白宫的预计假定医疗保障计划不会增加赤字。
The White House estimate assumes any health-care plan will not increase the deficit.
如果奥巴马无法撬动共和党的票数，那么就很难获得一个覆盖全美国的医疗保障计划。
Without Obama being able to leverage some Republican votes, it is going to be very hard to get a good plan to cover all Americans with health care.
除了成本，今年其他关于医疗的争议还包括是否要让一个公共医疗保障计划和商业保险竞争。
Aside from cost, the other great health debate this year involves whether to include a public insurance plan to compete against private insurers.
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