今年 1 月，特朗普政府推出了一项试点计划，利用人工智能批准或拒绝 Medicare（联邦老年医疗保险计划）患者的某些类型护理——该计划此前不需要医生获得任何此类预先授权（称为事先授权）。
In January, the Trump administration rolled out a pilot program that uses artificial intelligence to authorize or deny certain types of care for patients with Medicare—a federal healthcare program for seniors that previously hasn't required doctors to get any such pre-approval, called prior authorization.
不久后，媒体开始报道灾难性后果：技术困难、决策和护理的长时间延迟、令人费解的拒绝、沮丧的医生以及忍受疼痛的患者。
Not long after, media outlets began relaying the disastrous outcomes: technical difficulties, long delays in decisions and care, puzzling denials, frustrated doctors, and patients suffering in pain. Those reports were largely confirmed earlier this month when the Electronic Frontier Foundation released a tranche of federal documents about the program, called WISeR, that the group obtained amid litigation. The documents included feedback from healthcare providers, including one who called the program "a disgrace to the human race" and reported seeing patients crying in pain as they waited for care.
本月初，电子前沿基金会（EFF）在诉讼中获得了一批关于名为 WISeR 的该计划的联邦文件并予以发布，这些文件在很大程度上证实了上述报道。
Not long after, media outlets began relaying the disastrous outcomes: technical difficulties, long delays in decisions and care, puzzling denials, frustrated doctors, and patients suffering in pain. Those reports were largely confirmed earlier this month when the Electronic Frontier Foundation released a tranche of federal documents about the program, called WISeR, that the group obtained amid litigation. The documents included feedback from healthcare providers, including one who called the program "a disgrace to the human race" and reported seeing patients crying in pain as they waited for care.
文件中包含医疗服务提供者的反馈，其中一人称该计划是‘人类的耻辱’，并报告称看到患者在等待护理时哭泣疼痛。
Not long after, media outlets began relaying the disastrous outcomes: technical difficulties, long delays in decisions and care, puzzling denials, frustrated doctors, and patients suffering in pain. Those reports were largely confirmed earlier this month when the Electronic Frontier Foundation released a tranche of federal documents about the program, called WISeR, that the group obtained amid litigation. The documents included feedback from healthcare providers, including one who called the program "a disgrace to the human race" and reported seeing patients crying in pain as they waited for care.
面对这些令人担忧的报道，立法者一直在试图获取答案并关闭该计划。
Amid the worrying reports, lawmakers have been trying to get answers and shut the program down. Meanwhile, the Government Accountability Office determined in May that Trump officials did not follow proper procedure in setting up the program, calling its legality into question. Still, it appears to be moving ahead unabated, with plans to expand in the years to come.
同时，政府问责局（GAO）在 5 月认定特朗普政府官员在建立该计划时未遵循正当程序，质疑其合法性。
Amid the worrying reports, lawmakers have been trying to get answers and shut the program down. Meanwhile, the Government Accountability Office determined in May that Trump officials did not follow proper procedure in setting up the program, calling its legality into question. Still, it appears to be moving ahead unabated, with plans to expand in the years to come.
尽管如此，该计划似乎仍在不受阻碍地推进，并计划在未来几年扩大规模。
Amid the worrying reports, lawmakers have been trying to get answers and shut the program down. Meanwhile, the Government Accountability Office determined in May that Trump officials did not follow proper procedure in setting up the program, calling its legality into question. Still, it appears to be moving ahead unabated, with plans to expand in the years to come.