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-6-1仔細閱讀

Whentherightpersonisholdingtherightjobat(yī)therightmoment,thatperson'sinfluenceisgreat(yī)lyexpanded.ThatisthepositioninwhichJanetYellen,whoisexpectedtobeconfirmedasthenextchairoftheFederalReserveBank(Fed)inJanuary,nowfindsherself.Ifyoubelieve,asmanydo,thatunemploymentisthemajoreconomicandsocialconcernofourday,thenitisnostretchtothinkYellenisthemostpowerfulpersonintheworldrightnow.

Throughoutthefinancialcrisisandtherecessionandrecoverythatfollowed,centralbankshavetakenontheroleofstimulat(yī)orsoflastresort,holdinguptheglobaleconomywithvastamountsofmoneyintheformofassetbuying.Yellen,previouslyaFedvicechair,wasoneoftheprincipalarchitectsoftheFed's$3.8trillionmoneydump.Astareconomistknownforhergroundbreakingworkonlabormarkets,Yellenwasakindofprophetessearlyoninthecrisisforherwarningsaboutthesubprime(次級債)meltdown.NowitwillbeherjobtogettheFedandthemarketsoutofthebiggestandmostunconventionalmonetaryprograminhistorywithoutderailingthefragilerecovery.

ThegoodnewsisthatYellen,67,isparticularlywellsuitedtomeetthesechallenges.Shehasakeenunderstandingoffinancialmarkets,anappreciationfortheirimperfectionsandastrongbeliefthathumansufferingwasmorerelatedtounemploymentthananythingelse.

SomeexpertsworrythatYellenwillbeinclinedtochaseunemploymenttotheneglectofinflation.Butwithwagesstillrelativelyflat(yī)andtheeconomyincreasinglydividedbetweenthewell-offandthelong-termunemployed,morepeopleworryabouttheopposite,deflat(yī)ion(通貨緊縮)thatwouldaggravatetheeconomy'sproblems.

Eitherway,theincomingFedchiefwillhavetowalkafinelineinslowlyendingthestimulus.Itmustbesteadyenoughtodeflatebubbles(去泡沫)andbringmarketsbackdowntoearthbutnotsoquickthat(yī)itcreat(yī)esanothercreditcrisis.

UnlikemanypastFedleaders,Yellenisnotonetobuothefinanceindustry'sargumentthatitshouldbeleftalonetoregulateitself.SheknowsallalongtheFedhasbeentooslackonregulationoffinance.

Yellenislikelytoaddresstheissuerightaftershepushesunemploymentbelow6%,stabilizesmarketsandmakessurethat(yī)therecoveryismoreinclusiveandrobust.AsPrincetonProfessorAlanBlindersays,"She'ssmartasawhip,deeplylogical,willingtoarguebutalsoagoodlistener.Shecanpersuadewithoutcreatinghostility."Allthosetraitswillbeusefulastheglobaleconomy'snewpowerplayertakesonitsmostannoyingproblems.

注意:此部分試題請在答題卡2上作答。

56.What(yī)domanypeoplethinkisthebiggestproblemfacingJanetYellen?

A)Lackofmoney.

B)Subprimecrisis.

C)Unemployment.

D)Socialinstability.

57.WhatdidYellenhelptheFeddototacklethefinancialcrisis?

A)Takeeffectivemeasurestocurbinflation.

B)DeflatethebubblesintheAmericaneconomy.

C)Formulatepoliciestohelpfinancialinstitutions.

D)Pourmoneyintothemarketthroughassetbuying.

58.Whatisagreaterconcernofthegeneralpublic?

A)Recession.B)Deflation.C)Inequality.D)Income.

59.WhatisYellenlikelytodoinherpositionastheFedchief?

A)Developanewmonetaryprogram.B)Restorepublicconfidence.

C)Tightenfinancialregulation.D)Reformthecreditsystem.

60.HowdoesAlanBlinderportrayYellen?

A)Shepossessesstrongpersuasivepower.

