【正文】 will be, Americans first and we give thanks for blessings that are all too rare in this ability to spend time with the ones we love。and to look our children in the eye and tell them that, here in America, no dream is too big if they’re willing to work for ’re also grateful that this country has always been home to Americans who see these blessings not simply as gifts to enjoy, but as opportunities to give who believe we have a responsibility to look out for those less fortunate – to pull each other up and move forward now, as we prepare to gather around our dinner tables, there are families in the northeast who don’t have that of them have lost everything to Hurricane Sandy – homes, possessions, even loved it will be a long time before life goes back to in the midst of so much tragedy, there are also glimmers of the last few weeks, we’ve seen FEMA personnel, National Guard and first responders working around the clock in hardhit ’ve seen hospital workers using their lunch breaks to distribute supplies, families offering up extra fire department advertising free hot full of volunteers ing from hundreds of miles sharing whatever they have – food, water, electricity – and saying again and again how lucky they are to have a roof over their would have been easy for these folks to do nothing – to worry about themselves and leave the rest to someone that’s not who we ’s not what we Americans, we are a bold, generous, bighearted our brothers and sisters are in need, we roll up our sleeves and get to work – not for the recognition or the reward, but because it’s the right thing to there but for the grace of God go because here in America, we rise or fall together, as one nation and one ’s something to be grateful for – today and every to all the Americans doing your part to make our world a better place – it is my privilege to serve as your all our servicemembers – it is my honor to be your Commander in from our family to yours, happy Thanksgiving.。to worship as we please。food and 39。美國3000萬沒有醫(yī)療福利保險的人將因此獲得 保險。按照參議院通過的醫(yī)療改革法案的規(guī)定，所有美國人都應擁有醫(yī)療保險，聯邦政府會 向低收人人群提供醫(yī)保補貼。聯邦政府可以對購買雇員醫(yī)療保險的小公司或小企業(yè)提供 經費補助。但是，無論日后其施政作為如何，起碼眼下有一點可以肯定，“美國的首位黑人總統(tǒng)”這一結果，無疑會大大提升美國的國際威望和體制形象，長遠角度來看，也有一定的歷史意義。民主黨人（又稱自由主義 者）因為凱恩斯主義的影響，贊同“有效需求不足”的理論，民主黨人認為政府應當降低不平等現象的產生，著重解決就業(yè)問題，努力爭取消滅貧困，堅持增強社會福利。斗爭公開性加上媒體的有效傳播，既規(guī)范了斗爭參與人員的斗爭方式，也約束了斗爭參與人員在斗爭過程中一言一行以及對公眾所強調的“好的一面”的遵行。但是，在取得這一輪的黨爭勝利后，奧巴馬并不敢仰仗勢力強大的國會尤其是在當前國家財政負荷過重的情況下對民眾食言。（二）政黨政治斗爭的影響與世界所有國家的黨爭形式一樣，美國的政黨斗爭是權力以及國家政策的斗爭，歸根結底就是利益之爭。利益集團影響政府的途徑包括直接游說和間接游說兩種方式，直接游說可以有效增加集團自身的影響力。（一）利益集團的影響利益集團（又稱壓力集團、院外集團）產生于資本主義政治體制中，其存在是為了實現某種特定的目的、獲取某些特殊利益而對政府施加影響的政治性組織。二、奧巴馬醫(yī)改的影響因素目前美國存在的醫(yī)療保健體系包括醫(yī)療保健服務體系、公共健康計劃和私人醫(yī)療保險，但部分美國公民的基本生活依舊得不到保障，其原因在于醫(yī)保體系仍然存在漏洞：部分國民沒有購買或享有任何形式的醫(yī)療保險、醫(yī)療費用以及政府醫(yī)療方面的開支過高、醫(yī)療保健系統(tǒng)的服務質量和效率過低。但該模式主要運用社會財力自行籌集收支，國家利用相關法律法規(guī)進行調控和監(jiān)督，突出社會保障制度中權利和義務主體之間的關系，該模式的制定是以維護社會安定和國家經濟平穩(wěn)運行及均衡發(fā)展為目標。通過采取重新組織醫(yī)療保健市場的措施，克林頓將改革費用交由雇主承擔，減輕政府財政壓力，并對小企業(yè)主給予補助，并將失業(yè)者、窮人列為醫(yī)保幫助對象。1991年，全美約3700萬人沒有醫(yī)保，占總人口的15%，其中絕大多數65歲以下。首先，結構設計不合理，約翰遜政府并未明確提供醫(yī)療服務的權利主體，傳統(tǒng)醫(yī)療體制中，醫(yī)院有權選擇例如私人保險公司作為自己的財務中介，這就導致各主體之間權責不統(tǒng)一，相互推