Good morning, everybody. Have a seat. Five years ago, after nearly a century of talk, decades of trying, a year of bipartisan debate -- we finally declared that in America, health care is not a privilege for a few, but a right for all. 大家早上好。请坐。五年前，经过近一个世纪的讨论、数十年的尝试、一年的两党辩论——我们终于宣告，在美国，医疗保健不是少数人的特权，而是所有人的权利。
Over those five years, as we've worked to implement the Affordable Care Act, there have been successes and setbacks. The setbacks I remember clearly. But as the dust has settled, there can be no doubt that this law is working. It has changed, and in some cases saved, American lives. It set this country on a smarter, stronger course. 在这五年里，在我们努力推行《平价医疗法案》的过程中，有成功也有挫折。那些挫折我记忆犹新。但当尘埃落定，毫无疑问这项法律正在发挥作用。它改变了，在某些情况下甚至拯救了美国人的生命。它让这个国家走上了一条更明智、更强劲的道路。
And today, after more than 50 votes in Congress to repeal or weaken this law; after a presidential election based in part on preserving or repealing this law; after multiple challenges to this law before the Supreme Court -- the Affordable Care Act is here to stay. 而今天，在国会进行了50多次投票试图废除或削弱这项法律之后；在一场部分意义上围绕保留还是废除这项法律展开的总统选举之后；在最高法院对这项法律发起的多次挑战之后——《平价医疗法案》将继续存在。
This morning, the Court upheld a critical part of this law -- the part that's made it easier for Americans to afford health insurance regardless of where you live. If the partisan challenge to this law had succeeded, millions of Americans would have had thousands of dollars' worth of tax credits taken from them. For many, insurance would have become unaffordable again. Many would have become uninsured again. Ultimately, everyone's premiums could have gone up. America would have gone backwards. And that's not what we do. That's not what America does. We move forward. 今天上午，最高法院维持了这项法律的一个关键部分——正是这一部分让美国人无论住在哪里都能更容易负担得起医疗保险。如果对这项法律的党派挑战得逞，数百万美国人将失去价值数千美元的税收抵免。对许多人来说，保险将再次变得无法负担。许多人将再次失去保险。最终，每个人的保费都可能上涨。美国将会倒退。而那不是我们的作风。那不是美国的作风。我们前进。
So today is a victory for hardworking Americans all across this country whose lives will continue to become more secure in a changing economy because of this law. 因此，今天是全美辛勤工作的美国人的胜利，因为这项法律，他们的生活在不断变化的经济中将继续变得更有保障。
If you're a parent, you can keep your kids on your plan until they turn 26 -- something that has covered millions of young people so far. That's because of this law. 如果你是家长，你可以让孩子留在你的保险计划中直到他们26岁——到目前为止，这已经覆盖了数百万年轻人。这就是因为这项法律。
If you're a senior, or an American with a disability, this law gives you discounts on your prescriptions -- something that has saved 9 million Americans an average of $1,600 so far. 如果你是老年人，或是美国残疾人，这项法律为你提供处方药折扣——到目前为止，这已经为900万美国人平均节省了1600美元。
If you're a woman, you can't be charged more than anybody else -- even if you've had cancer, or your husband had heart disease, or just because you're a woman. Your insurer has to offer free preventive services like mammograms. They can't place annual or lifetime caps on your care because of this law. 如果你是女性，你不会被收取比任何人更高的费用——即使你得过癌症，或者你的丈夫患有心脏病，或者仅仅因为你是女性。你的保险公司必须提供免费的预防服务，如乳房X光检查。因为这项法律，他们不能对你的医疗设置年度或终身限额。
Because of this law, and because of today's decision, millions of Americans who I hear from every single day will continue to receive the tax credits that have given about eight in ten people who buy insurance on the new marketplaces the choice of a health care plan that costs less than $100 a month. 因为这项法律，也因为今天的裁决，我每天都能听到的数百万美国人将继续获得税收抵免。在新医保市场上购买保险的人中，约有十分之八的人因此能够选择每月保费低于100美元的医保计划。
And when it comes to preexisting conditions -- someday, our grandkids will ask us if there was really a time when America discriminated against people who get sick. Because that is something this law has ended for good. That affects everybody with health insurance -- not just folks who got insurance through the Affordable Care Act. All of America has protections it didn't have before. 而关于既往症——有朝一日，我们的孙辈会问我们，美国是否真的有过歧视病人的时代。因为这正是这项法律彻底终结的事情。这影响到每一个有医疗保险的人——不仅仅是通过《平价医疗法案》获得保险的人。所有美国人都拥有了以前没有的保障。
