翻译：对于多数人来说，尤其是身患重疾或者家人有患重疾的人来说，在奥巴马医改之前，唯一获取保险的方法就是通过找到一份提供医疗保险的工作。Assuming the passage from the question is about the thinking about someone that is faced with picking a study course of action to acquire, not evalua