I'm talking about the families I've met whose spiraling premiums and out-of-pocket expenses are pushing them into bankruptcy or forcing them to go without the check-ups or prescriptions they need.

我说的是我曾走访过的家庭，每年不断上涨的保险费和白花钱的支出要么让他们走向崩溃，要么让他们无钱体检或者无钱买需要的处方药。

youdao

Robe says that with public disgruntlement of spiraling college costs on the rise, some schools are making an effort to cut expenses.

FORBES: America's Most Expensive Colleges