Good morning, everybody. (Good afternoon.) 早上好，大家。（下午好。）
Today I want to update the American people on our efforts to implement and improve the Affordable Care Act, and I’ll take a couple of your questions. But before I do, I just want to say a few words about the tragedy that's unfolded in the Philippines. 今天我想向美国人民介绍我们落实并改进《平价医疗法》的工作，也会回答几个问题。不过在此之前，我想先谈几句菲律宾发生的悲剧。
Over the past few days, I think all of us have been shaken by the images of the devastation wrought by Typhoon Haiyan. It’s a heartbreaking reminder of how fragile life is, and among the dead are several Americans. So our prayers are with the Filipino people, and with Filipino Americans across our country who are anxious about their family and friends back home. 过去几天，台风海燕造成的灾难画面令我们所有人震撼。这让人痛心地想起生命多么脆弱，死者中还有几名美国人。因此，我们为菲律宾人民祈祷，也为全国焦急等待家乡亲友消息的菲律宾裔美国人祈祷。
One of our core principles is, when friends are in trouble, America helps. As I told President Aquino earlier this week, the United States will continue to offer whatever assistance we can. Our military personnel and USAID team do this better than anybody in the world, and they’ve been already on the ground working tirelessly to deliver food, water, medicine, shelter, and to help with airlift. Today, the aircraft carrier USS George Washington and other ships arrived to help with search- and-rescue, as well as supplies, medical care and logistical support. And more help is on the way. 我们的核心原则之一是：朋友遇到困难时，美国会提供帮助。正如我本周早些时候告诉阿基诺总统的，美国将继续提供我们能够提供的一切援助。我们的军人和美国国际开发署团队在这方面无人能及，他们已经在现场不懈工作，运送食物、水、药品和住所物资，并协助空运。今天，乔治·华盛顿号航空母舰和其他舰船抵达，帮助搜救、运送物资、提供医疗和后勤支持。更多援助正在路上。
America’s strength, of course, has always been more than just about what our government can do –- it’s also about what our citizens can do. It’s about the big-heartedness of the American people when they see other folks in trouble. So today, I would encourage everybody who wants to help, to visit WhiteHouse.gov/typhoon -- that's WhiteHouse.gov/typhoon -- and that will offer you links to organizations that are working on the ground and ways that you can support their efforts. 当然，美国的力量不只在于政府能够做什么，也在于公民能够做什么；在于美国人民看到他人受难时表现出的慷慨善心。因此，今天我鼓励所有愿意帮忙的人访问 WhiteHouse.gov/typhoon——再说一次，就是 WhiteHouse.gov/typhoon——那里会提供正在现场工作的组织链接，以及支持他们行动的方式。
Our friends in the Philippines will face a long, hard road ahead, but they’ll continue to have a friend and partner in the United States of America. 菲律宾的朋友们将面对漫长而艰难的道路，但他们会继续拥有美利坚合众国这个朋友和伙伴。
Now, switching gears, it has now been six weeks since the Affordable Care Act’s new marketplace has opened for business. I think it's fair to say that the rollout has been rough so far. And I think everybody understands that I'm not happy about the fact that the rollout has been wrought with a whole range of problems that I've been deeply concerned about. But today I want to talk about what we know after these first few weeks and what we're doing to implement and improve the law. 现在转到另一个话题。《平价医疗法》的新市场开业至今已有六周。公平地说，推行过程到目前为止很不顺利。我想大家都明白，我对这次上线出现一系列问题非常不满。但今天我想谈谈在最初几周之后我们了解到什么，以及我们正在做什么来落实和改进这项法律。
Yesterday, the White House announced that in the first month, more than 100,000 Americans successfully enrolled in new insurance plans. Is that as high a number as we’d like? Absolutely not. But it does mean that people want affordable health care. The problems of the website have prevented too many Americans from completing the enrollment process. And that’s on us, not on them. But there is no question that there’s real demand for quality, affordable health insurance. 白宫昨天宣布，第一个月有超过10万名美国人成功加入新的保险计划。这是我们希望达到的高数字吗？当然不是。但它确实说明人们需要可负担的医疗服务。网站问题使太多美国人无法完成注册流程，这责任在我们，不在他们。但毫无疑问，人们对高质量、可负担医疗保险有真实需求。
In the first month, nearly a million people successfully completed an application for themselves or their families. Those applications represent more than 1.5 million people. Of those 1.5 million people, 106,000 of them have successfully signed up to get covered. 第一个月，近100万人成功为自己或家人完成申请。这些申请涉及超过150万人。在这150多万人中，有106,000人成功注册并获得保障。
Another 396,000 have the ability to gain access to Medicaid under the Affordable Care Act. That’s been less reported on, but it shouldn’t be. Americans who are having a difficult time, who are poor, many of them working, may have a disability; they're Americans like everybody else, and the fact that they are now able to get insurance is going to be critically important. 另有396,000人依据《平价医疗法》有资格获得医疗补助。这一点报道较少，但不应如此。生活困难、贫困、许多人还在工作的美国人，其中一些可能有残疾；他们和其他美国人一样，而他们现在能够获得保险将极其重要。
Later today, I’ll be in Ohio, where Governor Kasich, a Republican, has expanded Medicaid under the Affordable Care Act. And as many as 275,000 Ohioans will ultimately be better off because of it. And if every governor followed suit, another 5.4 million Americans could gain access to health care next year. 今天晚些时候，我将前往俄亥俄州。共和党州长卡西奇已依据《平价医疗法》扩大医疗补助，最终将有多达275,000名俄亥俄州居民因此受益。如果每位州长都这样做，明年还会有540万美国人获得医疗服务。
So bottom line is, in just one month, despite all the problems that we've seen with the website, more than 500,000 Americans could know the security of health care by January 1st -- many of them for the first time in their lives. And that’s life-changing and it's significant. 归根结底，仅仅一个月内，尽管网站存在我们看到的所有问题，超过500,000名美国人可能在1月1日前获得医疗保障，其中许多人一生中还是第一次。这将改变生活，意义重大。
That still leaves about 1 million Americans who successfully made it through the website, and now qualify to buy insurance, but haven’t picked a plan yet. And there’s no question that if the website were working as it’s supposed to, that number would be much higher of people who have actually enrolled. So that’s problem number one –- making sure that the website works the way it's supposed to. It’s gotten a lot better over the last few weeks than it was on the first day, but we’re working 24/7 to get it working for the vast majority of Americans in a smooth, consistent way. 这仍留下约100万名美国人：他们成功通过网站、现在有资格购买保险，却还没有选择计划。毫无疑问，如果网站按应有方式运行，实际完成注册的人数会高得多。因此，问题之一就是确保网站正常运行。过去几周网站已经比第一天好得多，但我们仍在全天候工作，让绝大多数美国人能够顺畅、稳定地使用它。
The other problem that has received a lot of attention concerns Americans who have received letters from their insurers that they may be losing the plans they bought in the old individual market, often because they no longer meet the law’s requirements to cover basic benefits like prescription drugs or doctors’ visits. 另一个受到广泛关注的问题，是一些美国人收到保险公司来信，称他们在旧个人市场购买的计划可能会失效，通常是因为这些计划不再符合法律对基本福利的要求，例如处方药和医生就诊。
Now, as I indicated earlier, I completely get how upsetting this can be for a lot of Americans, particularly after assurances they heard from me that if they had a plan that they liked, they could keep it. And to those Americans, I hear you loud and clear. I said that I would do everything we can to fix this problem. And today I'm offering an idea that will help do it. 正如我早些时候所说，我完全理解这会让许多美国人多么不安，尤其是他们曾听到我的保证：如果喜欢现有计划，就可以保留。对于这些美国人，我清楚听到了你们的声音。我说过会尽力解决问题，今天我提出一个办法来帮助做到这一点。
