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总结
美国总统特朗普在白宫公布一套以“降低医疗成本、提升可负担性”为核心的医疗改革框架，媒体称其为“伟大医疗计划”。方案强调通过价格透明、强化市场竞争与减少中间环节来压低药品和医疗服务价格，并提出将部分资金以更直接方式支付给消费者以抵消医疗支出。在保费与医疗价格上涨背景下，该框架被定位为新的民生与选举议题推进，但政策细节、资金来源及落地路径仍引发专家与舆论对可行性和实际效果的讨论。
正文
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