单选题 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. 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. 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—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 (17) up. Two thirds of the population (18) covered 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】此题属于语意搭配题。impress表示“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表示“压缩，浓缩”，常用搭配为compress...into；选项[C]obsess表示“受困扰，迷住”，例如： She is obsessed with the desire to become a moviestar．选项[D]repress表示“抑制，镇压”，如：repress one's anger。

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

【正确答案】 A

【答案解析】此题属于语意搭配题。available表示“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表示“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表示“做得到的，可完成的”，强调在达到目的过程中有耐性，努力；选项[D]amenable表示“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：美国高质量的医疗保障服务体系给人们留下了深刻印象。

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

【正确答案】 C

【答案解析】此题属于语意搭配题。attention表示“注意力，关注”，原句意为：关注病人，因此选项[C]attention正确。选项[A] extension表示“延长，扩充，电话分机”；选项[B]retention表示“保持，保留”，例如：The retention of old technology has slowed the company's growth．选项[D]exertion表示“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．

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】此题属于语意搭配题。intense表示“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表示“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”。

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

【正确答案】 C

【答案解析】此题属于语义辨析题。face表示“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表示“偶遇”；选项[B]encounter(较正式)表示“遭遇，突然遇到”，选项[D]defy表示“公然反抗，蔑视”，均无法与句中risk连用。

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

【正确答案】 D

【答案解析】此题属于语意辨析题。handle表示“处理”，本句意为医生处理不当，故选项[D]handle与things连用。选项[A]treat表示“治疗”，常与sb．连用；选项[B]deal常与with搭配；选项[C]maneuver表示“有策略、有手腕地对待处理，调遣”。
全句可译为：美国医疗机构专科门类齐全，对病人极度关注，医疗设备高级，为规避医生和医院犯错不懈努力，因为医生和医院如果在医疗过程中出错的话，就可能惹上官司，并面临巨额罚金。

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

单选题 [A] to finance [B] financed [C] the finance [D] to be financed

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

【正确答案】 A

【答案解析】此题属于语篇衔接与固定搭配题。contrary to表示“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表示“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”。

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

【正确答案】 C

【答案解析】此题属于语意搭配题。look after表示“照料，照顾”，原文指私人保障体系如何对待那些不走运的人以及老年人，可见此处应选“照顾，照管”，即选项[C]looking after正确。[A]look for表示“寻找”；选项 [B]look into表示“调查”；选项[D]look over表示“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，因为私人保障体系唯一不保障的就是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】此题属于语意搭配题。leave．．．out表示“省略，忽略，不考虑”，例如：The entire chapter was left out in the third edition．原文意思：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)表示“留下，剩下，延期”，例如： questions left over by history；选项[C]off(leave off)表示“使停止，不再穿/使用”，例如：When will the snow leave off? 选项[D]away不与leave连用。
全句可译为：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。

单选题 [A] for [B] in [C] with [D] on

【正确答案】 D

【答案解析】此题属于词汇搭配题。limit on sth．表示“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。其他选项均不符合题意。
全句可译为：这些人中包括1，100万失业人口中的一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。

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

【正确答案】 A

【答案解析】此题属于语意搭配题。control over sth．表示“控制…”，故选项[A]over正确。[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，表示“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】此题属于语意搭配题。There's no limit to表示“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表示“边界，界线”；选项[B]restriction表示“(人为)限制”；选项[C]confinement表示“(某特定期限内的)限制”，如监禁、分娩期、卧床期间等。
全句可译为：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。

单选题 [A] to pay [B] paying [C] pay [D] to have paid

【正确答案】 C

【答案解析】此题属于语法题。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．
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。