Already, people who have plans that predate the Affordable Care Act can keep those plans if they haven’t changed. That was already in the law. That's what's called a grandfather clause. It was included in the law. Today, we're going to extend that principle both to people whose plans have changed since the law took effect, and to people who bought plans since the law took effect. 已经存在《平价医疗法》之前、且没有改变的计划，人们可以继续保留。这本来就在法律中，被称为祖父条款。它原本就包含在法律里。今天，我们要把这一原则扩大到法律生效后发生过改变的计划，以及法律生效后购买的计划。
So state insurance commissioners still have the power to decide what plans can and can’t be sold in their states. But the bottom line is, insurers can extend current plans that would otherwise be canceled into 2014, and Americans whose plans have been canceled can choose to re-enroll in the same kind of plan. 因此，州保险监管专员仍有权决定哪些计划可以在本州销售、哪些不可以。但底线是，保险公司可以把原本会被取消的现有计划延长至2014年，而计划已被取消的美国人可以选择重新参加同类计划。
We’re also requiring insurers to extend current plans to inform their customers about two things. One, that protections -- what protections these renewed plans don’t include. And number two, that the marketplace offers new options with better coverage and tax credits that might help you bring down the cost. 我们还要求延长现有计划的保险公司告知客户两件事：第一，这些续期计划不包含哪些保护；第二，市场提供了保障更好的新选项，以及可能帮助降低费用的税收抵免。
So if you’ve received one of these letters, I’d encourage you to take a look at the marketplace. Even if the website isn’t working as smoothly as it should be for everybody yet, the plan comparison tool that lets you browse costs for new plans near you is working just fine. 如果你收到这类信件，我鼓励你看看市场。即使网站还没有对所有人运行得足够顺畅，让你浏览附近新计划费用的计划比较工具运行得很好。
Now, this fix won’t solve every problem for every person. But it’s going to help a lot of people. Doing more will require work with Congress. And I’ve said from the beginning, I’m willing to work with Democrats and Republicans to fix problems as they arise. This is an example of what I was talking about. We can always make this law work better. 但这项修复不会解决每个人的所有问题，却会帮助很多人。要做得更多，需要与国会合作。我从一开始就说过，愿意与民主党和共和党合作，在问题出现时解决它们。这正是我所说情况的例子；我们总能让这项法律运行得更好。
It is important to understand, though, that the old individual market was not working well. And it’s important that we don’t pretend that somehow that’s a place worth going back to. Too often, it works fine as long as you stay healthy; it doesn’t work well when you’re sick. So year after year, Americans were routinely exposed to financial ruin, or denied coverage due to minor preexisting conditions, or dropped from coverage altogether -- even if they paid their premiums on time. 不过，必须明白，旧的个人保险市场运行得并不好。我们不能假装那是值得回去的地方。只要保持健康，它往往还能运转；一旦生病，就很难发挥作用。因此，年复一年，美国人常常面临财务破产，或因轻微既往病症被拒保，或即使按时缴费也被完全取消保障。
That’s one of the reasons we pursued this reform in the first place. And that’s why I will not accept proposals that are just another brazen attempt to undermine or repeal the overall law and drag us back into a broken system. We will continue to make the case, even to folks who choose to keep their own plans, that they should shop around in the new marketplace because there’s a good chance that they’ll be able to buy better insurance at lower cost. 这正是我们最初推动改革的原因之一。因此，我不会接受那些公然企图削弱或废除整部法律、把我们拖回失灵体系的提案。即使对选择保留原计划的人，我们也会继续说明：应当在新市场比较，因为他们很可能以更低成本买到更好的保险。
So we’re going to do everything we can to help the Americans who have received these cancellation notices. But I also want everybody to remember there are still 40 million Americans who don’t have health insurance at all. I’m not going to walk away from 40 million people who have the chance to get health insurance for the first time. And I’m not going to walk away from something that has helped the cost of health care grow at its slowest rate in 50 years. 我们将竭尽所能帮助收到取消通知的美国人。但我也希望大家记住，仍有4,000万美国人完全没有医疗保险。我不会放弃4,000万有机会第一次获得保险的人，也不会放弃让医疗费用增速达到50年来最低水平的努力。
So we’re at the opening weeks of the project to build a better health care system for everybody -- a system that will offer real financial security and peace of mind to millions of Americans. It is a complex process. There are all kinds of challenges. I’m sure there will be additional challenges that come up. And it’s important that we’re honest and straightforward in terms of when we come up with a problem with these reforms and these laws, that we address them. But we’ve got to move forward on this. 因此，我们正处于为所有人建设更好医疗体系的初期阶段——一个将为数百万美国人提供真正财务安全和安心的体系。这是复杂过程，存在各种挑战，我确信还会出现新的挑战。面对改革和法律中的问题，我们必须诚实直接地处理，但我们必须继续向前。
It took 100 years for us to even get to the point where we could start talking about and implementing a law to make sure everybody has got health insurance. And my pledge to the American people is, is that we’re going to solve the problems that are there, we’re going to get it right, and the Affordable Care Act is going to work for the American people. 我们花了一百年，才走到能够开始讨论并实施一项确保人人拥有医疗保险的法律这一步。我向美国人民承诺，我们会解决现有问题、把事情做好，《平价医疗法》将为美国人民发挥作用。
So with that, I’m going to take your questions, and I’m going to start with Julie Pace of AP. 有了这些，我现在开始回答问题，先请美联社的朱莉·佩斯提问。
Question: Thank you, Mr. President. The combination of the website problems and the concerns over the policy cancellations has sparked a lot of worry within your own party, and polls also show that you’re taking some hits with the public on both your overall job approval rating and also on factors like trust and honesty. Do you feel as though the flawed health care rollout has led to a breach in the public trust and confidence in government? And if so, how do you plan to resolve that? 提问：谢谢您，总统先生。网站问题和保单取消担忧结合起来，在您自己的党内引发了很多忧虑；民调也显示，公众在总体工作认可度，以及信任和诚信等方面，都对您有所降低。您是否认为有缺陷的医疗改革上线导致公众对政府的信任和信心受损？如果是，您打算如何解决？
President Obama: There is no doubt that people are frustrated. We just came out of a shutdown and the possibility that for the first time in over 200 years, we wouldn’t pay our bills. And people breathed a sigh of relief when that finally got done, and the next thing they know is, is that the President’s health care reform can’t get the website to work and that there are these other problems with respect to cancellation notices. 奥巴马总统：毫无疑问，人们感到沮丧。我们刚刚经历政府停摆，人们一度担心两百多年里第一次无法支付账单。停摆最终解决时，人们松了一口气，接着却发现总统的医疗改革连网站都无法正常运行，还有取消通知等问题。
And I understand why folks are frustrated. I would be, too. Because sometimes people look at what’s taking place in Washington and they say, not enough is getting done that helps me with my life. And regardless of what Congress does, ultimately I’m the President of the United States and they expect me to do something about it. 我理解人们为什么沮丧，我也会如此。人们有时看着华盛顿发生的一切，会说：没有足够多的事情真正帮助我的生活。无论国会做什么，归根结底我是美国总统，他们期待我对此采取行动。
