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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.
【C15】
选项 A、difficulty
B、cost
C、result
D、risk
答案B
解析 本题考查上下文语义。本句承接上文，通过介绍患者的态度，说明医疗保健支出方面存在浪费：患者不会拒绝任何一项可能会改善他们病情的检验或治疗一无论其……。cost代入，说明医患双方都认为对于医疗花费应倾尽所有，符合文意。而其他项代入，“治疗难度”“治疗结果”“治疗的风险”均非文章讨论的话题，应排除。
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