The answer was that in Burundi, having a clean bill of health has taken on a very particular meaning: unless and until you have paid for your hospital treatment, you simply can't leave, you are in effect a captive.
答案是，在布隆迪，拥有一份干净的健康证明具有非常特殊的意义:除非并且直到你支付了医院的治疗费用，否则你根本不能离开，你实际上是一个俘虏。
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Effect
Until