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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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