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  3. For anyone who has had to wait a long time to schedule a medical appointment, it might seem as if the world needs more doctors,

For anyone who has had to wait a long time to schedule a medical appointment, it might seem as if the world needs more doctors,

admin2013-09-16  78
问题     For anyone who has had to wait a long time to schedule a medical appointment, it might seem as if the world needs more doctors, and that training more of them would be a good idea. An amendment that teaching hospitals are pushing to include in the health care legislation would do just that. It would add 15, 000 medical residency slots to the 100, 000 residencies(住院医生实习)the federal government now finances, most of them through Medicare.
    This amendment is being heavily promoted by several doctor specialty societies. But that doesn’t mean it’s a good idea. It would raise Medicare’s bill for residencies, which is already $ 9 billion a year. More important, since the cost of health care follows the supply of doctors, the added slots would substantially increase the national health care bill. And the measure would not address the underlying reason that patients are forced to wait to see doctors.
    Over the past 20 years, the number of doctors in relation to the American population has risen by 30%. Yet in many parts of the country, more doctors has simply meant more doctors, not better access for patients, not better communication among a patient’s health care providers, and not better results. The truth is that regions with the higher number of doctors per capita(人均)tend to deliver lower quality care at a higher cost.
    Increasing the number of doctors would make our health care system worse, not better, because the United States doesn’t actually need more doctors. What we do need instantly is for primary care to reclaim its central role in the delivery of medicine, to provide the preventive care, chronic disease management and coordination of services that is lacking in so many parts of the country. Primary care doctors can help patients avoid unnecessary visits to specialists, hospitals and emergency rooms, thus lowering health care costs. Our present national problem is that primary care doctors are leaving their practices in droves, driven out by their low pay, long hours and mountains of paperwork. Some of them go to work in emergency rooms or hospitals, others become specialists, and many simply abandon medicine.
    Before adding residency slots, Congress should demand that academic medical centers come up with a plan to improve the disorganized, fragmented care that plagues much of the country. Insurers and Medicare should pay family-practice doctors and general internists enough to keep them in the field. And federal financing for medical education programs should hinge on their plans to train more primary care doctors and fewer specialists.
    Otherwise, we’ll simply end up perpetuating a system in which too many doctors provide poor-quality care at too high a price.  
What is our immediate necessity for our health care system?
选项 A、To decrease the doctor’s number.
B、To reestablish primary care’s key point.
C、To expand the medicine delivery.
D、To cut down health care cost.
答案B
解析 根据题干关键词immediate necessity，health care system定位到原文第四段第二句；what we do needinstantly is for primary care to reclaim its central role in…由此可知，我们目前的医保制度急需恢复初级医疗护理的中心地位，故选B)项。
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