题目内容
Last year, Jack Bleed cut through the bone of his ring finger while working. The 31-year-old resident of North Little Rock, Arkansas, waited for about six hours at a nearby medical center while the medical staff there called all over town — even as far away as Dallas and Memphis — to find a hand surgeon to reattach his finger. Finally, a willing doctor was located in Louisville, Kentucky. But even though Bleed had insurance(保险), he would have to hire a private plane to get himself there, at a cost of $4,300. In the end, he charged the cost to two credit cards, and his finger was saved. His insurance company eventually covered the cost of the plane, but his experience makes people aware of the fact that trauma(外伤) care in the United States is not only geographically limited, but in many places, non-existent.
Only eight states — New York, New Jersey, Maryland, Illinois, New Mexico, California, Oregon, and Washington — have local, fully functional trauma systems. The remaining states have partial systems, and 12 — including Arkansas — have no trauma system at all.
Although the President has signed a bill of $12 million for the purpose of supporting trauma care systems nationwide, many in Congress(国会) are unwilling to spend government money for a service they think should be paid for by states, says Wayne Meredith, medical director for trauma programs at the American College of Surgeons. Meanwhile, many states have also failed to find the dollars to support trauma systems. To make matters worse, many people without insurance depend heavily on the emergency care services, placing a huge financial burden on the medical centers that serve them.
For the same reason, doctors, too, often go unpaid. They are unwilling to perform emergency care, worsening critical shortages of neurosurgeons, orthopedists, and hand surgeons — the very types of specialists Bleed needed at short notice.
Supporting a trauma care system doesn’t take much. A half-penny sales tax in Miami-Dade County makes its outstanding system work. In Arkansas alone, says Wayne Meredith, a well-funded trauma system would possibly prevent 200 to 600 deaths each year. If trauma care systems were to work well across the nation, experts say, many thousands of lives each year could be saved. “You don’t get much better return on your investment than that,” Meredith says.
【小题1】
In Paragraph 1, the writer uses Bleed’s case to ______.
A.make a comparison | B.describe a person |
C.introduce a topic | D.tell a story |
Many people in Congress argue that trauma care systems should be supported by ______.
A.the President | B.each state |
C.insurance companies | D.the US government |
The example of Miami-Dade County shows that ______.
A.its tax policy is admirable |
B.running a trauma system is profitable |
C.a trauma system is not expensive |
D.sales tax is not heavy in small counties |
Why are the present trauma care systems in some states not satisfactory?
A.They are shared by all the states. |
B.They are short of financial support. |
C.The doctors are not well trained. |
D.The hospitals can’t provide low-cost services. |
【小题1】C
【小题1】B
【小题1】C
【小题1】B
解析
As you move around your home, take a good look at the things you have. It is likely that your living room will have a television set and a video, and your kitchen a washing machine and a microwave oven. Your bedroom drawers will be filled with almost three times as many clothes as you need. You almost certainly own a car and possibly a home computer, holiday abroad at least once a year and eat out at least once a week.
Now, perhaps, more than ever before, people are wondering what life is all about, and what it is for. Seeking material success is beginning to trouble large numbers of people around the world. They feel that the long hours work culture to make more money to buy more things is eating up their lives, leaving them very little time or energy for family or pastimes. Many are turning to other ways of living and downshifting is one of them.
Six percent of workers in Britain took the decision to downshift last year. One couple who downshifted is Daniel and Liz. They used to work in central London. He was a newspaper reporter and she used to work for an international bank. They would go to work by train every day from their large house in the suburbs (郊区), leaving their two children with a nanny (保姆). Most evenings Daniel wouldn’t get home until eight or nine o’clock, and nearly twice a month he would have to fly to New York for meetings. They both earned a large amount of money but began to feel that life was passing them by.
Nowadays, they run a farm in the mountains of Wales. “I always wanted to have a farm here,” says Daniel, “and we took almost a year to make the decision to downshift. It’s taken some getting used to, but it has been worthy of. We have to think twice now about spending money on car repairs and we no longer have any holidays. However, I think it’s made us stronger as a family, and the children are a lot happier.”
Liz, however, is not quite sure. “I used to enjoy my job, even though it was hard work and long hours. I’m not really a country girl, but I suppose I’m gradually getting used to looking after the animals. One thing I do like, though, is being able to see more of my children. My advice for other people wanting to do the same is not to think about it too much or you might not do it at all.”
【小题1】What do the first two paragraphs tell us?
A.People seldom work long hours to make money. |
B.People hardly buy more things than necessary. |
C.People are sure everything they own is in the right place. |
D.People realize there is more to life than just making money. |
A.lived in central London | B.disliked his job |
C.missed his children | D.was well paid |
A.was easy to organize | B.has improved family life |
C.was extremely expensive | D.has been a total success |
A.Child-caring. | B.Liz’s advice. | C.Downshifting. | D.Liz’s job. |
Catherine Destivelle is a rock star. She loves rock, but she can’t sing or play the guitar! She is a rock climber and a big star in France and Italy. She is the most famous woman climber in the world because she often climbs without ropes. She climbs in many countries but most often in the French Alps near Chamonix, where she lives. She started climbing near her home in Paris when she was five. Then, at fourteen, she joined the French Alpine Club to learn more, but immediately she climbed better and more quickly than the older members of the club. She won her first competition in Italy in 1995.
Three years ago she found a new route up the Dru Mountain near Chamonix. The climb took eleven days and for four days the snow was so heavy that she could not move. Last year other climbers tried to follow the new Destivelle Route, but they failed. They are going to try again this year.
People always ask her about her climbing. She says, “I climb because I’m in love with mountains. I like touching the rock and reading the face of the rock. I like it a lot. I felt at home on the side of a mountain. I prepare well before I go, so I’m never worried.”
Catherine chooses new mountains from books—like buying from a shopping catalogue(目录)! “I see a nice mountain and I go to climb it!” Her next mountain is in Pakistan. She is going there next month. “It’s much bigger than the Dru, so it’s going to take longer to climb. An American climber, Jeff Lowe, is coming with me to help.”
【小题1】Catherine Destivelle is called ‘a star’ because ________.
A.she won a competition in 1995 | B.she loves rocks |
C.she’s a famous woman climber | D.she found a new route up to the Dru Mountain |
A.she lost her way | B.the climb took 11 days |
C.she needed help from an American climber | D.there was heavy snow |
A.independent | B.easy and happy | C.energetic and challenged | D.nervous |
A.Why do you like climbing? | B.Are you in love with an American climber? |
C.Do you enjoy reading books on mountains? | D.What do you do before you go climbing? |