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Crippling 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 dally.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 US takes the opposite approach by emphasizing the specialist rather than the primary care physician.A recent study analyzed the providers who treat Medicare beneficiaries. The starting 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 doesn’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. 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. Combine this fact with annual government threats to indiscriminately 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 aren’t 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 US medical students who choose primary care as a career have declined by 50%. This results in emergency rooms being over whelmed 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 managing their diseases and practicing evidence-based medicine. Make primary care more attractive to medical students by forgiving student 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. The author’s chief concern about the current US health care is( ).2.We learn from the passage that people tend to believe that system is( )3.Faced with the government threats to cut reimbursements indiscriminately, primary care physicians have to( ).4.Why do many new medical graduates refuse to choose primary care as their career?5.What suggestion does the author give in order to provide better health care?

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In this age of Internet chat, videogames and reality television, there is no shortage of mindless activities to keep a child occupied. Yet, despite the competition, my 8-year-old daughter Rebecca wants to spend her leisure time writing short stories. She wants to enter one of her stories into a writing contest, a competition she won last year.As a writer I know about winning contest, and about losing them. I know what it is like to work hard on a story only to receive a rejection slip from the publisher. I also know the pressures of trying to live up to a reputation created by previous victories. What if she doesn’t win the contest again? That’s the strange thing about being apparent. So many of our own past scars and dashed hopes can surface.A revelation came last week when I asked her, “...Don’t you want to win again?” “No”, she replied. “I just want to tell the story of an angel going to first grade.”I had just spent weeks correcting her stories as she spontaneously told them. Telling myself that I was merely an experienced writer guiding the young writer across the hall, I offered suggestions for characters, conflicts and endings for her tales. The story about a fearful angel starting first grade was quickly, “guided” by me into the tale of a little girl with a wild imagination taking her first music lesson. I had turned her contest into my contest without even realizing it.Staying back and giving kids space to grow is not as easy as it looks. Because I know very little about farm animals who use tools or angels who go to first grade, I had to accept the fact that was co-opting my daughter’s experience.While stepping back was difficult for me, it was certainly a good first step that I will quickly follow with more steps, putting myself far enough away to give her room but close enough to help if asked. All the while I will be reminding myself that children need room to experiment, grow and find their own voices.1.What do we learn from the first paragraph?2.What did the author say about her own writing experience?3.Why did Rebecca want to enter this year’s writing contest?4.The author took great paints to refine her daughter’s stories because( ).5.What’s the author’s advice for parents?

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According to United National data, the U.S. is still the largest manufacturing country in the world. In 2009, American manufacturing output was about 45% larger than China’s. The U.S. has also maintained its global share of manufacturing, at 20% in 2009 compared to just over 22% in 1980. What’s more, American manufacturing is becoming more productive. In 2009, productivity in U.S. manufacturing increased by 7.7% more than any other country.So why do so many Americans think the U.S. doesn’t make anything anymore? Part of the reason is that we’re deceived by what we see every day. Shopping through your local supermarkets, you’re going to see a lot of “Made of China” labels on things like clothing or electronics. The U.S. tends to make stuff that requires more technology and engineering know-how, like planes, semiconductors and machinery. Basic economics tells us that is exactly how things should be. Since China has so many, low-wage laborers, there is no way high-wage America can possibly compete in products that require teams of workers to manufacture, like toys, apparel, consumer electronics, and a lot of other stuff you’ll find on Wal-Mart shelves. Making such products in the U.S. would simple be too expensive. But the U.S. still is very competitive in the types of products that demand a high level of technology, engineering and capital to produce. In such industries, wages don’t matter quite as much, and the U.S. can capitalize on its clear advantage over emerging markets like China in expertise, technology and innovation. That’s why the U.S. sells Boeing aircraft to china, and the Chinese sell blue jeans to Americans.And it is here where we find the big challenge for china as a manufacturer going forward. Though there are some Chinese companies that are able to successfully compete in these more complicated industries—telecom equipment maker Huawei, for example, which has gone head-to-head with European makers—but generally speaking, Chinese manufacturing is lagging in technology, quality control, managerial and engineering expertise and other very important aspects of high-end manufacturing.

