
Chinese: 
這是Whitley縣。像鄰近地區的許多縣一樣
選民絕大多數在11月的選舉中支持唐納德特朗普。
該縣的人均收入中位數約16,000美元。居民中97％是白人，88％25歲以上的居民没有大學學歷
它也恰好是肯德基炸雞的發源地
然而，這裡的居民亦是美國人中那些最受益於總統奥巴馬簽署的醫療政策—
《患者保護與平價醫療法案》（The Affordable Care Act, ACA, 奧巴馬醫保）
Kathy︰「我現在正和Vox在一起，VOX.news.com甚麼的
他們的記者會跟着我了解
關於醫保對我們這些肯塔基州東南部居民的影響」
她是Kathy。她的工作是
奧巴馬醫保的參與顧問，幫助人们參與該醫保
自該法案於2013年實施以来

English: 
This is Whitley County. Like many counties
in this region, voters here overwhelmingly
supported Donald Trump in November’s election.
The county has a median per capita income
of around $16,000. It’s 97% white and 88%
of the residents over 25 don’t have a college degree.
It also happens to be the birthplace for Kentucky Fried Chicken
And yet these are some the Americans who have
also benefitted most from Barack Obama’s
signature healthcare policy. The Affordable Care Act
“I'm running around with Vox V O
X dot news and all that, and there's a news
person and he's following me around to learn
about southeastern Kentucky and how the effects
of the healthcare have been on us”
That’s Kathy. She works as an enrollment
counselor for Obamacare, helping people sign
up for the program.
Since the law was implemented in 2013, the

Chinese: 
這個縣有醫保的人口由75％上升到90％
Kathy幫助了當中不少人參加醫保
「我都數不出有多少人......可能超過一千人」
但接下來的事令人難以理解，
記者︰「你最终投票给誰了？」，Kathy︰「特朗普」
特朗普︰「真正的改變將要開始，這就是馬上廢除並且代替奧巴馬醫保！」（歡呼）
自奧巴馬醫保於2013年推出以来，購買了醫保的低收入、受教育程度較低的美國白人大幅上升
而且不止是肯塔基州，全國範圍内都是如此。
這個群體對比其他群體特別受益於這個法案。
然而，這個群體亦大比例地在11月選舉中支持特朗普
我去到肯塔基州與Kathy交談
我想了解為何這麼多人會投票給一個發誓要廢除他們非常依賴的醫保計劃的候選人
Vox將會主持一場和奧巴馬總統的訪問，而且我們會邀請Kathy出席

English: 
percentage of people in this county with health
insurance went from 75% to 90%. And Kathy
has signed up a lot of those people.
"Over a thousand..I've lost count"
But here’s the curveball
Who did you end up voting for? "Trump"
Since Obamacare launched in 2013 the number
of lower income, less educated white Americans
with insurance increased by not just in Kentucky,
but nationwide.
This group benefitted disproportionately from the law.
Yet this same demographic showed up in huge
numbers for Trump in November.
I went to Kentucky to talk to Kathy. I wanted
to understand why so many people would vote
for a candidate who swore to repeal a program
they depend so much on.
Vox would soon be hosting an interview with
President Obama and we invited Kathy attend

English: 
to share her perspective and ask a questions.
…”they invited me to the white house
Oh my god oh my god oh my god, YES, the white
house, right, guess where I'm going Friday?
To the White House. You've got to get on Facebook
you've really missed out on a lot of stuff.
Oh, get on Facebook. Oh, you'll read all about
it.”
Before going to DC, we traveled around South
Eastern Kentucky, talking to Trump supporters
who are also enrolled in Obamacare to hear
their opinions about the law and what they
think the next administration will do to make
it better
We landed on a couple of explanations for
this Trump-Obamacare paradox.
The first is that people in Kentucky believe
Trump and the GOP would never actually repeal
a program that benefits over 20 million people
“So you don't think that that, that they
would actually do that?”
“No, they couldn't. That would be like He's
got children, he's smarter than that. you
know what I'm saying”
A lot of people thought Trump’s campaign
rhetoric against Obamacare was all talk and