So in terms of how I intend to approach it, I’m just going to keep on working as hard as I can around the priorities that the American people care about. And I think it’s legitimate for them to expect me to have to win back some credibility on this health care law in particular, and on a whole range of these issues in general. 至于我打算如何应对，我会围绕美国人民关心的优先事项继续尽最大努力。我认为，他们有理由期待我在这项医疗法律以及更广泛的问题上重新赢得一些可信度。
And that’s on me. I mean, we fumbled the rollout on this health care law. There are a whole bunch of things about it that are working really well which people didn’t notice because they weren’t controversial -- so making sure kids could stay on their parents’ plans until they were -- through the age of 25, and making sure that seniors got more discounts on their prescription drugs. There were a whole bunch of stuff that we did well over the first three years. 这责任在我。我的意思是，我们在这项医疗法律的上线过程中失误了。法律中有许多运行良好的内容，只是因为没有争议而未被人们注意，例如让孩子可以留在父母的计划中直到25岁，以及让老年人在处方药上获得更多折扣。头三年我们做对了许多事情。
But we always knew that these marketplaces, creating a place where people can shop and through competition get a better deal for the health insurance that their families need, we always knew that that was going to be complicated and everybody was going to be paying a lot of attention to it. And we should have done a better job getting that right on day one -- not on day 28 or on day 40. 但我们一直知道，建立一个让人们通过竞争购买、为家庭所需医疗保险获得更好交易的市场会很复杂，也会受到高度关注。我们本应从第一天就把它做好，而不是等到第28天或第40天。
I am confident that by the time we look back on this next year, that people are going to say this is working well, and it’s helping a lot of people. But my intention in terms of winning back the confidence of the American people is just to work as hard as I can; identify the problems that we’ve got, make sure that we’re fixing them. Whether it’s a website, whether it is making sure that folks who got these cancellation notices get help, we’re just going to keep on chipping away at this until the job is done. 我相信，明年回顾这一切时，人们会说它运行良好，帮助了许多人。至于重新赢得美国人民信任，我的打算就是尽最大努力，找出问题并确保修复。无论是网站，还是帮助收到取消通知的人，我们都会不断推进，直到完成任务。
Major Garrett. 梅杰·加勒特。
Question: Thank you, Mr. President. You said while the law was being debated, “if you like your plan, you can keep it.” You said after the law was implemented or signed, “if you like your plan, you can keep it.” Americans believed you, sir, when you said that to them over and over. 提问：谢谢您，总统先生。法律辩论期间，您说“如果喜欢自己的计划，就可以保留”。法律实施或签署后，您又说“如果喜欢自己的计划，就可以保留”。美国人一次又一次听到这句话，并相信了您。
Do you not believe, sir, the American people deserve a deeper, more transparent accountability from you as to why you said that over and over when your own statistic published in the Federal Register alerted your policy staff -- and I presume you -- to the fact that millions of Americans would, in fact, probably fall into the very gap you’re trying to administratively fix now? 难道您不认为，美国人民有权要求您更深入、更透明地说明：为什么您反复这样说，而您自己在《联邦公报》公布的统计数据已经提醒政策团队——我猜也提醒了您——数百万美国人实际上很可能落入如今正试图通过行政方式修补的缺口？
That's one question. Second question. (Laughter.) You were informed, or several people in this building were informed two weeks before the launch of the website that it was failing the most basic tests internally, and yet a decision was made to launch the website on October 1st. Did you, sir, make that test? And if so, did you regret that? 这是第一个问题。第二个问题。（笑声。）网站上线前两周，您或大楼里几位人士已经获悉网站内部连最基本测试都没有通过，但仍决定在10月1日上线。先生，您是否进行过那项测试？如果进行过，您是否对此感到后悔？
President Obama: Okay, on the website, I was not informed directly that the website would not be working the way it was supposed to. Had I been informed, I wouldn’t be going out saying, boy, this is going to be great. 奥巴马总统：关于网站，我没有直接获悉它无法按应有方式运行。如果我知道，就不会出去说“这会很棒”。
I’m accused of a lot of things, but I don't think I’m stupid enough to go around saying, this is going to be like shopping on Amazon or Travelocity a week before the website opens if I thought that it wasn’t going to work. So clearly, we and I did not have enough awareness about the problems in the website. Even a week into it, the thinking was that these were some glitches that would be fixed with patches, as opposed to some broader systemic problems that took much longer to fix and we’re still working on them. 别人可以指责我很多事情，但如果我认为网站无法运行，我不会在上线前一周还说它会像在亚马逊或Travelocity购物一样。我显然没有充分了解网站的问题。上线一周后，我们仍以为只是可以通过补丁修复的小故障，而不是需要更长时间解决、我们至今仍在处理的系统性问题。
So that doesn't excuse the fact that they just don't work. But I think it’s fair to say that, no, Garrett -- Major, we would not have rolled out something knowing very well that it wasn’t going to work the way it was supposed, given all the scrutiny that we knew was going to be on the website. 这不能为它们无法运行开脱。但公平地说，鉴于我们知道网站会受到严格审视，如果明知它无法按要求运行，我们和我不会推出它。
With respect to the pledge I made that if you like your plan, you can keep it, I think -- and I’ve said in interviews -- that there is no doubt that the way I put that forward unequivocally ended up not being accurate. It was not because of my intention not to deliver on that commitment and that promise. We put a grandfather clause into the law, but it was insufficient. 至于我作出的“喜欢计划就可以保留”的承诺，我在采访中也说过，我明确作出的表述最终并不准确。这不是因为我不打算兑现承诺。我们在法律中加入了祖父条款，但它并不充分。
Keep in mind that the individual market accounts for 5 percent of the population. So when I said you can keep your health care, I’m looking at folks who’ve got employer-based health care; I’m looking at folks who’ve got Medicare and Medicaid -- and that accounts for the vast majority of Americans. And then for people who don't have any health insurance at all, obviously that didn't apply. My commitment to them was, you're going to be able to get affordable health care for the first time. 请记住，个人市场只占人口的5%。我说可以保留医疗保障时，考虑的是拥有雇主保险的人，以及参加医疗保险和医疗补助的人，他们占美国人的绝大多数。对于完全没有保险的人，这句话显然不适用；我对他们的承诺是，他们将首次获得可负担的医疗保障。
You have an individual market that accounts for about 5 percent of the population. And our working assumption was -- my working assumption was that the majority of those folks would find better policies at lower costs or the same costs in the marketplaces, and that the universe of folks who potentially would not find a better deal in the marketplaces, the grandfather clause would work sufficiently for them. And it didn't. And again, that's on us. Which is why we’re -- that's on me. And that's why I’m trying to fix it. 个人市场约占人口5%。我们的工作假设——也是我的假设——是其中多数人会在市场找到更好、成本更低或相同的保单，而那些可能找不到更好交易的人，祖父条款足以保护他们。但事实并非如此。这是我们的责任，更是我的责任，所以我正在努力修复。
And as I said earlier, I guess last week, and I will repeat, that's something I deeply regret because it’s scary getting a cancellation notice. 正如我早些时候说过，我想是上周，我再重复一遍：我对此深感遗憾，因为收到取消通知令人害怕。
