1、Hygiene is two thirds of health. 卫生能作保二分之一的正规。
Title: What if we paid doctors to keep people
2、Young man may die but old men must die.
3、Care brings gray hair. 苦闷催人老。
Place & Date: Merck KGaA, Darmstadt, Germany | November 2017
4、The love of beauty is an essential part of a I I healthy human
Main Idea: Sick-care -> Health-care
5、Feed by measure and defy physician. 饮食有总统，医师无用途。
6、He that goes to bed thirsty rises healthy. 忍渴上床，起身健康。
|ceramic||n. 陶瓷，陶瓷制品； adj. 陶瓷的，陶器的，制陶艺术的|
|inlay||n. 镶嵌，镶嵌物； vt. 把…嵌入，把…镶入|
|titanium||n. [化学] 钛（金属元素）|
|implant||n. [医] 植入物，植入管； vt. 种植，灌输，嵌入； vi. 被移植|
|jaw||n. 颌，下巴，狭窄入口，唠叨； vt. 教训，对…唠叨； vi. 教训，唠叨|
|stent||n. 支架；adj. 扩张的|
|pacemaker||n. [基医] 起搏器，领跑者，标兵|
|anchored||v. 固定，抛锚，主持（anchor的过去分词）； adj. 固定的，抛锚的|
|pharmaceutical||n. 药物；adj. 制药（学）的|
7、Many dishes, many diseases. 多吃多病。
8、A light heart lives long. 无忧者长寿。
It’s 4am in the morning. I’m waking up in a Boston hotel room and can
only think of one thing: tooth pain. One of my ceramic inlays fell off
the evening before. Five hours later, I’m sitting in a dentist’s chair.
But instead of having a repair of my inlay so that I can get rid of my
pain, the dentist pitches me on the advantages of a titanium implant
surgery. Ever heard of that?
9、When the sun comes in, the doctor goes out. 阳光进来，医务职员离去。
10、There is no medicine for fear. 恐惧并未有药物可医治。
It essentially means to replace a damaged tooth by an artificial one,
that is screwed into your jaw. Estimated costs for the implant surgery
may add up to 10,000 US dollars. Replacing the ceramic inlay I had
before would come in at 100 US dollars. Was it my health or the money
that could be earned with me that was the biggest concern for my
11、Sickness shows us what we are. 病魔令人揭穿性格。
As it turned out, my experience wasn’t an isolated case. A study by a US
national newspaper estimated that in the United States, up to 30 percent
of all surgical procedures — including stent and pacemaker
implantations, hip replacements and uterus removals — were conducted
although other nonsurgical treatment options had not been fully
exploited by the physician in charge. Isn’t that figure shocking?
Numbers may be slightly different in other countries, but what it means
is that if you go to a doctor in the US, you have a not-insignificant
chance to be subjected to a surgical intervention without there being an
immediate need for it. Why is this? Why are some practitioners
incentivized to run such unnecessary procedures?
12、Prescribe the right medicine for a symptom. 对症下药。
Well, perhaps it is because health care systems themselves incentivize
in a nonideal way towards applying or not applying certain procedures or
treatments. As most health care systems reimburse practitioners in a
fee-for-service-based fashion on the number and kind of treatments
performed, it may be this economic incentive that tempts some
practitioners to rather perform high-profit surgical treatments instead
of exploring other treatment options. Although certain countries started
to implement performance-based reimbursement, anchored on a quality and
efficacy matrix, overall, there’s very little in today’s health care
systems’ architecture to incentivize practitioners broadly to actively
prevent the appearance of a disease in the first place and to limit the
procedures applied to a patient to the most effective options.
13、Diseases come on horseback, but steal away on foot.
So how do we fix this? What it may take is a fundamental redesign of our
health care system’s architecture — a complete rethinking of the
incentive structure. What we may need is a health care system that
reimburses practitioners for keeping their customers healthy instead of
almost only paying for services once people are already sick. What we
may need is a transformation from today’s system that largely cares for
the sick, to a system that cares for the healthy. To change our current
“sick care” approach into a true “health care” approach. It is a
paradigm shift from treating people once they have become sick to
preserving the health of the healthy before they get sick. This shift
may move the focus of all those involved — from doctors, to hospitals,
to pharmaceutical and medical companies — on the product that this
industry ultimately sells: health.