C)Sheisoneoftheworld'sgreatesteconomists.

B)Shehasconfidenceinwhatsheisdoing.

D)SheisthemostpowerfulFedchiefinhistory.

PassageTwo

Questions61to65arebasedonthefollowingpassage.

Airpollutionisdeteriorat(yī)inginmanyplacesaroundtheworld.Thefactthat(yī)publicparksincitiesbecomecrowdedassoonasthesunshinesprovesthat(yī)peoplelongtobreatheingreen,openspaces.Theydonotallknowwhat(yī)theyareseekingbuttheyflockthere,nevertheless.And,inthesesurroundings,theyaregenerallybothpeacefulandpeaceable.Itisraretoseepeoplefightinginagarden.Perhapsstruggleunfoldsfirst,notataneconomicorsociallevel,butovertheappropriat(yī)ionofair,essentialtolifeitself.Ifhumanbeingscanbreatheandshareair,theydon'tneedtostrugglewithoneanother.

Unfortunately,inourwesterntradition,neithermaterialistnoridealisttheoreticiansgiveenoughconsiderationtothisbasicconditionforlife.Asforpoliticians,despiteproposingcurbsonenvironmentalpollution,theyhavenotyetcalledforittobemadeacrime.Wealthycountriesareevenallowedtopolluteiftheypayforit.

Butisourlifeworthanythingotherthanmoney?Theplantworldshowsusinsilencewhatfaithfulnesstolifeconsistsof.Italsohelpsustoanewbeginning,urgingustocareforourbreat(yī)h,notonlyatavitalbutalsoataspirituallevel.Terdependencetowhichwemustpaytheclosestat(yī)tentionisthatwhichexistsbetweenourselvesandtheplantworld.Oftendescribedas"thelungsoftheplanet",thewoodsthat(yī)covertheearthofferusthegiftofbreathableairbyreleasingoxygen.Buttheircapacitytorenewtheairpollutedbyindustryhaslongreacheditslimit.Ifwelacktheairnecessaryforahealthylife,itisbecausewehavefilleditwithchemicalsandundercuttheabilityofplantstoregenerateit.Asweknow,rapiddeforestationcombinedwiththemassiveburningoffossilfuelsisanexplosiverecipeforanirreversibledisaster.

Thefightovertheappropriationofresourceswillleadtheentireplanettohellunlesshumanslearntosharelife,bothwitheachotherandwithplants.Thistaskissimultaneouslyethicalandpoliticalbecauseitcanbedischargedonlywheneachtakesituponherselforhimselfandonlywhenitisaccomplishedtogetherwithothers.Thelessontaughtbyplantsisthatsharinglifeexpandsandenhancesthesphereoftheliving,whiledividinglifeintoso-callednaturalorhumanresourcesdiminishesit.Wemustcometoviewtheair,theplantsandourselvesasthecontributorstothepreservat(yī)ionoflifeandgrowth,rat(yī)herthanawebofquantifiableobjectsorproductivepotentialitiesat(yī)ourdisposal.Perhapsthenwewouldfinallybegintolive,rat(yī)herthanbeingconcernedwithbaresurvival.

注意:此部分試題請在答題卡2上作答。

61.What(yī)doestheauthorassumemightbetheprimaryreasonthatpeoplewouldstrugglewitheachother?

A)Togettheirshareofcleanair.B)Topursueacomfortablelife.

C)Togainahighersocialstatus.D)Toseekeconomicbenefits.

62.Whatdoestheauthoraccusewesternpoliticiansof?

A)Deprivingcommonpeopleoftherighttocleanair.

B)Givingprioritytotheoryratherthanpracticalaction.

C)Offeringpreferentialtreatmenttowealthycountries.

D)Failingtopasslawstocurbenvironmentalpollution.

63.What(yī)doestheauthortrytodrawourclosestattentionto?

A)Themassiveburningoffossilfuels.

B)Ourrelationshiptotheplantworld.

C)Thecapacityofplantstorenewpollutedair.

