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  3. Most people would be impressed by the high quality of medicine available to most Americans. There is a lot of specialization, a

Most people would be impressed by the high quality of medicine available to most Americans. There is a lot of specialization, a

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问题     Most people would be impressed by the high quality of medicine available to most Americans. There is a lot of specialization, a great deal of attention to the individual, a vast amount of advanced technical equipment, and intense effort not to make mistakes because of the financial risk which doctors and hospitals must face in the courts if they handle things badly.
    But the Americans are in a mess. The problem is the way in which health care is organized and financed. Contrary to public belief, it is not just a free competition system. To the private system has been joined a large public system, because private care was simply not looking after the less fortunate and the elderly.
    But even with this huge public part of the system, which this year will eat up 84. 5 billion dollars—more than 10 percent of the U. S. budget—large numbers of Americans are left out. These include about half the 11 million unemployed and those who fail to meet the strict limits on income fixed by a government trying to make savings where it can.
    The basic problem, however, is that there is no central control over the health system. There is no limit to what doctors and hospitals charge for their services, other than what the public is able to pay. The number of doctors has shot up and prices have climbed. When faced with toothache, a sick child, or a heart attack, all the unfortunate person concerned can do is pay up.
    Two-thirds of the population are covered by medical insurance. Doctors charge as much as they want knowing that the insurance company will pay the bill.
    The medical profession has as a result become America’ s new big businessmen. The average income of doctors has now reached $ 100,000 a year. With such vast incomes the talk in the doctor ’ s surgery is as likely to be about the doctor’ s latest financial deal, as about whether the minor operation he is recommending at, several thousand dollars is entirely necessary.
    The rising cost of medicine in the U. S. A. is among the most worrying problem facing the country. In 1981 the country’ s health cost climbed 15.9 percent—about twice as fast as prices in general.
From Paragraph 3 we know that______from the public health system.
选项 A、millions of jobless people get support
B、those with steady income do not seek help
C、some people are made ineligible to benefit
D、those with private health care are excluded
答案C
解析 根据文中第三段的内容“These include about half the 11 million unemployed andthose who fail to meet the strict limits on income fixed by a government trying to make savingswhere it can．”以及“lage numbers of Americans are left out”，可知，在美国，大量的美国人都不在美国公共卫生体系之内，包括一千一百万失业人口中的一半，以及那些达不到政府规定的最低收入限制而靠储蓄度日的人。所以C项符合题意。A项“成千上万的失业人员从公共医疗体系得到帮助”，这和文中内容相反；B项“有稳定收入的人不从公共医疗体系寻求帮助”，D项“有私人医疗保险的人被排除在外”，B、D和文中第三段内容不符合。
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