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  3. In talks about reducing the nation’s exploding health care costs, the word "rationing" strikes fear into the hearts of both pati

In talks about reducing the nation’s exploding health care costs, the word "rationing" strikes fear into the hearts of both pati

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问题     In talks about reducing the nation’s exploding health care costs, the word "rationing" strikes fear into the hearts of both patients and doctors. Why, many people ask, shouldn’t the richest country in the world spend【C1】______is necessary to protect and preserve its citizens’ health? This is the philosophy【C2】______which our health care system operates, and it【C3】______to bankrupt us without【C4】______improving our health. In more【C5】______than many people realize, doing more medically can be worse than doing less. Too【C6】______, costly, overly aggressive medical care causes more pain and suffering than if nothing had been done at all.
    Our【C7】______and demands of health care must change, and we must【C8】______with the incentives for tremendous waste that are now【C9】______into the system. A growing body of research【C10】______that about 30 percent of what is now spent on medical tests and procedures is wasteful,【C11】______to benefit anyone except those whose pockets are【C12】______as a result.【C13】______this waste is curbed, rationing will almost certainly become a reality in the not-too-distant future.
    Patients don’t want to be【C14】______a test or treatment that they or their doctors believe could improve their health or save their lives — no matter what the【C15】______. But【C16】______faith in a procedure’s【C17】______is not enough. Each medical decision should be based on the best available evidence,【C18】______with the doctor’s best clinical judgment about what is right for each patient. Only then can we【C19】______the current practice of doing whatever is possible, no matter what the【C20】______of success.
【C11】
选项 A、insufficient
B、enough
C、unlikely
D、liable
答案C
解析 本题考查句内语义。空格处填入的形容词接不定式构成形容词短语，进一步说明花在医疗上的30％的浪费“除了那些人之外……使任何人受益”。根据文意，这里显然是说明这些浪费不能给公众带来益处，unlikely符合文意，同时排除liabte。而说30%的浪费“不足以／足以使任何人受益”语意不通，排除insufficient和enough。
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