D)Large-scaledeforestat(yī)ionacrosstheworld.

64.Howcanhumanbeingsaccomplishthegoalofprotectingtheplanetaccordingtotheauthor?

A)Byshowingrespectforplants.

B)Bypreservingallformsoflife.

C)Bytappingallnaturalresources.

D)Bypoolingtheireffortstogether.

65.What(yī)doestheauthorsuggestwedoinordernotjusttosurvive?

A)Expandthesphereofliving.

B)Developnature'spotentials.

C)Sharelifewithnature.

D)Allocatetheresources.

PartVITranslat(yī)ion(30minutes)

Directions:Forthispart,youareallowed30minutestotranslateapassagefromChineseintoEnglish.YoushouldwriteyouransweronAnswerSheet2.

中國傳統(tǒng)待客之道規(guī)定飯菜豐富多樣,讓客人吃不完。中國宴席上經(jīng)典菜單包含開席一套涼菜及其后熱菜,比如肉類、雞鴨、蔬菜等。大多數(shù)宴席上,全魚被認為是必不可少,除非已經(jīng)上過各式海鮮?,F(xiàn)在,中國人愛慕把西方特色菜和傳統(tǒng)中式菜肴融于一席,所以牛排上桌也不少見,沙拉也已流行起來,盡管傳統(tǒng)上中國人通常不吃任何未經(jīng)烹妊菜肴,宴席通常最少有一道湯,可以最先或最終上桌,甜點和水果通常標志宴席結(jié)束。

-6-2

I'lladmitI'veneverquiteunderstoodtheobsession(難以破除成見)surroundinggeneticallymodified(GM)crops.Toenvironmentalistopponents,GMfoodsaresimplyevil,anunderstudied.possiblyharmfultoolusedbybigagriculturalbusinessestocontrolglobalseedmarketsandcrushlocalfarmers.TheyarguethatGMfoodshaveneverdeliveredontheirsupposedpromise,thatmoneyspentonGMcropswouldbebetterchanneledtoorganicfarmingandthat(yī)consumersshouldbeprotectedwithwarninglabelsonanyproductsthatcontaingeneticallymodifiedingredients.Tosupporters,GMcropsareakeypartoftheefforttosustainablyprovidefoodtomeetagrowingglobalpopulat(yī)ion.Butmorethanthat,supportersseetheGMoppositionofmanyenvironmentalistsasfundamentallyanti-science,nodifferentthanthosewhoquestionthebasicsofman-madeclimatechange.

Forbothsides,GMfoodsseemtoactasasymbol:you'repro-agriculturalbusinessoranti-science.ButscienceisexactlywhatweneedmoreofwhenitcomestoGMfoods,whichiswhyIwashappytoseeNaturedevoteaspecialseriesofarticlestotheGMfoodcontroversy.Theconclusion:whileGMcropshaven'tyetrealizedtheirinitialpromiseandhavebeendominat(yī)edbyagriculturalbusinesses,thereisreasontocontinuetouseanddevelopthemtohelpmeettheenormouschallengeofSustainablyfeedingagrowingplanet.

That(yī)doesn'tmeanGMcropsareperfect,oraone-size-fits-allsolutiontoglobalagricultureproblems.Butanythingthatcanincreasefarmingefficiency--theamountofcropswecanproduceperacreofland--willbeextremelyuseful.GMcropscanandalmostcertainlywillbepartofthatsuiteoftools,butsowilltraditionalplantbreeding,improvedsoilandcropmanagement--andperhapsmostimportantofall,betterstorageandtransportinfrastructure(基礎(chǔ)設(shè)施),especiallyinthedevelopingworld.(Itdoesn'tdomuchgoodforfarmersinplaceslikesub-SaharanAfricatoproducemorefoodiftheycan'tgetittohungryconsumers.)I'dliketoseemorenon-industryresearchdoneonGMcrops--notjustbecausewe'dworry

lessaboutbias,butalsobecauseseedcompanieslikeMonsantoandPioneershouldn'tbetheonlyentitiesworkingtoharnessgeneticmodification.I'dliketoseeGMresearchonlesscommercialcrops,likecorn.Idon'tthinkit'svitaltolabelGMingredientsinfood,butIalsowouldn'tbeagainstit--andindustrywouldbesmarttogoalongwithlabeling,justasawayofremovingfearsaboutthetechnology.

