What does "his family is impoverished twice over" mean?
when a breadwinner develops the AIDS, his(or her) family is impoverished twice over: his income vanishes, and his relation must devote time and money to nursing him.
What does "his family is impoverished twice over" mean? Thank you!

Question

What does "his family is impoverished twice over" mean?
when a breadwinner develops the AIDS, his(or her) family is impoverished twice over: his income vanishes, and his relation must devote time and money to nursing him.
What does "his family is impoverished twice over" mean? Thank you!

Answer

"Over" can be seen as a stress in this idiom " twice over", which means not just once but double the effect.

Answer

"impoverished twice over" was explained in the article: 
a) a breadwinner, or a family's provider, who develops AIDS will lose his work and will lose his income. His family becomes impoverished (strike 1). 
b) The family, with no regular income to support their daily needs, will need to care for the sick man and buy his medicine (strike 2).  
And so the family is impoverished twice over.

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