Chinese: 
去分享她的觀點并向總統發問。
Kathy︰「他们邀請我去白宮哦，我的天哪，我的天啊，我的天啊，我的天啊！是的，是去白宮
你一定要去Facebook看看，否則你會錯過了很多東西」
在前往華盛頓特區之前，我们先遊走在肯塔基州東南部，去訪問一些都参加了奧巴馬醫保計劃的特朗普的支持者
我們想聽聽他們對現行醫保法案的意見
以及他們認為下屆政府會做甚麼改善奧巴馬醫保
「所有人都需要保險，不論他們的文化背景是甚麼......我們永遠不知道有甚麼事會發生
但你亦必須有能力去負擔保險險才行」
我们得到了幾個解釋這個「特朗普 - 奥巴馬醫保悖論」
首先是肯塔基州的人民相信
特朗普和共和黨不會真的廢除
一个惠及超過2000萬人的計劃
記者︰「所以你不要認為他們（共和黨）會真的這樣做嗎？」
Kathy︰「不，他们不能（這樣做）。那就像他有了孩子，而他會比那更聰明（註︰不知道Kathy在說甚麼）。您知道我在说甚麼吧？」
很多人都認為特朗普在競選活動上反對奥巴馬醫保的言論只是空談

English: 
that there’s really no way he would actually
repeal a program that so many are
dependent on.
And it wasn’t just these Trump Voters who thought that.
I have been covering the healthcare law as a journalist for about 7 years now.
It actually felt like a safe assumption that the ACA, rolled out, covering 20 million people
That it was going to stick around.
I remember I wrote a story for Vox and the headline was something like
"Obamacare survived its final hurdle and its here to stay"
Republicans up through the election and up after the election remained so committed to repealing the ACA.
I did not expect that. I thought we were going to see a backing off of those attitudes.
And I was wrong.
Many Obamacare enrollees in Kentucky, as well
as policy experts and journalists all assumed
Obamacare was too widespread to be repealed.
But Congressional republicans are proving
them wrong, moving as aggressively as they can to repeal it.

Chinese: 
實際上他没有辦法廢除一個這麼多人依賴的計劃
這不僅僅是特朗普的選民的想法。
Vox資深記者︰「我是一名記者，已經報道了有關醫保法案的新聞大約7年
直至幾個月前，仍存在一種令人安心的假設
那就是現在推出的醫保覆蓋了2000萬人，它一定會繼續存在。
我記得我曾在2015年為Vox寫了一則報道，標題大概是這樣的
“奥巴馬醫保已經越過了最後的障碍並會存活下去”
共和黨人經過大選之後仍然如此致力於廢除 Affordable Care Act（奧巴馬醫保）。
一年前的我從來都没想到會這樣，我以為他們的態度會軟化
但我錯了」
不少肯塔基州的奥巴馬醫保的參加者，還有政策專家和記者都假設
奥巴馬醫保已經非常普遍，不可能被廢除。
但共和黨國會議員正在證明他們是錯的，而且正積極用各種方法去廢除它

English: 
"Mr Ryan has said a top priority for the new congress is the repeal of Obamacare.
But perhaps the stronger theory on why Obamacare
beneficiaries voted for Trump was a general
dissatisfaction with the cost of the program
and the believe that Trump would somehow make
it better for them.
We met up with Perry, a security guard recently
signed up for Obamacare. It’s the first
time he’s ever had health insurance in his
life.
Perry: "I've not been to a doctor...you weren't even in this world last time I went to a doctor"
Thanks to Kathy, Perry was able to sign up
at healthcare.gov just a few months ago. But
his deductible ended up being $2000.
"Unless something drastic was to happen, how
many times will I have to go to the doctor,
to the hospital or something
Before I, you know, use up over 2000 dollars,
I just wish that, if they're gonna shove it
down your throat, have something that you can afford
We headed to an Antique shop in where the

Chinese: 
新聞報道︰「瑞安先生表示，新一届國會的首要任務就是廢除奧巴馬醫保」
但也許更有力可以解釋為何奧巴馬醫保的受益人會投票給特朗普的理論是
是人們整體上對計劃的成本不滿意
以及相信特朗普會以某種方式令改善醫保
我們和一名保安員Perry見面，他最近参與奧巴馬醫保
这是他人生中第一次擁有醫療保險
Perry︰「我没有看過醫生......上次我去看醫生的時候你甚至未出世」
「真的嗎？」「真的」
因為Kathy的幫助，Perry能够在幾個月前在healthcare.gov注册
他的免賠額（即投保人損失金額超過這個金額保單才會賠償，俗稱「墊底費」）是2000美元
Perry︰「除非嚴重的事情發生，否則我要見幾多次醫生才能用完那2000元？」
我只是希望，如果要我們接受計劃，它必須是我們能負擔的東西
我们之後前往一家古董店
那裡的老板Bobby，奧巴馬醫保的另一位參與者

