And since the G.O.P. opposes anything that might be good for Mr.Obama, it has become the passionate defender of ineffective medical procedures and overpayments to insurance companies.

• 由于共和党反对任何可能对奥巴马先生有好处的东西，它已经成为无效的医疗程序和对保险公司过度的支付这一行为的强烈捍卫者。