答案是，没有人能轻而易举地解决不断上涨的医疗费用问题。
The answer is that no one has an easy fix for rising medical costs.
一些业内人士认为，在远程医疗的时代，50套不同的规则、不同的许可费用甚至是对“医疗实践”的不同定义都没有什么意义，并且阻碍了远程医疗的发展。
Some industry members contend that having 50 different sets of rules, licensing fees and even definitions of "medical practice" makes less sense in the era of telemedicine and is hampering its growth.
造成这些后果的原因是尚有许多国家依赖患者直接付费，它们没有任何可靠的安全网防止家庭因不堪医疗费用负担而陷入贫困。
They are able to do so because far too many countries still rely on user fees and have no viable safety nets for protecting households from catastrophic health expenditures.
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