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 _______.

One day, a poor boy who was trying to pay his way through school by sending newspapers door to door, was so hungry that he decided to beg for a meal at the next house.
However, he lost his nerve when a lovely young woman opened the door. Instead of a meal he asked for a drink of water. She thought he looked hungry so she brought him a large glass of milk. He drank it slowly, and then asked, “How much do I owe (欠) you?”
“You don’t owe me anything,” she replied. “Then I thank you from the bottom of my heart.” With these words, Howard Kelly left that house.
Years later the woman became badly ill and was finally sent to the hospital in a big city. Dr. Howard Kelly, now famous, was called in. When he heard the name of the town she came from, a strange light filled his eyes. Dressed in his doctor’s clothes, Dr. Kelly went into her room and recognized her at once. From that day on, he gave special attention to her, and decided to do his best to save her life.
At last the woman was saved. Dr. Kelly asked the business office to pass the final bill to him. He looked at it and then wrote something on the side. The bill was sent to the woman’s room. She was afraid to open it because she was sure that it would take the rest of her life to pay for it off. Finally she looked, and the note on the side of the bill caught her attention. She read these words:
“Paid in full with a glass of milk, Dr. Howard Kelly.”
Tear of joy flooded her eyes.
【小题1】The boy sent newspapers door to door in order to ________.

People should be warned against using mobile phones outdoors in stormy weather because they may“be struck by lightning”，according to doctors．
Three experts have described how a teenage girl was struck by lightning while using her phone in a large London park．The girl，aged 15，recovered，but a year later was still wheelchair-bound and found to be suffering complex physical and emotional problems.
The girl also had a perforate eardrum(打孔耳膜)on the side where she had been holding the mobile phone．She was having general recovery in Northwick Park Hospital，Middlesex．
Swinda Esprit，a senior house officer, said that while the brain and muscle damage was similar to that of many lightning victims—who can experience heart attacks on being struck—the ear problems were not．
She said that the damages were particularly relevant for people who might be involved in less serious lightning incidents，who might otherwise recover, but would never get their full hearing back if struck while on the phone．
“We were shocked by the damage，which is why we wanted to draw attention to it，”Dr Esprit said．“A year on and she still was suffering these difficult hearing．”
They added that three other cases had been reported in newspapers in China，South Korea，and Malaysia．In the Malaysian case，a sales executive was killed by lightning while talking on his phone during a thunderstorm near Kuala Lumpur．
“All these events resulted in death，”the doctors wrote．“This rare phenomenon is a public health issue，and education is necessary to stress the risk．”
The Australian Lightning Protection Standard recommends that metallic objects，including cordless or mobile phones，should not be carried outdoors during thunderstorms．However, “the United States National Weather Service says on its website that both are safe to use “because there is no direct path between you and the lightening”．
Paul Taylor, of “the Met Office'’，said the ear injuries were a consequence of mobile phones being metal，and not related to radio waves．
Mr. Taylor said that mobile phones should be treated as another piece of metal，similar to carrying coins or wearing rings，and people need to be warned against the possible danger．
【小题1】What do we know about the teenage girl?

People should be warned against using mobile phones outdoors in stormy weather because they may“be struck by lightning”，according to doctors．

Three experts have described how a teenage girl was struck by lightning while using her phone in a large London park．The girl，aged 15，recovered，but a year later was still wheelchair-bound and found to be suffering complex physical and emotional problems.

The girl also had a perforate eardrum(打孔耳膜)on the side where she had been holding the mobile phone．She was having general recovery in Northwick Park Hospital，Middlesex．

Swinda Esprit，a senior house officer, said that while the brain and muscle damage was similar to that of many lightning victims—who can experience heart attacks on being struck—the ear problems were not．

She said that the damages were particularly relevant for people who might be involved in less serious lightning incidents，who might otherwise recover, but would never get their full hearing back if struck while on the phone．

“We were shocked by the damage，which is why we wanted to draw attention to it，”Dr Esprit said．“A year on and she still was suffering these difficult hearing．”

