TED演讲:美国人在健康问题上的共识是什么(1)

Today, we are a country divided, or at least that's what we're told.

今天,我们是个分裂的国家,或者至少这是我们被告知的。

We are torn apart by immigration, education, guns and health care.

我们被移民、教育、枪支和医疗保健弄得四分五裂。

Health care is ugly and it is loud, so loud that it threatens to drown out everything else.

医疗保健是丑陋和喧嚣的,喧嚣到淹没其他一切。

Health care is a human right! Fight, fight, fight!

医保是人权!战斗,战斗,战斗!

Hey hey! Ho ho! Obamacare has got to go!

嘿,吼!奥巴马医保必须得走。

But what if underneath all the noise, we're not divided?

但如果在噪声之下,我们没有分裂呢?

What if the things that we don't ask about are the things that we most agree upon?

如果我们没有问的问题是我们最广泛同意一致的事情呢?

It turns out that when we ask the right questions, the answers are startling,

其实当我们问正确的问题时,答案是惊人的,

because we agree, not on health care, but on something more important: we agree on health.

因为我们意见一致的,并非在医保上,而是在更为重要的事情上:我们在健康问题上一致。

For 20 years, I've been obsessed with one question: What do we, what do all of us need in order to be healthy?

20多年来,我一直着迷于一个问题:我们需要怎样,我们所有人需要什么才能保持健康?

As a college student in 1995, I spent months talking to physicians at a chaotic hospital in Boston,

1995年我还是个大学生时,我花了几个月的时间和波士顿一家混乱医院的医生交谈,

asking them, "What's the one thing your patients most need to be healthy?"

问他们:“你的病人保持健康最需要的一件事是什么?”

They shared the same story again and again, one that I've heard hundreds of variations of since.

他们分享了同样的故事一次又一次,自那之后,我听到了上百个不同版本的变化。

They say, "Every day I see a patient with an asthma exacerbation, and I prescribe a controller medication.

他们说:“每天我看到哮喘的病人,就给他们开控制药物。

But I know she is living in a mold-infested apartment.

但我知道她住在一间人满为患的公寓里。

Or I see a kid with an ear infection, and I prescribe antibiotics, but I know there is no food at home.

或者我看到一个耳朵感染的孩子,我给他开了抗生素,我知道他家里缺乏食物。

And I don't ask about those issues, because there's nothing I can do."

我并不会问这些问题,因为我无能为力。”

丽贝卡·欧尼指出,或许我们的分歧并没有我们想象的大——至少在健康方面。欧尼分享的研究表明,尽管经济、政治和种族不同,美国人民对他们需要过上好的生活方面意见一致。她呼吁医疗保健供应方和病人应当专注于什么让我们健康,而非专注在让我们生气的事情上面。

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