Now, it is important to understand that out of that population, typically there is constant churn in that market. This market is not very stable and reliable for people. So people have a lot of complaints when they're in that marketplace. As long as you're healthy, things seem to be going pretty good. And so a lot of people think, I’ve got pretty good insurance -- until they get sick -- and then suddenly they look at the fine print, and they’ve got a $50,000 out-of-pocket expense that they can't pay. 重要的是要理解，这部分人群所在的市场通常持续发生人员流动，并不稳定可靠。人们在其中有许多抱怨。只要健康，一切似乎进展不错，很多人会觉得自己的保险还挺好——直到生病，才突然发现细则中有50,000美元自付费用，而他们根本无力支付。
We know that on average over the last decade, each year, premiums in that individual market would go up an average of 15 percent a year. I know that because when we were talking about health care reform, one of the complaints was: I bought health care in the individual market and I just got a notice from the insurer, they dropped me after I had an illness; or my premium skyrocketed by 20 or 30 percent, why aren’t we doing something about this? 我们知道，过去十年中，个人市场的保费平均每年上涨15%。我之所以知道，是因为讨论医疗改革时，人们抱怨：我在个人市场买了保险，生病后保险公司通知我被取消；或者保费暴涨20%或30%，为什么没人解决？
So part of what our goal has been is to make sure that that individual market is stable and fair, and has the kind of consumer protections that make sure that people don’t get a rude surprise when they really need health insurance. But if you just got a cancellation notice, and so far you’re thinking, my prices are pretty good, you haven’t been sick, and it fits your budget, and now you get this notice -- you’re going to be worried about it. 因此，我们的目标之一是确保个人市场稳定、公平，并提供消费者保护，避免人们真正需要保险时遭遇意外。但如果你刚收到取消通知，原本觉得价格不错、一直没生病、也符合预算，现在收到这封信，你当然会担忧。
And if the insurer is saying the reason you’re getting this notice is because of the Affordable Care Act, then you’re going to be understandably aggravated about it. 如果保险公司说你收到通知是因为《平价医疗法》，你自然会对此感到恼火。
Now, for a big portion of those people, the truth is they might have gotten a notice saying, we’re jacking up your rates by 30 percent. They might have said, from here on out, we’re not going to cover X, Y and Z illnesses, we’re changing the -- because these were all 12-month policies. The insurance companies were under no obligation to renew the exact same policies that you had before. 对其中很多人来说，事实是，他们本可能收到这样的通知：我们的费率要提高30%；或者从现在起不再承保某些疾病，改变原有保障——因为这些都是12个月期保单，保险公司没有义务续签完全相同的计划。
But, look, one of the things I understood when we decided to reform that health insurance market, part of the reason why it hasn’t been done before and it’s very difficult to do, is that anything that’s going on that’s tough in the health care market, if you initiated a reform, can be attributed to your law. And so what we want to do is to be able to say to these folks, you know what, the Affordable Care Act is not going to be the reason why insurers have to cancel your plan. 但是，当我们决定改革医疗保险市场时，我明白改革之所以过去没有完成、现在又如此困难，部分原因在于：医疗市场中任何棘手情况都可能在改革启动后被归咎于这项法律。因此，我们希望能够告诉这些人：保险公司取消你们的计划，不会是《平价医疗法》造成的。
Now, what folks may find is the insurance companies may still come back and say, we want to charge you 20 percent more than we did last year; or we’re not going to cover prescription drugs now. But that’s in the nature of the market that existed earlier. 人们可能发现，保险公司仍会回来告诉他们：我们要比去年多收20%；或者现在不再承保处方药。但这正是此前市场的性质。
Question: Did you decide, sir, that the simple declaration was something the American people could handle, but this nuanced answer you just gave now was something that you couldn’t handle and you didn’t trust the American people with a fuller truth? 提问：总统先生，您是否认为，美国人民能够接受简单的声明，却无法理解您刚才给出的复杂回答，或者您不信任他们知道更完整的事实？
President Obama: No. I think, as I said earlier, Major, my expectation was that for 98 percent of the American people, either it genuinely wouldn't change at all, or they'd be pleasantly surprised with the options in the marketplace, and that the grandfather clause would cover the rest. 奥巴马总统：不是。正如我早些时候所说，梅杰，我原本预计对98%的美国人来说，情况要么完全不会改变，要么他们会对市场中的选项感到惊喜，剩下的人则由祖父条款覆盖。
That proved not to be the case. And that's on me. And the American people -- those who got cancellation notices do deserve and have received an apology from me. But they don't want just words. What they want is whether we can make sure that they are in a better place, and that we meet that commitment. 事实证明并非如此。这是我的责任。收到取消通知的美国人确实应当、也已经得到我的道歉。但他们不想只听到话语，他们想知道我们能否确保他们处境更好，并兑现承诺。
And, by the way, I think it's very important for me to note that there are a whole bunch of folks up in Congress and others who made this statement, and they were entirely sincere about it. And the fact that you've got this percentage of people who have had this impact -- I want them to know that their senator or congressman, they were making representations based on what I told them and what this White House and our administrative staff told them. And so it's not on them. It's on us. But it is something that we intend to fix. 顺便说，我必须指出，国会里有许多人和其他人曾作出这项声明，他们完全是真诚的。现在有一定比例的人受到影响，我希望他们知道：他们的参议员或众议员，是根据我以及白宫和行政工作人员告诉他们的情况作出承诺的。因此责任不在他们，而在我们。但这是我们打算解决的问题。
Steve Collinson. 史蒂夫·科林森。
Question: Do you have reason to believe that Iran would walk away from nuclear talks if Congress draws up new sanctions? And would a diplomatic breakdown at this stage leave you no option but military action? And how do you respond to your critics on the Hill who say that it was only tough sanctions that got Iran to the table, but only tougher sanctions will make it capitulate? 提问：您是否有理由相信，如果国会制定新的制裁措施，伊朗会退出核谈判？如果现阶段外交破裂，您是否除了军事行动别无选择？对于国会山上批评您的人认为，只有严厉制裁才让伊朗走到谈判桌前，只有更严厉制裁才能迫使其屈服，您如何回应？
President Obama: Well, let me make a couple of points. Number one, I've said before and I will repeat: We do not want Iran having nuclear weapons. And it would be not only dangerous to us and our allies, but it would be destabilizing to the entire region, and could trigger a nuclear arms race that would make life much more dangerous for all of us. So our policy is Iran cannot have nuclear weapons. And I'm leaving all options on the table to make sure that we meet that goal. 奥巴马总统：我想说明几点。第一，我以前说过，现在再重复：我们不希望伊朗拥有核武器。这不仅会危及我们和盟友，也会破坏整个地区稳定，可能引发核军备竞赛，让我们所有人的生活更加危险。因此，我们的政策是伊朗不能拥有核武器。我会保留所有选项，以确保实现这一目标。
Point number two: The reason we've got such vigorous sanctions is because I and my administration put in place, when I came into office, the international structure to have the most effective sanctions ever. And so I think it's fair to say that I know a little bit about sanctions, since we've set them up, and made sure that we mobilize the entire international community so that there weren't a lot of loopholes and they really had bite. 第二，我们之所以实施如此有力的制裁，是因为我和政府在上任时建立了国际机制，形成有史以来最有效的制裁体系。可以说，我对制裁略知一二，因为这些制裁是我们建立的；我们还确保动员整个国际社会，堵住漏洞，使制裁真正产生作用。
And the intention in setting up those sanctions always was to bring the Iranians to the table so that we could resolve this issue peacefully, because that is my preference. That's my preference because any armed conflict has cost to it, but it's also my preference because the best way to assure that a country does not have nuclear weapons is that they are making a decision not to have nuclear weapons, and we're in a position to verify that they don't have nuclear weapons. 建立制裁的意图始终是促使伊朗回到谈判桌前，以和平方式解决问题，因为这是我的偏好。任何武装冲突都有代价；而且，确保一个国家不拥有核武器的最佳方式，是让它主动决定不拥有，并让我们能够核实它确实没有。