As the law's provisions have gradually taken effect, more than 16 million uninsured Americans have gained coverage so far. Nearly one in three Americans who was uninsured a few years ago is insured today. The uninsured rate in America is the lowest since we began to keep records. And that is something we can all be proud of. 随着法律条款逐步生效，迄今已有超过1600万无保险的美国人获得了保障。几年前没有保险的美国人中，近三分之一现在有了保险。美国的无保险率是我们开始记录以来的最低水平。这是我们所有人都可以引以为豪的事情。
Meanwhile, the law has helped hold the price of health care to its slowest growth in 50 years. If your family gets insurance through your job -- so you're not using the Affordable Care Act -- you're still paying about $1,800 less per year on average than you would be if we hadn't done anything. By one leading measure, what business owners pay out in wages and salaries is now finally growing faster than what they spend on health insurance. That hasn't happened in 17 years -- and that's good for workers and it's good for the economy. 与此同时，这项法律帮助将医疗保健价格的增长控制在50年来的最低水平。如果你的家人通过工作获得保险——也就是说你并没有使用《平价医疗法案》——你每年平均仍然比我们什么都不做的情况下少支付约1800美元。根据一项主要指标，企业主支付的工资和薪金现在终于增长得比他们在医疗保险上的支出更快。这是17年来从未有过的——这对工人有利，对经济也有利。
The point is, this is not an abstract thing anymore. This is not a set of political talking points. This is reality. We can see how it is working. This law is working exactly as it's supposed to. In many ways, this law is working better than we expected it to. For all the misinformation campaigns, all the doomsday predictions, all the talk of death panels and job destruction, for all the repeal attempts -- this law is now helping tens of millions of Americans. 关键是，这不再是一个抽象的东西。这不是一套政治说辞。这是现实。我们可以看到它是如何运作的。这项法律正在完全按照预期发挥作用。在很多方面，这项法律的效果比我们预期的还要好。尽管有所有的虚假信息宣传、所有的末日预言、所有关于"死亡小组"和就业毁灭的言论、所有的废除企图——这项法律现在正在帮助数千万美国人。
And they've told me that it has changed their lives for the better. I've had moms come up and say, my son was able to see a doctor and get diagnosed, and catch a tumor early, and he's alive today because of this law. This law is working. And it's going to keep doing just that. 而他们告诉我，这项法律让他们的生活变得更好。有妈妈过来对我说，我的儿子能去看医生并得到诊断，及早发现了肿瘤，他今天能活着就是因为这项法律。这项法律正在发挥作用。而且它将继续发挥作用。
Five years in, this is no longer about a law. This is not about the Affordable Care Act as legislation, or Obamacare as a political football. This is health care in America. 五年过去了，这不再仅仅是关于一项法律。这不是关于作为立法的《平价医疗法案》，也不是关于作为政治足球的"奥巴马医改"。这就是美国的医疗保健。
And unlike Social Security or Medicare, a lot of Americans still don't know what Obamacare is beyond all the political noise in Washington. Across the country, there remain people who are directly benefitting from the law but don't even know it. And that's okay. There's no card that says "Obamacare" when you enroll. But that's by design, for this has never been a government takeover of health care, despite cries to the contrary. 与社会保障或医疗保险不同，许多美国人仍然不知道，在华盛顿的所有政治喧嚣之外，奥巴马医改到底是什么。在全国各地，仍有一些人直接从这项法律中受益，却甚至不知道这一点。而这没关系。当你参保时，没有一张写着"奥巴马医改"的卡片。但这是有意为之的，因为尽管有相反的叫嚣，这从来都不是政府接管医疗保健。
This reform remains what it's always been: a set of fairer rules and tougher protections that have made health care in America more affordable, more attainable, and more about you -- the consumer, the American people. It's working. 这项改革始终如它一贯的那样：一套更公平的规则和更有力的保护措施，让美国的医疗保健更加实惠、更容易获得，并且更加以你——消费者、美国人民——为中心。它正在发挥作用。
