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.
答案: ABCDA
职场社交英语:【51--你得要沉得住气】
职场社交英语:【55--你这是在闹小孩子脾气】
职场社交英语:【33--她疯了不成?】
职场社交英语:【37--我真的搞迷糊了】
职场社交英语:【63--我的道行就是比较高】
办公室英语口语谬误之I Think
职场社交英语:【44--他自视甚高】
职场社交英语:【1--欢迎来到资讯王】
职场社交英语:【68--我知道最适合的人选】
职场社交英语:【27--她可都是玩真的】
职场社交英语:【67--他手边有太多事要做了】
职场社交英语:【57--是跟仰慕者碰面的时候了】
职场社交英语:【31--哇!真有一套!】
职场社交英语:【59--你早就知道是我?】
职场社交英语:【47--我有预感你会过来】
职场社交英语:【41--你不打算想想办法吗?】
职场英语口语:如果失业了该怎么办?
职场社交英语:【29--我猜我只是有点紧张】
职场社交英语:【13--另一张绿色便条纸】
职场社交英语:【5--我要提供你认股权】
职场社交英语:【21--你真是心狠手辣】
职场社交英语:【39--你这个疯婆娘!】
职场社交英语:【46--你怎能那么肯定?】
职场社交英语:【19--我就不拐弯抹角了】
职场社交英语:【18--我们得要抢先完成】
职场百科:办公室日常口语对话(1)
职场社交英语:【50--新来的程序设计师行吗?】
职场社交英语:【8--我受不了电脑怪胎】
职场社交英语:【69--灵验了吗?】
职场社交英语:【45--你别跟我婆婆妈妈的】
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