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  3. March brought crazy attention to Barack Obama’s health law. The Supreme Court heard arguments over its constitutionality. Outsid

March brought crazy attention to Barack Obama’s health law. The Supreme Court heard arguments over its constitutionality. Outsid

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问题     March brought crazy attention to Barack Obama’s health law. The Supreme Court heard arguments over its constitutionality. Outside the court, supporters waved their neatly printed posters and tea-partiers waved their scrawled, angry ones. The arguments centred on Mr. Obama’s mandate to buy insurance. America is the rare Western country without a universal insurance scheme. But, as a new study points out, a lack of insurance is only part of America’s health problem.
    On April 3rd the University of Wisconsin and the Robert Wood Johnson Foundation, a philanthropic outfit, released a new report on health in America’s counties. The report is part of a string of efforts to sort through the mounds of data on health and the factors that affect it. The jumble of information does not reveal a perfectly clear picture. But it begins to illuminate the particular nature of America’s health and why it is so gloomy.
    America, it is often noted, spends more on health care yet has worse results than other rich countries. Its infant-mortality rate, for example, is double that of Sweden, Germany and France(to name only a few). A closer look reveals conflicting trends within America itself. A recent ranking of states’ health, sponsored by the foundation of United Health, America’s biggest insurer, was filled with contradictions. America is making good progress to reduce smoking and the death of infectious disease, yet diabetes rates are climbing and tens of millions remain uninsured. The north-east is a picture of health compared with the South. Vermont, New Hampshire and Massachusetts are among the five healthiest states; Mississippi, Alabama and Louisiana are the lowest. Resources vary wildly from one state to another. Massachusetts has 192 primary-care doctors for every 100,000 people; Idaho has just 78. Behaviour is similarly spotty. In Florida whites are 30% more likely to smoke than blacks. In Minnesota the reverse is true.
    The new report takes an even closer look, inspecting data for more than 3,000 counties. The authors, led by Bridget Booske Catlin of the University of Wisconsin, rank each state’s counties according to health outcomes: premature death, poor mental and physical health and low birth weights for babies. Separately, they examine the factors that influence health, such as clinical care, income and behaviour.
    Wide gaps existed within each state. The five least-healthy counties generally had more than twice the teenage birth rate of the five healthiest counties, and more than twice the share of poor children. Within counties, factors seem to contradict one another. In Putnam, New York’s healthiest county, 29% of adults are obese, compared with 28% in the Bronx, New York’s least-healthy county. Putnam also has higher rates of binge drinking—21% compared with 14% in the Bronx. Yet the Bronx has lower education rates, eight times the rate of teen pregnancies and New York’s highest concentration of fast-food restaurants. Lack of insurance, therefore, is only part of the puzzle.
According to the passage, Mr. Obama’s command to buy insurance______.
选项 A、gained unanimous support from the public
B、made America an enemy to the West
C、indicated its lack of universal insurance
D、has been passed by the Supreme Court
答案C
解析 推理判断题。根据题干定位到第一段。该段主要介绍了奥巴马的医保改革。第四、五两句提及，骚动聚焦在奥巴马强制购买医保上。美国没有全民医保方案，这在西方国家里十分罕见，由此可推知[C]与此相符，故为正确答案。由第一段第三句中“茶党则摇晃着他们字迹潦草、满是怨气的横幅”可推知其提议也招致了反对，故排除[A]；第一段并未提及因为奥巴马的提议而导致美国与其他西方国家不和，故排除[B]；第一段第二句只是提及“最高法院就其是否违宪这一议题举行了听证会”，并未提及通过与否，故排除[D]。
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