Millions of Americans lack health insurance and, with the economy floundering, that is likely to increase, the National Academy

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问题     Millions of Americans lack health insurance and, with the economy floundering, that is likely to increase, the National Academy of Sciences reported Thursday. "Unless health insurance is made more affordable, the number of uninsured Americans is likely to continue growing over time," said Mary Sue Coleman, co-chairwoman of the committee that wrote the report. The report is the first of six planned by the Institute of Medicine over two years. The series is planned to find out who lacks health insurance and why, determine what the consequences are and provide the groundwork for debate on how to correct the problem. The institute is part of the academy, a private organization charactered by Congress to advise the government of scientific matters.
    This first report seeks to draw a picture of the millions who lack insurance. It does not offer any recommendations. "Much of what Americans think they know about the uninsured is wrong," said Dr. Arthur Kellermann, a public health professor at Emory University School of Medicine in Atlanta, who also worked on the report. The Census Bureau reported last month that 38. 7 million Americans went without coverage for all of 2000, compared with 39. 3 million the year before, thanks to the booming economy. Experts say the trend is likely to reverse this year, given that the economy was slowing even before the Sept. 11 terrorist attacks. "Unfortunately, the recent economic slowdown might have reversed the modest gains in coverage for shorter periods. "
    The report said that with insurance costs rising, more employers and individuals may conclude they are unable to afford coverage. Premium increases were often absorbed by employers in the strong economy of the 1990s, but that may not continue as the economy softens, the report said. The panel found that about 13.6 million of the uninsured work for employers that do not offer health insurance. Individually purchased coverage may be prohibitively costly. In the case of such public insurance programs as Medicaid and the State Children’s Health Insurance Program, the report said that stringent eligibility requirements and enrollment processes can make coverage difficult to obtain and hard to keep.
The number of uninsured Americans increases because of______.

选项 A、indifference of private employers
B、economic decline
C、negligence of Americans
D、mass unemployment

答案B

解析 本题是综合分析题。文章第1段提到,几千万美国人缺乏医疗保险,并且随着经济的下滑,人数还要增加。第2段也提到,由于经济的繁荣,2000年投保的人数要多于上一年,并且由于经济增长在“9·11”恐怖袭击以前已经减缓,今年的趋势有可能逆转,因此投保的人数与经济形势有重大的关系。
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