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If we want universal insurance and unlimited patient and doctor choice, costs will continually spiral upward, because there will be no reason or no one to stop them. We have a variant of that today - a cost - plus system, with widespread insurance and open - ended reimbursement (偿还). Higher costs push up premiums (保险费) and taxes. That’s one reason health spending has gone from 5 percent of gross domestic product in 1960 to 16 percent in 2007. But controlling spending requires limits on patients and doctors. Health spending has increased since 1960 partly because.

A. costs of health - care are becoming higher.
B. insurance companies are making more profits.
C. the government is giving less financial support.
D. there is no limit on patient and doctor choice.

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可编程接口芯片中“可编程”的含义

With a new Administration promising much needed reform in the way health care is accessed, delivered and reimbursed, legislators, health officials, doctors and patients see this as a rare opportunity, a sweet spot in which national need could meet national will and we could actually fix a system that seems to be costing us more and more but delivering less and less. The improvements can’t come too soon. In spite of our gleaming hospitals and cutting - edge technology that can detect the tiniest tumors and repair the most complex organ, on some basic health measures the U. S. is starting to fall behind--far behind. What does the author think of the present health - care system

A. Satisfactory
B. Dissatisfactory
C. Efficient
D. Hopeless.

Your health can suffer simply from fear of losing your job, says Sarah Burgard, a sociologist at the University of Michigan. After crunching data from two large national surveys, she concluded that chronic job insecurity over a two--year period rivals the anxiety of a job loss or a major illness. Burgard adjusted her data for what psychologists call "neuroticism" and found that even people who aren’t typically worriers report worse health when they believe their jobs are in danger. Fears of poor job prospects may have similar consequences. When Swedish researchers asked 21 - year - olds about their health during a recession, they reported more problems than a comparison group during a boom.

According to Sarah Burgard, people’s health tend to get worse whenA. they develop chronic diseases.
B. they experience job insecurity.
C. they see good job prospects.
D. they have psychological problems.

While NICE’s decisions have angered some doctors and patient groups -particularly some oncologists (肿瘤科医生) who say they are unable to prescribe expensive, life- extending cancer drugs- mainstream politicians, the media and most Britons accept NICE’s rare rejections as a necessary compromise to keep universal coverage affordable in the face of rising health -care costs. As NICE chairman Sir Michael Rawlins recently told TIME, "All health -care systems have implicitly, if not explicitly, adopted some form of cost control. In the U. S. , you do it by not providing health care to some people. That’s a rather brutal way of doing it. " NICE’s decisions hear the loudest voice of disapproval from

A. some oncologists.
B. mainstream politicians.
C. the media.
D. most Britons.

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