Her pale face suggested that she _________ and I suggested tha she ____________ to hospital at once.

A was; go　　　 B be;go 　 C be;went　　　 D was;went

This is the VOA Special English Education Report. A few weeks ago, we talked about the Test of English as a Foreign Language, or TOEFL. A listener in Cambodia named Thida asks if American colleges and universities also accept the IELTS exam. IELTS is the International English Language Testing System. It was developed by the University of Cambridge ESOL examiners.
Cambridge ESOL says the test measures true-to-life ability to communicate in English for education, immigration or employment. The IELTS tests listening, reading, writing and speaking skills. It uses a mixture of accents and spellings, including British English and American English.
The test is used by government agencies, schools and professional organizations in one hundred and twenty countries. And, yes, that includes the United States. The many American schools that accepted the IELTS can be found on the Web at felts.org.
Some schools accept both the TOEFL and the IELTS, but the graduate school at Duke University in Durham, North Carolina, for example, says it prefers the IEITS.
The listening and speaking parts are the same for everyone who takes the IELTS, but people have a choice of reading and writing tests -- either academic or general training.
The listening test takes thirty minutes. There are forty questions based on a recording. The reading test takes sixty minutes. Students answer forty questions based on three written passages.
The writing test also takes sixty minutes. Students have to write two essays. One essay has to be at least one hundred and fifty words long and the other at least two hundred and fifty words. The shorter one is description of something; the longer one has to support and argument.
The speaking test takes less than fifteen minutes. The score is based on a recorded talk between the student and a test examiner.
And that's the VOA Special English Education Report, written by Nancy Steinbach. If you have a general question for our series, write to special@voanews.com. I'm Barbara Klein.
【小题1】What does TOEFL stand for?

Dr．Sylvia Earle wants you to stop eating fish．It’s not because fish are endangered, though wild fish stocks in many oceans are very low．It’s not because they’re bad for you, though fish in many areas are exposed to poisonous substances in the water．It’s because they’re smart．
“Fish are sensitive, they have personalities,” says the marine biologist．For Earle, eating a fish would be like eating a dog or a cat．“I would never eat anyone I know personally.”
There’s a lot more to fish than meets the eye: they talk to each other, they like to be touched, and they engage in behavior that can seem very human．They can remember things and learn from experience．Earle and a growing number of animal rights activists see these as strong arguments against eating fish altogether．
The activists also point out that fish feel pain and fish suffer horribly on their way from the sea to the supermarket．“While it may seem obvious that fish are able to feel pain, like every other animal, some people think of fish as swimming vegetables,” says Dr．Lynne Sneddon．“Really, it’s kind of a moral question．Is the enjoyment you get from fishing (or eating fish) more important than the pain of the fish?”
Fishermen and (fried) fish lovers are doubtful．“I’ve never seen a smart fish,” says Marie Swaringen as she finishes off a plate of fish at a Seattle seafood restaurant．“If they were very smart,
they wouldn’t get caught.”
“For years, everyone’s been telling us to eat fish because it’s so good for us,” says another diner．“Now I’ve got to feel guilty while I’m eating my fish? What are they going to think of next? Don’t eat salad because cucumbers have feelings?”
64．Dr．Sylvia Earle discourage people from eating fish because _____________.
A．there are not that many wild fish in the ocean
B．fish actually are sensitive and have personalities
C．some ocean fish contain poisonous substances
D．fish are like dogs or cats that people know personally
65．We can infer from the passage that _____________.
A．all people don’t agree with the idea to stop eating fish
B．people will be persuaded not to eat fish in the future
C．stopping eating fish will lead to people’s not eating vegetables
D．we shouldn’t care too much about the feeling of fish
66．By saying “There’s a lot more to fish than meets the eye,” the writer means ____________.
A．there are far more fish than other animals in the world
B．there are more fish in the world than people can see
C．people can see more fish if they pay more attention
D．fish are not that simple as they appear to people’s eyes
67．What is the writer’s attitude towards people eating fish?
A．Neutral.    B．Indifferent.      C．Approving.      D．Opposed．

