奥巴马罗姆尼辩论会：2012美国总统大选首场电视辩论视频及文(15)

And the Republicans had a — had a plan. They put a plan out. They put out a plan, a bipartisan plan. It was swept aside. I think something this big, this important has to be done in a bipartisan basis. And we have to have a president who can reach across the aisle and fashion important legislation with the input from both parties.

PRESIDENT OBAMA: Governor Romney said this has to be done on a bipartisan basis. This was a bipartisan idea. In fact, it was a Republican idea.

And Governor Romney, at the beginning of this debate, wrote and said, what we did in Massachusetts could be a model for the nation. And I agree that the Democratic legislators in Massachusetts might have given some advice to Republicans in Congress about how to cooperate, but the fact of the matter is, we used the same advisers, and they say it's the same plan.

It — when Governor Romney talks about this board, for example — unelected board that we've created — what this is, is a group of health care experts, doctors, et cetera, to figure out how can we reduce the cost of care in the system overall, because the — there are two ways of dealing with our health care crisis.

One is to simply leave a whole bunch of people uninsured and let them fend for themselves, to let businesses figure out how long they can continue to pay premiums until finally they just give up and their workers are no longer getting insured, and that's been the trend line. Or, alternatively, we can figure out how do we make the cost of care more effective. And there are ways of doing it.

So at — at Cleveland Clinic, one of the best health care systems in the world, they actually provide great care cheaper than average. And the reason they do is because they do some smart things. They — they say, if a patient's coming in, let's get all the doctors together at once, do one test instead of having the patient run around with 10 tests. Let's make sure that we're providing preventive care so we're catching the onset of something like diabetes. Let's — let's pay providers on the basis of performance as opposed to on the basis of how many procedures they've — they've engaged in. Now, so what this board does is basically identifies best practices and says, let's use the purchasing power of Medicare and Medicaid to help to institutionalize all these good things that we do.

And the fact of the matter is that when "Obamacare" is fully implemented, we're going to be in a position to show that costs are going down. And over the last two years, health care premiums have gone up, it's true, but they've gone up slower than any time in the last 50 years. So we're already beginning to see progress. In the meantime, folks out there with insurance, you're already getting a rebate.

Let me make one last point. Governor Romney says we should replace it. I'm just going to repeal it, but we can replace it with something. But the problem is he hasn't described what exactly we'd replace it with other than saying we're going to leave it to the states.

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） （五）、consolidation1、today we’ve learnt unit 5 what would you like, a. we’ve learnt 6 new words. and go to zoom’s restaurant. let’s read the menu again. and if we want to buy food, we should say…. 2、 after the class, i hope you can use the words and sentences in your life. 3、 homework: go to the kfc with your father and mother. please try to speak english to buy food. 。 a. let’s learn&let’s play 说课稿 158unit 5 what would you like。）（五）、consolidation1、today we’ve learnt unit 5 what would you like, a. we’ve learnt 6 new words. and go to zoom’s restaurant. let’s read the menu again.and if we want to buy food, we should say….2、 after the class, i hope you can use the words and sentences in your life.3、 homework: go to the kfc with your father and mother. please try to speak english to buy food.。

MR. ROMNEY: Let — well, actually — actually it's — it's — it's a lengthy description, but number one, pre-existing conditions are covered under my plan. Number two, young people are able to stay on their family plan. That's already offered in the private marketplace; you don't have — have the government mandate that for that to occur.

But let's come back to something the president — I agree on, which is the — the key task we have in health care is to get the costs down so it's more affordable for families, and — and then he has as a model for doing that a board of people at the government, an unelected board, appointed board, who are going to decide what kind of treatment you ought to have.