Mostofall,though,Iwishat(yī)enthoftheenergythat(yī)'sspentendlesslydebatingGMcropswasfocused

onthosemorepressingchallengesforglobalagriculture.Therearemuchbiggerbattlestofight.

56.HowdoenvironmentalistopponentsviewGMfoodsaccordingtothepassage?

A.Theywilleventuallyruinagricultureandtheenvironment.

B.Theyareusedbybigbusinessestomonopolizeagriculture.

C.Theyhaveprovedpotentiallyharmfultoconsumers'health.

D.Theyposeatremendousthreat(yī)tocurrentfarmingpractice.

57.Whatdoestheauthorsayisvitaltosolvingthecontroversybetweenthetwosidesofthedebate?

A.BreakingtheGMfoodmonopoly.

B.Morefriendlyexchangeofideas.

C.RegulatingGMfoodproduction.

D.MorescientificresearchonGMcrops.

58.WhatisthemainpointoftheNaturearticles?

A.FeedingthegrowingpopulationmakesitimperativetodevelopGMcrops.

B.PopularizingGMtechnologywillhelpittoliveuptoitsinitialpromises.

C.MeasuresshouldbetakentoensurethesafetyofGMfoods.

D.Bothsupportersandopponentsshouldmakecompromises.

59.Whatistheauthor'sviewonthesolutiontoagriculturalproblems?

A.IthastodependmoreandmoreonGMtechnology.

B.Itisvitaltothesustainabledevelopmentofhumansociety.

C.GMcropsshouldbealloweduntilbetteralternativesarefound.

D.Whateverisusefultoboostfarmingefficiencyshouldbeencouraged.

60.WhatdoestheauthorthinkoftheongoingdebatearoundGMcrops?

A.Itarisesoutofignoranceofandprejudiceagainstnewscience.

B.Itdistractsthepublicattentionfromotherkeyissuesoftheworld.

C.Effortsspentonitshouldbeturnedtomoreurgentissuesofagriculture.

D.Neithersideislikelytogiveinuntilmoreconvincingevidenceisfound.

PassageTwo

Earlydecision--youapplytooneschool,andadmissionisbinding--seemslikeagreatchoicefornervousapplicants.Schoolsletinahigherpercentageofearly-decisionapplicants,whicharguablymeansthatyouhaveabetterchanceofgettingin.Andifyoudo,you'redonewiththewholeagonizingprocessbyDecember.Butwhatmoststudentsandparentsdon'trealizeisthat(yī)schoolshavehiddenmotivesforofferingearlydecision.

Earlydecision,sinceit'sbinding,allowsschoolstofilltheirclasseswithqualifiedstudents;itallowsadmissiomitteestoselectthestudentsthat(yī)areinparticulardemandfortheircollegeandknowthosestudentswillcome.Italsogivesschoolsahigheryieldrate,whichisoftenusedasoneofthewaystomeasurecollegeselectivityandpopularity.

Theproblemisthatthisprocesseffectivelyshortensthewindowoftimestudentshavetomakeoneofthemostimportantdecisionsoftheirlivesuptothat(yī)point.Underregularadmissions,seniorshaveuntilMay1tochoosewhichschooltoattend;earlydecisioneffectivelystealssixmonthsfromthem,monthsthatcouldbeusedtovisitmoreschools,domoreresearch,speaktocurrentstudentsandalumni(校友)andarguablymakeamoreinformeddecision.

