To inch towards universal coverage, Mr Spitzer wants to extend health care to all New York's 400,000 uninsured children. His plans to curb spending are more controversial. In a testament to Albany's perversion, Mr Spitzer, a Democrat, wants to rein in costs; the Republican-led Senate, backed by the health-care lobby, does not. For years New York has subsidised inefficient hospitals and nursing homes through high Medicaid reimbursement rates, providing an incentive to provide unnecessary services. Mr Spitzer wants to begin changing this by freezing such rates.Other measures to contain costs include spending less to train interns, tightening the list of drugs covered by Medicaid and ramping up efforts to fight Medicaid fraud. In all, the governor's budget would cut health-care spending by about $1.2 billion.
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Yet Mr Spitzer vows that New York's system will be a national model.
斯皮策州长却立誓纽约州的系统将成为全国的楷模。
Mr Spitzer, by contrast, is relishing his role as a crusader against "special interests".
斯皮策则不同，他自诩为一个“特殊利益”的讨伐者。
"He said, you're going to learn what happens when you borrow and you don't repay," Mr Spitzer recalled.
“他说，你要学会当你借钱不还时将发生什么”斯皮策回忆道。
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