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Spread across the United States are about 500,000 doctors, cheeked by jowl, in the big cities and thin on the ground in isolated small towns. In June 1986, the secretary of health and human services, Dr. Otis Bowen, passed on a view of his experts: 5%-15% of America’s 500,000 doctors should be candidates for disciplinary action, many of them because of drug taking or alcoholism. Others give their patients poor care because they are senile, incompetent, guilty of misconduct or out of touch with developments in medicine.The granting, or withdrawal, of licenses to practice is in the hands of state medical boards, but they are overwhelmed with complaints and lack the money to handle even a fraction of them. Recently, however, things have been changing. In 1985, 406 doctors lost their licenses (compared with 255 in 1984), nearly 500 were placed on probation and nearly 1,000 received reprimands or had their right to practice curtailed. The federal inspector general demanded, and won the right for the states and the federal government, which provide health care for the elderly and for the poor under the Medicare and Medicaid programme, to refuse payment to the doctors considered unsatisfactory.Yet putting these powers into practice is proving to be far from easy. Of the 35 doctors so far denied reimbursement from Medicare, almost all work in lightly populated rural areas. On March 27th, their indignation and that of their patients were a sympathetic hearing by the Senate Finance Committee. Rural doctors may not be as up to date as those in the big towns, but they are often the only source of medical help for miles around and their patients are loyal to them. Members of the review boards, which are paid by the government, insist, however, that elderly and poor people should not be forced to receive (and the state to pay for) inferior care.An innovation is on the horizon in Texas, the most under-doctored state in the country (with only one doctor for every 1,100 residents). Lubbock University is setting up a computer network that will enable country doctors to obtain medical expertise and access to medical records in a hurry. The aim is to reduce the isolation of the country doctors and thus, in the long run, to attract more young doctors to rural areas.1.The main topic of the passage is ( ).2.According to the text, disciplinary action should be taken against those who give patients poor care because of the following reasons EXCEPT ( ).3.Which of the following is true about the unfit doctors?4.It can be inferred from the text that in the near future ( ).5.The paragraph following the text would probably discuss( ).



A.the present situation of American doctors B.the legislation on rural medical services C.the problems of country doctors and possible solutions D.some factors of disqualification of country doctors
问题2:
A.taking drugs and drinking alcohol B.feeling remorse of their bad behavior C.being professional unskillful D.being sick and conservative
问题3:
A.1,500 doctors were deprived of the right to practice medicine. B.The federal government has got the right to deny reimbursement to those unqualified doctors. C.Almost all the doctors who fail to get payment from Medicare work in densely populated urban areas. D.Patients in the rural areas complain about the poor treatment their doctors give them.
问题4:
A.there will be more qualified doctors in rural areas B.there will be an even more serious imbalance of the number of rural and urban doctors C.country doctors are competitive in breaking medical records D.more patients will go to rural areas for medical treatment
问题5:
A.problems of urban doctors B.other solutions to improve the present situation C.research in medical science D.reduction of staff in rural hospitals

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A.dates B.starts C.returns D.goes back
问题2:
A.In B.At C.During D.For
问题3:
A.didn’t settle B.were settled C.settle D.once settled
问题4:
A.refused B.denied C.rejected D.declined
问题5:
A.new city B.new state C.new land D.new country
问题6:
A.going to B.hauling to C.coming across D.deporting beyond
问题7:
A.loaded B.led C.carried D.packed
问题8:
A.assisted B.obliged C.invited D.permitted
问题9:
A.resided B.dwelt C.inhabited D.lived
问题10:
A.since B.like C.for D.as
问题11:
A.for B.to C.of D.at
问题12:
A.no B.not C.much D.any
问题13:
A.form B.develop C.get D.adjust
问题14:
A.While B.When C.So D.If
问题15:
A.tradition B.celebration C.mark D.anniversary
问题16:
A.relatives B.friends C.neighbors D.comrades
问题17:
A.an honor B.a song C.a gift D.a prayer
问题18:
A.England B.Holland C.Britain D.them
问题19:
A.friends B.dead C.ancestors D.relatives
问题20:
A.refreshed themselves with B.were remembered for C.reflected on D.recalled how
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