参议院法案计划设立一个独立的委员会来监督试点项目，并对修改医疗保险的支付政策提出建议，以敦促医疗机构进行有效的改革。
The Senate bill would create an independent commission to monitor the pilot programs and recommend changes in Medicare's payment policies to urge providers to adopt reforms that work.
例如，他们认为，如果他们的员工想要有效地工作，他们就需要不断的监督，或者决策必须由上级强制而不经协商。
They believe, for example, that their employees need constant supervision if they are to work effectively, or that decisions must be imposed from above without consultation.
这对债权人的保护极为不利，因为缺乏对继承人有效监督。
It is very disbenefit to protect debtee because there is not efficiency supervision to haeres.
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