大学六级-575及答案解析.doc
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1、大学六级-575 及答案解析(总分:703.00,做题时间:90 分钟)一、BPart Writing(总题数:1,分数:106.00)1.学校图书馆利用不足;2. 导致这种显现的原因;3. 我的观点。Why Are There Fewer Students in the Library(分数:106.00)_二、BPart Reading (总题数:1,分数:70.00)Directions: In this part, you will have 15 minutes to go over the passage quickly and answer the questions on An
2、swer Sheet 1. For questions 1-7, choose the best answer from the four choices marked A) , B) , C) and D) . For questions 8-10, complete the sentences with the information given in the passage.Falling Trough the CracksDuring her first semester at college at the University of North Carolina at Greensb
3、oro, in 2006, Georgina Uresti-Mandanado began having strange rashes and chest pains and feeling dizzy. But she put off seeing a doctor because she did not have health insurancein fact, she had never had health coverage Her mothers jobs as a farm laborer, poultry processor, and construction worker ne
4、ver provided insurance for her kids. Uresti-Mandanado, the granddaughter of Mexican immigrants, says that when she was growing up, “I only went to the doctor when I was really sick and my grandmas home remedies wouldnt fix it. “ But by winter break of her freshman year, she decided she needed to see
5、 a doctor. She waited until she was visiting her family in the Mexican city of San Luis Potosi, because it was cheaper to visit the doctor there The blood tests came back with bad news: lupus (狼疮).Uresti-Mandanados storyher inability to pay for care and her reluctance to seek it out until seriously
6、ill-is a common one in Hispanic communities. While millions of Americans of all backgrounds face the problem of being unable to access care because of a lack of insurance or inadequate coverage, Latinos axe far more likely than people in other racial and ethnic groups to be unable to afford or get c
7、are when they need it. The recently passed health-care-reform law will help ease that inequality through measures to make insurance available to the low-income uninsured, a population that is disproportionately Latino. But the 8 percent of U. S. residents that the Congressional Budget Office estimat
8、es will remain uninsured once health reform is implemented will still be disproportionately Latino, largely because the bill limits insurance options for new immigrants, both legal and illegal.According to numbers from the Kaiser Family Foundation, Hispanics make up one in seven Americans, but nearl
9、y half the countrys non-elderly uninsured; the advocacy group the National Council of La Raza claims that Hispanics make up one third of the countrys roughly 47 million uninsured. This is in part because Hispanics are more likely to work in low-wage jobs or for small businesses that do not offer hea
10、lth benefits. But the gap between Latinos and other groups suggests that forces other than purely economic ones may be at work: Latinos are 50 percent more likely to be uninsured than African-Americans, a population that actually has slightly lower median incomes. (Hispanics are almost three times a
11、s likely to be uninsured as non-Hispanic whites, who earn much more on average, according to census data.)The difference among children is even greater, with uninsurance rates among Hispanic kids almost twice those among African-American kids, according to the Kaiser Family Foundation.A third of Lat
12、inos under 65 who have insurance rely on the federal program Medicaid, which primarily covers low income children and some groups of adults, depending on the state (Medicaid will be available to low-income adults without children under the new federal health law. )The high uninsurance rate among Lat
13、inos may partly be explained by the fact that legal immigrants can enroll in the program only after they have been in the country for five years, and undocumented immigrants are barred from government insurance programs altogether. (Seventy-six percent of undocumented immigrants are from Latin Ameri
14、ca, according to the Pew Hispanic Center.)However, says Dr. Elena Rios, president of the National Hispanic Medical Association, “Hispanics often dont enroll“ in either private or public insurance, even if it is available to them. For those who have access to insurance through their employers, this m
15、ay be because they still cannot afford their share of the premiums. Those eligible for public programs may not know how to enroll. They also are often afraid to participate in a government program.“The thing that affects a lot in the Latino community is fear,“ explains Dr. Gonzalo Paz-Soldan, medica
16、l director of the Arlington Pediatric Center in northern Virginia. He points out that there is a large number of Latino children who qualify for Medicaid but who arent enrolled, possibly because undocumented parents may be scared to enroll their children, even if those children were born in the U. S
17、. and are citizens. “Theres a fear of accessing any kind of government program or anything that feels like a government program,“ he says, “because theres a prevailing feeling in the community that its going to have a negative impact on the family and the childs immigration status.“ Even legal perma
18、nent residents may be afraid to enroll their children, says Paz-Soldan, out of concern that it will be viewed as taking “some kind of welfare,“ he says, and be held against them when they apply for citizenship.Though lack of insurance is probably the largest thing keeping Latinos from getting medica
19、l care, Paz-Soldan says, low-income Latinos face the same barriers that prevent all low-income people from accessing care Those who have coverage or are able to get care at a community health center sometimes may not be able to use those resources because they do not have transportation or they work
20、 multiple jobs and cant get time off to go to the doctor. And a confusing factor may also be the lower availability of medical services in low-income neighborhoods.For newer immigrants, of course, language is another major factor that can stand in the way of treatment. Though there is a federal requ
21、irement that virtually all hospitals provide interpreters for non-English speakers, clinic workers and health experts say that interpreters are often in short supply, if available at all, and many patients who lack English proficiency leave medical appointments without understanding doctors instruct
22、ions. In one case, Paz-Soldans clinic saw an infant who had been hospitalized for several weeks after birth, yet no one at the hospital had communicated to the mother that the child had Down syndrome or explained the significance of the diagnosis.For Uresti-Mandanado, the story had a happier ending:
23、 her symptoms went away on their own, and she has not yet required treatment. But the problem her story illustrates are very real. The insecurity created by financial or linguistic barriers to care means that many Latinos may be at risk of not being able to get treatment when they need it. This plac
24、es their individual health in danger, and the increased risk of serious illness makes their familys financial situation even more uncertain. Thats why health-care reform comes as a great relief to many Hispanic health advocates. Apart from the fact that under the new law, Medicaid will be opened to
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