多个区域委员会讨论了依赖自掏腰包支付卫生保健费用这个严重的问题。

Many Regional Committees addressed the severe problem of reliance on out-of-pocket payment to cover health care costs.

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即使消费者和公司有此倾向，紧缩的信贷严重地限制了他们的支付能力。

Tightened credit severely limits the ability of consumers and companies to spend even if they were so inclined.

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破坏对美国债务的信心而引起的后果将会特别严重，因为债务在许多金融支付中发挥着关键的作用。

And the consequences of undermining faith in U.S. debt might be especially severe because that debt plays a crucial role in many financial transactions.

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