Health Care Reform This fall the country will be talking health care again-or at least should be talking about it-as Congress moves to change the principles on which Medicare and Medicaid were established 30 years ago. A writer with a taste for irony could scarcely conceive a better plot, and as one of those who wrote the Clinton plan, I confess it strikes me as more than ironic. Two years ago, Republicans were denouncing the secrecy surrounding the Presidents health care task force. This summer, Republicans have been meeting behind closed doors on a Medicare proposal scheduled to be released later this month, only a few weeks before Congress votes on it, thereby avoiding independent analysis of the costs, mobilization by opponents and other inconvenient aspects of a long national debate. Two years ago, the Republicans rang alarms about the Clinton plans emphasis on managed care. Now the Republicans own plans for Medicare and Medicaid emphasize managed care. But superficial similarities are deceiving. The reform plans of 1993 generally aimed to extend rights to health coverage and health care; The Republican proposals this year would retract rights that already exist. The debate two years ago reflected a widespread belief that the health care system needed reform. The Republicans, like many in the business world, now begin with the happy thought that the system is reforming itself and that Government needs to be more like the private sector. The health care system is certainly going through profound change. Health maintenance organizations and other forms of managed care are expanding rapidly. As managed care grows, demand for hospital care shrinks. Hospitals are merging, closing beds and cutting jobs; some new buildings stand vacant. The incomes of specialists in some areas are dropping, and primary-care practitioners are in demand. Once stubbornly independent physicians are selling their practices to hospitals and insurers or taking a fixed payment per enrolled patient and accepting the discipline of the corporation. 1. What is the writers attitude towards the Congresss move to change the principles on which Medicare and Medicaid were established 30 years ago? A) Ironic B) Humorous. C) Sympathetic D) Critical. 2. The phrase behind closed doors in the second paragraph could best be replaced 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 order to 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. KEY: ABCDA
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全优课堂2017届高考总复习限时规范训练:必修4 unit 3《A taste of English humour》(新人教版含解析)
全优课堂2017届高考总复习限时规范训练:必修3 unit 2《Healthy eating》(新人教版含解析)
全优课堂2017届高考总复习限时规范训练:必修4 unit 2《Working the land》(新人教版含解析)
全优课堂2017届高考总复习当堂过关微测:选修8 unit 5《Meeting your ancestors》(新人教版含答案)
全优课堂2017届高考总复习当堂过关微测:选修8 unit 4《Pygmalion》(新人教版含答案)
全优课堂2017届高考总复习限时规范训练:选修6 unit 1《Art》(新人教版含解析)
全优课堂2017届高考总复习限时规范训练:必修5 unit 1《Great Scientists》(新人教版含解析)
全优课堂2017届高考总复习当堂过关微测:选修6 unit 4《Global warming》(新人教版含答案)
全优课堂2017届高考总复习限时规范训练:选修6 unit 5《The power of nature》(新人教版含解析)
全优课堂2017届高考总复习限时规范训练:必修2 unit 1《Cultural relics》(新人教版含解析)
全优课堂2017届高考总复习限时规范训练:必修4 unit 1《Women of achievement》(新人教版含解析)
全优课堂2017届高考总复习限时规范训练:必修3 unit 3《The Million Pound Bank-Note》(新人教版含解析)
全优课堂2017届高考总复习当堂过关微测:选修6 unit 3《A healthy life》(新人教版含答案)
全优课堂2017届高考总复习限时规范训练:必修1 unit 4《Earthquakes》(新人教版含解析)
全优课堂2017届高考总复习限时规范训练:选修6 unit 2《Poems》(新人教版含解析)
全优课堂2017届高考总复习限时规范训练:必修1 unit 1《Friendship》(新人教版含解析)
全优课堂2017届高考总复习当堂过关微测:选修7 unit 4《Sharing》(新人教版含答案)
全优课堂2017届高考总复习当堂过关微测:选修7 unit 5《Travelling abroad》(新人教版含答案)
全优课堂2017届高考总复习当堂过关微测:选修7 unit 1《Living well》(新人教版含答案)
全优课堂2017届高考总复习限时规范训练:选修6 unit 4《Global warming》(新人教版含解析)
全优课堂2017届高考总复习限时规范训练:必修2 unit 2《The Olympic Games》(新人教版含解析)
全优课堂2017届高考总复习限时规范训练:必修4 unit 4《Body Language》(新人教版含解析)
全优课堂2017届高考总复习限时规范训练:必修5 unit 4《Making the news》(新人教版含解析)
全优课堂2017届高考总复习限时规范训练:选修7 unit 1《Living well》(新人教版含解析)
全优课堂2017届高考总复习当堂过关微测:选修8 unit 1《A land of diversity》(新人教版含答案)
全优课堂2017届高考总复习当堂过关微测:必修5 unit 5《First aid》(新人教版含答案)
全优课堂2017届高考总复习当堂过关微测:选修6 unit 1《Art》(新人教版含答案)
全优课堂2017届高考总复习当堂过关微测:选修8 unit 3《Inventors and inventions》(新人教版含答案)
全优课堂2017届高考总复习限时规范训练:必修1 unit 2《English around the world》(新人教版含解析)
全优课堂2017届高考总复习当堂过关微测:选修7 unit 3《Under the sea》(新人教版含答案)