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III. Reading Comprehension
Section A
Directions: For each blank in the following passage there are four words or phrases marked A, B, C and D. Fill in each blank with the word or phrase that best fits the context.
The health-care economy is filled with unusual and even unique economic relationships. One of the least understood involves the 51 roles of producer or “provider” and purchaser or “consumer” in the typical doctor-patient relationship. In most sectors of the economy, it is the seller who attempts to attract a(n) 52 buyer with various inducements (引诱) of price, quality, and utility, and it is the buyer who makes the decision. Such condition,
53 , is not common in most of the health-care industry.
In the health-care industry, the doctor-patient relationship is the mirror image of the
54 relationship between producer and consumer. Once an individual has chosen to see a physician—and even then there may be no real choice– it is the physician who usually makes all significant 55 decisions: whether the patient should return “next Wednesday,” whether X-rays are needed, whether drugs should be prescribed, etc. It is a rare and experienced patient who will 56 such decisions made by experts or raise in advance questions about price, especially when the disease is regarded as 57 .
This is particularly 58 in relation to hospital care. The physician must give evidence of the 59 for hospitalization, determine what procedures will be performed, and announce when the patient may be allowed to leave. The patient may be consulted about some of these decisions, but in the main it is the doctor’s judgments that are 60 . Little wonder then that in the eye of the hospital it is the physician who is the real “consumer.” As a consequence, the 61 represents the “power center” in hospital policy and decision-making, not the administration.
Although usually there are in this situation four recognizable participants — the physician, the hospital, the patient, and the payer (generally an insurance carrier or government) — the physician makes the 62 for all of them. The hospital becomes an extension of the physician; the payer generally 63 most of the bills generated by the physician/hospital; and for the most part the patient plays a 64 role. We estimate that about 75-80 percent of health-care 65 are determined by physicians, not patients. For this reason, economy directed at patients or the general are relatively ineffective.
51. A. peculiar B. normal C. minor D. vital
52. A. eager B. potential C. overseas D. reluctant
53. A. moreover B. therefore C. however D. instead
54. A. ordinary B. permanent C. stable D. intense
55. A. difficult B. conscious C. early D. purchasing
56. A. accept B. confirm C. challenge D. announce
57. A. common B. serious C. mild D. preventable
58. A. significant B. rare C. changeable D. alternative
59. A. choice B. need C. disadvantage D. importance
60. A. balanced B. accurate C. independent D. final
61. A. patient B. medical staff C. government D. insurance agent
62. A. academic B. typical C. unique D. essential
63. A. reduces B. sends C. loses D. meets
64. A. traditional B. clear C. passive D. dominant
65. A. spending B. schedule C. therapy D. requirement
Section B
Directions: Read the following three passages. Each passage is followed by several questions or unfinished statements. For each of them there are four choices marked A, B, C and D. Choose the one that fits best according to the information given in the passage you have just read.
(A)
Foxes and farmers have never got on well. These small dog-like animals have long been accused of killing farm animals. They are officially classified as harmful and farmers try to keep their numbers down by shooting or poisoning them.
Farmers can also call on the services of their local hunt to control the fox population. Hunting consists of pursuing a fox across the countryside, with a group of specially trained dogs, followed by men and women riding horses. When the dogs eventually catch the fox they kill it or a hunter shoots it.
People who take part in hunting think of it as a sport; they wear a special uniform of red coats and white trousers, and follow strict codes of behavior. But owning a horse and hunting regularly is expensive, so most hunters are wealthy.
It is estimated that up to 100,000 people watch or take part in fox hunting. But over the last couple of decades the number of people opposed to fox hunting, because they think it is cruel, has risen sharply. Nowadays it is rare for a hunt to pass off without some kind of conflict between hunters and hunt saboteurs (阻拦者). Sometimes these incidents lead to violence, but mostly saboteurs interfere (干涉) with the hunt by misleading riders and disturbing the trail of the fox’s smell, which the dogs follow.
Noisy conflicts between hunters and saboteurs have become so common that they are almost as much a part of hunting as the pursuit of foxes itself. But this year supporters of fox hunting face a much bigger threat to their sport. A Labour Party Member of the Parliament, Mike Foster, is trying to get Parliament to approve a new law which will make the hunting of wild animals with dogs illegal. If the law is passed, wild animals like foxes will be protected under the ban in Britain.
66.Rich people in Britain have been hunting foxes ________.
A. for recreation B. to limit the fox population
C. in the interests of the farmers D. to show off their wealth
67.What is special about fox hunting in Britain?
A. It involves the use of a deadly poison.
B. It is a costly event that rarely occurs.
C. The hunters have set rules to follow.
D. The hunters have to go through strict training.
68.Fox hunting opponents often interfere in the game ________.
A. by leaning upon violence B. by taking legal action
C. by confusing the fox hunters D. by demonstrating on the scene
69.A new law may be passed by the British Parliament to ________.
A. prohibit farmers from hunting foxes
B. forbid hunting foxes with dogs
C. stop hunting wild animals in the countryside
D. prevent large-scale fox hunting