English: 
owner Bobby, another Obamacare enrollee, talked
to us about her experience with the ACA
"I had breast cancer last year. I was very
happy to have my insurance.
But I didn't realize that the government was subsidizing my health insurance.
And I do think everybody deserves quality
healthcare. I just think the American form
of healthcare is just totally out of hand
price wise.
One of Bobby’s complaints with the program is that it’s been linked to a president she strongly dislikes
"And I absolutely detest hearing the word Obamacare. Detest it."
We traveled out to mall right on the border with Tennessee where Kathy sets up a booth
to sign people up for Obamacare.
We talked to the mall manager about all of what he see with his co-workers and employees.
“Initially, it seemed that everyone was
excited uh that they were going to have an

Chinese: 
Bobby︰「去年我確診患上了乳腺癌。我對於我有保險非常高興
但我没有意識到原來政府正在補貼我的醫保
我的確認同有質素的醫療服務是每個人應有的
只是我認為美國式的醫療服務就價格而言已經完全失控」
Boddy抱怨該計劃的其中一个原因是
這個計劃和她非常不喜歡的總統拉上關係
Perry︰「我絕對討厭聽到『奧巴馬醫保』這個詞。我討厭這個詞。」
我们前往田納西州邊境的購物中心
Kathy在那裡設立了一个幫助民眾參加奧巴馬醫保的攤位
我們訪問那裡商場經理，有關他對同事和員工參與奧巴馬醫保的看法和觀察

Chinese: 
商場經理︰「最初，似乎每个人都很興奮，因為他们有機會得到醫保，而且是他們可以負擔的醫保
對其中一些人來說，這是他们一生中的第一次被保險覆蓋
第二年，他們卻要面對保費的增加，而不得不再在保險上作出改變
通常這意味着他们為了繼續受保而選擇一些免賠額更高的保險方案（免賠額愈高通常保費會愈低） 」
雖然奧巴馬醫保令2000万萬美國人
得到醫保
但是一半的奧巴馬醫保登記者認為免賠額仍然太高
Kathy︰「我覺得人們會很失望，是的，因為他们當中不少人.....他們的生活預算就是這樣緊張」
因為對奧巴馬的高保費的失望，奧巴馬醫保的參加者對特朗普有能力解決這個問題抱有充足的信心
Bobby︰「我想他會嘗試去解決，首先因為他是商人，他了解金錢

English: 
opportunity to have health insurance that
they could afford. ﻿To them, some of them,
first time in their whole life that they'd
ever had coverage. The following year they
were faced with the the cost was increasing
so they had to make changes again. And most
of the time, it meant they were looking for
policies that had even higher deductibles
﻿So that they could just try to keep insurance.”
While Obamacare lead to 20 million Americans
getting health insurance, half of the enrollees
who get their insurance on the obamacare marketplace
say deductibles are still too high.
“I'd say the people are disappointed, yeah, because some of them, because they have such tight budgets.
Frustrated with the high rates, ACA enrollees
have high confidence that Donald Trump will
fix the problems with the health care law.
“I think he will try because he's
a business person first. And he knows money.

Chinese: 
所以我相信他會解决很多問題」
「我認為他會取代它（奧巴馬醫保）...... 希望他至少會這樣
至少從他話語中來看，他會
用更好的方案去取代它（奧巴馬醫保）」
特朗普並沒有宣傳一個可以取代奧巴馬醫保的新計劃
相反地，他專注於宣傳「廢除它」的承諾
特朗普︰「它將被廢除和取代，我们將會知道，（取代它的）會是一個很好而且更便宜的醫保方案」
新聞報道︰「一個來自無黨派的聯邦基金會（The Commonwealth fund）的分析發現特朗普的提議將會導致多達2500萬人失去保險」
但是我们訪問的人都似乎不需要一个計劃
他们对現行（醫保）法案感到沮喪，
而且似乎願意在特朗普的承諾上冒險
特朗普︰「廢除并以極好的方案取而代之」
Kathy和這個縣的其他居民都接受了這個賭博
我们經過一場暴風雪後，飛往DC（華盛頓）和總統見面
奧巴馬︰「繼續說，Kathy」