Thereare,frankly,anastonishingnumberofexceptionalcollegesinAmerica,andforanygivenstudent,thereareanumberofschoolsthatareagreat(yī)fit.Whenstudentsbecometoofixated(專注)onaparticularschoolearlyintheadmissionsprocess,thatfixationcanleadtoseveredisappointmentiftheydon'tgetinor,iftheydo,thepossibilitythattheyarenowboundtogotoaschoolthat,giventimeforfartherreflection,maynotactuallyberightforthem.

Insofarasearlydecisionoffersagenuineadmissionsedge,that(yī)advantagegoeslargelytostudentswhoalreadyhavenumerousadvantages.Thestudentswhouseearlydecisiontendtobethosewhohavereceivedhigher-qualitycollegeguidance,usuallyaresultofcomingfromamoreprivilegedbackground.Inthisregard,there'sanargumentagainstearlydecision,asstudentsfromlower-incomefamiliesarefarlesslikelytohavetheadmissionsknow-howtonavigat(yī)etheoftenconfusingearlydeadlines.

Studentswhohavedonetheirresearchandareconfidentthatthere'soneschooltheywouldbethrilledtogetintoshould,underthecurrentsystem,probablyapplyunderearlydecision.Butforstudentswhohaven'tyetdoneenoughresearch,orwhoarestillconstantlychangingtheirmindsonfavoriteschools,theearly-decisionsystemneedlesslyandprematurelynarrowsthefieldofpossibilityjustat(yī)atimewhenstudentsshouldbeopeningthemselvestoawholerangeofthrillingoptions.

注意:此部分試題請在答題卡2上作答。

61.What(yī)arestudentsobligedtodounderearlydecision?

A.Lookintoalotofschoolsbeforetheyapply.

B.Attendtheschooloncetheyareadmitted.

C.Thinktwicebeforetheyaccepttheoffer.

D.Consultthecurrentstudentsandalumni.

62.Whydoschoolsofferearlydecision?

A.Tomakesuretheygetqualifiedstudents.

B.Toavoidcompetitionwithothercolleges.

C.Toprovidemoreopportunitiesforapplicants.

D.Tosavestudentstheagonyofchoosingaschool.

63.Whatissaidtobetheproblemwithearlydecisionforstudents?

A.Itmakestheircessmorecomplicated.

B.Itplacestoohighademandontheirresearchability.

C.Itallowsthemlittletimetomakeinformeddecisions.

D.Itexertsmuchmorepsychologicalpressureonthem.

64.Whyaresomepeopleopposedtoearlydecision?

A.Itinterfereswithstudents'learninginhighschool.

B.Itisbiasedagainststudentsat(yī)ordinaryhighschools.

C.Itcausesunnecessaryconfusionamongcollegeapplicants.

D.Itplacesstudentsfromlower-incomefamiliesatadisadvantage.

65.Whatdoestheauthoradvisecollegeapplicantstodo?

A.Refrainfromcompetingwithstudentsfromprivilegedfamilies.

B.Avoidchoosingearlydecisionunlesstheyarefullyprepared.

C.Findsufficientinformat(yī)ionabouttheirfavoriteschools.

D.Lookbeyondthefewsupposedlythrillingoptions.

Directions:Forthispart,youareallowed30minutestotranslateapassagefromChineseintoEnglish.YoushouldwriteyouransweronAnswerSheet2.

是中國城市化(urbanization)進程中歷史性時刻,其城市人口初次超過農(nóng)村人口。在未來2023里,估計約有3.5億農(nóng)村人口將移居到城市。如此規(guī)模城市發(fā)展對城市交通來說既是挑戰(zhàn),也是機遇。中國政府一直提倡“以人為本’’發(fā)展理念,強調(diào)大家以公交而不是私V--$-出行。它還號召建設(shè)“資源節(jié)省和環(huán)境和諧型”社會。有了這個明確目的,中國城市就可以更加好地計劃其發(fā)展,并把大量投資轉(zhuǎn)向安全、清潔和經(jīng)濟型交通系統(tǒng)發(fā)展上。

-6-3

ThereportfromtheBureauofLaborStatisticswasjustasgloomyasanticipated.UnemploymentinJanuaryjumpedtoal6一yearhighof7.6percent,as598000jobswereslashedfromUSpayrollsintheworstsingle-monthdeclinesinceDecember,1974.Withl.8millioniobslostinthelastthreemonths.thereisurgentdesiretoboosttheeconomyasquicklyaspossible.ButWashingtonwoulddowelltotakeadeepbreathbeforereactingtothegrimnumbers.

