So reform must aim to encourage more use of managed health care, provided by doctors who are salaried, or paid by results rather than for every catheter they insert.

• 改革需要鼓励使用更多的“可管理”、由公营的医生提供的医疗服务，或者说是由结果判定而不是由医生插在身上的导管数量来决定。