大学英语四级226及答案解析.doc
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1、大学英语四级 226及答案解析(总分:746.58,做题时间:130 分钟)一、Writing (30 minutes)(总题数:1,分数:30.00)1.For this part, you are allowed thirty minutes to write a composition on the topic: To Grow Up in the Countryside or in a Big City? You should write at least 120 words according to the outline given below: 1孩子在乡下长大好还是城市长大好,
2、人们对此有不同看法 2我的观点 3结论 (分数:30.00)_二、Reading Comprehensio(总题数:1,分数:71.00)The Problem of Scarce Resources The problem of how health-care resources should be distributed, so that they are distributed in both the most just and most efficient way, is not a new one. Every health system in an economically dev
3、eloped society is faced with the need to decide (either formally or informally) what proportion of the communitys total resources should be spent on health-care; how resources are to be apportioned(分配); what diseases and disabilities and which forms of treatment are to be given priority; which membe
4、rs of the community are to be given special consideration in respect of their health needs; and which forms of treatment are the most cost-effective. What is new is that, from the 1950s onwards, there have been certain general changes in outlook about the limit of resources as a whole and of health-
5、care resources in particular, as well as more specific changes regarding the clientele(委托人) of health-care resources and the cost to the community of those resources. Thus, in the 1950s and 1960s, there emerged an awareness in Western societies that resources for the provision of fossil fuel energy
6、were finite and exhaustible and that the capacity of nature or the environment to sustain economic development and population was also finite (有限的). In other words, we became aware of the obvious fact that there were “limits to growth“. The new consciousness that there were also severe limits to hea
7、lth-care resources was part of this general revelation(揭露) of the obvious. Looking back, it now seems quite incredible that in the national health systems that emerged in many countries in the years immediately after the 1939-1945 World War, it was assumed without question that all the basic health
8、needs of any community could be satisfied, at least in principle; the “invisible hand“ of economic progress would provide. However, at exactly the same time as this new realization of the finite character of health-care resources was sinking in, an awareness of a contrary kind was developing in West
9、ern societies: that people have a basic right to health-care as a necessary condition of a proper human life. Like education, political and legal processes and institutions, public order, communication, transport and money supply, health-care came to be seen as one of the fundamental social faciliti
10、es necessary for people to exercise their other rights as independent human beings. People are not in a position to exercise personal liberty and to be self-determining if they are poverty-stricken, or deprived of basic education, or do not live within a context of law and order. In the same way, ba
11、sic healthcare is a condition of the exercise of autonomy (自治). Although the language of “rights“ sometimes leads to confusion, by the late 1970s it was recognized in most societies that people have a right to health-care (though there has been considerable resistance in the United States to the ide
12、a that there is a formal right to health-care). It is also accepted that this right generates an obligation or duty for the state to ensure that adequate health-care resources are provided out of the public purse. The state has no obligation to provide a health-care system itself, but to ensure that
13、 such a system is provided. Put another way, basic health-care is now recognized as a “public good“, rather than a “private good“ that one is expected to guy for oneself. As the 1976 declaration of the World Health Organization put it: “The enjoyment of the highest attainable standard of health is o
14、ne of the fundamental rights of every human being without distinction(区别) of race, religion, political belief, economic or social condition.“ As has just been remarked, in a liberal society basic health is seen as one of the indispensable condition for the exercise of personal autonomy. Just at the
15、time when it became obvious that health-care resources could not possibly meet the demands being made upon them, people were demanding that their fundamental right to health-care be satisfied by the state. The second set of more specific changes that have led to the present concern about the distrib
16、ution of health-care resources stems from the dramatic rise in health costs in most OECD countries, accompanied by large-scale demographic and social changes which have meant, to take one example, that elderly people are now major (and relatively very expensive) consumers of health-care resources. T
17、hus in OECD countries as a whole, health costs increased form 3.8% of GDP in 1960 to 7% of GDP in 1980, and it has been predicted that the proportion of health costs to GDP will continue to increase. (In the US the current figure is about 12% of GDP, and in Australia about 7.8% of GDP.) As a consequ
18、ence, during the 1980s a kind of doomsday scenario(假想) (analogous to similar doomsday extrapolations (推断的) about energy needs and fossil fuels or about population increases) was projected by health administrators, economists and politicians. In this scenario, ever-rising health costs were matched ag
19、ainst static or declining resources. (分数:71.00)(1).The article is generally about the situation of health-care resources.(分数:7.10)A.YB.NC.NG(2).In 1950s and 1960s, Eastern societies noticed that resources for the provision of fossil fuel energy were finite and exhaustible.(分数:7.10)A.YB.NC.NG(3).Pers
20、onal liberty and independence have never been regarded as directly linked to health-care.(分数:7.10)A.YB.NC.NG(4).Health-care came to be seen as a right at about the same time that the limits of healthcare resources became evident.(分数:7.10)A.YB.NC.NG(5).In OECD countries population changes have had an
21、 impact on health-care costs in recent years.(分数:7.10)A.YB.NC.NG(6).OECD governments have consistently underestimated the level of health-care provision needed.(分数:7.10)A.YB.NC.NG(7).In most economically developed countries the elderly will have to make special provision for their health-care in the
22、 future.(分数:7.10)A.YB.NC.NG(8).Someone has predicted that the proportion of health costs to GDP will_.(分数:7.10)_(9).During_, a kind of doomsday scenario was projected.(分数:7.10)_(10).In the scenario ever-rising health costs were matched against_.(分数:7.10)_三、Listening Comprehens(总题数:1,分数:15.00)A.She w
23、ill do anything but play golf.B.She seldom wants to do anything.C.She never plays, but shed like to.D.She is an enthusiastic golfer.A.She finds reading poetry rewarding.B.She made some beautiful pottery.C.She wrote some award-winning poems.D.She is now writing for a newspaper.A.They were inexpensive
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- 大学 英语四 226 答案 解析 DOC
