One major concern is the rise of managed health care and its accompanying decreases in clinical earnings, which have traditionally helped to subsidize the costs of medical education.

人们关注的一大问题是，伴随着管理式医疗保健的兴起，门诊收入相应下滑，而门诊收入长期以来一直用于补贴医学教育的开支。

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Migrants also face added costs for services that were free in the past, like medical care and education.

VOA: special.2010.06.18