[外语类试卷]专业英语八级(阅读)练习试卷35及答案与解析.doc
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1、专业英语八级(阅读)练习试卷 35及答案与解析 0 When my wife, Meg, suffered a severe stroke that immobilized her left side, I knew we would be facing a grueling odyssey involving several hospitals, dozens of doctors and countless therapy sessions. What I wasnt prepared for was the American Way of Managed Health Care, a s
2、ystem that is bureaucratic and often dysfunctional. Yes, medical practitioners in the United States are generally considered among the best in the world, and my wife primarily had first-rate care, but their back-office practice a business dominated by third-party payers is badly run at worst and woe
3、fully confusing at best. Megs stroke occurred while we were vacationing in the south of France last summer. After being stabilized in the emergency room of a small hospital, she was transferred immediately to a large teaching hospital, where she received excellent treatment in a world-renowned strok
4、e pavilion. When I received the bill for her 21/2-week stay at the Pasteur Hospital in Nice, ! asked the deputy administrator for an itemized statement. I knew Id need to show it to our health-insurance company the one-page invoice for more than 20,000. The administrator was puzzled. There were only
5、 two daily rates, he explained, one for soins intensifs or intensive care and another for non- acute care. There were no extra charges; the numerous ambulance transfers, MRI brain scans, X-rays and assorted tests associated with any serious injury or illness were all- inclusive. In fact, the only su
6、pplement was 10.67 about $13 a day for food which, although not three-star bistro quality, was certainly a bargain, and better than anything you can eat in a U.S. hospital. Im not arguing that the French healthcare system should be a world benchmark, but compared with what we faced when we returned
7、home, it was a model of simplicity and efficiency. Of course, everything in American medical care is a la carte, and the invoices are so dense with codes and abbreviations, its a wonder anyone can decipher them. I often wonder, how much does this cost the American public annually? At one New York ho
8、spital, we received bills from doctors wed never heard of, including one who charged for an office visit when Meg couldnt even get out of bed. The managed care providers computer sent him a check without question. Had he not billed us for the co-payment I never would have noticed the error. Over the
9、 past few months, I spent hours clearing up these kinds of mistakes. A doctor friend who heads a department in a large hospital admitted that these kinds of complaints are all too common. Megs medical tab has reached nearly $300,000, which seems monumental, even given the nature of her catastrophic
10、injury. Thankfully, we were covered for most of it. Yet $90,000 of that figure had little or nothing to do with patient care. Roughly 30 cents of each health-care dollar goes to administration, or the processing of paperwork. If that figure could be reduced by a third, even $30,000 would go a long w
11、ay toward extending her rehab treatments. (Megs 2004 benefits have run out.) When Meg was finally discharged after spending 56 days in hospitals, we received co- payment bills for her medical equipment, including an itemized statement for every extra on her wheelchair (no, the brake extensions, foot
12、 pedals, armrest, anti-tip bars, seat and seat belt are not included). But the provider billed us two ways, one for leasing the chair and another for purchase. Even now, after numerous phone calls, I still dont know whether we own or are renting the wheelchair. The outpatient rehab therapy sessions
13、presented their own set of challenges. The hospital sent a number of bills printed in alphanumeric codes for additional thousands of dollars even though we made the proper co-payments at the time of treatment. Billing administrators barely raised an eyebrow when I told them I had spent too much time
14、 on hold and would no longer bother calling to dispute the charges. (We have since received automated early-morning phone calls asking us to contact the hospital.) Ive checked with others who have had protracted negotiations with health-care providers and insurers over complex medical treatment. The
15、y echo my frustration. Why is it incumbent on the recipient to spend countless hours rectifying the medical administrations mistakes? How much extra does this process add to the nations annual health-care bill? Medicare our government-subsidized system that cares for the elderly has a much better re
16、cord in administrative costs. It spends between three and four cents of every dollar on paperwork and processing. A single-payer system is easier and cheaper to run. Weve had a two-tier health-care system in the United States for a while, and only one tier works. Isnt it time for man-aged care to sl
17、im down and help its patients get better instead of burdening them with needlessly expensive paperwork? 1 “Odyssey“ in the first paragraph is closest in meaning to _. ( A) struggle ( B) treatment ( C) long journey ( D) time 2 Which of the following concerning the French medical system is NOT true ac
18、cording to the author? ( A) The hospital provides good and cheap food. ( B) The hospital provides excellent treatment to patients. ( C) The management system is simple and efficient. ( D) The one-page invoice is not as clear as an itemized statement. 3 Which of the following concerning American heal
19、th-care system is NOT true? ( A) It is complex. ( B) It often does not work. ( C) Treatment bills are not without mistakes. ( D) One third of the authors money went to administration. 4 What is the authors attitude toward American health-care system? ( A) angry ( B) indifferent ( C) hopeful ( D) app
20、reciative 5 The main purpose of the passage is to _. ( A) complain about American health-care system. ( B) appeal for a change in American health-care system. ( C) criticize the system for the high administration costs. ( D) tell the reader about the authors experiences in the whole process. 5 You c
21、an spot them in the grocery store. Theyre the morns with the shopping cart cover thats supposed to protect babies from lurking germs. You can see them on the playground hovering over their toddlers, negotiating toy disputes for their 7-year- olds. Theyre in high school, phoning teachers if their chi
22、ldren bring home anything other than As. Theyre even at college - intervening with professors, setting up their childrens dorm rooms and bank accounts and keeping in near-constant contact with their kids via cell phone and instant messaging. Theyre not just parents, theyre superparents. And while in
23、 many communities the above behavior is par for the parental course, experts say that superparenting is really not so super. Its more like over-anxious, over- vigilant and just plain overdone. Fragile creatures? “Certainly, there are plenty of neglected children in America. But in middle class and u
24、pper middle class communities the coddled kid is becoming the norm,“ says Peter N. Stearns, a social historian at George Mason University in Fairfax, Va., and the author of “Anxious Parents: A History of Modern Childrearing in America.“ “In the last few decades the belief became popular that childre
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