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阅读理解-阅读单选(约520词) | 较难(0.4) |
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文章大意:本文是一篇说明文。文章论述了ACE希望艺术面向更多人,以及ACE为推动艺术发展所做的努力。ACE主席希望艺术能够消除艺术家和观众之间的障碍,让更多人参与其中,ACE还希望政府能够重视艺术,为艺术发展提供支持。

1 . For the arts “to mean more, to more people,” as Arts Council England (ACE) argues that they should, would be excellent. Music, drama, dance, visual arts, poetry and literature are among the most precious human achievements. To live in a country in which these are more widely shared and enjoyed would be proof that we are making progress. The point is not to entertain or educate people, or bring communities together. Nor is it all about boosting jobs and investment. Imagination has intrinsic (内在的) value, and research carried out by ACE in the course of preparing its 10-year strategy showed that people from all walks of life value and get pleasure from cultural activities.

Positioning itself as a development agency, ACE will now hope to win government backing for a change of direction that orients it away from the biggest and most prestigious national institutions and towards the towns, villages and grassroots organizations that should be similarly deserving of attention. There, it envisions a role for itself “building the identity and prosperity of places,” bringing professional artists together with voluntary groups, particular in areas that have previously not been well represented on the cultural map.

ACE’s chair, Sir Nicholas Serota, quotes the first world war centenary (百年纪念) project devised by the artist, Jeremy Deller, and theatre director, Rufus Norris, as the model of what he wants his organization to be about. By dressing up volunteers as soldiers, and orchestrating their encounters with members of the public in settings across England, the artists succeeded in “dissolving the barriers between artists and audiences.”

The emphasis on participation — on culture as something that more people should actually do — is newer. This is the difference between being in a play or a band and buying tickets to watch them, and for ACE to play a more active role in promoting the former would be beneficial. This begins in childhood, and ACE clearly hopes that the government will think again about policies that have seen music, drama and other arts subjects systematically downgraded in favour of science, technology and maths.

To what extent the vision is realized will depend in part on whether ACE’s ambitions catch the government’s interest sufficiently to influence the upcoming spending review, and provide a counterweight to the scorn (轻视) that is regularly poured on the humanities. Around £400m has been cut from local government arts budgets since 2010, and ACE cannot plug this gap. The closure of youth clubs and live music venues, and growing financial pressures linked to the property market, are among other reasons for this worrisome narrowing of opportunities. So far Boris Johnson has offered few signs that he has in mind a starring role for the arts in post-Brexit Britain, although 2022’s Festival of Brexit is one such event. ACE’s plan should boost the profile of all those, in government and outside, who are arguing for more.

1. The purpose of making arts available to more people is to __________.
A.enlighten people from all walks of life
B.consolidate various communities
C.create job opportunities for artists
D.maximize the natural value of art
2. According to the passage, ACE is most likely to promote the arts of ___________.
A.national institutions
B.commercial centers
C.local governments
D.towns and villages
3. Which of the following statements would Sir Nicholas Serota most probably agree with?
A.Audiences with little education can also gain pleasure from cultural activities.
B.Artists and audiences can create and enjoy the arts together without barriers.
C.The soldiers and volunteers should vividly show scenes about the First World War.
D.Science, technology and maths are more important than humanities and arts nowadays.
4. What can be inferred from the last paragraph?
A.For the arts to get revitalized more extensive efforts are needed.
B.The current British government has done enough to promote arts.
C.ACE should narrow the financial gap left by the local government.
D.Many performing venues have closed due to the rising property market.
昨日更新 | 39次组卷 | 1卷引用:上海市实验学校2023-2024学年高三下学期3月月考英语试卷
听力选择题-短文 | 较难(0.4) |
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2 . Questions 11 through 13 are based on the following passage. 1.
A.It varies from person to person.
B.It is decided by the most healthy lifestyle.
C.It needs some tests and comparison to the standard.
D.It is based more on individual needs than personal goals.
2.
A.Strength.B.Endurance.C.Flexibility.D.Health.
3.
A.The variety of fitness in the future.
B.The importance of three basic factors concerning fitness.
C.The new concept of fitness and its essential factors.
D.Training effects of some sports on people.
7日内更新 | 11次组卷 | 1卷引用:上海市华东师范大学第一附属中学2023-2024学年高一下期期终考试英语试卷
语法填空-短文语填(约400词) | 较难(0.4) |
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文章大意:本文是一篇说明文。文章细致地介绍了印度奶茶的起源、发展历史和文化底蕴。
3 . Directions: After reading the passage below, fill in the blanks to make the passage coherent and grammatically correct. For the blanks with a given word, fill in each blank with the proper form of the given word; for the other blanks, use one word that best fits each blank.
A Sip Through Time: The Rich History of Chai

