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  3. The Medical Treatment is Allergic and Use a Medicine Overage Pity McAllen, Texas. In May, the town came to symbolize almost

The Medical Treatment is Allergic and Use a Medicine Overage Pity McAllen, Texas. In May, the town came to symbolize almost

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问题             The Medical Treatment is Allergic and Use a Medicine Overage
    Pity McAllen, Texas. In May, the town came to symbolize almost everything that’s wrong with American health care after Dr. Atul Gawande, a medical journalist, described it in the New Yorker as a city with a glut of specialists too eager to perform expensive procedures and tests, the kind of place that demonstrates why medical costs keep spiraling upward nationwide. Gawande’s article made such a convincing case against McAllen’s medical culture—and against the profit motives that drive much of the healthcare system—that the president made it required reading for his staff. One of the town’s largest medical groups also just paid $27. 5 million to settle allegations that it was giving doctors kickbacks so they would refer patients to its hospitals.
    Now, the Allergy and Asthma Foundation of America has named its Fall Allergy Capitals, "the 100 most challenging places to live with allergies" in the country. The absolute worst town on the list? Yep, McAllen again.
    The city’s double thrashing was not politically motivated. Mike Tringale, the AAFA’s director of external affairs, hadn’t read the Gawande article until last week, when I sent it to him. And some of the reasons McAllen landed on the bad-allergy list have nothing to do with the health-policy concerns in Gawande’s piece—for instance, the fact that the city, at the southern tip of Texas, has lots of pollen, high humidity, and almost no freezing weather.
    But there’s at least one odd way in which the AAFA’s take on medicine in McAllen seems at first glance to contradict Gawande’s—and there’s a lesson in it for people looking to cut down on health-care costs. According to the AAFA, which is a nonprofit patient group, not a doctor lobby, one of the reasons the city is so hard on allergy sufferers is its lack of board-certified allergists. Is McAllen, the city of too much medicine, somehow also suffering from too few doctors?
    Not quite. For the most part, the AAFA report doesn’t contradict Gawande’s findings about a pervasive culture of overtreatmnt. If anything, it bolsters them. Take, for instance, Gawande’s point that "compared with patients in El Paso an nationwide, patients in McAllen get more of pretty much everything—more diagnostic testing, more hospital treatment, more surgery, more home care." They get more allergy drugs too, according to the AAFA. "InMcAllen, patients are overmedicated for allergies. Their use is off the charts," says Tringale. "They’re completely dissatisfied with single solutions, They’ll take a prescription medication, an over-the-counter medication, and an eyedrop all at the same time."
Dr. Atul Gawande’s report on McAllen______.
选项 A、fiercely criticised the American health care system
B、exposed the hospital’s kickback giving phenomenon
C、made him a famous medical journalist in the New Yorker
D、demonstrated the cause behind sharp rise of medical costs
答案D
解析 事实细节题。根据题干关键词Dr．Atul Gawande和McAIlen定位到第一段。该段第二句提及“葛文德博士将麦卡伦市描述为一个大量的专科医生过于热切地进行昂贵的医疗措施与检测的城市，一个可以展示医疗开支为何在全国范围内继续盘旋上升的地方"，由此可知，[D]含义与之相符，故为正确答案。该段提及其报告是“驱使健康医疗体系的利益诱因的对抗”，并非对该体系的激烈批评，故排除[A];该段末句提及该市最大的医疗机构之一花费巨资来解决其对医生实施回扣的申诉，并非葛文德报告所及，故排除[B]；由该段第二句可知，葛文德本身就是《纽约客》的医疗专栏作者，故排除[C]。
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