题目内容
The elderly need special care in winter, as they are _______ to the sudden change of weather.
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We can see monuments here and there. Those who have made great ______ to human beings and society will never be forgotten.
The gift was sent by ______.
He said economic growth is the basis for strengthening defense capability, which is ______ an important indicator of overall national strength.
Crippling health care bills, long emergency-room waits and the inability to find a primary care physician just scratch the surface of the problems that patients face daily. Primary care should be the backbone of any health care system. Countries with appropriate primary care resources score highly when it comes to health outcomes and cost. The US takes the opposite approach by emphasizing the specialist rather than the primary care physician. A recent study analyzed the providers who treat Medicare beneficiaries.The startling finding was that the average Medicare patient saw a total of seven doctors—two primary care physicians and five specialists—in given one year. Contrary to a popular belief, the more physicians taking care of you doesn’t guarantee better care. Actually, increasing fragmentation of care results in a corresponding rise in cost and medical errors. How did we let primary care slip so far The key is how doctors are paid. Most physicians are paid whenever they perform a medical service. The more a physician does, regardless of quality or outcome, the better he’s reimbursed. Moreover, the amount a physician receive leans heavily toward medical or surgical procedures. A specialist who performs a procedure in a 30-minute visit can be paid three times more than a primary care physician using that same 30 minutes to discuss a patient’s disease.Combine this fact with annual government threats to indiscriminately cut reimbursements, physicians are faced with no choice but to increase quantity to boost income. Primary care physicians who refuse to compromise quality are either driven out of business or to each-only practices, further contributing to the decline of primary care. Medical students aren’t blind to this scenario. They see how heavily the reimbursement deck is stacked against primary care. How do we fix this problem It starts with reforming the physician reimbursement system. Remove the pressure for primary care physicians to squeeze in more patients per hour, and reward them for optimally managing their diseases and practicing evidence based medicine. Make primary care more attractive to medical students by forgiving student loans for those who choose primary care as a career and reconciling the marked difference between specialist and primary care physician salaries. Face with the government threats to cut reimbursements indiscriminately, primary care physicians have to ______.
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