But their dependence on exports to developed countries has barely budged , at just under 20 % of gdp .
但是他们对发达国家出口的依赖只不过是推动了仅20%以下的gdp。
But the problem is most severe in america . Medical spending per head has nearly tripled since 1990 , yet most indicators of health have barely budged .
在美国,问题则最为严重:人均医疗开支自1990年来几乎涨了两倍,而多数健康指标却没有改善。
In germany , by contrast , companies finance themselves largely from their own buoyant profits and property prices have barely budged for years .