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Dr. Joy

Author:Dr. Joy






Modern Health Care for All Americans by Obama

Modern Health Care for All Americans
Barack Obama
(N Engl J Med 2008;359:1537-1541.)

The New England Journal of Medicine 10月9日号に投稿されたObama氏の医療政策に関する論文です。もちろん全文無料で閲覧できます。今回はこれを一緒に読んでみましょう。

Doctors and other health care providers work in extraordinary times and have unrivaled abilities, but increasingly our health care system gets in the way of their sound medical judgment. (N Engl J Med 2008;359:1537-1541.)

unrivaled 無比の
gets in the way of ~の邪魔をする

Washington sends dictates but no help.
(N Engl J Med 2008;359:1537-1541.)

dictates (しばしば複数形で)さしず、命令

My health care plan has three central tenets.(N Engl J Med 2008;359:1537-1541.)

tenets 信条

First, all Americans should have access to the benefits of modern medicine.
Second, we must eliminate the waste that plagues our medical system ...
Third, we need a public health infrastructure that works with our medical system to prevent disease and improve health.
(N Engl J Med 2008;359:1537-1541.)


In addition to this daily injustice, it is just plain costly and inefficient to care for people only when they get very ill.(N Engl J Med 2008;359:1537-1541.)

costly 費用がかかる

I have been committed to correcting this problem since I first started in public life, and I am determined to see it through.
(N Engl J Med 2008;359:1537-1541.)

see it through それを見届ける、やりとおす

To promote competition among insurers, we will also give patients a new public-plan option, providing the same coverage that is offered to members of Congress and their families.(N Engl J Med 2008;359:1537-1541.)


Like too many Americans, I watched my mother argue with insurance companies while she was in bed dying of cancer; that should not happen.(N Engl J Med 2008;359:1537-1541.)

that should not happen そんなことがあってはいけない

To make insurance affordable, we will give families income-related tax credits to expand access and streamline plan enrollment and transactions to reduce the administrative burden.(N Engl J Med 2008;359:1537-1541.)

streamline 合理化する
transactions 処理

where insurers cherry-pick healthy enrollees, (N Engl J Med 2008;359:1537-1541.)

cherry-pick よく吟味して買う

Our reimbursement structure rewards procedures and the use of technology but not time spent with patients or coordinating care.(N Engl J Med 2008;359:1537-1541.)

reimbursement 払い戻し、賠償

I will also renew our commitment to investing in biomedical research, which suffered a major lapse under the Bush administration.(N Engl J Med 2008;359:1537-1541.)

lapse 失策、衰退

And I am open to additional measures to curb malpractice suits and reduce the cost of malpractice insurance. (N Engl J Med 2008;359:1537-1541.)

curb 抑制する

Patients need to step up their efforts to stop smoking, start exercising, and eat right to maintain a healthy weight.(N Engl J Med 2008;359:1537-1541.)


I believe that with help and collaboration, especially from those who work so hard to keep us healthy, we can make health care reform a reality.(N Engl J Med 2008;359:1537-1541.)

make health care reform a reality 医療保障改革を現実化する
 この論文の最後の文です。those who以下の部分も、日頃辛い目に遭っている医療関係者には胸に沁みますね。


NEJMのサイトはThe New England Journal of Medecineで見られます。abstractは無料で閲覧できますから、どうぞ。


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テーマ:医学英語 - ジャンル:学問・文化・芸術

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