Collectively,werelyontheunemploymentfiguresandotherstatisticstoframeoursenseofreality.Theyareavitalpartofanarrayofdatathatweusetoassessifwe’redoingwellordoingbadly,andthatinturnshapesgovernmentpoliciesandcorporatebudgetsandpersonalspendingdecisions.Theproblemisthat(yī)thestat(yī)isticsaren’tanobjectivemeasureofreality;theyaresimplyabestapproximation.Directionally,theycapturethetrends,buttheideathatweknowpreciselyhowmanyareunemployedisamyth.Thatmakesfindingasolutionallthemoredifficult.

First,thereisthewaythedataisassembled.Theofficialunemploymentrateistheproductofatelephonesurveyofabout60000homes.Thereisanothersurvey,sometimesreferredtoasthe“payrollsurvey,”thatassesses400000businessesbasedontheirreportedpayrolls.Bothsurveyshaveproblems.Thepayrollsurveycaneasilydouble-countsomeone:ifyouareonepersonwithtwojobs,youshowupastwoworkers.Thepayrollsurveyalsodoesn’tcapturethenumberofself.employed,andsosayslittleabouthowmanypeoplearegeneratinganindependentincome.

Thehouseholdsurveyhasalargerproblem.Whenaskedstraightforwardly,peopletendtolieorshadethetruthwhenthesubjectissex,moneyoremployment.Ifyougetacallandareaskedifyou’reemployed.andyousayyes,you’reemployed.Ifyousayn0,however,itmaysurpriseyoutolearnthat(yī).Youareonlyunemployedifyou’vebeenactivelylookingforworkinthepastfourweeks;otherwise,youare。marginallyattachedtothelaborforce”andnotactuallyunemployed.

11leurgetoquantifyisembeddedinoursociety.Buttheideathatstatisticianscanthencaptureanobjectiverealin-im’tjustimpossible.Italsoleadstoseriousmisjudgments.Democrat(yī)sandRepublicanscanand、“Utakesidesonanumberofissues,butamorecrucialconcernisthatbotharebasingmajorpolicydecisionsonguesstimatesratherthanlookingat(yī)thevastwealthofrawdatawithacriticaleyeandanopenmind.

注意:此部分試題請在答題卡2上作答。

56.What(yī)dowelearnfromthefirstparagraph?

A.USeconomicsituationisgoingfrombadtoworse.

B.Washingtonistakingdrasticmeasurestoprovidemorejobs.

C.USgovernmentisslashingmorejobsfromitspayrolls.

D.TherecenteconomiccrisishastakentheUSbysurprise.

57.、Whatdoestheauthorthinkoftheunemploymentfiguresandotherstatistics?

A.Theyformasolidbasisforpolicymakin9.

B.Theyrepresentthecurrentsituation.

C.Theysignalfutureeconomictrend.

D.Theydonotfullyreflectthereality.

58.Oneproblemwiththepayrollsurveyisthat________.

A.itdoesnotincludeallthebusinesses

B.itfailstocountintheself—employed

C.itmagnifiesthenumberofthejobless

D.itdoesnottreatallcompaniesequally

59.111ehouseholdsurveycanbefaultyinthat_________.

A.peopletendtoliewhentalkingonthephone

B.noteverybodyiswillingorreadytorespond

C.somepeoplewon’tprovidetruthfulinformat(yī)ion

D.thedefinitionofunemploymentistoobroad

60.Attheendofthepassage,theauthorsuggeststhat_______.

