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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.
In the U. S. patients can expect, in medical treatment, ________.
选项 A、occasional mistakes by careless doctors
B、a great deal of personal attention
C、low charge by doctors and hospitals
D、slacking nurses and bad services
答案B
解析 根据文中第一段的内容“There is a lot of specialization, a great deal of attention to the individual, a vast amount of advanced technical equipment”可知，B项“a great deal of personal attention很多个人护理”符合题意。A项“粗心医生偶然的错误”，第一段提到医院有专业化的团队，为避免错误不遗余力，所以A项说法不正确；C项“医生和医院的低收费”，文中提到大部分医疗费用由保险公司支付，所以医院收费很高，由此C项错误；D项“松散的护士和劣质的服务”，第一段说病人能得到医院高质量的关怀，所以说服务劣质也不符合文意，所以这三项都排除。
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