So as a consequence of the sanctions that we put in place -- and I appreciate all the help, bipartisan help, that we received from Congress in making that happen -- Iran's economy has been crippled. They had a -5 percent growth rate last year. Their currency plummeted. They're having significant problems in just the day-to-day economy on the ground in Iran. And President Rouhani made a decision that he was prepared to come and have a conversation with the international community about what they could do to solve this problem with us. 由于我们实施的制裁——我感谢国会两党为此提供的帮助——伊朗经济受到重创。去年经济增长率为负5%，货币暴跌，伊朗国内日常经济面临重大困难。鲁哈尼总统决定准备与国际社会对话，讨论他们能做什么来与我们共同解决这个问题。
We've now had a series of conversations, and it has never been realistic that we would resolve the entire problem all at once. What we have done is seen the possibility of an agreement in which Iran would halt advances on its program; that it would dilute some of the highly enriched uranium that makes it easier for them to potentially produce a weapon; that they are subjecting themselves to much more vigorous inspections so that we know exactly what they’re doing at all their various facilities; 我们已经进行了一系列会谈，不现实的是一次解决全部问题。我们看到达成协议的可能：伊朗暂停推进核计划，稀释部分更易用于制造武器的高浓缩铀，并接受更严格的检查，让我们准确了解其各设施正在进行的活动。
and that that would then provide time and space for us to test, over a certain period of months, whether or not they are prepared to actually resolve this issue to the satisfaction of the international community -- making us confident that, in fact, they’re not pursuing a nuclear weapons program. 这样，我们就有几个月的时间检验伊朗是否准备真正解决问题，使国际社会满意，并让我们确信他们没有推进核武器计划。
In return, the basic structure of what’s been talked about, although not completed, is that we would provide very modest relief at the margins of the sanctions that we’ve set up. But importantly, we would leave in place the core sanctions that are most effective and have most impact on the Iranian economy, specifically oil sanctions and sanctions with respect to banks and financing. 作为回报，谈判的基本框架（尚未完成）是：我们对制裁边缘部分提供非常有限的缓解。但关键是，最有效、对伊朗经济影响最大的核心制裁将继续保留，特别是石油制裁以及银行和融资制裁。
And what that gives us is the opportunity to test how serious are they, but it also gives us an assurance that if it turns out six months from now that they’re not serious, we can crank -- we can dial those sanctions right back up. 这让我们有机会检验他们是否认真；同时也确保如果六个月后事实证明他们并不认真，我们可以立即把制裁重新大幅收紧。
So my message to Congress has been that, let’s see if this short-term, phase-one deal can be completed to our satisfaction where we’re absolutely certain that while we’re talking with the Iranians, they’re not busy advancing their program. We can buy some additional months in terms of their breakout capacity. Let’s test how willing they are to actually resolve this diplomatically and peacefully. 因此，我对国会的讯息是：让我们看看，这项短期第一阶段协议能否按我们的要求完成，确保我们与伊朗谈判时，他们没有忙于推进核计划。我们可以在其突破核门槛的能力上争取几个月时间，检验他们是否愿意通过外交与和平方式真正解决问题。
We will have lost nothing if, at the end of the day, it turns out that they are not prepared to provide the international community the hard proof and assurances necessary for us to know that they’re not pursuing a nuclear weapon. And if that turns out to be the case, then not only is our entire sanctions infrastructure still in place, not only are they still losing money from the fact that they can’t sell their oil and get revenue from their oil as easily, even throughout these talks, but other options remain. 如果最终事实证明他们不准备向国际社会提供必要的确凿证据和保证，让我们确认他们没有追求核武器，我们不会失去任何东西。因为那样的话，我们完整的制裁体系仍在，他们仍会因难以出售石油、获取石油收入而损失金钱，即使在谈判期间也是如此；此外，我们仍有其他选项。
But what I’ve said to members of Congress is that if, in fact, we’re serious about trying to resolve this diplomatically -- because no matter how good our military is, military options are always messy, they’re always difficult, always have unintended consequences, and in this situation are never complete in terms of making us certain that they don’t then go out and pursue even more vigorously nuclear weapons in the future -- if we’re serious about pursuing diplomacy, 但我对国会议员说过，如果我们确实认真寻求外交解决——因为无论军力多强，军事选项总是混乱、困难并带来意外后果；在这种情况下，它也永远无法让我们完全确定对方今后不会更加积极地追求核武器——如果我们认真追求外交，
then there’s no need for us to add new sanctions on top of the sanctions that are already very effective and that brought them to the table in the first place. 那么，我们没有必要在已经非常有效、并最初促使他们走到谈判桌前的制裁之上再增加新制裁。
Now, if it turns out they can’t deliver, they can’t come to the table in a serious way and get this issue resolved, the sanctions can be ramped back up. And we’ve got that option. 如果事实证明他们无法兑现承诺，无法认真坐到谈判桌前解决问题，制裁可以重新加强，我们保留这一选项。
All right. Roger Runningen. Roger, it’s his birthday, by the way. So that’s not the reason you got a question, but I thought it was important to note that. 好的，罗杰·拉宁。顺便说，今天是罗杰的生日。你得到提问机会不是因为这个，但我认为值得说明。
Question: Thank you, Mr. President. 提问：谢谢您，总统先生。
President Obama: Happy birthday. 总统：生日快乐。
Question: Back to health care. Can you guarantee for the American people that the health care website is going to be fully operational for all people, not just the vast majority, by November 30? And second, more broadly, this is your signature domestic piece of legislation. You hear criticism on the Hill that you and your White House team are too insular. Is that how this mess came to be? 提问：回到医疗保健问题。您能否保证网站在11月30日前对所有人全面运行，而不只是绝大多数人？更广泛地说，这是您的标志性国内立法；有人批评您和白宫团队过于封闭。这个混乱是否因此发生？
President Obama: Well, I think there is going to be a lot of evaluation of how we got to this point. And I assure you that I’ve been asking a lot of questions about that. The truth is that this is, number one, very complicated. The website itself is doing a lot of stuff. There aren’t a lot of websites out there that have to help people compare their possible insurance options, verify income to find out what kind of tax credits they might get, communicate with those insurance companies so they can purchase, make sure that all of it’s verified. 奥巴马总统：我认为，大家会对我们如何走到这一步进行大量评估。我向你保证，我也一直在追问许多相关问题。事实是，首先，这件事非常复杂。网站本身承担着许多任务。需要帮助人们比较可能选择的保险方案、核实收入以确定可获得何种税收抵免、与保险公司交换信息以便完成购买，还要确保所有信息都得到核实；需要同时完成这些工作的，这样的网站并不多。
So there’s just a bunch of pieces to it that made it challenging. 所以，它涉及许多环节，这使得工作充满挑战。
And you combine that with the fact that the federal government does a lot of things really well. One of the things it does not do well is information technology procurement. This is kind of a systematic problem that we have across the board. And it is not surprising then that there were going to be some problems. 再加上这样一个事实：联邦政府有很多事做得很好，但信息技术采购不是其中之一。这是我们在各部门普遍存在的系统性问题。因此，出现一些问题并不令人意外。
