For many developing countries, they operate the out of pocket model, where health care is paid for at point of use with no centralized funding system.

对于许多发展中国家， 他们采用自付费用模式，即在没有集中供资系统的情况下在使用点支付医疗费用。

So, if you have a lot of megaprojects going wrong, your whole national accounting and funding system, you know, where you plan the budget for next year, becomes very unreliable.

因此，如果你有很多大型项目出了问题，你知道，你的整个国家会计和融资系统，你计划明年的预算，就会变得非常不可靠。