Since there are millions of beneficiaries , they were more powerful than a few bribable civil servants .

因为有数千万计的受益人，他们是比几个被收买的公务员有力的。

It particularly afflicts countries where officials are bribable , health systems lax and consumers desperate .

在那些官员受贿、卫生系统不健全、疾病泛滥的国家，这一问题更为严重。