The basic question is whether America will abandon the current system of employer-sponsored health care in favour of insurance offered through state exchanges.

基本问题是美国是否会放弃现有的雇主-赞助医保系统而通过国家兑换而提供保险。

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System time tracks when changes are made to the state of the table, such as when an insurance policy was modified.

系统时间跟踪更改表状态的时间，比如一个保险政策更改的时间。

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Article 17 The State applies a compulsory third party liability insurance system to motor vehicles, and establishes social assistance funds for road traffic accidents.

第十七条国家实行机动车第三者责任强制保险制度，设立道路交通事故社会救助基金。

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And that 10% is not easily noticed by most voters: though the average household spends a fifth of its gross income on health, the lion's share of the fee paid to the doctor is met by the state insurance system and the rest, entirely or very largely, by supplementary private-sector insurance provided by employers and financed through payroll deductions.

ECONOMIST: Health care in France

The charges Boies referred to, according to Spitzer's office, were complaints that Greenberg and AIG had shortchanged the New York State Workers' Compensation system and had misled the state insurance department on matters of reserve reporting.

FORBES: Greenberg Still Headed To Court

For decades, many insurers were content with this cozy system, since state insurance regulators were rarely seen as advocates of the consumer.

FORBES: Policy Change