在这一情形中，不同的行为人 — — 联邦医保和联邦医疗补助、州和地方政府、私人保险商、医生和社会企业家 — — 合作打造占政府收入一定比例的有效的解决方案。
In this scenario, different players – Medicare and Medicaid, state and local governments, private insurers, physicians, and social entrepreneurs – collaborate to hammer out effective solutions that can be scaled with government revenues.