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  3. The health-care economy is filled with unusual and even unique economic relationships. One of the least understood involves the

The health-care economy is filled with unusual and even unique economic relationships. One of the least understood involves the

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问题     The health-care economy is filled with unusual and even unique economic relationships. One of the least understood involves the peculiar roles of producer or "provider" and purchaser or "consumer" in the typical doctor-patient relationship. In most sectors of the economy, it is the seller who attempts to attract a potential buyer with various inducements of price, quality, and utility, and it is the buyer who makes the decision. Such condition, however, does not prevail in most of the health-care industry.
    In the health-care industry, the doctor-patient relationship is the mirror image of the ordinary relationship between producer and consumer. Once an individual has chosen to see a physician—and even then there may be no real choice—it is the physician who usually makes all significant purchasing decisions: whether the patient should return "next Wednesday", whether X-rays are needed, whether drugs should be prescribed, etc. It is a rare and sophisticated patient who will challenge such professional decisions or raise in advance questions about price, especially when the disease is regarded as serious.
    This is particularly significant in relation to hospital care. The physician must certify the need for hospitalization, determine what procedures will be performed, and announce when the patient may be discharged. The patient may be consulted about some of these decisions, but in the main it is the doctor’s judgments that are final. Little wonder then that in the eye of the hospital it is the physician who is the real "consumer." As a consequence, the medical staff represents the "power center" in hospital policy and decision-making, not the administration.
    Although usually there are in this situation four identifiable participants—the physician, the hospital, the patient, and the payer (generally an insurance carrier or government)—the physician makes the essential decisions for all of them. The hospital becomes an extension of the physician; the payer generally meets most of the bills generated by the physician/hospital, and for the most part the patient plays a passive role. We estimate that about 75-80 percent of health-care expenditures are determined by physicians, not patients. For this reason, the economy directed at patients or the general is relatively ineffective.
What’s the author’s main purpose in writing this passage?
选项 A、To criticize doctors for exercising too much control over patients.
B、To analyze some important economic factors in health-care.
C、To urge hospitals to reclaim their decision-making authority.
D、To inform potential patients of their health-care rights.
答案B
解析 考查写作目的需通读全文。文章首段表明本文将要讨论卫生保健行业中医生和病人的特殊经济关系，其余三段分析了这种经济关系的特别之处。由此可见，选项B可以概括本文主题，故为本题答案。虽然文章末句批评这种体制效率很低，但作者针对的是整个体制，而不仅仅是针对医生在这种经济关系中的角色，因此选项A不正确；虽然文章第3段提到医院行政人员不能决定医院政策，但这只是文章中的某个细节，并非全文主旨，因此选项C不正确；选项D也是作者在分析医患关系的时候在第2段和第3段提到的某些细节，并非文章主题。
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