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In the earthquake and tsunami, Japan faces its most serious crisis in a generation. The terrible human toll is still being(1), even as relief efforts accelerate, the estimate of live lost have(2)from a few hundred in the hours after the flooding to projections surpassing 10, 000. And(3)the humanitarian scale of the disaster is coming into(4), the ultimate scope of the crises at the Fukushima Daiichi, Fukushima Daini and Onagawa nuclear power plant remains(5), as does the extent of damage to critical infrastructure(6)the country’s North Pacific coast.In the midst of the disaster, economists and policy makers are(7)with the delicate task of assessing the implications of current events for Japan’s already-tenuous economic(8). The analysis is far-reaching in its relevance, not least because of Japan’s position(9)the world’s third-largest economy, the challenges it already faces in moving toward fiscal sustainability and its role in supporting global financial markets, (10)currency markets and the market for U.S. treasuries.In(11)of the earthquake, the economic(12)for Japan was already fairy dim. The economy was projected to grow(13)just 1.7 percent in 2011, according to consensus estimates, roughly half the(14)of the United States. Significant new fiscal(15)to support the economy was largely ruled out given the country’s already substantial budget deficit. At nearly 200 percent, the country’s gross debt-to-GDP ratio is second only to Zimbabwe’s, though its net debt is roughly half that level and serving costs remain low.

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I have said that all branches of knowledge are connected together, because the subject-matter of knowledge is intimately united in itself [...]. Hence it is that the Sciences, into which our knowledge may be said to be cast, have multiple bearings on one another, and an internal sympathy, and admit, or rather demand, comparison and adjustment. They complete, correct, and balance each other. This consideration, if well-founded, must be taken into account, not only as regards the attainment of truth, which is their common end, but as regards the influence which they exercise upon those whose education consists in the study of them. I have already said that to give undue prominence to one is to be unjust to another; to neglect or supersede these is to divert those from their proper objects. It is to unsettle the boundary lines between science and science, to disturb their action, to destroy the harmony which binds them together. Such a proceeding will have corresponding effect when introduced into a place of education. There is no science but tells a different tale, when viewed as a portion of a whole, from what it is likely to suggest when taken by itself, without the safeguard, as I may call it, of others.Let me make use of an illustration. In the combination of colors, very different effect are produced by a difference in their selection and juxtaposition; red, green, and white change their shades, according to the contrast to which they are submitted. And, in like manner, the drift and meaning of a branch of knowledge varies with the company in which it is introduced to the student. If his reading is confined simply to one subject, however such division of labor may favor the advancement of a particular pursuit, a point into which I do not here enter, certainly it has a tendency to contract his mind. If it is incorporated with others, it depends on those others as to the kind of influence that it exerts upon him. Thus the Classics, which in English are the means of refining the taste, have in France sub-served the spread of revolutionary and deistical doctrines. [...] In a like manner, I suppose, Arcesilas would not have handled logic as Aristotle, nor Aristotle have criticized poets as Plato; yet reasoning and poetry are subject to scientific roles.It is a great point then to enlarge the range of studies which a University professes, even for the sake of the students; and, though they cannot pursue every subject which is open to them, they will be the gainers by living among those and under those who represent the whole circle. This I conceive to be the advantage of a seat of universal learning, considered as a place of education. An assemblage of learned men, zealous for their own sciences, and rivals of each other, are brought, by familiar intercourse and for the sake of intellectual peace, to adjust together the claims and relations of their respective subjects of investigation. They learn to respect, to consult and to aid each other. Thus is created a pure and clear atmosphere of thought, which the student also breathes, though in his own case he only pursues a few sciences out of the multitude. He profits by an intellectual tradition, which is independent of particular teachers, which guides him in his choice of subjects, and duly interprets for him those which he chooses.He apprehends the great outlines of knowledge, the principles on which it rests, the scale of its parts, its lights and its shades, its great points and its little, as he otherwise cannot apprehend them. Hence it is that his education is called “Liberal”. A habit of mind is formed which lasts through life, of which the attributes are, freedom, equitableness, calmness, moderation, and wisdom; or what in a former discourse I have ventured to call a philosophical habit. This then I would assign as the special fruit of the education furnished at a University, as contrasted with other places of teaching or modes of teaching. This is the main purpose of a University in its treatment of its students.1. The main idea of the first paragraph is that( ).2.By the Sciences (line 2), the author means( ).3.The word “exercise” in line 7 most nearly means( ).4.By using the word safeguard in line 13, the author suggests that( ).5.The purpose of the second paragraph is to( ).6.The word apprehends as used in lines 39 means( ).7.Which of the following best describes the author’s idea of a liberal education?8.The author believes that a university should( ).Ⅰ. have faculty representing a wide range of subjects and philosophiesⅡ. teach students how to see the relationships among ideasⅢ. teach students to understand and respect other points of viewⅣ. teach students liberal rather than conservative ideals

