But the biggest cost booster is the way doctors are paid under most insurance systems, including Medicare.

但是费用增加的最大因素是大多数保险体系(医保)下医生获取报酬的方式。

youdao

Coronary bypass surgery, for example, costs on average about $20,000 overseas (including various doctor and hospital fees and travel expenses), while the average Medicare reimbursement is $21,000.

例如，冠状动脉支架手术在国外平均费用为2万美元（包括诊断、住院和旅行费用），而美国医保花费为2万1千美元。

youdao

He said that panel will consider all options, including tax increases and cuts to social welfare programs like Medicare.

他说，该小组将考虑所有选择，包括增税和削减老年人医保等社会福利项目。

youdao

So we have -- there are reforms to entitlements, including Medicare, in the Affordable Care Act.

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