【正文】 insurance available to everyone is to lower the cost of health insurance, and that is what we are going do. (Applause.)對我們國家來說，強制要求每一個美國人購買由政府批準的醫(yī)療保險從來就不是一個正確的辦法。（掌聲）讓更多人享有醫(yī)保的辦法是降低購買醫(yī)療保險的花費，而這正是我們將要做的。（掌聲）Obamacare premiums nationwide have increased by double and triple digits. As an example, Arizona went up 116 percent last year alone. Governor Matt Bevin of Kentucky just said Obamacare is failing in his state the state of Kentucky and it39。s unsustainable and collapsing.奧巴馬醫(yī)保計劃的保費在全國范圍成兩倍、三倍地上漲。例如，亞利桑那州（的保費）去年一年就上漲了116%?？纤葜蓍LMatt Bevin說過奧巴馬醫(yī)保計劃在他的州根本行不通，奧巴馬醫(yī)保計劃是不可持續(xù)而且正在崩潰。Onethird of counties have only one insurer, and they are losing them fast. They are losing them so fast. They are leaving, and many Americans have no choice at all. There’s no choice left. Remember when you were told that you could keep your doctor and keep your plan? We now know that all of those promises have been totally broken. Obamacare is collapsing, and we must act decisively to protect all Americans. (Applause.)三分之一的郡縣只有一家保險公司，并且他們正在飛速流失。他們流失得這么快。他們正在流失，很多美國人根本沒得選擇。根本就沒有選擇。還記得你們被告知可以保留你們的醫(yī)生和醫(yī)保計劃嗎？我們現(xiàn)在知道了那些承諾通通都沒有兌現(xiàn)。奧巴馬醫(yī)保計劃正在崩潰，而我們必須果斷行動起來，保護所有的美國人。（掌聲）Action is not a choice, it is a necessity. So I am calling on all Democrats and Republicans in Congress to work with us to save Americans from this imploding Obamacare disaster. (Applause.)除了馬上行動，我們別無選擇。所以我呼吁所有的民主黨人和共和黨人跟我們一起合作，把美國人民從嚴重癱瘓的奧巴馬醫(yī)保計劃中解救出來。（掌聲）Here are the principles that should guide the Congress as we move to create a better healthcare system for all Americans:國會在為美國人民創(chuàng)建一個更好的醫(yī)保系統(tǒng)的時候需要遵循以下幾個原則：First, we should ensure that Americans with preexisting conditions have access to coverage, and that we have a stable transition for Americans currently enrolled in the healthcare exchanges. (Applause.)第一，我們應該保證已經(jīng)患有疾病的美國人也可以投保，并且給目前已經(jīng)有保險的美國人一個平穩(wěn)的過渡。（掌聲）Secondly, we should help Americans purchase their own coverage through the use of tax credits and expanded Health Savings Accounts but it must be the plan they want, not the plan forced on them by our government. (Applause.)第二，我們應該幫助美國人用免稅額度和擴展的健康儲蓄賬戶來購買他們自己的醫(yī)保－－但是這些醫(yī)保計劃必須是他們自己想要的計劃，而不是政府強加給他們的。（掌聲）Thirdly, we should give our great state governors the resources and flexibility they need with Medicaid to make sure no one is left out. (Applause.)第三，我們應該給予我們杰出的州長們所需的資源和靈活性來維持Medicaid，保證沒有人被（醫(yī)保）排除在外。（掌聲）Fourth, we should implement legal reforms that protect patients and doctors from unnecessary costs that drive up the price of insurance, and work to bring down the artificially high price of drugs, and bring them down immediately. (Applause.)第四，我們應該進行法律方面的改革來確?；颊吆歪t(yī)生不再被那些促使保費上漲的不必要的開銷所困擾，并且努力降低那些高得離譜的藥價，立刻降低。（掌聲）And finally, the time has e to give Americans the freedom to purchase health insurance across state lines (applause) which will create a truly petitive national marketplace that will bring costs way down and provide far better care. So important.最后，是時候允許美國人自由地跨州購買醫(yī)保了－－（掌聲）－－這將會建立一個真正充分競爭的全國性市場，降低保費，大大提高醫(yī)保的質量。