No doubt you’ve enjoyed a delicious chai latte at your local coffee shop, but do you know where your drink comes from? Chai, an aromatic beverage enjoyed worldwide, has a history as rich and diverse as its flavour profile.     1     (originate) from the Indian subcontinent, chai has evolved over centuries. In this journey through time, we explore the fascinating history of chai.

We can trace the roots of chai back to ancient India. The earliest form of chai was     2     mixture of herbs and spices. As trade routes flourished, so     3     the exchange of exotic spices, which eventually found their way into this ancient medicine.

The Silk Road played a core role in the evolution of chai. The spices used in chai became valuable commodities     4     (trade) along these routes, influencing the recipes and flavours of local brews.

In the 19th century, the British East India Company wanted to establish dominance in the trade. Part of this involved     5     (bring) tea to India. Tea plants had been growing in the wild in the Assam region of India for a long time, of course, but typically tea was viewed as a herbal medicine rather than a recreational beverage.

The East India Company introduced tea to India as a recreational drink, and soon the drink was adapted to Indian tastes,     6     milk, sugar and various spices added. This cultural exchange gave birth to a unique fusion—masala chai.

After India’s independence, chai became deeply rooted in the land. Street vendors and small tea stalls became cultural hubs     7     people from all walks of life gathered to discuss politics, share stories, and savour a hot cup of chai. Chai’s accessibility and affordability made     8     a democratic beverage, breaking down social barriers and fostering a sense of community.

In recent decades, chai has gone beyond its cultural origins and become a global phenomenon. Its distinctive flavour profile, combining the richness of black tea with the warmth of spices and milk,     9     (capture) the taste buds of people around the world. Chai latte has become a popular choice in coffee shops and cafes, adapting to different tastes     10     maintaining the essence of its Indian heritage at the same time.

7日内更新 | 33次组卷 | 1卷引用:上海复旦大学附属中学2023-2024学年高一下学期期中考试英语试题
阅读理解-阅读单选(约440词) | 较难(0.4) |
文章大意:本文是一篇说明文。文章主要介绍了大脑如何创造意识、情绪及自我认知等心理活动的现代理解与研究进展。

4 . The ancient Egyptians thought so little of the brain that when a king died, they removed the brain from his body and threw it away. The Egyptians assumed, like many people before and after them, that consciousness — your mind and your thoughts existed in the heart.

Now we know that the mind is a product of the brain, but how exactly does this 1.5-kilo piece of matter create a mind that allows you to think about yourself, experience happiness and anger, or remember events that happened 20 minutes or 20 years ago? This isn’t a new question. Today, however, powerful new techniques for visualizing the sources of thought, emotion, behavior, and memory are transforming the way we understand the brain and the mind it creates.

Have you ever stopped and thought, “What’s wrong with me today? I just don’t feel like myself”? Perhaps you were more tired or worried than usual — but somehow, you knew that something was different about you. This self-awareness - the ability to think about yourself and how you’re feeling-is an important part of being human.

This part of of your mind has its origins in the prefrontal cortex — a region of your brain just behind your forehead that extends to about your ears. Before this area began to function (around age two), you didn’t understand that you were a separate individual with your own identity. As this part of your brain developed, you became more aware of yourself and your thoughts and feelings.