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NOT all memories are sweet. Some people spend all their lives trying to forget bad experiences. Violence and traffic accidents can leave people with terrible physical and emotional scars. Often they relive these experiences in nightmares.
Now American researchers think they are close to developing a pill, which will help people forget bad memories. The pill is designed to be taken immediately after a frightening experience. They hope it might reduce, or possibly erase(抹去) the effect of painful memories.
In November, experts tested a drug on people in the US and France. The drug stops the body releasing chemicals that fix memories in the brain. So far the research has suggested that only the emotional effects of memories may be reduced, not that the memories are erased.
The research has caused a great deal of argument. Some think it is a bad idea, while others support it.
Supporters say it could lead to pills that prevent or treat soldiers’ troubling memories after war. They say that there are many people who suffer from terrible memories.
“Some memories can ruin people’s lives. They come back to you when you don’t want to have them in a daydream or nightmare. They usually come with very painful emotions,” said Roger Pitman, a professor of psychiatryat Harvard Medical School. : “This could relieve a lot of that suffering.”
But those who are against the research say that changing memories is very dangerous because memories give us our identity（特质）. They also help us all avoid the mistakes of the past.
“All of us can think of bad events in our lives that were horrible at the time but make us who we are. I’m not sure we want to wipe those memories out,” said Rebecca Dresser, a medical ethicist
53．The passage is mainly about            .
A．a new medical invention
B．a new research on the pill
C．a way of erasing painful memories
D．an argument about the research on the pill
54．The drug tested on people can            .
A．cause the brain to fix memories     
B．stop people remembering bad experiences
C．prevent body producing certain chemicals
D．wipe out t he emotional effects of memories
55．We can infer from the passage that                  .
A．people doubt t he effects of the pills
B．the pill will stop people’s bad experiences
C．taking the pill will do harm to people’s health
D．the pill has probably been produced in America
56．Which of the following does Rebecca Dresser agree with?
A．Some memories can ruin people’s lives.
B．People want to get rid of bad memories.
C．Experiencing bad events  makes us different from others.  
D．The pill will reduce people’s sufferings from bad memories.

Narayana Hrudayalaya, a complex of health centers based in southern India, offers low-cost, high-quality specialty care in a largely poor country of 1.2 billion people. By thinking differently about everything from the unusually high number of patients it treats to the millions for whom it provides insurance, the hospital group is able to continually reduce costs. Narayana Hrudayalaya’s operations include the world’s largest and most productive cardiac (心脏病的) hospital, where the average open-heart surgery runs less than $2,000, a third or less what it costs elsewhere in India.
Narayana Hrudayalaya’s origins date back to 2001, when it built its massive cardiac center on the outskirts （市郊）of Bangalore. But it has expanded since then into what founder Dr. Devi Shetty calls a "health city," a series of centers specializing in eye, trauma, and cancer care. Narayana Hrudayalaya now manages or owns hospitals in 14 other Indian cities.
Expanding access is paired with a ongoing focus on efficiency. Typically, says Shetty, private hospitals in India focus on patients who can easily afford treatment. "We did it the other way around," he says. "This hospital is for poor people, but we also treat some rich people. We don’t look at people who are sgabbily dressed and have trouble paying as outsiders. "  Narayana Hrudayalaya’s flagship hospital has 3,000 beds and negotiates for better prices and buys directly from manufacturers, cutting out distributors.
In addition to cost-cutting, Narayana Hrudayalaya finds creative ways to make the economics work. The company started a micro-insurance program backed by the government that enables 3 million farmers to have coverage for as little as 22 cents a month in premiums（保险费）. Patients who pay discounted rates are in effect compensated by those who pay full price
Doing something--doing more, actually--is the point. By 2017, Shetty, 58, plans to expand from 5,000 beds throughout India to 30,000. Before becoming one of India’s best-known health-care entrepreneurs, Shetty was its best-known heart surgeon. He was interrupted in surgery one day during the 1990s by a request to make a house call. "I said, 'I don’t make home visits,'?" Shetty says, "and the caller said, 'If you see this patient, the experience may transform your life.'?" The request was from Mother Teresa. Inspired by the her work with the poor, he then set out to create a hospital to deliver care based on need, not wealth.  "One lesson she taught me," he says, quoting a saying he keeps framed in his office, "is 'Hands that sew are holier than lips that pray.'?"
【小题1】Narayana Hrudayalayastarted a micro-insurance to _______.