14、Temperance is the best physic. 节制乃是最佳的医药。
Imagine the following. What if we redesign our health care system into
one that does not reimburse practitioners for the actual procedures
performed on a patient but rather reimburses doctors, hospitals,
pharmaceutical and medical companies for every day a single individual
is kept healthy and doesn’t develop a disease? In practical terms, we
could, for example, use public money to pay a health fee to an insurance
company for every day a single individual is kept healthy and doesn’t
develop a disease or doesn’t require any other form of acute medical
intervention. If the individual becomes sick, the insurance company will
not receive any further monetary compensation for the medical
interventions required to treat the disease of that individual, but they
would be obliged to pay for every evidence-based treatment option to
return the customer back to health. Once the customer’s healthy again,
the health fee for that individual will be paid again.
15、To know the disease is half the cure. 寻找病等于治愈了八分之四。
In effect, all players in the system are now responsible for keeping
their customers healthy, and they’re incentivized to avoid any
unnecessary medical interventions by simply reducing the number of
people that eventually become sick. The more healthy people there are,
the less the cost to treat the sick will be, and the higher the economic
benefit for all parties being involvedin keeping these individuals
16、帕特ient people are patient to gain longevity.
This change of the incentive structure shifts, now, the attention of the
complete health care system away from providing isolated and singular
treatment options, towards a holistic view of what is useful for an
individual to stay healthy and live long.
17、If you can walk， you can dance; If you can talk， you can sing.
Now, to effectively preserve health, people will need to be willing to
share their health data on a constant basis, so that the health care
system understands early enough if any assistance with regard to their
health is needed. Physical examination, monitoring of lifetime health
data as well as genetic sequencing, cardiometabolic profiling and
imaging-based technologies will allow customers to make, together with
health coaches and general practitioners, optimal and science-guided
decisions — for their diet, their medication and their physical
activity — to diminish their unique probability to fall sick of an
identified, individual high-risk disease.
18、The doctor is often more to be feared than the disease.
Artificial intelligence-based data analysis and the miniaturization of
sensor technologies are already starting to make monitoring of the
individual health status possible. Measuring cardiometabolic parameters
by devices like this or the detection of circulating tumor DNA in your
bloodstream early on after cancer disease onset are only two examples
for such monitoring technologies.
19、Bitter pills may have blessed effects. 忠言逆耳利于病。
Take cancer. One of the biggest problems in certain oncological diseases
is that a large number of patients is diagnosed too late to allow them
to be cured, although the drugs and treatments that could potentially
have cured them are already existing today, if the disease had only been
detected earlier.New technologies allow now, based on a few milliliters
of blood, to detect the presence of circulating tumor DNA and thus, the
presence of cancer, early on in a really convenient manner. The impact
that this early-stage detection can have may be dramatic. The five-year
survival rate for non-small cell lung cancer when diagnosed at stage
one, which is early, is 49 percent. The same, when diagnosed at stage
four, which is late, is below one percent. Being potentially able to
prevent a large number of deaths by something as simple as a blood test
for circulating tumor DNA could make certain cancer types a manageable
disease, as disease onset can be detected earlier and positive treatment
outcomes can likely be increased.
20、To live long is a I most everyone，s wish，but to live well is the
ambition of a few. 人人皆想活得长，鲜稀少人想要活得好。
In 2012, 50 percent of all Americans had a single chronic disease,
resulting in 86 percent of the $3 trillion US health care budget being
spent for treating such chronic diseases. Eighty-six percent. If new
technologies allow now to reduce this 86 percent, why have health care
systems not reacted and changed already?
21、Health and cheerfulness mutually beget each other.
Well, a redesign of what today is a sick care system into a true health
care system that focuses on prevention and behavioral changes requires
every actor in the system to change. It requires the political
willingness to shift budgets and policies towards prevention and health
education to design a new set of financial and non-financial incentives.
It requires creating a regulatory framework for the gathering, using and
sharing of personal health data that’s at the same time stringent and
sensible. It needs doctors, hospitals, insurers, pharmaceutical and
medical companies to reframe their approach and, most important, it
can’t happen without the willingness and motivation of individuals to
change their lifestyle in a sustained way, to prioritize staying
healthy, in addition to opening up for sharing the health data on a
22、The windows open more will keep the doctor from the door.
This change may not come overnight. But by refocusing the incentives
within the health care industry today to actively keep people healthy,
we may not only be able to prevent more diseases in the first place but
we may also be able to detect the onset of certain preventable diseases
earlier than we do today, which will lead to longer and healthier lives
for more people.