English: 
So I think he'll fix a lot of things.
I think that he will replace it
with, or I'm hoping that he will, at least
judging by the way he talks, you know, he's
going to replace it with something even better.
Donald Trump didn’t campaign on a plan to
replace Obamacare. Instead he focused on a
promise repealing it.
It will be repealed and replaced and we'll know and it will be great health care for much less money.
An analysis by the non partisan Commonwealth Fund found Trumps proposals
would lead up to 25 million people uninsured.
But the people we talked
to didn’t seem to need a plan.
They felt frustrated with the current version of the
law and seemed ok to take a gamble on Trump’s
promise to “ repeal and replace it with something terrific”
Kathy and many others took that gamble.
We traveled through a snowstorm, to Fly to
DC to meet the president.
“Go ahead Kathy”

English: 
Hello, President Obama, I’m very excited
to meet you.
Many Kentuckians are looking at the Affordable
Care as unaffordable and unusable. how do
you think this happened? How can we fix it?
Do we start all over again? What do you think
we should do?
“this is my main criticism of Obamacare
is that the subsidies aren’t as high as
they probably should be for a lot of working
people.
So the two things we could do that would really
make it work even better for people in Kentucky
would be, number one, to provide more subsidies
to folks who are working hard every day but
still find the premiums — even with the
subsidies — hard to meet.
The problem is that’s not what’s being
proposed by Mitch McConnell, the senator from Kentucky

Chinese: 
Kathy︰「您好，奧巴馬總統，可以和您見面我十分興奮」
奧巴馬︰「我都很高興見到您」
Kathy︰「多謝
許多肯塔基州的居民正把《患者保護與平價醫療法案》（奧巴馬醫保）視為視不能負擔和不能使用
你覺得為何會出現這種問題？我們又應該如何去改善？
我們會重頭開始嗎？你認為我們應該怎樣做？」
奧巴馬︰「這也是我對奧巴馬醫保的主要不滿，就是補貼可能對很多國民而言都未達到它應有的水平，
所以我們有兩件事可以，可以真正令醫保對肯塔基州的人民會運作得更好的是
第一，對那些每天都在努力工作但認為即使有補貼，保費仍然難以負擔的國民而言，提供更多補貼
......問題是這（奧巴馬自己提出的解決方法）不同於肯塔基州的參議員Mitch McConnell正提出的方案」

English: 
Obama’s answer to Kathy lasted almost 8 minutes
and you should watch the full thing
to really hear his defense
But the gist of his answer is that The Affordable
Care Act is imperfect but that the existing
law can be improved upon.
But the GOP isn’t proposing improvements
to the existing law. They are proposing repeal
and have yet to articulate how they will legislate
something better to take its place
I am saying to every Republican right now:
“If you can in fact put a plan together
that is demonstrably better than what Obamacare
is doing, I will publicly support repealing
Obamacare and replacing it with your plan.”
But I want to see it first. I want to see it first
Many took the gamble on Trump without seeing
any such plan. And now that the GOP controls
congress we will see if they can make good
on their promise to build something better
than Obamacare.

Chinese: 
奧巴馬用了接近8分鐘回答Kathy的問題
你應該去看完整的訪問，去仔細聆聽奧巴馬的反駁
奧巴馬的回應的重點是虽然《患者保護與平價醫療法案》並不完善，但我們可以利用現行制度去改善它
但共和黨國會議員和特朗普並没有提出改善現行方法案的方法
他們只是提議廢除它
並且從未闡明他們有甚麼更好的方案去取代它
奧巴馬︰「我現在說要對所有共和黨人說：如果你們真的能提出一個明顯比奧巴馬醫保做得更好的方案
我會公開支持他們廢除和以你（共和黨）的方案取代奧巴馬醫保
但我要先看到它（共和黨的方案）」
很多人在不知道特朗普有甚麼計劃的情况下就他下賭注
而現在共和黨人（GOP）正控制國會，我們就看看他們會否兌現承諾，提出比奧巴馬醫保更好的方案

Chinese: 
Kathy︰「我覺得，我们需要作出改變，而這也是我剛才玩笑的原因
就像玩俄羅斯輪盤或者...（註︰無法翻譯這段話）...說︰嘿，我要去投票」

English: 
“I thought well, we need something
different and that's why I made a joke it
was like Russian Roulette or pushing the little
Vegas little bar saying hey, I'm going to vote."