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When it comes to money, women really are more responsible than men, with an international survey finding that they’re less likely to get into debt and strive harder to become financially independent. The global Reuters Synovate survey polled some 4,500 women in 12 countries about money matters. An equal number of men were also asked several questions related to finances.The survey showed that just over half respondents of both genders said women are more responsible with money than men, with the highest level of agreement found in Mexico, where 72 percent of people believed women were better at handling finances. And although more than 40 percent of women use part of their monthly income to pay off credit cards, some 70 percent of female respondents also said that having more than one credit card could lead to financial debt, revealing women’s higher awareness.“It’s obviously not the card itself that causes anyone to use it. So the statement is really about control and temptation,” said Claire Bravennan, international market research firm Synovate’s senior vice president of Financial Services in the United States. “The ability to spend more, that you don’t have in the first place, can certainly lead to debt. It means people have to control themselves and their spouses,” she added. More women believed in their financial ability than men, with 61 percent saying they were more responsible, while only 40 percent of men agreed. But nearly half the women surveyed also conceded that they were bigger spenders than their male counterparts, with nearly 60 percent of men agreeing.The survey was conducted in December in Australia, Brazil, Bulgaria, Canada, France, Indonesia, Malaysia, Mexico, the Netherlands, South Africa, Britain, and the United States.

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How many really suffer as a result of labor market problems? This is one of the most critical yet contentious social policy questions. In many ways, our social statistics exaggerate the degree of hardship. Unemployment does not have the same dire consequences today as it did in the 1930s when most of the unemployed were primary breadwinners, when income and earnings were usually much closer to the margin of subsistence, and when there were no countervailing social programs for those failing in the labor market. Increasing affluence, the rise of families with more than one wage earner, the growing predominance of secondary earners among the unemployed, and improved social welfare protection have unquestionably mitigated the consequences of joblessness. Earnings and income data also overstate the dimensions of hardship. Among the millions with hourly earnings at or below the minimum wage level, the overwhelming majority are from multiple-earner, relatively affluent families. Most of those counted by the poverty statistics are elderly or handicapped or have family responsibilities which keep them out of the labor force, so the poverty statistics are by no means an accurate indicator of labor market pathologies.Yet there are also many ways our social statistics underestimate the degree of labor-market-related hardship. The unemployment counts exclude the millions of fully employed workers whose wages are so low that their families remain in poverty. Low wages and repeated or prolonged unemployment frequently interact to undermine the capacity for self-support. Since the number experiencing joblessness at some time during the year is several times the number unemployed in any month, those who suffer as a result of forced idleness can equal or exceed average annual unemployment, even though only a minority of the jobless in any month really suffer. For every person counted in the monthly unemployment tallies, there is another working part-time because of the inability to find full-time work, or else outside the labor force but wanting a job. Finally, income transfers in our country have always focused on the elderly, disabled, and dependent, neglecting the needs of the working poor, so that the dramatic expansion of cash and in-kind transfers does not necessarily mean that those failing in the labor market are adequately protected.As a result of such contradictory evidence, it is uncertain whether those suffering seriously as a result of labor market problems number in the hundreds of thousands or the tens of millions, and, hence, whether high levels of joblessness can be tolerated or must be countered by job creation and economic stimulus. There is only one area of agreement in this debate—that the existing poverty, employment, and earnings statistics are inadequate for one of their primary applications, measuring the consequences of labor market problems.1. Which of the following is the principal topic of the passage?2.The author uses “labor market problems” in lines 1 to refer to which of the following?3.The author contrasts the 1930s with the present in order to show that( ).4.Which of the following proposals best responds to the issues raised by the author?5.The author’s purpose in citing those who are repeatedly unemployed during a twelve-month period is most probably to show that( ).6.The author states that the mitigating effect of social programs involving income transfers on the income level of low-income people is often not felt by( ).7.According to the passage, one factor that causes unemployment and earnings figures to over-predict the amount of economic hardship is the( ).8.The conclusion stated in lines 15-19 about the number of people who suffer as a result of forced idleness depends primarily on the point that( ).9.Which of the following, if true, is the best criticism of the author’s argument concerning why poverty statistics cannot properly be used to show the effects of problems in the labor market?