Though humans may share certain emotions and recognize them in others, we don’t all have the same emotional response to every situation. In fact, most emotional responses are learned and stored in our memories. The smell of freshly cut grass, for example, will generate happy feelings in someone who spent enjoyable childhood summers in the countryside, but not in someone who was forced to work long hours on a farm. Once an emotional association like this is made, it is very difficult to reverse it. “Emotion is the least flexible part of the brain,” says psychologist Paul Ekman. But we can learn to control our emotions by becoming consciously aware of their underlying causes and by not reacting automatically to things in our environment.

For centuries, people have studied the brain, but it is only in recent years that we have really started to learn how it works. Nevertheless, there is still a long way to go before we understand our mind’s many complexities.

1. What is the passage mainly about?
A.How we create and control emotions.B.How the mind works.
C.How human beings are distinct.D.How emotions are processed.
2. Why does the author mention the ancient Egyptians’ practice in the very beginning?
A.To illustrate the importance of the heart in ancient Egyptian culture.
B.To introduce the core theme of the mind-body connection and evolution.
C.To provide an example of how the brain has been misunderstood throughout history.
D.To contrast the ancient Egyptians’ views on the brain with the modern one.
3. Which of the following statement is NOT true?
A.Self-awareness develops before the age of two.
B.The prefrontal cortex affects a person’s emotions.
C.The prefrontal cortex is located at the front of the brain.
D.Self-awareness strengthens with the development of the brain.
4. What does the passage suggest about the flexibility of emotions?
A.Emotions are universal and do not change over time or with individual experiences.
B.Emotions are generally learned and stored in our memories, making them quite flexible.
C.Emotions are influenced by our personal experiences and can vary from person to person.
D.Emotions are the least flexible part of the mind, and they cannot be controlled.
7日内更新 | 44次组卷 | 1卷引用:上海市宝山区2023-2024学年高二下学期期末教学质量监测英语试卷
智能选题,一键自动生成优质试卷~
完形填空(约380词) | 较难(0.4) |
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文章大意:这是一篇说明文。人们常说“失败是成功之母”。这句话虽然有一定道理,但并没有告诉我们如何化输为胜。文章主要介绍了日本教育心理学教授Manalo的一项研究表明学生越早失败,他们就能越早前进。告诉我们要教会学生不要害怕失败,这会让目标更容易实现。

5 . People often say that “failure is the mother of success.” This cliché (陈词滥调) might have some truth to it, but it __________ tells us how to actually turn a loss into a win, says Emmanuel Manalo, a professor of educational psychology at Kyoto University in Japan. As a result, he says, “we know we shouldn’t give up when we fail—but __________, we do.”

Manalo and Manu Kapur, a professor of learning sciences at the Swiss Federal Institute of Technology Zurich, put together a special issue of the journal Thinking Skills and Creativity last December on __________ failure. The issue’s 15 studies provide teachers and educational researchers with a guide for __________ success. One study reported, for example, that the sooner and more often students fail at a task, such as building a robot, the sooner they can __________ and improve. Another confirmed that feedback on failures is most __________ when the giver comes across as caring, and the receiver is prepared to weather negative emotions.

Manalo and his co-authors also contributed their own study focused on overcoming one fundamental, everyday form of failure: not __________ a task. They asked 131 undergraduates to write an essay about their school experiences. Half of the students received __________ for structuring their writing, and half were left to their own devices. All, however, were __________ prior to finishing. Afterward the researchers found that those in the structured group were more motivated to complete their essays, compared with those who lacked guidance—even if the latter were __________ to being done. Knowing how to finish, __________, was more important than being close to finishing.

The researchers dubbed this finding “the Hemingway effect,” for the author’s self-reported __________ to stop writing only when he knew what would happen next in the story—so as to avoid writer’s block when he returned to the page. Manalo believes that learning how to fail temporarily can help people avoid becoming __________ failures at many tasks, such as completing an essay, learning a language or inventing a new technology.

Demystifying failure and teaching students not to __________ it make goals more attainable, says Stephanie Couch, executive director of the Lemelson-MIT Program, a nonprofit organization dedicated to developing and supporting inventors. Couch, whose work was also featured in the special issue, __________ that we “should really be thinking of failure as part of a process of going forward toward success.”