A.statisticiansimprovetheirdataassemblingmethods

B.decisionmakersviewthestatisticswithacriticaleye

C.politicianslistenmorebeforemakingpolicydecisions

D.DemocratsandRepublicanscooperateoncrucialissuesPassageTwo

Sheet2.

漢朝是中國歷史上最關(guān)鍵朝代之一。漢朝統(tǒng)治期間有很多顯著成就。它最先向其它文化敞開大門,對外貿(mào)易興旺。漢朝開拓絲綢之路通向了中西亞乃至羅馬。各類藝術(shù)一派繁榮,涌現(xiàn)了很多文學(xué)、歷史、哲學(xué)巨著。公元l2023中國第一部字典編撰完畢,收入9000個字,提供釋義并列舉不同樣寫法:英間,科技方面也取得了很大進步,發(fā)明了紙張、水鐘、日晷(sundials)和測量地震儀器。漢朝歷經(jīng)42023,但統(tǒng)治者腐敗最終導(dǎo)致了它滅亡。

注意:此部分試題請在答題卡2上作答。

Add

Sayingtheycannolongerignoretherisingpricesofhealthcare,someofthemostinfluentialmedicalgroupsinthenationarerecommendingthatdoctorsweighthecosts,notjusttheeffectivenessoftreatment,astheymakedecisionsaboutpatientcare.

Theshift,littlenoticedoutsidethemedicalestablishmentbutalreadycontroversialinsideit,suggeststhatdoctorsarestartingtoredefinetheirroles,frombeingconcernedexclusivelyaboutindividualpatientstoexertinginfluenceonhowhealthcaredollarsarespent.

Inpracticalterms,thenewguidelinesbeingdevelopedcouldresultindoctorschoosingonedrugoveranotherforcostreasonsorevendecidingthataparticulartreatment-attheendoflife,forexample-istooexpensive.Intheextreme,somecriticshavesaidthat(yī)makingtreatmentdecisionsbasedoncostisaformofrationing.

Traditionally,guidelineshaveheavilyinfluencedthepracticeofmedicine,andthelatestonesareexpectedtomakedoctorsmoreconsciousoftheeconomicconsequencesoftheirdecisions,eventhoughthere'snoobligationtofollowthem.Medicalsocietyguidelinesarealsousedbyinsurancecompaniestohelpdeterminereimbursement(報銷)policies.

Somedoctorsseeapotentialconflictintryingtobebothprovidersofpatientcareandfinancialoverseers.

"Thereshouldbeforcesinsocietywhoshouldbeconcernedaboutthebudget,buttheyshouldn'tbefunctioningsimultaneouslyasdoctors,"saidDr.MartinSamuelsataBostonhospital.Hesaiddoctorsriskedlosingthetrustofpatientsiftheytoldpatients,"I'mnotgoingtodowhatIthinkisbestforyoubecauseIthinkit'sbadforthehealthcarebudgetinMassachusetts."

Doctorscanfacesomegrimtrade-offs.Studieshaveshown,forexample,thattwodrugsareaboutequallyeffectiveintreatingmaculardegeneration,aneyedisease.Butonecosts$50adoseandtheothercloseto$2,000.Medicarecouldsavehundredsofmillionsofdollarsayearifeveryoneusedthecheaperdrug.Avastin,insteadofthecostlierone,Lucentis.

ButtheFoodandDrugAdministrationhasnotapprovedAvastinforuseintheeye,andusingitratherthanthealternative,Lucentis,mightcarryanadditional,althoughslight,safetyrisk.ShoulddoctorsconsiderMedicare'sbudgetindecidingwhat(yī)touse?

"Ithinkethically(在道德層面上)wearejustworriedaboutthepat(yī)ientinfrontofusandnottryingtosavemoneyfortheinsuranceindustryorsocietyasawhole,"saidDr.DonaldJensen.

Still,someanalystssaythatthere'sarolefordoctorstoplayincostanalysisbecausenotmanyothersaredoingso."Insomeways,"saidDr.DanielSulmasy,"itrepresentsafailureofwidersocietytotakeuptheissue."