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Modern manufacturers, who need reliable sources of materials and technologically advanced components to operate profitably, face an increasingly difficult choice between owning the producers of these items (a practice known as backward integration) and buying from independent producers. Manufacturers who integrate may reap short-term rewards, but they often restrict their future capacity for innovative product development.Backward integration removes the need for some purchasing and marketing functions, centralizes overhead, and permits manufacturers to eliminate duplicated efforts in research and development. Where components are commodities (ferrous metals or petroleum, for example), backward integration almost certainly profits. Nevertheless, because product innovation means adopting the most technologically advanced and cost-effective ways of making components, backward integration may entail a serious risk for a technologically active company—for example, a producer of sophisticated consumer electronics.A company that decides to make rather than buy important parts can lock itself into an outdated technology. Independent suppliers may be unwilling to share innovations with assemblers with whom they are competing. Moreover, when an assembler sets out to master the technology of producing advanced components, the resulting demands on its resources may compromise its ability to assemble these components successfully into end products. Long-term contracts with suppliers can achieve many of the same cost benefits as backward integration without compromising a company’s ability to innovate.However, moving away from backward integration is not a complete solution either. Developing innovative technologies requires independent suppliers of components to invest huge sums in research and development. The resulting low profit margins on the sale of components threaten the long-term financial stability of these firms. Because the ability of end-product assemblers to respond to market opportunities depends heavily on suppliers of components, assemblers are often forced to integrate by purchasing the suppliers of components just to keep their suppliers in business.1. According to the passage, all of the following are benefits associated with backward integration EXCEPT ( ).2.According to passage, when an assembler buys a firm that makes some important component of the end product that the assembler produces, independent suppliers of the same component may( ).3.Which of the following best describes the way the last paragraph functions in the context of the passage?4.According to the passage, which of the following relationships between profits and investments in research and development holds true for producers of technologically advanced components?

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When you’re fed up with self-obsessed twenty-somethings, try to remember that they’ll be 33 one day. For that’s the age when they lose the “all about me” attitude, research suggests. By then, youthful selfishness subsides and people begin to consider others’ feelings more often, researchers say. When we reach 33, we are also more likely to make an effort with parents and grandparents and take a positive attitude towards ending feuds with family or friends. The older we get, the more selfless we are in almost all areas of life — with the exception of volunteering in the community, the report suggests. Most people agree that having children is the turning point in changing our attitudes towards other people. This is when we apparently find ourselves worrying more about others and doing things for them, such as checking how they are getting home, offering to help with childcare and doing airport runs. And we are more likely to keep an eye out for neighbors, as well as give up seats to elderly people on public transport. We will probably also be more involved in the community and willing to donate money to good causes. Those under 33 are most likely to admit to being very selfish — with 40 percent saying that they put themselves first in all circumstances. However, 40 percent of this age group regularly volunteer for charity or their community — higher than any other age group. The age at which we are most selfish is our teenage years, researchers found — with people saying that just growing up made them more likely to consider others. Others cite meeting their partner or buying a house as the point at which they started being more compassionate and putting others first. Researchers at Make-A-Wish Foundation UK came to their conclusion after studying the attitudes of 2,000 adults aged from 20 to 60.

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