"If managed care can really deliver better care than fee-for-service", says Diane Rowland, chair of the commission that advises Congress on Medicaid, "this is the population that could prove it.

“如果管理关怀能真正比按项目付费带来更好的服务”，戴安-罗兰德，委员会（指导国会在公共医疗补助政策上进行决策）主任说：“这是一群能证明管理关怀可行的人。”

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It appears that the doctors were more interested in an opportunity to practice their skills and in their fee than in helping the patient.

医生们更感兴趣的似乎是有机会练习他们的技能和他们的费用，而不是帮助病人。

youdao

Virtually all experts agree that the fee-for-service system—doctors are rewarded for the quantity of care rather than its quality or effectiveness—is a primary reason that the cost of care is so high.

事实上，所有的专家都同意按服务收费的系统——医生的报酬取决于医疗服务的数量，而不是质量或效率——是医疗成本如此高的一个主要原因。

youdao

Relaying more than 500 channels, most of them free-to-air rather than fee-paying, Nilesat has helped spawn the revolution in Arab broadcasting that has seen dowdy old state monopolies swamped by a panoply of privately-produced fare.

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"Oftentimes the value we get is more than the fee that we charge, so it ends up being a net positive for the customer, " he says.

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These are all non-price barriers to care, and there is substantial evidence that they are more important in deterring care than the fee the doctor charges, even for low-income patients.

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