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The Medical Treatment is Allergic and Use a Medicine Overage Pity McAllen, Texas. In May, the town came to symbolize almost
The Medical Treatment is Allergic and Use a Medicine Overage Pity McAllen, Texas. In May, the town came to symbolize almost
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2013-05-04
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问题
The Medical Treatment is Allergic and Use a Medicine Overage
Pity McAllen, Texas. In May, the town came to symbolize almost everything that’s wrong with American health care after Dr. Atul Gawande, a medical journalist, described it in the New Yorker as a city with a glut of specialists too eager to perform expensive procedures and tests, the kind of place that demonstrates why medical costs keep spiraling upward nationwide. Gawande’s article made such a convincing case against McAllen’s medical culture—and against the profit motives that drive much of the healthcare system—that the president made it required reading for his staff. One of the town’s largest medical groups also just paid $27. 5 million to settle allegations that it was giving doctors kickbacks so they would refer patients to its hospitals.
Now, the Allergy and Asthma Foundation of America has named its Fall Allergy Capitals, "the 100 most challenging places to live with allergies" in the country. The absolute worst town on the list? Yep, McAllen again.
The city’s double thrashing was not politically motivated. Mike Tringale, the AAFA’s director of external affairs, hadn’t read the Gawande article until last week, when I sent it to him. And some of the reasons McAllen landed on the bad-allergy list have nothing to do with the health-policy concerns in Gawande’s piece—for instance, the fact that the city, at the southern tip of Texas, has lots of pollen, high humidity, and almost no freezing weather.
But there’s at least one odd way in which the AAFA’s take on medicine in McAllen seems at first glance to contradict Gawande’s—and there’s a lesson in it for people looking to cut down on health-care costs. According to the AAFA, which is a nonprofit patient group, not a doctor lobby, one of the reasons the city is so hard on allergy sufferers is its lack of board-certified allergists. Is McAllen, the city of too much medicine, somehow also suffering from too few doctors?
Not quite. For the most part, the AAFA report doesn’t contradict Gawande’s findings about a pervasive culture of overtreatmnt. If anything, it bolsters them. Take, for instance, Gawande’s point that "compared with patients in El Paso an nationwide, patients in McAllen get more of pretty much everything—more diagnostic testing, more hospital treatment, more surgery, more home care." They get more allergy drugs too, according to the AAFA. "InMcAllen, patients are overmedicated for allergies. Their use is off the charts," says Tringale. "They’re completely dissatisfied with single solutions, They’ll take a prescription medication, an over-the-counter medication, and an eyedrop all at the same time."
The author seems to be mainly concerned with______.
选项
A、the influence of Gawande’s report on McAllen
B、the 100 most challenging places to live with allergies
C、the allergy and medical overtreatment problems in McAllen
D、the contradictions between the AAFA and Gawande’s views
答案
C
解析
主旨大意题。本题考查对文章的整体理解。通过通读全文可知,文章以麦卡伦市病人存在普遍的过度医疗救治现象为例,阐述了美国的过度医疗现象,由此可推知[C]含义与原文相符,故为正确答案。[A]含义与原文不符,原文并未提及该市受其报告的影响,故排除.[B]、[D]只是文章的部分细节,属于以偏概全,不能作为文章的主旨,故均排除。
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0
考研英语一
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