然而，盡管公眾指責(zé)，醫(yī)療保健的根本經(jīng)濟(jì)運(yùn)作體制依然沒有改變。

For all the public thrashing, though, the underlying economics of health care remain unchanged.

基于同樣原因，保險商也會擴(kuò)大規(guī)模。

Insurers will seek scale for similar reasons.

除了價格競爭外，參加商業(yè)性的管理醫(yī)保計劃的人數(shù)增長緩慢。那些在大公司工作的雇員已不再向傳統(tǒng)的醫(yī)療保險計劃投保。

On top of the price competition, enrollment in commercial managed-care plans is slowing, since most workers at big companies already have switched from traditional indemnity plans.