1、s.A. arisesB. ascendsC. boundD. combinationE. definiteF. eventuallyG. interfereH. invadeI. manifestingJ. penaltiesK. preservingL. programmedM. proximatelyN. victimsO. widespreadSectionBReformMedicalCostsAAmericansdeeplyconcernedaboutrelentlessrisehealthcarecostshealthinsurancepremiums.Theyneedknowif
2、reformhelpsolveproblem.Theansweristhathasaneasyfixforrisingmedicalcosts.fundamentalfixreshapinghowcareisdelivereddoctorspaidwasteful,abnormalsystemislikelybeachievedonlythroughtrialerrorincremental(渐进的)gains.BgoodnewsisthatbilljustapprovedbyHouseSenateFinanceCommitteewouldimplementortestmanyreformss
3、houldslowinmedicaloverlongterm.AsreportNewEnglandJournalMedicineconcluded, Prettymucheveryproposedinnovationfoundpolicyliteraturethesedaysiscontainedmeasures.Cspending,whichtypicallyrisesfasterwagesoveralleconomy,ispropelledtwothings:highpriceschargedservicescountrythevolumeunnecessaryhospitals,ofte
4、nperformlotmoreteststreatmentspatientreallyneeds.DHeresomeimportantproposalsSenatebillstryaddressthoseproblems,whyithardwelltheywork.EBothreducerategrowthannualMedicarepaymentshospitals,nursinghomesotherprovidersamountscomparableproductivitysavingsroutinelymadeindustrieswithnewtechnologieswaysorgani
5、zework.Thisproposalcouldsave$100billionnextdecade.Ifprivateplansdemandedsimilarsavingsfromproviders,refusedletprovidersshiftadditionalthem,larger.CriticssayCongressgivelobbyistsletinefficientoffhookThatfarlesslikelytoCongressalsoadoptsstrongupaygo”rulesrequiringanyincreaseinpaymentsoffsettaxesbudget
6、cuts.FFinanceimposeexcisetax(消费税)oninsurancethatcost$8,000individual$21,000family.Itmostcauseinsurersredesignfallbeneaththreshold.Enrolleeshavepaymoremoneyouttheirownpockets,encouragethemthinktwicewhetherexpensiveredundantwasworthit.Economistsprojectthatmostemployersmoneybenefitsintowages.billhastax
7、.finallegislationshould.GAnydoctorwhowrestledmultipleformsdifferentinsurers,patientswhohavetriedunderstandparadestatements,simplificationoughttosavemoney.Whenindustrystillcooperatingefforts,itstradegroupofferedprovidestandardizedautomatedprocessing.estimatedthatstephundredsbillionsdollarslockthatple
8、dgelaw.Hstimuluspackageprovidedconvertinefficient,paper-drivenmedicalsystemelectronicrecordscaneasilyviewedtransmitted.requiresopeninvestmentsconvert.Inrestraineliminatingredundanttests,preventingdruginteractions,helpingfindbesttreatments.IVirtuallyallexpertsagreefee-for-servicesystemdoctorsrewarded
9、thequantityratheritsqualityeffectivenessisprimaryreasoncostofcaresohigh.Mostsolutionpushacceptfixedtocareparticularillnesspatientsneedsyear.Noknowsmakethatquickly.bothhousesstartpilotprojectswithinMedicare.Theyincludesuchmeasuresaccountableorganizationstakechargeneedswitheyequality,chronicdiseaseman
10、agementmakesuretheseriouslyill,responsiblebulkcosts,treatedproperly.Fortheexperimentsrelyincentivegetthem.JTestinginnovationsdounlessidentifiedexpandedandbadonesdropped.createindependentcommissiontomonitorprogramsrecommendchangesMedicarepaymentpoliciesurgeprovidersadoptwork.rejectedawholeCongress,ma
11、kingnarrow-interestlobbiesbendlawmakerswill.Kchambersexchangessmallbusinessesindividualschoosearrayprivatepossiblypublicoption.Allstandardbenefitpackagestocompare.Toaccessmillionscustomers,insurersincentivetosellexchange.Andhead-to-headcompetitionmightstrongincentivelowerprices,perhapsacceptingslimm
12、erprofitmarginsdemandingbetterdealsproviders.Lthrowpublicplancompetition,butthanksthefierceoppositionRepublicancritics,notmuchmoney.negotiateratesthanusingrates,reformerswanted.MpresidentpumpingresearchcomparewellvariousIssurgery,radiationcarefulmonitoringprostate(前列腺)cancer?latestcholesterol-loweri
13、ngbettercommoncompetitors?pendingaccelerateeffort.Nsensibleidealeadrationingcare. (Thatbetrueonlybelievedunrestrainedrightproventoinferior.)result,require,should,resultsthesestudiesusedsetMedicare.Ocourageallowpreferentiallytreatmentsprovensuperior.Sometimestreatmentexpensive.Butoverall,wesuspectspe
14、ndingcomedowneliminationlotofunnecessaryevendangerousPauthorizesecretaryhumannegotiatedrugMedicaid.Someauthoritativeanalystsdoubtsecretarywouldalreadyget.WebelievenegotiationItdoescountries.QMissingseriousattemptreinmalpracticeMalpracticeawardsdriveuppremiumshigh-riskspecialties,theresomeevidenceengagedefensivemedicineperformingtreatmentsprimarilyprovenegligentsued.注意:此部分试题请在答题卡2上作答。36.Withtaximposedplans,likelytransferexpenseswages.37.Changeswholeithardinfluencelawmakers.38.curbAmerica.39.Standardizationautomaticprocessingwil
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