Yes, the biggest driver of our long-term debt is the rising cost of health care for an aging population. And those of us who care deeply about programs like Medicare must embrace the need for modest reforms -- otherwise, our retirement programs will crowd out the investments we need for our children, and jeopardize the promise of a secure retirement for future generations.
是的，目前推动我们长期债务最大的推手是，养老医疗保障费用的增加。那些非常关心我们老年保健医疗体系的人必须接受适度的改革——否则，我们退休项目将会比我们对孩子们的投入更庞大，而且会使得未来几代人的退休保障更加危险。
But we can’t ask senior citizens and working families to shoulder the entire burden of deficit reduction while asking nothing more from the wealthiest and the most powerful. (Applause.) We won’t grow the middle class simply by shifting the cost of health care or college onto families that are already struggling, or by forcing communities to lay off more teachers and more cops and more firefighters. Most Americans -- Democrats, Republicans, and independents -- understand that we can’t just cut our way to prosperity. They know that broad-based economic growth requires a balanced approach to deficit reduction, with spending cuts and revenue, and with everybody doing their fair share. And that’s the approach I offer tonight.
但是，我们不能让老人和工薪家庭承担削减赤字的重任的同时，不去向最富有的最有影响力的人征收更多的税收。(掌声)我们不会通过向那些已经在艰苦奋斗的家庭简单地提升医疗保险经费或者大学学费抑或是强迫社区裁掉更多的老师、警察、消防员的方法以扩充我们的中产阶级。大多数美国人——民主党员们、共和党员们、独立人士——理解我们并不能削减掉我们通往繁荣的道路。他们知道，我们基础广泛的经济增长，需要的是一个可以削减支出和税收的每一个人都各司其职的平衡的途径以抵达赤字削减的目标。这就是今晚我要提出的方案。
On Medicare, I’m prepared to enact reforms that will achieve the same amount of health care savings by the beginning of the next decade as the reforms proposed by the bipartisan Simpson-Bowles commission. (Applause.)
关于老年保健医疗体系，我已准备颁布改革方案，那将在下一个10年开始时，实现同等数额的保健资金储备。这一改革方案是由国会内跨党派的辛普森-鲍尔斯委员会草拟提交的。(掌声)
Already, the Affordable Care Act is helping to slow the growth of health care costs. (Applause.) And the reforms I’m proposing go even further. We’ll reduce taxpayer subsidies to prescription drug companies and ask more from the wealthiest seniors. (Applause.) We’ll bring down costs by changing the way our government pays for Medicare, because our medical bills shouldn’t be based on the number of tests ordered or days spent in the hospital; they should be based on the quality of care that our seniors receive. (Applause.) And I am open to additional reforms from both parties, so long as they don’t violate the guarantee of a secure retirement. Our government shouldn’t make promises we cannot keep -- but we must keep the promises we’ve already made. (Applause.)
平价医疗法案已经开始帮助减缓医保经费的增长。(掌声)我提议的改革将会走得更远。我们将会削减纳税人对于处方类药品公司的津贴，同时向那些最富有的高层管理索取更多。(掌声)我们将会通过改变政府为老年保健医疗体系埋单的方式以调低医药费，因为我们的医疗账单不应该基于我们在医院住了多少天做了多少体检，而应基于我们的老人享受了多么高质量的医护措施。(掌声)现在我将听取来自两党的附加改革措施，只要他们不违反退休安全的保障。我们的政府不应该承诺一些我们不能完成的誓言，而是应该完成一些我们已经决定的诺言。(掌声)
To hit the rest of our deficit reduction target, we should do what leaders in both parties have already suggested, and save hundreds of billions of dollars by getting rid of tax loopholes and deductions for the well-off and the well-connected. After all, why would we choose to make deeper cuts to education and Medicare just to protect special interest tax breaks? How is that fair? Why is it that deficit reduction is a big emergency justifying making cuts in Social Security benefits but not closing some loopholes? How does that promote growth? (Applause.)
为了达到我们剩下的赤字削减目标，我们应该完成两党领袖已经建议了的，摆脱富贵者的税收漏洞和削减，这样可以节省千亿美元。毕竟，为什么我们要对教育和老年保健医疗体系选择进行更多的削减，而仅仅是为了保护一些特殊利益者的免税?那样公平吗?为什么赤字削减是社会保障救济金的的削减而非弥补那些高收入者的税收漏洞?那样可以提升经济增长速度吗?(掌声)
