Section A (60 minutes, 30 points) x=B+F
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Passage One +>qBK}`
Most people would be impressed by the high quality of medicine available to most Americans. There is a lot of specialization, a great deal of attention to the individual, a vast amount of advanced technical equipment, and intense effort not to make mistakes because of the financial risk which doctors and hospitals must face the courts if they handle things badly. /^[)JbgB
But the Americans are in a mess. The problem is the way in which health care is organized and financed. Contrary to public belief, it is not just a free competition system. To the private system has been joined a large public system, because private care was simply not looking after the less fortunate and the elderly. nu0bJ:0aLd
But even with this huge public part of the system, which this year will eat up 84.5 billion dollars-more than 10 percent of the U.S. budget-large numbers of Americans are left out. These include about half the I1 million unemployed and those who fail to meet the strict limits on income fixed by a government trying to make savings where it can. i`]M2Q
The basic problem, however, is that there is no central control over the health system. There is no limit to what doctors and hospitals charge for their services. Over than what the public is able to pay. The number of doctors has shot up and prices have climbed. When faced with toothache, a sick child, or a heart attack, all the unfortunate person concerned can do is pay up. GIVs)~/Eq
Two-thirds of the populations are covered by medical insurance. Doctors charge as much as they want knowing that the insurance company will pay the bill. hqD;<
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The medical profession has as a result become America's new big businessmen. The average income of doctors has now reached $100,000 a year. With such vast incomes the talk in the doctor's surgery is as likely to be about the doctor's latest financial deal, as about whether the minor operation he is recommending at several thousand dollars is entirely necessary. K=5_jE^e
The rising cost of medicine in the U.S.A. is among the most worrying problem facing the country. In 1981 the country's health cost climbed 15.9 percent-about twice as fast as prices in general. eZHzo
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36. In the U.S. patients can effect, in medical ______. UuT[UB=x5
A. occasional mistakes by careless doctors N~>?w#?J
B. a great deal of personal attention ~POeFZ
C. low charge by doctors and hospitals RO.(k!J .
D. stacking nurses and bad services x>8f#B\Mr
37. Doctors and hospitals try hard to avoid making mistakes because ______. peqFa._W
A. they fear to be sued by the patients _SP
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B. they care much about Their reputation k13/yiv
C. they compete for getting more patents DpS6>$v8t
D. they wish to join the private medical system *Ra")(RnDK
38. What do most Americans think about health in the U.S.? R-Fi`#PG2
A. It must be in total chaos l wg.'<
B. It must be a free competition system ^p7(
C. It should cover the unemployed PRz oLzr
D. It should involve private care. &vF "I'V
39. From Paragraph 3 we know that ______from the public health system. KncoIw
A. millions of jobless people get support. D1Sl+NOV
B. those with steady income do not seek help. Y+j KP*ri
C. some people are made ineligible to benefit. o7T|w~F~R
D. those with private health care are excluded. wwAT@=X*}
40. According to the author, what is the key factor in the rise of health cost in the US? A zle ;\l`
A. The refusal of insurance companies to pay the bills y*(YZ zF
B. The increase of the number of doctors and hospitals hrL<jcv|
C. the lack of government control over the medical prices LuqaGy}>-
D. The merger of private health care with the public system. ;?o C=c
41. It is implied that American doctors often______. ~/x42|t
A. trade their professionalism for financial benefits +-nQ,
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B. fails to recognize the paying power of the patients piG1&*
C. discuss about how to make money during the surgery 5VTbW
D. gives the patients expensive but needless treatments. <di_2hN
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Passage two .;:xx~G_Q
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Almost every day the media discovers an African community fighting some form of environmental threat from land fills. Garbage dumps, petrochemical plants, refineries, bus depots, and the list go on. For years, residents watched helplessly as their communities became dumping grounds. `aUp&8{
But citizens didn't remain silent for long. Local activists have been organizing under the mantle of environmental justice since as far back as 1968. More than three decades ago, the concept of environmental justice had not registered on the radar screens of many environmental or civil rights groups. But environmental justice fits squarely under the civil rights umbrella. It should not be forgotten that Dr. Martin Luther King Jr. went to Memphis on an environmental and economic justice mission in 1968, seeking support for striking garbage workers who were underpaid and whose basic duties exposed them to environmentally hazardous conditions. ??m7xH5u1
In 1979 landmark environmental discrimination lawsuit filed in Houston. Followed by similar litigation efforts in the 1980s, rallied activists to stand up to corporations and demand government intervention. x]ti3?w
In 1991, a new breed of environmental activists gathered in Washington, D.C., to bring national attention to pollution problems threatening low-income and minority communities Leaders introduced the concept of environmental justice, protesting that Black, poor and working-class communities often received less environmental protection than White or more affluent communities. The first National People of Color Environmental Leadership Summit effectively broadened what "the environment" was understood to mean. It expanded the definition to include where we live, work, play, worship and go to school, as well as the physical and natural world. In the process, the environmental justice movement changed the way environmentalism is practiced in the United States and, ultimately, worldwide. 2jW>uk
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Because many issues identified at the inaugural summit remain unaddressed, the second National People of Color Environmental Leadership Summit was convened in Washington, D.C., this past October. The second summit was planned for 500 delegates; but more than 1,400 people attended the four-day gathering. RF)B4D-W
"We are pleased that the Summit II was able to attract a record number of grassroots activists, academicians, students, researchers, government officials We proved to the world that our planners, policy analysts and movement is alive and well, and growing," says Beverly Wright, chair of the summit. The meeting produced two dozen policy papers that show environmental and health disparities between people of color and Whites. -"e}YN/
42. In Paragraph 1, the word “residents’’ refers to ______in particular _o.Z`]
A. ethnic groups in the U.S ]K7 64}
B. the American general public S
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C. a Africa American >y9o&D