這一點特別重要。Everything that is broken in our country can be fixed. Every problem can be solved. And every hurting family can find healing and hope.我國每一個有故障的地方都可以修復。每一個問題都可以解決。而且每一個受傷害的家庭都可以得到慰籍和希望。Our citizens deserve this, and so much more so why not join forces and finally get the job done, and get it done right? (Applause.) On this and so many other things, Democrats and Republicans should get together and unite for the good of our country and for the good of the American people. (Applause.)這是我們的國民應得的，他們應該得到的更多－－所以為什么不團結各方力量把工作落實了，用正確的方式落實？（掌聲）在這一點和其他很多事情上，民主黨人和共和黨人應該走到一起并且為了我們國家的利益和國民的福祉團結起來。（掌聲）My administration wants to work with members of both parties to make childcare accessible and affordable, to help ensure new parents that they have paid family leave (applause) to invest in women39。s health, and to promote clean air and clean water, and to rebuild our military and our infrastructure. (Applause.)我的執(zhí)政團隊愿意與兩黨成員合作，讓兒童保育服務更便利和實惠，幫助初為父母的人獲得帶薪的家庭假期－－（掌聲）－－推進對女性健康的投資，提升空氣和水質量，還要重建我們的軍隊和基礎設施。（掌聲）True love for our people requires us to find mon ground, to advance the mon good, and to cooperate on behalf of every American child who deserves a much brighter future.對美國人民的真愛要求我們?yōu)榱斯怖娑业焦餐幕A，并且通力合作，讓每一個孩子都有美好的明天，這是他們應得的。An incredible young woman is with us this evening, who should serve as an inspiration to us all. Today is Rare Disease Day, and joining us in the gallery is a rare disease survivor, Megan Crowley. (Applause.)一位了不起的女性今晚與我們同在，她鼓舞著我們所有人。今天是罕見疾病日，這位與我們同在的女性是罕見疾病的幸存者，Megan Crowley。（掌聲）Megan was diagnosed with Pompe disease, a rare and serious illness, when she was 15 months old. She was not expected to live past five. On receiving this news, Megan39。s dad, John, fought with everything he had to save the life of his precious child. He founded a pany to look for a cure, and helped develop the drug that saved Megan39。s life. Today she is 20 years old and a sophomore at Notre Dame. (Applause.)Megan在她15個月大的時候被診斷身患一種罕見的嚴重疾病，龐貝氏癥。她被認為不能活過5歲。知道這一噩耗之后，Megan的父親，John想盡了一切辦法拯救他寶貝孩子的生命。他創(chuàng)立了一家公司尋求治療方法，并且?guī)椭邪l(fā)了挽救Megan生命的藥物。今天她已經(jīng)20歲了并且是Notre Dame大學一名大二的學生。（掌聲）Megan39。s story is about the unbounded power of a father39。s love for a daughter. But our slow and burdensome approval process at the Food and Drug Administration keeps too many advances, like the one that saved Megan39。s life, from reaching those in need. If we slash the restraints, not just at the FDA but across our government, then we will be blessed with far more miracles just like Megan. (Applause.) In fact, our children will grow up in a nation of miracles.Megan的故事詮釋了父愛的無窮力量。但是我們的聯(lián)邦食品藥品監(jiān)督局（FDA）緩慢而繁瑣的審批程序阻礙了太多像Megan那樣的人獲得救命藥品的機會。如果我們在包括FDA在內(nèi)的所有政府部門都減少那些約束，那么我將會得到更多像Megan那樣奇跡般的祝福。（掌聲）事實上，我們的孩子們將會在一個充滿奇跡的國度里成長。But to achieve this future, we must enrich the mind and the souls of every American child. Education is the civil rights issue of our time. (Applause.) I am calling upon members of both parties to pass an education bill that funds school choice for disadvantaged youth, includi