美国面临着长期和短期问题：破败不堪的基础设施、江河日下的教育体系，还有那功能障碍、事倍功半的医疗体系。
America faces long-run and short-run problems: decaying infrastructure, weakening educational systems, and a dysfunctional health-care system that produces sub-standard outcomes at twice the cost of any other industrial country.