Now, I think we have to ask ourselves some hard questions inside the White House as opposed to why we didn't see more of these problems coming earlier on -- A, so we could set expectations; B, so that we could look for different ways for people to end up applying. 现在，我认为白宫内部必须严肃追问：为什么我们没有更早预见到更多这类问题？这样一来，第一，我们本可以设定合理的预期；第二，我们本可以寻找其他途径，让人们完成申请。
So ultimately, you’re right. This is something that's really important to me, and it’s really important to millions of Americans who have been waiting for a really long time to try to get health care because they don't have it. And I am very frustrated, but I’m also somebody who, if I fumbled the ball, I’m going to wait until I get the next play, and then I’m going to try to run as hard as I can and do right by the team. So ultimately, I’m the head of this team. We did fumble the ball on it, and what I’m going to do is make sure that we get it fixed. 所以归根结底，你说得对。这件事对我非常重要，对数百万等了很久、因为没有医疗保险而一直盼望获得保障的美国人也非常重要。我非常沮丧。但如果我在球场上失了手，我也会等到下一次进攻机会，然后竭尽全力向前冲，为球队尽责。说到底，我是这支球队的负责人。我们确实在这件事上失了手；我要做的，就是确保把问题解决好。
In terms of what happens on November 30th or December 1st, I think it’s fair to say that the improvement will be marked and noticeable. The website will work much better on November 30th, December 1st than it worked certainly on October 1st. That's a pretty low bar. It will be working a lot better than it is -- it was last week, and it will be working better than it was this week, which means that the majority of people who go to the website will see a website that is working the way it’s supposed to. 至于11月30日或12月1日会是什么情况，我认为可以说，改进将是明显而看得见的。到11月30日、12月1日，网站肯定会比10月1日运行得好得多。当然，拿10月1日作比较，标准并不高。它也会比上周运行得好得多，比本周运行得更好。这意味着，大多数访问网站的人将看到它按预期方式运作。
I think it is not possible for me to guarantee that 100 percent of the people 100 percent of the time going on this website will have a perfectly seamless, smooth experience. We’re going to have to continue to improve it even after November 30th, December 1st. But the majority of people who use it will be able to see it operate the way it was supposed to. 我想，我无法保证所有人在任何时候访问这个网站，都能获得百分之百无缝、顺畅的体验。即使过了11月30日、12月1日，我们仍需继续改进它。但大多数使用者将能够看到网站按原本预期的方式运作。
One thing that we’ve discovered, though, that I think is worth noting: A lot of focus has been on the website and the technology, and that's partly because that's how we initially identified it -- these are glitches. What we’re discovering is that part of the problem has been technology -- hardware and software -- and that's being upgraded. But even if we get the hardware and software working exactly the way it’s supposed to with relatively minor glitches, what we’re also discovering is that insurance is complicated to buy. 不过，我们还发现了一件我认为值得指出的事：大家把许多注意力放在网站和技术上，部分原因是我们最初就是这样界定问题的——认为这些是技术故障。我们现在发现，问题的一部分确实在于技术，包括硬件和软件；这些正在升级。但我们也发现，即使硬件和软件完全按预期运行，只剩下相对轻微的故障，购买保险本身仍是一件复杂的事。
And another mistake that we made I think was underestimating the difficulties of people purchasing insurance online and shopping for a lot of options with a lot of costs and a lot of different benefits and plans, and somehow expecting that that would be very smooth. And then they’ve also got to try apply for tax credits on the website. 我认为，我们犯的另一个错误，是低估了人们在线购买保险的难度。他们要比较许多选择，权衡不同的费用、保障内容和计划；我们却不知怎么就期待整个过程会非常顺畅。此外，他们还得在网站上申请税收抵免。
So what we’re doing even as we’re trying to solve the technical problems is also what can we do to make the application a little bit simpler; what can we do to make it in English as opposed to bureaucratese; are there steps that we can skip while still getting the core information that people need 因此，在努力解决技术问题的同时，我们也在考虑：怎样让申请表稍微简单一些？怎样用通俗英语而不是官僚术语来表述？在仍能取得人们所需关键信息的前提下，哪些步骤可以省去？
And part of what we’re realizing is that they are going to be a certain portion of people who are just going to need more help and more handholding in the application process. And so I guess part of the continuous improvement that I’m looking at is not just a technical issue. It’s also, can we streamline the application process; what are we doing to give people more assistance in the application process; how do the call centers and the people who are helping folks in-person; how are they trained so that things can go more smoothly. 我们逐渐认识到，总有一部分人在申请过程中需要更多帮助，需要有人一步一步引导。所以，我所考虑的持续改进不只是技术问题，还包括：我们能否简化申请流程？我们如何为申请者提供更多协助？呼叫中心人员和面对面帮助民众的人接受了怎样的培训，才能让整个过程更顺畅？
Because the bottom line ultimately is, I just want people to know what their options are in a clear way. And buying health insurance is never going to be like buying a song on iTunes. It’s just a much more complicated transaction. But I think we can continue to make it better -- all of which is to say that on December 1st, November 30th, it will be a lot better, but there will still be some problems. Some of those will not be because of technological problems -- although I’m sure that there will still be some glitches that have to be smoothed out. 因为说到底，我只是希望人们能清楚了解自己有哪些选择。购买医疗保险永远不会像在 iTunes 上买一首歌那么简单；这是一项复杂得多的交易。但我认为，我们能够继续把它做得更好。换句话说，到11月30日、12月1日，情况会好很多，但仍会有一些问题。其中一些问题并非技术问题造成的——当然，我相信届时仍会有一些技术故障需要排除。
Some of it’s going to be how are we making this application process more user-friendly for folks. 有些问题在于，我们怎样才能让申请流程对人们更加友好、更加易用。
And one good example of this, by the way, just to use an analogy -- when we came into office, we heard a lot of complaints about the financial aid forms that families have to fill out to get federal financial aid. And I actually remember applying for some of that stuff and remember how difficult and confusing it was. And Arne Duncan over at Education worked with a team to see what we could do to simplify it, and it made a big difference. 顺便举个恰当的例子。我们上任时，听到很多人抱怨家庭为申请联邦助学金而必须填写的表格。我自己也记得曾申请过这类资助，记得那些表格多么难填、多么令人困惑。教育部的阿恩·邓肯与一个团队一起研究如何简化表格，结果带来了很大改善。
And that's part of the process that we’ve got to go through. And in fact, if we can get some focus groups and we sit down with actual users and see how well is this working, what would improve it, what part of it didn't you understand -- that all I think is part of what we’re going to be working on in the weeks ahead. 这也是我们必须经历的过程。事实上，如果我们能组织一些焦点小组，与真正的使用者坐下来，看看网站实际运行得怎么样、哪些地方可以改进、哪些地方他们没看明白——我认为，这些都是我们未来几周要着手做的事。
Question: What about the insularity criticism that you hear on the Hill? 提问：对于国会山上有关您身边圈子过于封闭的批评，您怎么看？
President Obama: I’ve got to say I meet with an awful lot of folks, and I talk to an awful lot of folks every day. And I have lunches with CEOs and IT venture capitalists and labor leaders and pretty much folks from all walks of life on a whole bunch of topics. And if you looked at my schedule on any given day, we’re interacting with a whole lot of people. 奥巴马总统：我得说，我每天都会见很多人，也会与很多人交谈。我和企业首席执行官、信息技术领域的风险投资家、工会领袖，以及几乎各行各业的人共进午餐，讨论各种各样的话题。看看我任何一天的日程，你就会发现我们在和许许多多的人交流。
