Most people would be{{U}} (71)
{{/U}}by the high quality of medicine{{U}} (72) {{/U}}to most
Americans. There is a lot of specialization, a great deal of{{U}} (73)
{{/U}}to the individual, a{{U}} (74) {{/U}}amount of advanced
technical equipment, and{{U}} (75) {{/U}}effort not to make mistakes
because of the financial risk which doctors and hospitals must{{U}} (76)
{{/U}}in the courts if they{{U}} (77) {{/U}}things badly.
But the Americans are in a mess. The problem is the way in{{U}} (78)
{{/U}}health care is organized and{{U}} (79) {{/U}}. {{U}}(80)
{{/U}}to pubic belief it is not just a free competition system. The private
system has been joined by a large public system, because private care wag simply
not{{U}} (81) {{/U}}the less fortunate and the elderly.
But even with this huge public part of the system, {{U}}(82)
{{/U}}this year will eat up 84.5 billion dollars—more than 10 percent of the
U. S. budget, large numbers of Americans are left{{U}} (83) {{/U}}.
These include about half the 11 million unemployed and those who fail to meet
the strict limits{{U}} (84) {{/U}}income fixed by a government trying to
save where it can. The basic problem, however, is that there is
no central control{{U}} (85) {{/U}}the health system. There is no{{U}}
(86) {{/U}}to what doctors and hospitals charge for their services,
other than what the public is able to pay. The number of doctors has shot up and
prices have climbed. When faced with a toothache, a sick child, or a heart
attack, all the unfortunate persons concerned can do is{{U}} (87)
{{/U}}up. Two thirds of the population{{U}} (88) {{/U}}covered by
medical insurance. Doctors charge as much as they want{{U}} (89)
{{/U}}that the insurance company will pay the bill. The
rising cost of medicine in the U. S. A. is among the most worrying problems
facing the country. In 198l the Country's health bill climbed 15.9 percent—about
twice as fast as prices{{U}} (90)
{{/U}}general.
【正确答案】
B
【答案解析】语意搭配题。impress意为“给…留下印象”，例如：(1) I impressed on him the importance of punctuality．(2) I'm very impressed by/with what's happening．原句意为：高质量的医疗服务给许多人留下了印象，故选项B impressed正确。选项A compress意为“压缩，浓缩”，常用搭配为compress... into；选项C obsess意为“受困扰，迷住”，例如：She is obsessed with the desire to become a movie star．选项D repress意为“抑制，镇压”，如：repress one's anger。
【正确答案】
A
【答案解析】语意搭配题。available意为“可以享受到的，可利用的，有用的”，例如：Free education is available to all tax-payers．此处指可享受到的医疗服务，故选项A available符合题意。选项B attainable意为“可达到的，可得到的”，用于一般人能力不易达到的情况，与句意不符；选项C achievable意为“做得到的，可完成的”，强调在达到目的过程中包含有耐性、努力；选项D amenable意为“愿意服从的，有责任的”，例如；She might be more amenable to the idea if you explained how much money it would save．句意：大多数美国人可享受到的高质量的医疗保障服务体系给人们留下了深刻印象。
【正确答案】
C
【答案解析】语意搭配题。attention意为“注意力，关注”，原句意为：关注病人，因此选项C attention正确。其他选项：选项A extension意为“延长，扩充，电话分机”；选项B retention意为“保持，保留”，例如：The retention of old technology has slowed the company's growth．选项D exertion意为“尽力，努力，运用”，例如：We were all exhausted after our exertion．均不符合题意。
【答案解析】语意搭配题。intense意为“强烈的，热情的”，如：intense cold/interest，根据句中effort一词可知做出不懈努力，以规避医生或医院犯错，故选项C intense正确。选项A intensive意为“精深的，透彻的”；选项 B absorbed与选项D concentrated意思相近，意为“专注的；精力集中的”。
【正确答案】
C
【答案解析】语意辨析题。face意为“面对，遭遇”，例如：The difficulty that faces us today is one of supplying food to those in need．今天我们所面临的困难是向那些需要的人提供食物。根据原句意思：医生或医院如果在医疗过程中出了差错的话，就可能面临巨额罚金，因此，这种financial risk是他们可能面对的，故选项C face符合题意。选项A run into意为“偶遇”；选项B encounter(较正式)意为“遭遇，突然遇到”；选项D defy意为“公然反抗．蔑视”，均无法与句中risk连用。
【答案解析】语篇衔接与固定搭配题。contrary to意为“与…相反”，例如：Contrary to our expectations，he was eliminated in the first round．我们万万想不到，他第一轮就被淘汰了。根据上下文意思，本句提及医疗保障体系并不仅仅是一个自由竞争体系，下文讲到公众医疗保障体系已经与私人保障体系结合在一起了，根据逻辑推理，选项A Contrary符合题意。选项B Opposed to不能再与句中的to连用；选项C Averse意为“反对的，嫌恶的，不愿意的”；选项D Objected与to连用，意为“反对，不赞同”。
【答案解析】语法题，which引导一个非限制性定语从句，修饰名词短语this huge public part of the system，非限制性定语从句不能用that引导。
【正确答案】
B
【答案解析】语意搭配题。leave... out意为“省略，忽略，不考虑”，例如：The entire chapter was left out of the third edition．原文意为：虽然有庞大的公共医疗保障体系，但仍有许多美国人享受不到该保障，即被忽略 (leave out)了，故选项B out正确。选项A over (leave over)意为“留下，剩下，延期”；选项C off (leave off)意为“使停止，不再穿/使用”；选项D away不与leave连用。句意：但是，即使有庞大的公共医疗保障体系——今年它将花掉845亿美元——相当多的美国人仍无法享受到医疗保障。
【正确答案】
D
【答案解析】惯用搭配题。limit on sth．意为“关于…的限制”，文中谈到有些人无法享受医保；其中包括那些达不到政府制订的收入控制线的家庭，此处用on表示关于收入方面的限制，故选项D on正确。其他选项：A for；B in；C with均不符合题意。句意：这些人中包括1100万失业人口中的—半以及那些家庭收入达不到那个想方设法省钱的政府制订的收入控制线的人。
【正确答案】
A
【答案解析】语意搭配题。control over sth．意为“控制…”，故选项A over正确。选项B on和D behind不能与control搭配；选项C under可与control连用，但应为under control意为“处于控制之下，情况正常”。句意：不过，最根本的问题在于缺乏集中的控制。
【正确答案】
D
【答案解析】语意搭配题。There's no limit to意为“针对…是无限的”，原文意为：对医生和医院的收费没有限制，故选项D limit正确。选项A boundary意为“边界，界线”；选项B restriction意为“(人为)限制”；选项C confinement意为“(某特定期限内的)限制，如监禁、分娩期、卧床期间等”。句意：除了规定公众能享受到什么服务之外，对于医生和医院的收费并没有什么限制。
【正确答案】
C
【答案解析】语法题。省略to的不定式作表语，例如：As I had created the embarrassing situation, I knew the kindest thing I could do was to walk away．句意：一旦生病，无论是牙疼、小孩生病还是心脏病，忧心忡忡的人们所能做的就只是付清账单。
【正确答案】
B
【答案解析】语法题。本句中的主语Two thirds of the population应视为复数，讲述的是一般事实，故用一般现在时态，故选项B are正确。句意：2/3的美国人参加了医疗保险。