And this comes at tremendous expense, costing us our time, our money and our health.

这需要付出巨大的代价，耗费我们的时间、金钱和健康。

The question has to do once again with three similar words: " expense, " " cost, " and " expenditure."

这个问题必须再次与三个相似的词有关：“费用” 、“成本” 和“支出” 。