Self—employed private doctors who charge a fee each patient’s visit are the foundation of medical practice in the United States. Most doctors have 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 (operation room, tests, medicines that they use). Some hospitals belong to a city, a state or a government agency. Others are operated by religious orders (教会)or other non—profit groups.
Some medical doctors are on salary. Salaried doctors may work as hospital staff (员工)members, or residents, who are often still in training . They may teach in medical schools, or be hired by corporations to care for their workers to work for the government’s Public Health Service.
Doctors 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. Doctors 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 doctor in the United States. Most would—be doctors first attend college for four years, which can cost nearly $20,000 a year at one of the best private institutions. Then they attend medical school for four years. Tuition(学费)alone can more than $10,000 a year. By the time they have obtained their medical degrees, many young doctors are deeply in debt. They still face three to five years of residency(实习阶段) in hospital, the first year as an assistant. The hours are long and the pay is relatively low.
Setting up a medical practice is expensive, too. Sometimes several doctors will decide to establish a group practice, so they can share the expense of maintaining an office and buying equipment. These doctors also take care of each other’s patients in emergencies.
Doctors work long hours and must accept a great deal of responsibility. Many medical procedures, even quite practiced many times, still involve risk. It is understandable that doctors want to be well—paid for making decisions which can mean the difference between life and death.
【小题1】According to the passage, it is very unlikely that an American hospital is owned by         .

A．it’s difficult for one doctor to take care of too many patients

B．they can take turns to work for long hours

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

D．no one wants to take too much responsibility

Great changes ___ in my hometown and a lot of factories _______.

1. A.
   have been taken place , are being set up
2. B.
   have taken place , have been set up
3. C.
   are taken place , had been set up
4. D.
   had taken place , will be set up

Susan Sontag (1933 — 2004) was one of the most noticeable figures in the world of literature. For more than 40 years she made it morally necessary to know everything — to read every book worth reading, to see every movie worth seeing. When she was still in her early 30s, publishing essays in such important magazines as Partisan Review, she appeared as the symbol of American cultural life, trying hard to follow every new development in literature, film and art. With great effort and serious judgment, Sontag walked at the latest edges of world culture.
Seriousness was one of Sontag’s lifelong watchwords（格言）, but at a time when the barriers between the well-educated and the poor-educated were obvious, she argued for a true openness to the pleasures of pop culture. In ‘‘Notes on Camp”, the 1964 essay that first made her name, she explained what was then a little-known set of difficult understandings, through which she could not have been more famous. ‘“Notes on Camp”, she wrote, represents “a victory of ‘form’ over ‘content’ ,‘beauty’ over ‘morals’”.
By conviction（信念）she was a sensualist（感觉论者）, but by nature she was a moralist（伦理论者）, and in the works she published in the 1970s and 1980s, it was the latter side of her that came forward. In Illness as Metaphor — published in 1978, after she suffered cancer — she argued against the idea that cancer was somehow a special problem of repressed personalities （被压抑的个性）, a concept that effectively blamed the victim for the disease. In fact, re-examining old positions was her lifelong habit.
In America, her story of a 19th century Polish actress who set up a perfect society in California, won the National Book Award in 2000. But it was as a tireless, all-purpose cultural view that she made her lasting fame. “Sometimes,” she once said, “I feel that, in the end, all I am really defending ... is the idea of seriousness, of true seriousness.” And in the end, she made us take it seriously too.
58. The underlined sentence in Paragraph 1 means Sontag _____ .
A. was a symbol of American cultural life           
B. developed world literature, film and art
C. published many essays about world culture
D. kept pace with the newest development of world culture      
59. She first won her name through _____ .
A. her story of a Polish actress                              
B. her book Illness as Metaphor
C. publishing essays in magazines like Partisan Review
D. her explanation of a set of difficult understandings
60. According to the passage, Susan Sontag ______.
A. was a sensualist as well as a moralist       
B. looked down, upon the pop culture
C. thought content was more important than form      
D. blamed the victim of cancer for being repressed
61. As for Susan Sontag’s lifelong habit, she ______.
A. misunderstood the idea of seriousness             B. re-examined old positions
C. argued for an openness to pop culture       D. preferred morals to beauty
62. Susan Sontag’s lasting fame was made upon _____ .
A. a tireless, all-purpose cultural view     B. her lifelong watchword: seriousness
C. publishing books on morals             D. enjoying books worth reading and movies worth seeing

Susan Sontag (1933----2004) was one of the most noticeable figures in the world of literature. For more than 40 years she made it morally necessary to know everything---to read every book worth reading, to see every movie worth seeing. When she was still in her early 30s, publishing essays in such important magazines as Partisan Review, she appeared as the symbol of American culture life, trying hard to follow every new development in literature, film and art. With great effort and serious judgment, Sontag walked at the latest edges of world culture.
Seriousness was one of Sontag’s lifelong watchwords(格言),but at a time when the barriers between the well-educated and the poor-educated were obvious, she argued for a true openness to the pleasure of pop culture. In Notes on Camp, the 1964 essay that first made her name, she explained what was then a little-known set of difficult understandings, through which she could not have been more famous. “Notes on Camp”, she wrote, represents “ a victory of ‘form’ over ‘content’, ‘beauty’ over ‘morals’”.
By conviction（信念）she was a sensualist, but by nature she was a moralist, and in the works she published in the 1970s and 1980s , it was the latter side of her that came forward. In Illness as Metaphor —published in 1978, after she suffered cancer—she argued against the idea that cancer was somehow a special problem of repressed personalities, a concept that effectively blamed the victim for the disease. In fact, re-examining old positions was her lifelong habit.
In America, her story of a19thcentury Polish actress who set up a perfect society in California, won the National Book Award in 2000.But it was as a all-purpose cultural view that she made her lasting fame. “Sometimes,” she once said, “I feel that, in the end, all I am really defending …is the idea of seriousness, of true seriousness.” And in the end, she made us take it seriously too.
【小题1】The underlined sentence in paragraph 1 means Sontag_________.