57.【題干】Whatdosomemostinfluentialmedicalgroupsrecommenddoctorsdo?

【選項】

A.Reflectontheresponsibilitiestheyaresupposedtotake.

B.Paymoreattentiontotheeffectivenessoftheirtreatments.

C.Takecostsintoaccountwhenmakingtreatmentdecisions.

D.Readjusttheirpracticeinviewofthecutsinhealthcare.

【解析】第一段第一句Sayingtheycannolongerignoretherisingpricesofhealthcare,someofthemostinfluentialmedicalgroupsinthenat(yī)ionarerecommendingthatdoctorsweighthecosts,notjusttheeffectivenessoftreatment。

58.【題干】Whatweredoctorsmainlyconcernedaboutinthepast?

【選項】

A.Specificmedicinestobeused.

B.Professionaladvancement.

C.Effectsofmedicaltreatment.

D.Patients'trust.

【解析】從第二段開頭Theshift可以看到,讓醫(yī)生更關(guān)注診療成本是一個轉(zhuǎn)變,那么就說明以前醫(yī)生關(guān)注更多是醫(yī)療效果。

59.【題干】Whatmaythenewguidelinesbeingdevelopedleadto?

【選項】

A.Theredefiningofdoctors'roles.

B.Conflictsbetweendoctorsandpatients.

C.Overuseoflesseffectivemedicines.

D.Theprolongingofpatients'suffering.

【解析】第二段Theshift,littlenoticedoutsidethemedicalestablishmentbutalreadycontroversialinsideit,suggeststhatdoctorsarestartingtoredefinetheirroles,f可以看出是A選項,醫(yī)生所扮演角色也被重新下定義。

60.【題干】Whatriskdodoctorsseeintheirdualroleaspatientcareprovidersandfinancialoverseers?

【選項】

A.Theymaybeinvolvedinaconflictofinterest.

B.Theymaybeforcedtodividetheirat(yī)tention.

C.Theymayhavetouselesseffectivedrugs.

D.Theymaylosetherespectofpat(yī)ients.

【解析】由第六段Hesaiddoctorsriskedlosingthetrustofpatientsiftheytoldpat(yī)ients,"I'mnotgoingtodowhat(yī)IthinkisbestforyoubecauseIthinkit'sbadforthehealthcarebudgetinMassachusetts."

61.【題干】Whatdosomeexpertssayaboutdoctors'involvementinmedicalcostanalysis?

【選項】

A.Itmayaddtodoctors'alreadyheavyworkloads.

B.Itwillhelptosavemoneyforsocietyasawhole.

C.Itresultsfromsociety'sfailuretotackletheproblem.

D.Itraisesdoctors'awarenessoftheirsocialresponsibilities.

【解析】最終一段最終一句話"itrepresentsafailureofwidersocietytotakeuptheissue."

57-61CCADC

PassageTwo

Questions61to65arebasedonthefollowingpassage.

Economicinequalityisthe"definingchallengeofourtime,"PresidentBarackObamadeclaredinaspeechlastmonthtotheCenterforAmericanProgress.Inequalityisdangerous,heargued,notmerelybecauseitdoesn'tlookgoodtohavealargegapbetweentherichandthepoor,butbecauseinequalityitselfdestroyupwardmobility,makingitharderforthepoortoescapefrompoverty."Increasedinequalityanddecreasingmobilityposeafundamentalthreat(yī)totheAmericanDream,"hesaid.

ObamaisonlythemostprominentpublicfiguretodeclareinequalityPublicEnemyNO.1andthegreatestthreattoreducingpovertyinA(yù)merican.Anumberofprominenteconomistshavealsoarguedthatit'sharderforthepoortoclimbtheeconomicladdertodaybecausetherungs(橫檔)inthatladderhavegrownfat(yī)herapart.

ForallthenewattentiondevotedtotheIpercent,anewdatastfromtheEqualityofOpportunityProjectoratHarvardandBerkeleysuggest

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