Low repayment rates threaten to undo this.

低还款率迫使情况发生改变。

That is because the Affordable Care Act has tied part of federal repayment rates to patient satisfaction survey results.

这是因为《平价医疗法案》将部分联邦还款率与患者满意度调查结果挂钩。

The repayment rate is 99%. The rural economy of the country has improved greatly since the bank started. And the success has spread.

还款率为99%。自银行开设以来，这个国家的乡村经济得到了很大的提高。而且这种成功不断的扩展着。

The relationship is based on trust and good faith. Repayment rates are very high for two main reasons. Firstly, borrowers know that they cannot borrow again if they don't repay the first loan.

借贷人与银行之间的关系是建立在信任和诚意上的。还款率很高有两大主因。