They added that three other cases had been reported in newspapers in China，South Korea，and Malaysia．In the Malaysian case，a sales executive was killed by lightning while talking on his phone during a thunderstorm near Kuala Lumpur．

“All these events resulted in death，”the doctors wrote．“This rare phenomenon is a public health issue，and education is necessary to stress the risk．”

The Australian Lightning Protection Standard recommends that metallic objects，including cordless or mobile phones，should not be carried outdoors during thunderstorms．However, “the United States National Weather Service says on its website that both are safe to use “because there is no direct path between you and the lightening”．

Paul Taylor, of “the Met Office'’，said the ear injuries were a consequence of mobile phones being metal，and not related to radio waves．

Mr. Taylor said that mobile phones should be treated as another piece of metal，similar to carrying coins or wearing rings，and people need to be warned against the possible danger．

1.What do we know about the teenage girl?

2.It can be inferred that damage done by lightening while using mobile phones      .

3.Why did doctors stress the risk about using phones outside in lightening?

4.We can infer from the last three paragraphs that        .

5.The purpose in writing this passage is       .

One day．a poor boy who was trying to pay his school expenses by selling goods from door to door found that he had only one quarter left．He was hungry so he decided to    36    for a meal at the next house．

37    ,he lost his nerve when a lovely young woman opened the door．Instead of a meal he asked for a drink of water．She thought he looked    38    so she brought him a large glass of milk．He drank it

39__, and then asked, "How much do I owe you?"

"You don't owe me anything," she     40   . "Mother has taught me never to accept pay for a  41__．" He said, "Then I thank you from the bottom of my heart．" As Howard Kelly left that house, he not only felt stronger    42   , but it also increased his faith in God and human race．He was about to give up and quit before this point．

Years later the young woman became seriously ill．The local doctors were puzzled．They finally sent her to the big city, where    43    can be called in to study her rare disease．Dr．Howard Kelly, now    44  , was called in for the consultation．When he heard the name of the town she came from, a strange light _45  his eyes．Immediately, he    46    and went down through the hospital hall into her room．

47    in his doctor's gown he went in to see her．He    48    her at once．He went back to the consultation room and    49    to do his best to save her life．From that day on, he gave    50    attention to her case．

After a long    51    the battle was won．Dr．Kelly    52    the business office to pass the final bill to him for approval．He looked at it and then wrote something on the side．The bill was sent to her room．She was afraid to open it because she was _53    that it would take the rest other life to pay it off．Finally she looked, and the note on the side of the bill caught her    54    She read these words．．．

       "Paid in full with a glass of milk．"

（Signed） Dr．Howard Kelly

Tears of joy flooded her eyes as she    55    silently．"Thank you．God．Your love has spread through human hearts and hands．"

36．A．call             B．make               C．beg             D．prepare

37．A．Otherwise        B．Nevertheless          C．Therefore           D．Furthermore

38．A．thirsty            B．lazy                   C．tired               D．hungry

39．A．slowly           B．unexpectedly              C．steadily             D．hurriedly

40．A．announced       B．declared               C．replied             D．stated

41．A．reward           B．kindness             C．hand               D．repay

42．A．physically          B．mentally                C．normally            D．properly

43．A．officials          B．scientists             C．doctors             D．specialists

44．A．rich             B．famous               C．elegant                D．vivid

45．A．fixed            B．focused              C．filled                   D．concentrated

46．A．rose             B．raised              C．got                   D．left

47．A．Wearing         B．Having                      C．Putting            D．Dressed

48．A．recognized       B．knew                   C．realized             D．regained

49．A．desired          B．declared              C．determined          D．declined

50．A．special            B．ordinary             C．normal            D．no

51．A．consultation       B．preparation           C．struggle            D．operation

52．A．ordered          B．requested            C．commanded        D．suggested

53．A．negative         B．uncertain           C．positive            D．obvious

54．A．dream            B．preference           C．attention           D．memory

55．A．praised          B．pretended             C．pressed            D．prayed