Critics have increasingly focused on gifts and payments to physicians as a primary cost driver of rising prescription-drug spending.

针对处方药越开越贵的情况，越来越多的批评人士将矛头直指收受礼品礼金的医生。

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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。

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Countries with appropriate primary care resources score highly when it comes to health outcomes and cost.

在卫生健康成果和费用方面，拥有适当初级保健资源的国家得分较高。

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Transactions costs : The down payment is the primary upfront cost one associates with buying a home.

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Keep in mind, however, that such a primary would cost the state money.

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And, because the economic value is high, markets want more and consequently drive energy demand in large measure without regard to primary fuel cost--the cost of energy fades in to the twilight.

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