1.
A.undoubtedlyB.vividlyC.hardlyD.intentionally
2.
A.in realityB.by contrastC.with questionD.after all
3.
A.running intoB.accounting forC.contributing toD.benefiting from
4.
A.celebratingB.evaluatingC.achievingD.predicting
5.
A.move forwardB.stand byC.dash backwardD.run away
6.
A.instantB.constructiveC.informalD.sincere
7.
A.assigningB.reportingC.handlingD.completing
8.
A.grantsB.approvalC.instructionsD.training
9.
A.stoppedB.examinedC.notifiedD.guided
10.
A.subjectB.closerC.devotedD.crucial
11.
A.in other wordsB.moreoverC.neverthelessD.in particular
12.
A.reluctanceB.eagernessC.tendencyD.ability
13.
A.inevitableB.perceivedC.worthwhileD.permanent
14.
A.comprehendB.fearC.overcomeD.pursue
15.
A.addsB.recallsC.doubtsD.challenges
2024-06-10更新 | 78次组卷 | 1卷引用:上海市晋元高级中学2023-2024学年高一5月月考英语试卷
完形填空(约460词) | 较难(0.4) |
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文章大意:本文是一篇说明文。1968年,在芬兰的哈图拉附近发现了一座大约1100年的坟墓,居住者的骨骼几乎没有留下,但在尸体中发现了两把剑和一把刀。这样的墓葬通常表明死者是男性。然而,他的骨架上也装饰着胸针和当时女性更常穿的羊毛衣服。这导致了考古学家对墓葬遗骸的性别的猜测。

6 . In 1968 a grave dating from about 1100 was uncovered near Hattula, in Finland, Little remained of the occupant’s skeleton, but the inhumation included two swords and a knife. Such grave goods would normally suggest said occupant was a man. The skeleton was, _______ also decorated with brooches (胸针) and woollen clothing of types more usually worn at the time by women. This _______ guess that the burial was actually of a powerful woman, possibly a local ruler in her own right rather than just the wife of a male king.

This would be noteworthy enough. But a re-examination of the remains, just published in the European Journal of Archaeology by Ulla Moilanen of the University of Turku and Elina Salmela of the University of Helsinki, suggests the truth may be yet more _______. Ms. Moilanen and Dr Salmela suspect that the individual _______ may have had outward characteristics of both a man and a woman.

In 1968 working out the _______ of a skeleton in an ancient grave was tricky. After years of deterioration, the bones of men and women look pretty much _______. But that was before the use of DNA became possible. So Ms. Moilanen and Dr Salmela thought it worth trying again.

Most people have two sex chromosomes (染色体): XX in women and XY in men. Find DNA from a Y-chromosome in a skeleton and the chances are the body was _______. And, looking at a fragment of femur brought to her by Ms. Moilanen, who is the archaeologist in the _______, Dr. Salmela, who is the geneticist, did indeed find such DNA. But not much of it. That led her to wonder about contamination (污染), but also to consider whether the individual in the grave had had a(n) _______ X-chromosome that was swamping the signal from the Y.

Having an abnormal number of sex chromosomes is rare, but not vanishingly so. The particular ________ XXY leads to what is known as Klinefelter’s syndrome. To determine the occupant’s karyotype (染色体组型) from the tiny amount of DNA available, Dr. Salmela drew ________ with living people. The grave delivered 8,329 pieces, so she used a computer to draw samples of similar size from the genomes of living people with various karyotypes, including XXY, and also from mixtures of both sexes, to ________ contamination. She then compared these with the DNA from the grave and ________ it was 99.75% probable the individual concerned bad indeed had Klinefelter’s syndrome.

While Dr Salmela was working all this out, Ms. Moilanen and her team had another look at the grave. They confirmed that it was a ________ burial. For instance, they found evidence of fine furs, probably from foxes. Clearly, this was a well-respected human being, but what led to that ________ in a world then dominated by male values is a matter of puzzle. Perhaps the person came from a family powerful enough for such things not to matter.

