean Jean,” the former dean of admissions at Stanford. She assures me that she would have rejected me, if given the chance. When I showed her a draft of this speech, she objected strongly to my use of the word “rejected.” She never rejected applicants; her letters stated that “We are unable to offer an admission.” I have difficulty understanding the difference. After all, deans of admissions of highly selective schools are in reality, “deans of rejection.” Clearly, I have a lot to learn about marketing.[qh]我还要指出一点,向哈佛毕业生发表演说,对我来说是有讽刺意味的,因为如果当年我斗胆向哈佛大学递交入学申请,一定会被拒绝。我的妻子迪恩·简,曾任斯坦福大学的招生办公室主任,她明确告诉我,如果当年我申请斯坦福大学,她会拒绝我。我把这篇演讲的草稿给她过目,她强烈反对我使用“拒绝”这个词,她从来不拒绝任何申请者。在拒绝信中,她总是写:“我们无法给你提供入学机会。”我不知道这两种说法有何差别。说到底,那些热门学校的招生办公室与其说是“准许他人入学的主任”,还不如说是“拒绝他人入学的主任”。很显然,我需要好好学学怎么来推销自己。[qh] /201206/187757

Today, Irsquo;m speaking to you from Indonesia as I finish up my trip to the Asia Pacific ndash; the region where we do most of our trade and sell most of our exports. And over the past week, the progress wersquo;ve made in opening markets and boosting exports here will help create more jobs and more growth in the ed States.Here in Indonesia, I was proud to join leaders from some of our nationrsquo;s top companies as they announced trade deals that will support nearly 130,000 American jobs and potentially increase U.S. exports by up to billion. Boeing, for example, will sell more than 200 planes to Indonesia that are built with parts from suppliers in more than 40 states. And a deal to export GE engines will support jobs at plants in Ohio and North Carolina.These agreements will help us reach my goal of doubling American exports by 2014 ndash; a goal wersquo;re on pace to meet. And theyrsquo;re powerful examples of how we can rebuild an economy thatrsquo;s focused on what our country has always done best ndash; making and selling products all over the world that are stamped with three proud words: ;Made In America.;This is important, because over the last decade, we became a country that relied too much on what we bought and consumed. We racked up a lot of debt, but we didnrsquo;t create many jobs at all.If we want an economy thatrsquo;s built to last and built to compete, we have to change that. We have to restore Americarsquo;s manufacturing might, which is what helped us build the largest middle-class in history. Thatrsquo;s why we chose to pull the auto industry back from the brink, saving hundreds of thousands of jobs in the process. And thatrsquo;s why wersquo;re investing in the next generation of high-tech, American manufacturing.But building an economy that lasts isnrsquo;t just about making things ndash; itrsquo;s about opening new markets for people to buy them. After all, 95% of the worldrsquo;s consumers live outside our borders. And as the fastest-growing region in the world, no market is more important to our economic future than the Asia Pacific ndash; a region where our exports aly support five million American jobs.This is why we recently signed a landmark trade agreement with South Korea that will support tens of thousands of American jobs. And itrsquo;s why I traveled here this week. In Hawaii, I hosted leaders from across the Asia Pacific, and we agreed to make it easier for American companies to do business overseas. I also worked with President Medvedev of Russia to pursue trade that would increase exports and jobs for American manufacturers and farmers. And working with other leaders, we made progress toward our most ambitious trade agreement yet ndash; a partnership with Pacific nations that holds the potential for more exports and more jobs in a region of nearly three billion consumers.We may be going through tough times, but as Irsquo;ve said time and time again, the ed States still has the worldrsquo;s most dynamic economy, the finest universities, the most innovative companies, and the hardest-working people on Earth. We can compete against anybody ndash; and we can win. As President, I intend to make sure that happens by doing everything I can to give American workers and businesses the chance to succeed.201111/161738


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