It is no secret that health care has become increasingly unaffordable as the cost of medical treatments and insurance premiums(保

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问题     It is no secret that health care has become increasingly unaffordable as the cost of medical treatments and insurance premiums(保险金)keep rising.Two recent studies have documented just how severe the burden can be and emphasized the urgent need for the health care reforms.
    A report issued last week by The Commonwealth Fund, a loyal supporter of the reform law, found that young adults ages 19 through 29 are among the groups most likely to be uninsured, with some 15 million of them lacking coverage in 2009, according to survey data. Young people are often healthier.but they are not invulnerable(不会受伤害的).The fund’s survey found that high costs led 15% of young adults to delay or give up needed care last year and left 39% with problems paying medical bills.
    Health care reforms have already allowed more than 600, 000 people up to the age of 26 to remain on their parents’ policies, a number that is expected to grow to an estimated 1.7 million by 2013. Starting in 2014, when Medicaid(联邦医疗补助)coverage for the poor expands and grants are available for middle-income Americans, an estimated 12 million young adults will have government-subsidized(政府资助)coverage.
    Young people.of course, aren’t the only ones who need help and will benefit enormously from reform. An analysis issued by the Department of Health and Human Services earlier last month found that few families who lack health insurance have the financial ability to pay hospital bills. The report found that the average assets for middle-income families earning four times the poverty level, or $ 89, 000 a year for a family of four. The cost of an in-patient hospital stay typically exceeds $ 10, 000 and can often exceed $ 100, 000.
    Republican alternatives to the health care reform law mostly involve making people pay more for their insurance and medical care on the theory that having more "skin in the game" will lead them to use medical care more economically. These two studies show that most of the uninsured have very little skin to put in the game.
Why does the republican reform law ask people to pay more for their insurance and medical care?

选项 A、Uninsured people hide their iioney to get free health care.
B、People have to pay extra money to have their skin treated.
C、The more people pay, the more they will benefit from it.
D、If people have to pay more, they’ll use it more carefully.

答案D

解析 根据题干关键词republican reform law定位到最后一段:Republican alternatives to the health care reform law mostly involve making people pay more for their insurance and medical care on the theory that having more“skin in the game”will lead them to use medical care more economically.共和党提出的那个医疗保险改革法案大致说来要人们支付更多的保险和医疗保健费用,其理论依据是,让人们为医疗保险多出钱,有“切肤之痛”。会让人们在使用医疗保险时更节约。D)项是原文的同义转述,故为答案。
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