On even days, however, my bottom line is very different. America’s poor in 1979 lagged so far behind normal OECD social democracies in terms of health and health care that even though each extra dollar produced only $0.25 of real health-care services, that $0.25 was worth about one dollar to the poor in terms of material wellbeing.
但是，另一方面，我的基本观点与此大不相同。1979年时，美国穷人在健康和医疗方面与普通经合组织社会民主国家差距巨大，即使每增加1美元支出只产生0.25美元的实际医疗服务，这0.25美元对穷人来说的价值也与1美元的实际福利相同。