单选题 What do you think of American health care system? Most people would be (1) by the high quality of medicine (2) to most Americans. There is a lot of specialization, a great deal of (3) to the individual, a (4) amount of advanced technical equipment, and (5) effort not to make mistakes because of the financial risk which doctors and hospitals must (6) in the courts if they (7) things badly.
But the Americans are in a mess. To the problem is the way in (8) health care is organized and (9) . (10) to pubic belief it is not just a free competition system. To the private system has been joined a large public system, because private care was simply not (11) the less fortunate and the elderly.
But even with this huge public part of the system, (12) this year will eat up 84.5 billion dollars—more than 10 percent of the U. S. Budget—a large number of Americans are left (13) . These include about half the 11 million unemployed and those who fail to meet the strict limits (14) income fixed by a government trying to make savings where it can.
The basic problem, however, is that there is no central control (15) the health system. There is no (16) 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 toothache, a sick child, or a heart attack, all the unfortunate persons concerned can do is to pay (17) . Two thirds of the population are (18) by medical insurance. Doctors charge as much as they want (19) 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 1981 the country's health bill climbed 15.9 percent—about twice as fast as prices (20) general.

单选题 [A] compressed [B] impressed [C] obsessed [D] repressed

【正确答案】 B

【答案解析】[解析] 词语搭配题。impress意为“给…留下深刻的印象；使意识到”，例如：(1)I'm very impressed by/with what's happening. (2)I impressed on him the importance of punctuality. 原句意为：高质量的医疗服务给大多数人留下了深刻的印象，故选项[B]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“使迷恋，使着迷”，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，均不符合题意。

单选题 [A] available [B] attainable [C] achievable [D] amenable

【正确答案】 A

【答案解析】[解析] 词语搭配题。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[A]。选项[B]attainable意为“可达到的，可得到的”，多用来指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有耐性，很努力；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. 全句可译为：可以保障绝大多数美国人的高质量的医疗服务体系会给大部分人留下深刻印象。

单选题 [A] extension [B] retention [C] attention [D] exertion

【正确答案】 C

【答案解析】[解析] 词语搭配题。attention表示“注意力，关注”，本处意为“关注病人”，因此选项[C]正确。选项[A]extension意为“延长，扩充；电话分机”；选项[C]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：(1)Exertion of authority does not come easily to everyone. (2)We were all exhausted after our exertions. 均不符合题意。

单选题 [A] countless [B] titanic [C] broad [D] vast

单选题 [A] intensive [B] absorbed [C] intense [D] concentrated

【正确答案】 C

【答案解析】[解析] 语义搭配题。intense意为“很大的；强烈的；热情的”，如：intense cold/interest，根据句中effort一词可知原文意为：做出不懈努力，以规避医生或医院犯错，故选项[C]正确。选项[A]intensive意为“密集的；彻底的”；选项[B]absorbed与选项[D]concentrated意思相近，意为“专注的，精力集中的”。

单选题 [A] run into [B] encounter [C] face [D] defy

【正确答案】 C

【答案解析】[解析] 词语辨析题。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：如果在医疗过程中出了差错的话，医生和医院就可能惹上官司，面临巨额罚金。financial risk是他们可能而对的，故选项[C]正确。选项[A]run into意为“偶遇”；选项[B]encounter意为“遭遇，突然遇到”，比较正式；选项[D]defy意为“公然反抗，蔑视”，均无法与句中的risk连用。

单选题 [A] treat [B] deal [C] maneuver [D] handle

【正确答案】 D

【答案解析】[解析] 语义辨析题。handle=deal with意为“处理”，handle与things连用意为“医生处理不当”，故选[D]。选项[A]treat意为“治疗”，常与sb. 连用；选项[B]deal常与with搭配；选项[C]maneuver意为“有策略、有手腕地操纵；调遣”。全句可译为：科别门类齐仝，对病人极为关注，高级的医疗设备以及医生为规避犯错而做出不懈努力，因为如果在医疗过程中出错的话，医生和医院就可能惹上官司，面临巨额罚金。

单选题 [A] which [B] that [C] what [D] when

单选题 [A] helped [B] financed [C] planned [D] controlled

单选题 [A] Contrary [B] Opposed [C] Averse [D] Objected

【正确答案】 A

【答案解析】[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。)本句提及医疗保障体系并不仅是一个自由竞争体系，下文讲到公共医疗保障体系已经与私人保障体系结合在一起了，所以是与公众的想法相反的，故选项[A]contrary符合题意。选项[B]opposed to意为“强烈反对”；选项[C]averse to意为“反对的，嫌恶的，不愿意的”；选项[D]objected to意为“反对，不赞同”，均不符合题意。

单选题 [A] looking for [B] looking into [C] looking after [D] looking over

【正确答案】 C

【答案解析】[解析] 搭配辨析题。look after意为“照料，照顺”，原文指私人保障体系不会照顾那些不走运的人以及老年人，可见此处应选[C]。选项[A]look for意为“寻找”；选项[B]look into意为“调查”；选项[D]look over意为“检查，浏览”。全句可译为：与公众的看法相反，这不仅仅是一个自由竞争体系，庞大的公共保障体系已与私人保障体系结合在一起了，因为私人保障体系并不保障那些不太走运的人或老年人。

单选题 [A] which [B] what [C] that [D] it

单选题 [A] over [B] out [C] off [D] away

【正确答案】 B

【答案解析】[解析] 词语搭配题。leave out意为“省略，忽略，不考虑”，例如：The entire chapter was left out in the third edition. 原文意为：虽然有庞大的公共医疗保障体系，但仍有许多美国人被忽略了，享受不到该保障，故选项[B]正确。leave over意为“留下，剩下；延期”，例如：questions left over by history; leave off意为“停止；不再穿/使用”，例如：When will the snow leave off? 选项[D]away不与leave连用，均不符合题意。

单选题 [A] for [B] in [C] with [D] on

【正确答案】 D

【答案解析】[解析] 惯用搭配题。limit on sth. 意为“对…的限制”，此处用limit on表示对于收入方面的限制，故选项[D]正确。其他选项均不与limit搭配，故排除。全句可译为：这些人中包括1100万失业人口中的一半以及那些家庭收入没有低到那个想方设法省钱的政府制订的收入标准线的人。

单选题 [A] over [B] on [C] under [D] behind

【正确答案】 A

【答案解析】[解析] 惯用搭配题。control over sth. 意为“控制…”，故选项[A]正确。选项[B]on和选项[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”。全句可译为：不过，最根本的问题在于缺乏对医疗保障体系集中的控制。

单选题 [A] boundary [B] restriction [C] confinement [D] limit

【正确答案】 D

【答案解析】[解析] 语义搭配题。There's no limit to意为“对…没有限制”，原文意为：公众的偿付能力有限，然而对于医生和医院的收费却没有什么限制，故选项[D]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，均不符合题意。

单选题 [A] out [B] for [C] up [D] off

【正确答案】 C

【答案解析】[解析] 搭配辨析题：pay up的意思是“付清全部款项，缴清所要求的全部数额”；pay off的意思是“偿清(债务)，支付(债务的)全部数额”；pay out的意思是“把(钱)花掉，花费”；pay for的意思是“支付”。在这里，pay off和pay up都能入选，但pay up意思更贴切，pay off往往与债务有关。全句可译为：一旦生病，无论是牙疼、小孩生病还是心脏病，所有忧心忡忡的人们所能做的就只是付清账单。