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  3. As the so-called debate over health care continues in the Senate, let me take a step back and look at actual health care reform

As the so-called debate over health care continues in the Senate, let me take a step back and look at actual health care reform

admin2019-10-13  28
问题    As the so-called debate over health care continues in the Senate, let me take a step back and look at actual health care reform through the lens of my daily experience as a physician, and yours as a patient. Not theory but practicality.
   The first relevant issue is computerization. Since 2009, Electronic Health Records have been obligatory. Although they can accelerate information exchange, they also saddle doctors to their chairs, where a routine 20-minute visit is doubled by the time the documentation is complete, but additional pay is nowhere to be seen.
   A physician survey by the consulting firm Deloitte back in 2013 revealed that six in 10 physicians reported that the practice of medicine is in jeopardy. The greatest reason given by primary care doctors was not enough time to spend with our patients. Instead we are dealing with the computer, reimbursements, approvals and referrals.
   We are increasingly unhappy because of shrinking reimbursements, fear of malpractice, and increasing regulations. We are also swamped with too many patients amid a growing doctor shortage. We will be more than 100, 000 doctors short by 2030. Obamacare added more cars to the train, but there are fewer engineers to drive it.
   I recently traveled to a health center in N.Y. which had received increased funding under the Affordable Care Act. The clinic was clearly doing its job coordinating care throughout the community for patients who had insurance or not. But a crucial concern of the clinic’s CEO was the lack of doctors available to work there.
   The solution to the health care crisis is that more health care providers must be trained and paid more by insurance. A recent survey found 31% of doctors won’t see new Medicaid patients, mostly because it doesn’t pay enough. Initiatives to reward quality outcomes too easily lose sight of the fact that we deserve to be paid for our time. Malpractice reform will take pressure off us to practice defensively, which will decrease unneeded tests and save the health care system billions of dollars.
   Insurance lobbyists may influence a health law, but they don’t provide actual health care. We doctors don’t want the same things that insurers do. To function effectively, doctors need less regulation and fewer insurance denials. Remember, more insurance options bring more choice to the doctor’s office, which means better quality health care. If we are paid more for our time and there are more of us and we are threatened with fewer meaningless lawsuits, we will be much happier and can take better care of you.
The underlined words in Paragraph Three probably mean______.
选项 A、gaining popularity
B、of higher quality
C、largely simplified
D、in danger
答案D
解析 in jeopardy：处于危险之中。动词jeopardize的意义是“使……面临危险”，相当于endanger。从第三段的文字中可以初步判断in jeopardy的意义不可能是褒义的。
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