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.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 |
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 |
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 year. | B.Eight years. |
| C.Ten years. | D.About twelve years. |
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 |
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. |
Exhausted,covered in mud and desperately hungry,a team of Swedish athletes sat down for a meal as they prepared to take on a dangerous 20-mile trek through the Ecuadorian rainforest.
As they opened their canned meat,a tired Mikael Lindnord noticed a miserable stray dog staring at him out of the corner of his eye.
Feeling sorry for him,he fed the dog a meatball and thought nothing of it,but as the team stood up to continue their race the animal started to follow them—and he didn’t stop.
As the group of four navigated the final two stages of the 430-mile Adventure Racing World Championship,the dog befriended them and was eventually given the name Arthur.
Every tiring task the team face,Arthur would do the same.He swam alongside them while they kayaked down rivers,dragged himself up hills during hikes and pulled through knee—deep mud during treks.
Even when the team tried to get rid of their new member out of concerns for his safety—he refused to leave.This meant when he was tired they stopped for a break and when he got stuck in the mud they pulled him out.
After six days the team finished the race,and the dog had suffered.They therefore decided to take him to a vet(兽医)while still in South America to have him checked out.
During that time Lindord thought to himself that after their experience,they could not leave Arthur,so he decided to adopt him and take him back to Sweden.He applied to the Swedish Board of Agriculture and was made to wait to see if his application was successful.After a tense few days,the team arrived at the airport with Arthur and boarded the plane with him back home.
Lindord said:“I came to Ecuador to win the World Championship.Instead,I got a new friend.”After meeting the dog,the team ______________.
| A.abandoned the dog immediately |
| B.fed the dog with enough food |
| C.adopted the dog for convenience |
| D.continued the race with the dog |
Why did the team try to get rid of the dog during the race?
| A.They were concerned about his safety. |
| B.They couldn’t afford the race with him. |
| C.The dog was a burden to the team. |
| D.The dog couldn’t follow the team successfully. |
Which of the following can best describe the team?
| A.Friendly and caring. | B.Helpful and generous. |
| C.Risky and harsh. | D.Cautious and sensitive. |
What can we infer from the text?
| A.The dog was sad to have suffered from the race. |
| B.The team won the World Championship many times. |
| C.Lindord was overjoyed to befriend the dog. |
| D.The team felt tense to take Arthur to the airport. |
Facebook is now used by 30 million people in the UK,about half the population.
Joanna Shields,vice president of Facebook Europe,made the announcement this morning at a media conference in London.
She said: "We can announce today that we have reached 30 million in the UK,which we are really excited about."
Globally,Facebook has more than 500 million registered users,a milestone it hit last summer.Last July,it also revealed that it had 26 million registered UK users.In the last eight months,it has attracted four million extra UK users,bringing the UK total to 30 million,while in January 2009,Facebook had only 150 million registered users.
Last year,Zuckerberg,Facebook's founder,said it was "almost a guarantee" that the site would hit one billion users.He explained: "If we succeed in innovating,there is a good chance of bringing this to a billion people...it will be interesting to see how it comes true."
One third of women aged 18 to 34 check Facebook when they first wake up,before even going to the toilet,according to research.Twenty-one per cent of women aged between 18 to 34 check Facebook in the middle of the night,while 42 per cent of the same group think it is fine to post drunken photos of themselves onto the social network,a study by Oxygen Media found.
Shields was speaking this morning at the Financial Times Digital Media and Broadcasting Conference about the power Facebook's referrals can bring to media sites,such as newspapers and TV services.
She explained that the average Facebook user has 130 friends who they share links to media sites with on a regular basis."Media companies which take advantage of that are really seeing the benefits",Shields said.
Shields refused to say whether Facebook would develop its own mobile phone operating system and also said it was "silly" that Google had recently disabled the feature(特点)which allowed Google users to sync their contacts with Facebook friends.What is Joanna Shields content with?
| A.the announcement |
| B.media conference |
| C.fast growing registered users |
| D.the benefits of Facebook |
Zuckerberg,Facebook's founder,take a more view about the future of Facebook.
| A.negative | B.optimistic |
| C.cold | D.pessimistic |
What kind of people are more interested in Facebook according to the passage?
| A.teenagers | B.middle-aged people |
| C.old people | D.young people |
From the passage we know that .
| A.Facebook would develop its own mobile phone operating system |
| B.Google didn't allow its users to sync their contacts with Facebook friends |
| C.Shields refused to admit the power Facebook's referrals could bring |
| D.Google was always silly |
While I was in my 4th month of pregnancy(妊娠期)with my second child,we were preparing for a trip to Louisiana,where Marshall’s family live,to celebrate Jane’s 2nd birthday.Two days before we were to leave,we got the shocking news that I was going to lose the baby.Not knowing when this would happen,we decided to continue with our trip.
Since Marshall’s family lives on a 600-acre cattle farm,you often find that you have a lot of time to yourself to think when you are there.That is precisely what I did not want to do at this time.I told Marshall that I needed to get a good book to get lost in while I was there.I told him I heard the Harry Potter books were good,so he went out and got the first one for me.
During that trip,I totally got lost in the book,which was of great help during a time when I needed a distraction to forget about the sadness.In the book,I noticed the name “Seamus”.I vaguely remembered it was pronounced “Shamus” and I liked the sound of that.I mentioned it to Marshall and he liked it too.Toward the end of the trip,I had just 5 chapters left and I knew I was about to finish the first book,which I was pretty excited about.
