This is especially true in low - and middle-income countries, where most people rely on out-of-pocket payments for health care.

在中低收入国家尤其如此，因为那里多数的人自费支付卫生保健费用。

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More money spent on food means less money available for health care, especially for the many millions of poor households who rely on out-of-pocket payments when they fall ill.

食品支出越高，意味着可用于健康保健的钱越少，特别是那些亿万个贫困家庭，一旦生病，要自己负担费用。

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Consider options for reducing or removing out-of-pocket payments for people with disabilities who do not have other means of financing health care services.

考虑减少或取消在医疗保健资金方面束手无策的残疾人需要自理的费用。

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And a bigger share for out-of-pocket payments does not necessarily constrain health budgets.

ECONOMIST: There must be a better way

The tax-free dollars can also go for insurance co-payments, eyeglasses and other out-of-pocket health costs.

WSJ: In Health Law, Rx for Trouble