Some years ago I worked with people on public welfare. I believed that everybody had the ability to be  26 and all we have to do was to make them start working.

The first thing I said to them was, "I would like to know what your   27 are." Everyone looked at me as if I were 28 . One woman said "I don't know what you can  29 with dreams. The rats are eating up my kids." I said. "That's terrible. You are very much  30 with the rats and your kids. How can we help?" " I could use a new screen door(纱门)because there are 31 in the old." I asked, "Is there anybody knowing 32 to fix it?" A man said, "Long ago I used to do things like that but now I have a bad back, but I'll 33 ." I gave him some money to do that.

  The next week, when the group was 34, I asked the woman, "Well, is your 35 door fixed?" "Oh, yes," she said. "Then we can start dreaming, right?" She 36 at me. I asked the man, "How do you feel?" He said, "Well, it's funny that I'm beginning to feel a lot  37 ." These seemingly small  38 allowed the group to see that dreams were not stupid. One woman  39 that she wanted to be a secretary. I said, " What 40 in your way?" She answered, "I have six kids, and no one can 41 them while I'm away." I asked "Who would help this woman while she gets some  42 at school?" Another woman said "I got kids, too, but I could do that." So the woman went to school.

In 12 weeks these people were 43 public welfare. The woman who 44 the children became a licensed foster care (代别人照看孩子)person. The man became a handyman. I've not only done that  45 , I've done it many times.

26. A. self-confident B. self-employed      C. self-independent D. self-control   

27. A. purposes          B. goals            C. hopes D. dreams

28. A. crazy B. ridiculous         C. funny D. normal

29. A. live                  B. do              C. go              D. get

30. A. involved           B. furnished         C. equipped          D. troubled

31. A. rats                 B. holes            C. sinks D. crashes

32. A. what             B. which            C. how             D. when

33. A. continue B. try              C. do D. work

34. A. sat               B. placed           C. seated D. positioned

35. A. new B. wood            C. main D. screen 36. A. laughed           B. smiled           C. glared           D. stared

37. A. better             B. worse           C. more            D. less

38. A. strengths          B. weakness         C. successes D. failures

39. A. complained         B. shouted          C. shared           D. yelled

40. A. stands            B. stops            C. allows           D. admits

41. A. take care B. look after         C. attend with D. pay attention

42. A. education          B. help             C. benefit D. training

43. A. back             B. off              C. on              D. out

44. A. took in C. took down            C. took away D. took along

45. A. forever           C. never            C. even            D. once

Self-employed private physicians who charge a fee for each patient visit are the foundation of medical practice in the United States. Most physicians have a contract relationship with one or more hospitals in the community. They send their patients to this hospital, which usually charges patients according to the number of days they stay and the facilities(operating room, tests, medicines that they use). Some hospitals belong to a city, a state or, in the case of veteran's hospitals, a federal government agency. Others are operated by religious orders(教会) or other non-profit groups.

Some medical doctors are on salary. Salaried physicians may work as hospital staff members, or residents, who are often still in training. They may teach in medical schools, be hired by corporations to care for their workers or work for the federal government's Public Health Service.

Physicians are among the best paid professionals in the United States. In the 1980s, it was not uncommon for medical doctors to earn incomes of more than $ 100 000 a year. Specialists, particularly surgeons, might earn several times that amount. Physicians list many reasons why they deserve to be so well rewarded for their work. One reason is the long and expensive preparation required to become a physician in the United States. Most would be physicians first attend college for four years, which can cost nearly $ 20 000 a year at one of the best private institutions. Prospective physicians then attend medical school for four years. Tuition alone can exceed $ 10 000 a year. By the time they have obtained their medical degrees, many young physicians are deeply in debt. They still face three to five years of residency(实习阶段) in a hospital, the first year as an apprentice physician. The hours are long and the pay is relatively low.

Setting up a medical practice is expensive, too. Sometimes several physicians will decide to establish a group practice, so they can share the expense of maintaining an office and buying equipment. These physicians also take care of each other's patients in emergencies.

Physicians work long hours and must accept a great deal of responsibility. Many medical procedures, even quite routine ones, involve risk. It is understandable that physicians want to be well rewarded for making decisions which can mean the difference between life and death.

1. According to the passage, it is very unlikely that an American hospital is owned by _______.

A. a church    B. a corporation     C. a city         D. a state

2. The expenses for becoming a doctor are spent on _______.

A. schooling and retraining           B. practice in a hospital

C. facilities he or she uses            D. education he or she receives

3. According to the passage, how long does it take for a would-be physician to become an independent physician in the USA?

A. About seven years.                  B. Eight years.

C. Ten years.                              D. About twelve years.

4. Sometimes several physicians set up a group medical practice mainly because _______.

A. there are so many patients that it is difficult for one physician to take care all of them

B. they can take turns to work long hours

C. facilities may be too much of a burden for one physician to shoulder

D. no one wants to assume too much responsibility

5. Which of the following statements could fully express the author's view towards physicians’ payment in the USA?

A. For their expensive education and their responsibility, they deserve a handsome pay.

B. It is reasonable for physicians to have a large income because their work is very dangerous.

C. Physicians should be better paid because they work long hours under bad conditions.

D. Physicians have great responsibility, so it is understandable that they should be well rewarded.

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