Third, by making Medicare more efficient, we'll be able to ensure that more tax dollars go directly to caring for seniors instead of enriching insurance companies.
第三，提高老年医疗保障的效率能够确保有更多的税金直接用于老年人的医疗，而非充实保险公司的腰包。
Mr Bush and the Republicans in Congress repeatedly gave voters goodies without paying for them: tax cuts without tax reform, subsidised prescription drugs without Medicare reform, and so on.
布什与共和党在国会反复着无需支付就可以给选举人好处的举措：没有税改的减税政策、没有医改而补贴处方药政策等等。
In their deliberations, they have weighed both a value-added tax and replacing traditional Medicare with vouchers.
他们经过深思熟虑，权衡了增值税以及用代金券取代传统医疗补贴的方案。
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