And I think it’s fair to say that we have a pretty good track record of working with folks on technology and IT from our campaign where, both in 2008 and 2012, we did a pretty darn good job on that. So it’s not -- the idea that somehow we didn't have access or were interested in people’s ideas, I think isn’t accurate. What is true is that, as I said before, our IT systems, how we purchase technology in the federal government is cumbersome, complicated, and outdated. 我认为，凭借2008年和2012年的竞选经验，我们在与科技和信息技术领域人士合作方面有相当不错的记录；那两次竞选，我们在这方面做得相当好。所以，说我们根本接触不到这些人，或者对他们的想法不感兴趣，我认为并不准确。真实的情况是，正如我之前所说，联邦政府的信息技术系统和技术采购方式繁琐、复杂而且过时。
And so this isn’t a situation where on my campaign I could simply say, who are the best folks out there; let’s get them around a table, let’s figure out what we’re doing, and we’re just going to continue to improve it and refine it and work on our goals. If you're doing it at the federal government level, you're going through 40 pages of specs and this and that and the other, and there are all kinds of laws involved, and it makes it more difficult. It's part of the reason why, chronically, federal IT programs are over budget, behind schedule. 因此，这和竞选时的情形不同。竞选时，我可以直接问：最优秀的人在哪里？把他们请到一起，商量我们要做什么，然后不断改进、完善，朝着目标努力。但在联邦政府层面，你得经过长达40页的规格说明和种种程序，还牵涉各种法律，使事情更难办。这也是联邦信息技术项目长期超支、延误的部分原因。
And one of the -- when I do some Monday morning quarterbacking on myself, one of the things that I do recognize is -- since I know that the federal government has not been good at this stuff in the past -- two years ago, as we were thinking about this, we might have done more to make sure that we were breaking the mold on how we were going to be setting this up. But that doesn't help us now. We've got to move forward. 事后反思我自己的做法时，我认识到一点：既然知道联邦政府过去在这方面做得不好，两年前我们筹划这件事时，本可以采取更多措施，打破以往建立这套系统的模式。但现在再说这些无助于解决问题。我们必须向前推进。
Jeff Mason. 杰夫·梅森。
Question: Thank you, Mr. President. Today's fix that you just announced leaves it up to state insurance commissioners and insurance companies to ultimately decide whether to allow old policies to be renewed for a year. How confident are you that they will do that? And secondly, how concerned are you that this flawed rollout may hurt Democrats' chances in next year's midterm elections, and your ability to advance other priorities such as immigration reform? 提问：谢谢您，总统先生。您刚宣布的补救措施，最终是否允许旧保单再续一年，取决于各州保险专员和保险公司。您有多大把握他们会这样做？其次，您有多担心这次有缺陷的推出过程会损害民主党在明年中期选举中的机会，以及您推动移民改革等其他优先事项的能力？
President Obama: On the first question, traditionally, state insurance commissioners make decisions about what plans can be or cannot be sold, how they interact with insurers. What we're essentially saying is the Affordable Care Act is not going to be the factor in what happens with folks in the individual market. And my guess is right away you're going to see a number of state insurance commissioners exercise it. 奥巴马总统：先说第一个问题。传统上，各州保险专员决定哪些保险计划可以销售、哪些不可以销售，以及它们如何与保险公司打交道。我们现在实质上是在说，《平价医疗法案》不会成为决定个人保险市场中人们处境的因素。我猜，你很快就会看到一些州的保险专员行使这项权力。
Part of the challenge is the individual markets are different in different states. There are some states that have individual insurance markets that already have almost all the consumer protections that the Affordable Care Act does. They match up pretty good. It's not some big jump for folks to move into the marketplace. In others, they're pretty low standards, so you can sell pretty substandard plans in those markets. And that's where people might see a bigger jump in their premiums. 难点之一在于，各州的个人保险市场并不一样。有些州的个人保险市场已经具备《平价医疗法案》几乎所有的消费者保护规定，两者衔接得相当好。对当地的人来说，进入新保险市场并非多大的跨越。而另一些州的标准很低，可以在市场上出售保障相当差的计划。在那些地方，人们的保费可能上涨得更多。
So I think there's going to be some state-by-state evaluation on how this is handled. But the key point is, is that it allows us to be able to say to the folks who received these notices: Look, I, the President of the United States and the insurance –- that the insurance model, the Affordable Care Act, is not going to be getting in the way of you shopping in the individual market that you used to have. As I said, there are still going to be some folks who over time, I think, are going to find that the marketplaces are better. 所以，我认为各州会分别评估如何处理这件事。但关键是，我们能够对收到取消通知的人说：听着，我，作为美国总统，以及保险——也就是说，《平价医疗法案》这套保险制度，不会妨碍你们继续在原先的个人保险市场选择保险。正如我所说，我认为仍会有一些人逐渐发现，新保险市场提供的选择更好。
One way I described this to -- I met with a group of senators when this issue first came up -- and it's not a perfect analogy -- but we made a decision as a society that every car has to have a seatbelt or airbags. And so you pass a regulation. And there are some additional costs, particularly at the start of increasing the safety and protections, but we make a decision as a society that the costs are outweighed by the benefits of all the lives that are saved. So what we're saying now is if you're buying a new car, you got to have a seatbelt. 我曾这样向一群参议员解释这件事——这个问题刚出现时，我与他们会过面；这个比喻并不完全贴切——我们作为一个社会决定，每辆汽车都应配备安全带或安全气囊，于是制定了规定。提高安全性和保护水平会带来一些额外成本，尤其在开始时，但我们作为一个社会认定，挽救生命带来的益处超过这些成本。因此，我们现在的规定相当于说，买新车就必须配备安全带。
Well, the problem with the grandfather clause that we put in place is it's almost like we said to folks, you got to buy a new car, even if you can't afford it right now. And sooner or later, folks are going to start trading in their old cars. But we don't need -- if their life circumstance is such where, for now at least, they want to keep the old car, even if the new car is better, we should be able to give them that option. And that's what we want to do. 但我们设立的祖父条款有一个问题：这几乎等于告诉人们，即使眼下买不起，也必须买辆新车。人们迟早会换掉旧车。但如果他们当前的生活状况决定了他们暂时想保留旧车，即使新车更好，我们也没有必要强迫他们换车；我们应该让他们有这个选择。这正是我们想做的事。
And, by the way, that's what we should have been able to do in drafting the rules in the first place. So, again, these are two fumbles on something that -- on a big game, which -- but the game is not over. 顺便说一句，我们本应在最初制定规则时就做到这一点。所以再说一次，在这场重要的比赛中，我们在两件事上失了手；但比赛还没有结束。
With respect to the politics of it, I'll let you guys do a lot of the work on projecting what this means for various political scenarios. There is no doubt that our failure to roll out the ACA smoothly has put a burden on Democrats, whether they're running or not, because they stood up and supported this effort through thick and thin. 至于政治影响，各种政治局势会怎样发展，就留给你们去分析预测。毫无疑问，我们未能顺利推出《平价医疗法案》，给民主党人带来了负担，不论他们是否正在竞选；因为他们始终坚定支持这项努力。
And I feel deeply responsible for making it harder for them rather than easier for them to continue to promote the core values that I think led them to support this thing in the first place -- which is, in this country, as wealthy as we are, everybody should be able to have the security of affordable health care. And that's why I feel so strongly about fixing it. 我深感自己有责任：我们的失误使他们更难而不是更容易继续倡导当初促使他们支持这项法案的核心价值——在我们这样富裕的国家，每个人都应享有负担得起的医疗保障，获得由此带来的安全感。这就是我如此坚决要把问题解决好的原因。
