一、泛听建议：
1、完整听一遍，掌握大意。
2、继续听，特别注意关键信息。遇到相似的词，写下来。
3、复述新闻。
There's another tax change for wealthy individuals earning more than $200,000 a year and couples earning more than $250,000. They'll see a nearly 1 percentage point increase in their Medicare _1_ . And they'll also have to pay a 3.8 percent Medicare tax on their _2_ income. Moon says that represents a big change.
The payroll tax usually applies only to wages. And now, this law will extend it to investment income as well.
Those who take deductions for _3_ on their income taxes will also see a change starting in 2013. Right now, expenses in excess of 7 1/2 percent of _4_ growth income are deductible. That's going up to 10 percent. It will _5_ some people who _6_ medical care, says Moon,but the new law should also reduce the number of people with those very large bills.
Because if everyone has health insurance, many _7_ people should have to pay large amounts out of pocket on health care. Ten percent _8_ very many people in the future, one would hope, when they get better insurance coverage.
Finally, there is a key change made by the health law for 2013 that will affect only the poor. State Medicaid programs will _9_ reimbursedoctors who provide primary care at Medicare rates, which are substantially higher. The idea is to get more doctors into the Medicaid program, which will itself _10_ in 2014.
词汇解析：
1、reimburse. 偿还;赔偿
eg: I'll be happy to reimburse you for any expenses you've had.
我很乐意报销你的所有花费。
2、substantially adv. 实质上;大体上;充分地
eg::The percentage of girls in engineering has increased substantially.
工科女生的比例已经大大增长了。
1、payroll tax 2、nonwage 3、medical expenses 4、adjusted 5、impact
6、spend a lot on 7、fewer 8、would not affect 9、be required to 10、expand