1.
A.thereforeB.what’s moreC.neverthelessD.for instance
2.
A.intensifiedB.classifiedC.dismissedD.compared
3.
A.dullB.engagingC.unpleasantD.frightening
4.
A.in questionB.at largeC.by comparisonD.with doubt
5.
A.compositionB.ageC.sexD.origin
6.
A.distinctB.unidentifiedC.alikeD.broken
7.
A.femaleB.oldC.youngD.male
8.
A.cooperationB.authorityC.instituteD.adventure
9.
A.restoredB.extraC.missingD.dominant
10.
A.requirementB.interestC.combinationD.emphasis
11.
A.inspirationsB.lessonsC.inferencesD.comparisons
12.
A.eliminateB.monitorC.imitateD.generate
13.
A.rejectedB.concludedC.recalledD.confessed
14.
A.high-statusB.secretC.religiousD.peaceful
15.
A.conclusionB.evidenceC.respectD.solution
2024-06-04更新 | 63次组卷 | 1卷引用:上海市川沙中学2023-2024学年高二下学期五月月考英语试题
语法填空-短文语填(约380词) | 较难(0.4) |
名校
文章大意:本文为一篇说明文,介绍了“垂直农场”的发展,优势及潜能。
7 . Directions: After reading the passage below, fill in the blanks to make the passages coherent and grammatically correct. For the blanks with a given word, fill in each blank with the proper form of the given word; for the other blanks, use one word that best fits each blank.

Vertical Farms: Is the sky really the limit?

At a hyper-controlled indoor farm in industrial South San Francisco, four robots carefully transfer seeds from barcoded trays into 4.5-meter towers that then are hung vertically (垂直地) inside a 445 sq metre grow room. Workers in branded jumpsuits     1     (inspect) the greens for imperfect produce, but there is almost     2    . Then the pesticide-free product is packaged and put on a truck     3     (deliver) to a local market where the customer becomes the first person to touch it. With the world’s population expected to reach nearly 10 billion by 2050, most of     4     will be living in cities, experts say a 70% increase from current levels of global food production will be needed. But agricultural land is     5     short supply thanks to the climate crisis and urbanization.

Indoor farming raised more than $1 bn in 2021, exceeding the combined funding in 2018 and 2019. But critics say the massive energy costs     6    (need) to run vertical farms and greenhouses make the practice far less eco-friendly than their branding suggests.

Designed to produce yields hundreds of times larger than traditional outdoor farming, vertical farms occupy spaces such as buildings or shipping containers while using 70 to 95% less water     7     they can recapture and recycle rather than waste it due to poor irrigation (灌溉) or evaporation. Products are fully traceable from seed to shelf, stay fresher longer and there’s little risk of bacteria, infected animal faces (粪便) or     8    (have) to transport them long distances in trucks and planes.

Entrepreneurs like Irving Fain, CEO and founder of Manhattan-based Bowery Farming, say that they’re gathering knowledge about plant growth and agronomy (农学) that     9     take traditional farmers outdoors hundreds of years to accumulate. The possibilities raised by vertical farms have also captured the imagination of a number of large venture capitalists and private equality funds. “While it is still too early to tell     10     these high-tech, high-rise growing machines will become a real estate asset class in their own right, some investors are starting to take a serious look at vertical farming as a possible new asset category.” said Fain.

2024-06-04更新 | 76次组卷 | 1卷引用:上海市川沙中学2023-2024学年高二下学期五月月考英语试题
语法填空-短文语填(约390词) | 较难(0.4) |
文章大意:这是一篇说明文。文章主要介绍了芬兰被评为最幸福的国家,以及作者为了了解芬兰人的幸福秘诀而前往芬兰参加幸福大师班的经历。
8 . Directions: After reading the passage below, fill in the blanks to make the passage cohcrent and grammatically correct. For the blanks with a given word, fill in each blank with the proper form of the given word; for the other blanks, use one word that best fits each blank.

We Britons have about 60 words for happiness: blissfulness, ecstasy, pleasure, delight...The list is as varied as it is surprising, given that we only just scraped into the top 20 happiest countries in the world this year. Finns, who     1     (name) the happiest nation for the sixth year running, are either onnellinen or iloinen. The latter roughly translates as joyful or glad: you might be iloinen that you’re heading off on boliday. Onnellinen, on the other hand, speaks to the notion of being content with your life,     2     describing a fleeting feeling.