My first and foremost obligation is the American people, to make sure that they can get what's there -- if we can just get the darn website working and smooth this thing out -- which is plans that are affordable, and allow them to take advantage of tax credits and give them a better deal. 我的首要责任是对美国人民负责，确保他们能够得到本来可以得到的东西：只要我们把这个该死的网站修好，让整个流程顺畅起来，他们就能获得负担得起的保险计划，享受税收抵免，得到更划算的保障。
But I also do feel an obligation to everybody out there who supported this effort. When we don't do a good job on the rollout, we're letting them down. And I don't like doing that. So my commitment to them is, we're going to just keep on doing better every day until we get it done. 但我也确实觉得自己对所有支持这项努力的人负有责任。推出工作做得不好，就是辜负了他们。我不愿这样。因此我向他们承诺：我们会一天比一天做得更好，直到把事情办成。
And in terms of the impact on me -- I think to some extent I addressed it when I talked to Julie -- there are going to be ups and downs during the course of my presidency. And I think I said early on when I was running -- I am not a perfect man, and I will not be a perfect President, but I'll wake up every single day working as hard as I can on behalf of Americans out there from every walk of life who are working hard, meeting their responsibilities, but sometimes are struggling because the way the system works isn't giving them a fair shot. 至于这对我个人的影响——我想，在回答朱莉的问题时，我已经在一定程度上谈到了——我的总统任期会有起伏。我记得在竞选初期就说过：我不是一个完美的人，也不会是一个完美的总统；但我每天醒来，都会尽我所能为各行各业的美国人努力。他们勤奋工作、履行责任，却有时仍然举步维艰，因为现有制度没有给他们公平的机会。
And that pledge I haven't broke. That commitment, that promise, continues to be -- continues to hold -- the promise that I wouldn't be perfect, number one, but also the promise that as long as I've got the honor of having this office, I'm just going to work as hard as I can to make things better for folks. And what that means specifically in this health care arena is we can't go back to the status quo. 这个誓言我没有违背。那份承诺仍然有效——第一，我不会是完美的；第二，只要我有幸担任这一职务，我就会尽最大努力改善人们的生活。具体到医疗保健领域，这意味着我们不能退回旧有的状态。
I mean, right now everybody is properly focused on us not doing a good job on the rollout, and that’s legitimate and I get it. There have been times where I thought we were kind of slapped around a little bit unjustly. This one is deserved. Right? It’s on us. 眼下，大家都在关注我们推出工作做得不好，这是理所当然的，我理解。过去有些时候，我觉得我们受到的指责有点不公平。但这一次，批评是我们应得的，对吧？责任在我们。
But we can’t lose sight of the fact that the status quo before the Affordable Care Act was not working at all. If the health care system had been working fine, and everybody had high-quality health insurance at affordable prices, I wouldn’t have made it a priority; we wouldn’t have been fighting this hard to get it done -- which is why, when I see sometimes folks up on Capitol Hill, and Republicans in particular, who have been suggesting repeal, repeal, let’s get rid of this thing, I keep on asking what is it that you want to do? 但我们不能忘记，《平价医疗法案》出台前的旧制度根本运转得不好。如果医疗体系一直运转良好，每个人都能以负担得起的价格得到高质量的医疗保险，我就不会把改革列为优先事项，我们也不会如此努力推动它。所以，当我看到国会山上的一些人，尤其是共和党人，一再主张废除、废除、把这项法案取消时，我总要问：你们究竟想怎么做？
Are you suggesting that the status quo was working? Because it wasn’t, and everybody knows it. It wasn’t working in the individual market and it certainly wasn’t working for the 41 million people who didn’t have health insurance. 难道你们认为旧制度行得通吗？它行不通，人人都知道。在个人保险市场，它行不通；对那4100万没有医疗保险的人来说，更谈不上行得通。
And so what we did was we chose a path that was the least disruptive, to try to finally make sure that health care is treated in this country like it is in every other advanced country -- that it’s not some privilege that just a certain portion of people can have, but it’s something that everybody has some confidence about. And we didn’t go far left and choose an approach that would have been much more disruptive. We didn’t adopt some more conservative proposals that would have been much more disruptive. We tried to choose a way that built off the existing system. 因此，我们选择了干扰最小的道路，希望最终让这个国家像其他发达国家一样对待医疗保健：它不应只是部分人享有的特权，而应是每个人都能对此有一定信心的保障。我们没有走向最左边，采取破坏性大得多的方案；也没有采纳某些同样会造成更大冲击的保守派提案。我们努力选择一种建立在现有制度基础上的办法。
But it is complicated, it is hard, but I make no apologies for us taking this on -- because somebody sooner or later had to do it. I do make apologies for not having executed better over the last several months. 这件事确实复杂、艰难，但我们着手处理它，我不为此道歉——因为迟早必须有人去做。对于过去几个月我们执行得不够好，我确实要道歉。
Question: And do you think that execution and the flaws in the rollout will affect your ability to do other things, like immigration reform and other policy priorities? 提问：您认为执行中的问题和推出过程的缺陷，会影响您推进移民改革以及其他政策优先事项的能力吗？
President Obama: Well, look, if it comes to immigration reform, there is no reason for us not to do immigration reform. And we’ve already got strong bipartisan support for immigration reform out of the Senate. You’ve got -- I met with a number of traditionally very conservative clergy who are deeply committed to immigration reform. We’ve got the business community entirely behind immigration reform. So you’ve got a bunch of constituencies that are traditionally much more -- have leaned much more heavily towards the Republicans who are behind this. 奥巴马总统：听着，谈到移民改革，我们没有理由不去做。参议院已经对移民改革形成了强有力的两党支持。我还会见了多位立场一贯非常保守、但坚定支持移民改革的宗教领袖。商界也完全支持移民改革。所以，有许多传统上更倾向于共和党的群体都支持这件事。
So if people are looking for an excuse not to do the right thing on immigration reform, they can always find an excuse -- we’ve run out of time, or this is hard, or the list goes on and on. But my working assumption is people should want to do the right thing. 如果有人想找借口，不在移民改革上做正确的事，总能找到借口——时间不够了、事情太难了，等等。但我的基本看法是，人们应该愿意做正确的事。
And when you’ve got an issue that would strengthen borders, make sure that the legal immigration system works the way it’s supposed to, that would go after employers who have been doing the wrong thing when it comes to hiring undocumented workers, and would allow folks who are here illegally to get right with the law and pay a fine, and learn English and get to the back of the line, but ultimately join fully our American community -- when you’ve got a law that makes sense, you shouldn’t be looking for an excuse not to do it. 这项法案能够加强边境管控，确保合法移民制度按应有方式运行，追究不当雇用无证工人的雇主责任；它还能让非法居留者纠正自己的法律身份、缴纳罚款、学习英语、排到队伍末尾，最终充分融入美国社会。如果一部法律是合情合理的，就不应该找借口不去通过它。
And I’m going to keep on pushing to make sure it gets done. 我会继续推动，确保移民改革得以完成。
Am I going to have to do some work to rebuild confidence around some of our initiatives? Yes. But part of this job is the things that go right, you guys aren’t going to write about; the things that go wrong get prominent attention. That’s how it has always been. That’s not unique to me as President. And I’m up to the challenge. We’re going to get this done. 我是否需要做些工作，重建人们对我们某些政策举措的信心？是的。但这份工作的一部分现实是：做对了的事，你们不会报道；做错了的事，却会受到显著关注。一直以来都是这样，不是只有我当总统时才如此。我愿意迎接这个挑战。我们会把这件事办成。
All right? Thank you, everybody. 好吗？谢谢大家。