23、Bed is a medicine. 睡好觉如服良药。
Most of the technologies that we need to initiate that change are
already existing today. But this is not a technology question. It is
primarily a question of vision and will.
24、Health does not consist with intemperance. 健康和纵容，互相不相容。
Thanks a lot.
25、Health is not valued till sickness comes. 有病方知无病乐。
26、Diet cures more than the doctor. 药补比不上食补。
27、Cheerfulneis the promoter of health. 激情喜悦是平常的拉长剂。
28、An ounce of prevention is worth a pound of cure. 防备胜于医疗。
29、Diseases of the sou I are more dangerous than those of the body.
30、You must not pledge your own health. 切不可把健康充任抵当品。
31、The head and feet keep warm, the rest will take no harm.
32、We shall lie a I I alike in our graves. 各人一定步向坟墓。
33、Disease， enemy, and debt-these three must be cut off as soon as
they begin to grow. 病魔、冤家和债务，这三样东西风流倜傥露苗头便应除之。
34、Fresh pork and new wine kill a man before his time.
35、Health is happiness. 健康正是美满。
36、Water is the king of food. 水是食品之王。
37、Feed a cold; starve a fever. 着凉时要多吃，咳嗽时要少吃。
38、Bed is the poor man s opera. 睡觉是穷人的误乐方式。
39、There are more old drunkards than old doctors. 老酒鬼多过老士大夫。
40、Reading is to the mind while exercise to the body.
41、Fretting cares make gray hairs. 忧愁令人早生华发。
42、A sound mind in a sound body. 完备的精气神儿寓于健康的身体。
43、An apple a day keeps the doctor away. 每一日三个苹果赶过灵丹圣药。
44、Good health is over wealth. 健康是最大的财物。
45、You may delay, but time will not. 岁月不饶人。
46、If you can be well without health you may be happy without virtue.
47、Without sleep，no health. 未有睡觉就从不符合规律。
48、The best doctors are Dr. Diet, Dr. Quiet and Dr. Merryman.
49、The surest way to be happy i s to be busy. 保持艰辛最能无抑郁。
50、An apple a day keeps the doctor away.
51、There is no medicine against death. 未有长生不老药。
52、After dinner sit a while, after supper walk a mile.
53、Life is not merely living but living in health.
54、Onion treats seven ailments. //If a person eats an onion every day,
he will remain healthy and not need a doctor. 玉葱能治小病魔。
55、The first step to health is to know that we are sick.
56、Without health，life is not life, life is I i fe I ess.
57、Temperance is the greatest of virtues. 自己限制是最大的贤惠。
58、He who never was sick dies the first. 从不生病的人每每一病致命。
59、Care killed the cat. 压抑伤身。
60、The wise will not rely on medicine for keeping their health.
61、A man needs a purpose for real health. 有对象的人手艺有真正的正规。
62、Different sores must have different salves. 有的放矢。
63、A little labor, much health. 适合的量的劳顿有益高满堂规。
64、A good healthy body is worth more a crown in gold.
65、Early to bed and early to rise makes a man healthy, wealthy and
66、Poverty is the mother of health. 穷苦为正常之母。
67、Better wear out shoes than sheets.
68、Few lawyers die well, few physicians live well.
69、Exercise, temperance; fresh air, and needful rest are the best of
all physicians. 运动、限制、新鲜空气和必备的安身立命是最棒的卫生工作者。
70、Sickness is everyman，s master. 豪杰只怕病来磨。
71、Eat well, drink in moderation, and sleep sound, in these three good
health abound. 吃得好，喝得约束，睡得落到实处，乃健康之道。
72、By the side of sickness health becomes sweet.
73、Health and understanding are the two great blessing of life.
74、Health is better than wealth. 健康超越能源。
75、Diseases are the price of i I I pleasures. 病痛是纵欲的代价。
76、Prevention is better than cure. 堤防胜于医疗。
77、Neglect of health is doctor s wealth. 忽略常规，医务职员财旺。
78、A healthy mind is in a healthy body. 健康的思索寓于健康的身体里面。
79、Sickness is felt，but health not at all.
80、Often and little eating makes a man fat. 少吃多餐，身强体壮。
81、The first wealth is health. 健康是最根本的财富。
82、A disease known is half cured. 病情确诊断，治病好50%。
83、Eat at pleasure，drink with measure. 随便进食，适度吃酒。