And with this case behind us, let's be clear -- we've still got work to do to make health care in America even better. We'll keep working to provide consumers with all the tools you need to make informed choices about your care. We'll keep working to increase the use of preventive care that avoids bigger problems down the road. We'll keep working to boost the steadily improving quality of care in hospitals, and bring down costs even lower, make the system work even better. 随着这起案件尘埃落定，让我们明确一点——我们仍有工作要做，让美国的医疗保健变得更好。我们将继续努力为消费者提供所需的一切工具，以便对自己的医疗做出明智的选择。我们将继续努力推广预防保健，避免日后出现更大的问题。我们将继续努力提高医院稳步改善的医疗质量，进一步降低成本，让系统运转得更好。
Already we've seen reductions, for example, in the number of readmissions at hospitals. That saves our society money, it saves families money, makes people healthier. 例如，我们已经看到医院再入院人数的减少。这为我们的社会节省了资金，为家庭节省了资金，让人们更健康。
We're making progress. We're going to keep working to get more people covered. I'm going to work as hard as I can to convince more governors and state legislatures to take advantage of the law, put politics aside, and expand Medicaid and cover their citizens. We've still got states out there that, for political reasons, are not covering millions of people that they could be covering, despite the fact that the federal government is picking up the tab. 我们正在取得进展。我们将继续努力让更多人获得保险。我将尽我所能说服更多州长和州议会利用这项法律，把政治放在一边，扩大医疗补助计划，覆盖他们的公民。仍有一些州出于政治原因，没有覆盖本可以覆盖的数百万人，尽管联邦政府会为此买单。
So we've got more work to do. But what we're not going to do is unravel what has now been woven into the fabric of America. And my greatest hope is that rather than keep refighting battles that have been settled again and again and again, I can work with Republicans and Democrats to move forward. Let's join together, make health care in America even better. 所以我们还有更多工作要做。但我们不会做的是，去拆解已经融入美国社会肌理的东西。我最大的希望是，与其不断重燃那些一次又一次已经解决的争斗，我可以与共和党人和民主党人合作向前迈进。让我们携起手来，让美国的医疗保健变得更好。
Three generations ago, we chose to end an era when seniors were left to languish in poverty. We passed Social Security, and slowly it was woven into the fabric of America and made a difference in the lives of millions of people. Two generations ago, we chose to end an age when Americans in their golden years didn't have the guarantee of health care. Medicare was passed, and it helped millions of people. 三代人以前，我们选择终结一个老年人在贫困中煎熬的时代。我们通过了《社会保障法》，它慢慢融入了美国的社会肌理，改变了数百万人的生活。两代人以前，我们选择终结一个黄金年龄的美国人没有医疗保障的时代。《医疗保险法》获得通过，帮助了数百万人。
This generation of Americans chose to finish the job -- to turn the page on a past when our citizens could be denied coverage just for being sick. To close the books on a history where tens of millions of Americans had no hope of finding decent, affordable health care; had to hang their chances on fate. 这一代美国人选择完成这项事业——翻开过去的一页，那时我们的公民仅仅因为生病就可能被拒绝承保。结束那段数千万美国人找不到体面、负担得起的医疗保健、只能听天由命的历史。
We chose to write a new chapter, where in a new economy, Americans are free to change their jobs or start a business, chase a new idea, raise a family, free from fear, secure in the knowledge that portable, affordable health care is there for us and always will be. And that if we get sick, we're not going to lose our home. That if we get sick, that we're going to be able to still look after our families. 我们选择书写新的篇章，在新经济中，美国人可以自由地换工作或创业，追逐新的想法，组建家庭，无惧无忧，因为他们知道，可携带、可负担的医疗保健就在那里，而且永远都会在那里。知道如果我们生病了，我们不会失去我们的家。知道如果我们生病了，我们仍然能够照顾我们的家人。
That's when America soars -- when we look out for one another. When we take care of each other. When we root for one another's success. When we strive to do better and to be better than the generation that came before us, and try to build something better for generations to come. That's why we do what we do. That's the whole point of public service. 这就是美国腾飞的时候——当我们相互关照的时候。当我们彼此照顾的时候。当我们为彼此的成功加油的时候。当我们努力做得更好、比前一代更优秀的时候，当我们为后代建设更美好事物的时候。这就是我们为什么做我们所做的事。这就是公共服务的全部意义。
So this was a good day for America. Let's get back to work. 所以今天对美国来说是美好的一天。让我们回去工作吧。