Soon after we put Jane down to bed,I had started labor(分娩),so I was unable to read.The labor lasted 5 and 1/2 hours,but Marshall stayed there with me,sitting beside me and reading aloud the last 5 chapters of Harry Potter.I can never fully explain how much that helped me through the experience.And ever since then,Marshall and I both have been fans of the Harry Potter books.We remember how they helped us get through that time of our lives.
We were sad to have lost the baby,but the name Seamus started our journey toward adoption.And we gave this name to our adopted son.Though our Seamus doesn’t have a drop of Irish blood in him,the name fits him perfectly.Why did the writer want a good book during the trip?
| A.Because the trip to Louisiana would take a long time. |
| B.Because she didn’t want to think of losing her baby. |
| C.Because she had nothing else to do except reading. |
| D.Because a good book could help her enjoy her trip. |
According to the story,we can know that the Harry Potter books _________________.
| A.made the family’s trip more exciting |
| B.include five books all together |
| C.have someone called Seamus in them |
| D.can help people deal with their problems |
The writer named her son Seamus because ___________________.
| A.she wanted to keep her trip in memory |
| B.she loved this name very much |
| C.her son doesn’t have Irish blood |
| D.it is a perfect name for a boy |
Which is the best title for the passage?
| A.Funny Stories of My Family |
| B.Seamus And Harry Potter |
| C.How We Got To Louisiana |
| D.How My Son Got His Name |
Those who have suffered from insomnia know the sinking feeling of watching the clock tick.Now a new study in the Archives of Internal Medicine suggests that lying in bed awake may actually contribute to the problem of sleeplessness.
The study of 79 adults(average age 72)with insomnia aimed to determine whether brief behavioral interventions for insomnia would help.Traditional behavioral therapy(疗法)requires at least half a dozen hour-long sessions with a therapist — a costly commitment many patients either can't make or don't have access to.Other options include sleep-aiding medications or supplements.In the current study,the 39 participants in the behavioral therapy group received a 45- to 60-minute instructing session,plus a 30-minute follow-up session and two 20-minute phone calls.
Doctors offered the following behavioral interventions for improving sleep: reduce time in bed; get up at the same time every day,regardless of sleep duration; don't go to bed unless sleepy; and don't stay in bed unless asleep.
The other 40 participants in the study were given printed educational materials about insomnia,which included the same instructions given to the intervention group,but without the individualized sessions with a therapist.Two weeks later,the latter group also got a 10-minute follow-up phone call.
At the end of four weeks,the behavioral treatment group was significantly more likely to show improvements in sleep than the printed-materials group.By that time,55% of those who received behavioral treatment no longer met the criteria for insomnia,compared with 13% of the group that got educational brochures.
The good news comes at the same time as a report on the health effects of insomnia from the U.K.'s Mental Health Foundation.The report,Sleep Matters,suggests a link between insomnia and poor relationships,low energy levels and an inability to concentrate.Poor sleep has already been linked to depression,immune deficiency and heart disease.What is the meaning of the underlined word “ insomnia”?
| A.sleeplessness | B.depression |
| C.heart disease | D.immune deficiency |
What is the disadvantage of traditional behavioral therapy?
| A.It can’t help. |
| B.It costs a lot of money. |
| C.It requires sessions with a therapist. |
| D.It includes sleep-aiding medications. |
How to improve sleep according to the doctor?
| A.Lying in bed awake. |
| B.Get up early every day. |
| C.Don’t go to bed late at night. |
| D.Don’t stay in bed if you are not asleep. |
We can learn from the text that insomnia may cause the following results except________.
| A.depression | B.concentration |
| C.immune deficiency | D.heart disease |
When Josephine Cooper was growing up,she learned the importance of charity from her parents.Although they made a modest living for their family of 10,they insisted on sharing with those less fortunate.
Half a century later,Mrs Cooper became a beloved volunteer at the San Diego Food Bank,where she devoted herself to helping others.She organized and ran a distribution center from a church,helping it become the organization’s largest emergency food distribution center in San Diego.She was one of 25 outstanding senior volunteers in the nation selected and invited to Washington D.C.to receive the award.
“She was the main person who helped us make that program grow,” said Mike Doody,former director of the Food Bank.“She had a way of getting people to work together and to work hard.She was determined and stubborn,but in a good way.She had a good heart.” People knew her as “Grandma” because of her selflessness and her devotion to helping hungry children and families.“She reminded people of their Grandma.” Doody said.
As a widow with a young child in 1979,Mrs.Cooper was helped through a difficult financial time when the Food Bank provided her with groceries.“She dedicated her life to giving back,” said her daughter,Monica Cooper.It wasn’t unusual for a local church to call Mrs Cooper to ask her to aid a needy family.“She would give people food out of her cupboard.Sometimes we would cook a meal for a family living out of their car,” Cooper said.
Although Mrs Cooper was honored to receive the national award for her volunteer work,she said being able to help others was her reward.She died of liver disease and kidney failure,aged 93.The underlined word “charity” in Paragraph 1 refers to.
| A.offering help | B.donating money |
| C.providing services | D.showing sympathy |
Which of the following is true of Mrs Cooper?
| A.She died at an early age. |
| B.She refused the national award. |
| C.She was kind and devoted. |
| D.She was not easy to get along with. |
Mrs Cooper’s story suggests that.
| A.everyone needs a Grandma nearby |
| B.children are what their parents are |
| C.a sound mind is in a sound body |
| D.a mother’s love never changes |