每日一练：职称英语考试综合类每日一练(2019/8/9)
【单选题】
Health Care Reform
Thisfall the country will be talking health care again-or at least should betalking about it-as Congress moves to change the principles on which Medicareand Medicaid were established 30 years ago. A writer with a taste for ironycould scarcely conceive a better plot, and as one of those who wrote theClinton plan, I confess it strikes me as more than ironic.
Twoyears ago, Republicans were denouncing the secrecy surrounding the President'shealth care task force. This summer, Republicans have been meeting "behindclosed doors" on a Medicare proposal scheduled to be released later thismonth, only a few weeks before Congress votes on it, thereby avoidingindependent analysis of the costs, mobilization by opponents and otherinconvenient aspects of a long national debate. Two years ago, the Republicansrang alarms about the Clinton plan's emphasis on managed care. Now theRepublicans' own plans for Medicare and Medicaid emphasize managed care.
Butsuperficial similarities are deceiving. The reform plans of 1993 generallyaimed to extend rights to health coverage and health care; The Republicanproposals this year would retract rights that already exist. The debate twoyears ago reflected a widespread belief that the health care system neededreform. The Republicans, like many in the business world, now begin with thehappy thought that the system is reforming itself and that Government needs tobe more like the private sector.
Thehealth care system is certainly going through profound change. Healthmaintenance organizations and other forms of managed care are expandingrapidly. As managed care grows, demand for hospital care shrinks. Hospitals aremerging, closing beds and cutting jobs; some new buildings stand vacant. Theincomes of specialists in some areas are dropping, and primary-carepractitioners are in demand. Once stubbornly independent physicians are sellingtheir practices to hospitals and insurers or taking a fixed payment per enrolledpatient and accepting the discipline of the corporation.
1.What is the writer's attitude towards the Congress's move to change theprinciples on which Medicare and Medicaid were established 30 years ago?
A)Ironic
B)Humorous.
C)Sympathetic
D)Critical.
2. Thephrase "behind closed doors" in the second paragraph could best bereplaced by which of the following?
A)At home
B)In secret
C)In a room secure from attack
D)In prison
3.Republicans have been holding meetings "behind closed doors" in orderto
A)mobilize support from their opponents.
B)Prepare for the upcoming national debate.
C)Release their proposals without running into any trouble
D)Discuss the Clinton plan in a detailed way.
4.What are the Republican proposals aimed at?
A)Extending rights to health coverage and health care.
B)Providing every American with free medical treatment
C)Depriving many people of their rights to free medical treatment
D)Withdrawing rights that have existed for a long time
5.Which of the following is NOT true of the development of managed care?
A)Nurses are in great demand
B)Physicians are no longer independent
C)Some new buildings are vacant
D)Demand for hospital care is on the decrease.
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