In the decade     3     the first World Happiness Report was released in 2012, four countries have held the top position: Denmark, Switzerland, Norway and now Finland. It’s based on an evaluation in which respondents are asked to assess the overall happiness of their current lives on a scale of one to 10.

For the fourth year running, the UK has slipped down the global happiness rankings,     4     (drop) two places to number 19. Even more worryingly, however, the 2022 global Oracle happiness report for the UK specifically found that nearly half of Britons have not felt true happiness in two years. We’re currently behind the US, Israel, New Zealand and Luxembourg, but mercifully ahead of the likes of Afghanistan and Lebanon-currently the two     5     (happy) countries in the world. This persistent decline in British contentment is concerning.

    6     (find) out what we miserable Britons can leam from the Finns, I went to Lake Saimaa — a three-and-a-half-hour drive from Helsinki —   to take part in a masterclass in happiness. It is a resort designed around taking things slowly. Each villa has its own sauna (桑拿浴),     7     (set)in a fragrant pine forest.     8     many friends rightly pointed out, how could anyone not be happy here?

In many ways, though, my admittedly luxurious stay revealed to me     9     the Finns approach happiness for everyone. There’s no doubt they have got a lot of things right — their love of saunas, for one. Known for their health benefits, saunas are fantastic for calming the mind. And with     10     estimated 3 million saunas for a population of just over 5.5 million, they are certainly integrated into everyday life.

2024-05-30更新 | 79次组卷 | 1卷引用:上海市新川中学2023-2024学年高二下学期5月月考英语试题
完形填空(约440词) | 较难(0.4) |
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文章大意:本文属于议论文。旅游的发展,虽然促进了当地的经济发展,但从另外一个方面影响到了当地居民的生活以及各种基础设施,如何保证旅游业的长久发展是摆在人们面前的一大问题。

9 . More people are travelling than ever before, and lower barriers to entry and falling costs means they are doing so for ________ periods.

The rise of “city breaks” 48-hour bursts of foreign cultures, easier on the pocket and annual leave balance has increased tourist numbers, but not their ________ spread. The same attractions have been used to market cities such as Paris, Barcelona and Venice for decades, and visitors use the same infrastructure (基础设施) as residents to reach them. “Too many people do the same thing at the exact same time,” says Font, an expert in tourism. “For ________, the city no longer belongs to them.”

In response to this situation, cities have come up with various solutions. For instance, Amsterdam has started advising visitors to seek ________ outside of the city center on its official website. “That takes courage, really, to do that. But only so many people will look at the website, and it means they can say to their residents they’re doing all they can to ________ congestion.”

But it also proposes a better way, which is called “de-tourism”: sustainable travel tips and ________ schedules for exploring a real Venice, off the paths beaten by the 28 million visitors who flock there each year.

A greater variety of ________ for prospective visitors — ideas for what to do in off-peak seasons, for example, or outside of the city center — can have the effect of removing them from already crowded landmarks, or ________ short breaks away in the first place. Longer stays ________ the pressure, says Font. ‘If you go to Paris for two days, you’re going to the Eiffel Tower. If you go for two weeks, you’re not going to go to the Eiffel Tower 14 times.” Similarly, repeat visitors have a better sense of the________, “We should be asking how we can get tourists to ________, not how to get them to come for the first time. If they’re coming for the fifth time, it is much easier to integrate their behaviors with ours.”

Font says cities could stand to be more ________ about the tourists they try to attract when the current metric for marketing success is how many there are, and how far they’ve come. “You’re thinking. ‘yeah but at what cost…’” He points to unpublished data from the Barcelona Tourist Board that prioritizes Japanese tourist for spending an average of 640 more per day than French tourists — a(n) ________ that fails to take into account their bigger carbon footprint. ________ tourists are also more likely to be repeat visitors that come at off-peak times, buy local products, and spread out to less crowded parts of the city — all productive steps towards more ________ tourism, and more peaceful relations with residents.

