另外，他还把削减“医疗保障方案(Medicare)”的支出编入预算，这将减少医疗服务的支出，同时迫使经济宽裕的老年人支付更高的保险费。

His budget also chops at Medicare, the government's health plan for the old, cutting payments to providers and making richer old folk pay higher insurance premiums.

youdao

我说的是我曾走访过的家庭，每年不断上涨的保险费和白花钱的支出要么让他们走向崩溃，要么让他们无钱体检或者无钱买需要的处方药。

I'm talking about the families I've met whose spiraling premiums and out-of-pocket expenses are pushing them into bankruptcy or forcing them to go without the check-ups or prescriptions they need.

youdao