但由于未向中层管理者通报收购等增长计划，公司快速扩张带来的工作量增长让这些人倍感意外。

Yet by failing to keep key middle managers informed of growth plans such as acquisition, he let them get blindsided by the work that came from the company's rapid expansion.

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据药品计划管理公司Medco（中文名：美可）称，去年生物技术药品占美国药品费用增长额的70%。

Last year biotech drugs accounted for 70% of the increase in pharmaceutical costs in America, according to Medco, a drug-plan manager.

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公司已经在竭力支付日益增长的医疗费用，处理工人们的投诉，这些工人认为管理医疗计划阻碍了他们享受医疗服务。

Companies are already struggling to contain rising health costs and deal with workers who complain that managed care blocks their access to care.

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