1.
A.longerB.shorterC.widerD.clearer
2.
A.environmentalB.nationalC.economicD.geographic
3.
A.localsB.touristsC.visitorsD.cleaners
4.
A.transportsB.accommodationC.restaurantsD.service
5.
A.causeB.fuelC.transferD.ease
6.
A.separateB.individualC.alternativeD.objective
7.
A.reformB.guidanceC.invitationD.support
8.
A.convincingB.discouragingC.promotingD.enjoying
9.
A.releaseB.enhanceC.removeD.relieve
10.
A.cultureB.knowledgeC.entertainmentD.ability
11.
A.go withB.bring upC.come backD.lay off
12.
A.selectiveB.optimisticC.curiousD.doubtful
13.
A.distinctionB.harmonyC.associationD.comparison
14.
A.FrenchB.JapaneseC.SpanishD.German
15.
A.comfortableB.complexC.temporaryD.sustainable
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文章大意:本文是一篇说明文。文章讲述初级保健应是任何卫生保健系统的支柱,而美国却强调专科医生而不是初级保健医生,以至于初级保健滑落,并给出了具体原因和针对这一问题的对策。

10 . Huge health care bills, long emergency-room waits and the inability to find a primary care physician just scratch the surface of the problems that patients face daily.

Primary care should be the backbone of any health care system. Countries with appropriate primary care resources score highly when it comes to health outcomes and cost. The U.S. takes the opposite approach by emphasizing the specialist rather than the primary care physician.

A recent study analyzed the providers who treat Medicare beneficiaries (老年医保受惠人). The startling finding was that the average Medicare patient saw a total of seven doctors—two primary care physicians and five specialists—in a given year. Contrary to popular belief, the more physicians taking care of you don’t guarantee better care. Actually, increasing fragmentation of care results in a corresponding rise in cost and medical errors.

How did we let primary care slip so far? The key is how doctors are paid. Most physicians are paid whenever they perform a medical service. The more a physician does, regardless of quality or outcome, the better he’s reimbursed (返还费用). Moreover, the amount a physician receives leans heavily toward medical or surgical procedures. A specialist who performs a procedure in a 30-minute visit can be paid three times more than a primary care physician using that same 30 minutes to discuss a patient’s disease. Combining this fact with annual government threats to indiscriminately (任意地) cut reimbursements, physicians are faced with no choice but to increase quantity to boost income.

Primary care physicians who refuse to compromise quality are either driven out of business or to cash-only practices, further contributing to the decline of primary care.

Medical students are not blind to this scenario. They see how heavily the reimbursement deck is stacked against primary care. The recent numbers show that since 1997, newly graduated U. S. medical students who choose primary care as a career have declined by 50%. This trend results I emergency rooms being overwhelmed with patients without regular doctors.

How do we fix this problem?

It starts with reforming the physician reimbursement system. Remove the pressure for primary care physicians to squeeze in more patients per hour, and reward them for optimally (最佳的) managing their diseases and practicing evidence-based medicine. Make primary care more attractive to medical students by forgiving students loans for those who choose primary care as a career and reconciling the marked difference between specialist and primary care physician salaries.

We’re at a point where primary care is needed more than ever. Within a few years, the first wave of the 76 million Baby Boomers will become eligible for Medicare. Patients older than 85, who need chronic care most, will rise by 50% this decade.

Who will be there to treat them?

1. We learn from the passage that people tend to believe that ________.
A.the more costly the medicine, the more effective the cure
B.seeing more doctors may result in more diagnostic errors
C.visiting the same doctor on a regular basis ensures good health
D.the more doctors a patient sees, the better
2. Faced with the government threats to cut reimbursements indiscriminately, primary care physicians have to ________.
A.increase their income by working overtime
B.improve their expertise and service
C.see more patients at the expense of quality
D.make various deals with specialists
3. What suggestion does the author give in order to provide better health care?
A.Bridge the salary gap between specialist and primary care physicians.
B.Extend primary care to patients with chronic diseases.
C.Recruit more medical students by offering them loans.
D.Reduce the tuition of students who choose primary care as their major.
4. The best title for this passage is ________.
A.The Health Care in TroubleB.The Imbalance System
C.The Declining Number of DoctorsD.The Ever-rising Health Care Costs
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