大学英语四级67及答案解析.doc
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1、大学英语四级 67及答案解析(总分:746.55,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 30 minutes to write a composition on the topic My Teacher. You should write at least 120 words following the outline given below: 1张老师是我最敬爱的老师。 2张老师知识渊博,治学严谨。 3我要以张老师为榜样,努力学习。 (分数:30.00)_二、Rea
2、ding 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 developed society is faced with the nee
3、d 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 members of the community are to be given
4、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-care resources in particular, as wel
5、l 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 were finite and exhaustible and that
6、 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 health-care resources was part of this
7、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 needs of any community could be sati
8、sfied, 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 Western societies: that people have a ba
9、sic 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 facilities necessary for people to exercise
10、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, basic healthcare is a condition of the
11、 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 idea that there is a formal right to he
12、alth-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 such a system is provided. Put anot
13、her 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 one of the fundamental rights of ever
14、y 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 time when it became obvious that hea
15、lth-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 distribution of health-care resources stems
16、 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. Thus in OECD countries as a whole, he
17、alth 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 consequence, during the 1980s a kind of doo
18、msday 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 against static or declining resources.
19、 (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).Personal liberty and independence have n
20、ever 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 impact on health-care costs in rece
21、nt 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 future.(分数:7.10)A.YB.NC.NG(8).Someo
22、ne 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 takes it as a kind of exercise.B.She
23、wants to save money.C.She loves doing anything that is new.D.Her office isnt very far.A.It is difficult to identify.B.It has been misplaced.C.It is missing.D.It has been borrowed by someone.A.To tie her shoes.B.Through the gate.C.To the lake.D.Under the hedge.A.Shes taking a test.B.Shes applying for
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- 大学 英语四 67 答案 解析 DOC
