英语翻译Still,even with rationing this strict,how can any nation offer so much for $2 a year?The answer is:It can’t.Not without outside help.In a nation of poor farmers,who is officially poorest is decided by village councils.They weigh assets

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英语翻译Still,even with rationing this strict,how can any nation offer so much for $2 a year?The answer is:It can’t.Not without outside help.In a nation of poor farmers,who is officially poorest is decided by village councils.They weigh assets
英语翻译
Still,even with rationing this strict,how can any nation offer so much for $2 a year?
The answer is:It can’t.Not without outside help.
In a nation of poor farmers,who is officially poorest is decided by village councils.They weigh assets like land,goats,bicycles and radios and determine whether a hut has a costly tin roof or just straw.people towaMaking every Rwandan pay something is part of President Kagame’s ambitious plan to push his rd more self-reliance and,with luck,eventually into prosperity.The country has been called “Africa’s Singapore.” It has clean streets and little crime,and each month everyone does one day of community service,like planting trees.Private enterprise is championed,and Mr.Kagame has been relentless about punishing corrupt officials.In the name of suppressing remarks that might revive the hatreds that spawned the 1994 genocide,his critics say,he suppresses normal political dissent,too.A more practical obstacle to creating a health insurance system,however,is that most of the world’s poor,including Rwanda’s,resist what they see as the unthinkable idea of paying in advance for something they may never get.“If people pay the $2 and then don’t get sick all year,they sometimes want their money back,” said Anja Fischer,an adviser to the Health Ministry from GTZ,the German government’s semi-independent aid agency.Also,the co-pays can be overwhelming.Even $5 for a Caesarean section can be too much for people as close to the edge as the Yankulijes,who live by growing beans and sweet potatoes and wear American castoffs (Mrs.Yankulije’s T-shirt read “Wolverines Football”).
Many live by barter and cannot scrape together even $2 in coins,said Dr.Damas Dukundane,who works in a poor rural area.Since the government accepts only cash,he said,his patients sometimes go to traditional healers,who could be dangerous quacks but will take goats or chickens.
As a result of all these factors,Rwanda is a patchwork of small clinics,some richer or better-run than others.Mayange’s,for example,gets donations and guidance from the Access Project founded by Josh N.Ruxin,a Columbia professor of public health who now lives in Kigali.
For example,the computer that prints the insurance cards has a Webcam on it.Previously,Professor Ruxin said,for insurance costing $2,villagers had to bring in photographs that had cost them $1 or more.
A clearer example of how the system overburdens the poor,he said,was the fact that the wealthiest Rwandans pay the same $2 that the rural poor do.
“It’s totally insane that my mother pays the same as the woman who cleans her house,” she said.“That law is being changed.”
Still,Dr.Binagwaho said,Rwanda can offer the United States one lesson about health insurance:“Solidarity — you cannot feel happy as a society if you don’t organize yourself so that people won’t die of poverty.”

英语翻译Still,even with rationing this strict,how can any nation offer so much for $2 a year?The answer is:It can’t.Not without outside help.In a nation of poor farmers,who is officially poorest is decided by village councils.They weigh assets
不过,即使这样严格的配给制,任何一个国家如何能够提供这么多为2美元的一年?
答案是:不能.不是没有外界的帮助.
在一个贫困的农民,谁是最贫穷的正式决定是由村委会的国家.他们的体重像土地资产,山羊,自行车和收音机,并确定是否有一间小屋昂贵的铁皮屋顶或只是一根稻草.每一个卢旺达人towaMaking付出的东西是卡加梅总统雄心勃勃的计划的一部分,以推动他的路更加自力更生,并与运气,最终走向繁荣.该国被称为“非洲的新加坡.”它干净的街道和治安良好,每月每个人都喜欢种植的树种之一的社区服务,一天.民营企业是拥护,卡加梅先生已对惩治腐败官员的无情的.在压制言论可能复苏产生的仇恨是在1994年种族灭绝的名字,他的批评者说,他抑制正常的政治异议人士,也.一个更实际的障碍,创造一个健康保险制度,但是,是世界上最贫困人口,包括卢旺达在内的,抵制他们所认为的对的东西,他们可能永远无法获得预先支付不可思议的想法看到的.“如果人们付2美元,然后不生病全年,他们有时要回自己的钱,说:“安雅菲舍尔,来自德国技术合作公司顾问,卫生部,德国政府的半独立的援助机构.此外,共同支付可以压倒.即使美元剖腹产5可以太贴近作为Yankulijes,谁通过种植豆类和甜土豆和磨损美国废弃物(女士Yankulije的T恤改为“狼獾足球生活边缘的人多”).
许多人生活的物物交换,不能刮在2元硬币,甚至一起,达马斯Dukundane博士说,谁在一个贫困的农村地区工作.由于政府只接受现金,他说,他的病人,有时去传统治疗师,谁可能是危险的叫声,但会采取山羊或鸡.
由于所有这些因素,卢旺达是一个小诊所,一些富裕或更好的修修补补,比其他运行.马扬的,例如,从获得准入乔希北路如心,一个健康的公共生活中谁现在在基加利哥伦比亚大学教授成立项目捐款和指导.
例如,计算机打印的保险卡上有一个摄像头.此前,如新教授表示,耗资200保险,村民们引进了照片,他们的成本1美元或更多.
一个系统如何覆盖层穷人更清楚的例子,他说,这是一个事实,即富裕的卢旺达人支付相同的2元,农村贫困问题.
“这是完全疯狂,我的母亲支付的女人谁清除她的房子一样,”她说.“这项法律正在改变.”
尽管如此,医生Binagwaho说,卢旺达可以提供美国一对健康保险:“团结 - 你可以不觉得作为一个社会幸福的教训,如果你没有自己的组织,使人们不会死于贫困.”

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