It also didn't establish a universal public insurance system, like expanding Medicare to everyone.

它也没有建立一个全民公共保险制度，比如将公共保险扩大到每个人。

That's because someone who switches from public insurance to private insurance gets counted in both numbers.

这是因为从公共保险转向私人保险的人被计算了两次。

We may " enroll in certain public insurance programs" – public health insurance, for example, that the government pays for.

我们可以“参加某些公共保险计划” ——例如，政府支付的公共健康保险。

Or they could read Mr. Kirby's report: " The substantial buying power of such an agency would strengthen the public prescription-drug insurance plans to negotiate the lowest possible purchase prices from drug companies." What does " national" mean?

或者他们可以阅读 Kirby 先生的报告：“这样一个机构的强大购买力将加强公共处方药保险计划，以便与制药公司协商尽可能低的购买价格。” “国家”是什么意思？