So these are people who qualify for an extra help on the Medicare part D benefit.

这些人可以在联邦医疗保险药物福利方面获得额外帮助。

48 million Americans get prescription drugs through Medicare part D nearly a third of all prescription spending in 2017, but Medicare has had no ability to negotiate prices.

2017年，4800万美国人通过联邦老年医疗保险药物计划获得处方药，占所有处方药支出的近三分之一，但联邦医疗保险无法谈判价格。

Um, so this is a modest start, but I think you have to put it in context of the fact that when the Medicare part D program was first devised, they were banned explicitly from negotiating for drug prices.

嗯，所以这是一个温和的开始，但我认为你必须把它放在一个事实的背景下，当联邦退休老人医疗保险药物计划最初被设计时，他们被明确禁止就药品价格进行谈判。