Millions of Americans lack health insurance and, with the economy floundering, that is likely to increase, the National Academy

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问题     Millions of Americans lack health insurance and, with the economy floundering, that is likely to increase, the National Academy of Sciences reported Thursday. "Unless health insurance is made more affordable, the number of uninsured Americans is likely to continue growing over time," said Mary Sue Coleman, co-chairwoman of the committee that wrote the report. The report is the first of six planned by the Institute of Medicine over two years. The series is planned to find out who lacks health insurance and why, determine what the consequences are and provide the groundwork for debate on how to correct the problem. The institute is part of the academy, a private organization charactered by Congress to advise the government of scientific matters.
    This first report seeks to draw a picture of the millions who lack insurance. It does not offer any recommendations. "Much of what Americans think they know about the uninsured is wrong," said Dr. Arthur Kellermann, a public health professor at Emory University School of Medicine in Atlanta, who also worked on the report. The Census Bureau reported last month that 38. 7 million Americans went without coverage for all of 2000, compared with 39. 3 million the year before, thanks to the booming economy. Experts say the trend is likely to reverse this year, given that the economy was slowing even before the Sept. 11 terrorist attacks. "Unfortunately, the recent economic slowdown might have reversed the modest gains in coverage for shorter periods. "
    The report said that with insurance costs rising, more employers and individuals may conclude they are unable to afford coverage. Premium increases were often absorbed by employers in the strong economy of the 1990s, but that may not continue as the economy softens, the report said. The panel found that about 13.6 million of the uninsured work for employers that do not offer health insurance. Individually purchased coverage may be prohibitively costly. In the case of such public insurance programs as Medicaid and the State Children’s Health Insurance Program, the report said that stringent eligibility requirements and enrollment processes can make coverage difficult to obtain and hard to keep.
It is implied in the last paragraph that ______.

选项 A、eligibility for public insurance programs should be made stringent
B、individuals should not be prohibited from buying their own health insurance
C、27% of the families have lost their insurance coverage due to economic slowdown
D、public insurance programs can do little to correct the present situation

答案D

解析 本题是推断题。文章最后一段最后一句提到,就Medicaid和联邦儿童健康保险项目这样的公共保险项目而言,由于资格要求和加入程序比较严格,这些保险可能让人难以企及,其暗含之意也就是,公共保险项目对当前健康保险所面临的严峻形势于事无补。
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