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34（）。
适应社会主义市场经济的思想政治教育体制，应当体现那些基本要求？
Passage OneMost people would be impressed by the high quality of medicine available to most Americans. There is a lot of specialization, a great deal of attention to the individual, a vast amount of advanced technical equipment, and intense effort not to make mistakes because of the financial risk which doctors and hospitals must face the courts if they handle things badly.But the Americans are in a mess. The problem is the way in which health care is organized and financed. Contrary to public belief, it is not just a free competition system. To the private system has been joined a large public system, because private care was simply not looking after the less fortunate and the elderly.But even with this huge public part of the system, which this year will eat up 84.5 billion dollars-more than 10 percent of the U.S. budget-large numbers of Americans are left out. These include about half the I1 million unemployed and those who fail to meet the strict limits on income fixed by a government trying to make savings where it can.The basic problem, however, is that there is no central control over the health system. There is no limit to what doctors and hospitals charge for their services. Over than what the public is able to pay. The number of doctors has shot up and prices have climbed. When faced with toothache, a sick child, or a heart attack, all the unfortunate person concerned can do is pay up.Two-thirds of the populations are covered by medical insurance. Doctors charge as much as they want knowing that the insurance company will pay the bill.The medical profession has as a result become America's new big businessmen. The average income of doctors has now reached $100,000 a year. With such vast incomes the talk in the doctor's surgery is as likely to be about the doctor's latest financial deal, as about whether the minor operation he is recommending at several thousand dollars is entirely necessary.The rising cost of medicine in the U.S.A. is among the most worrying problem facing the country. In 1981 the country's health cost climbed 15.9 percent-about twice as fast as prices in general. According to the author, what is the key factor in the rise of health cost in the US （）
Over the past few years, outcries from food activists have changed many Americans' eating habits: Criticism of widespread pesticide use led many consumers to organic foods, and early warnings prompted shoppers to shun irradiated and genetically altered food. _____71 Major players have muscled laws through state legislatures. The statutes make it illegal to suggest that a particular food is unsafe without a "sound scientific basis" for the claim. these so-called banana bills are under discussion in several U.S. states. Banana bill backers believe the laws will protect agricultural producers from losses like those following the Alar scare in 1989, when the TV magazine show 60 Minutes publicized a Natural Resources Defense Council report charging that the chemical, which enhances the which enhances the appearance of apples, causes cancer _____72. Banana bill foes say the laws simply serve to repress those who speak out against risky food-produce with "acceptable" level of pesticides, genetically altered tomatoes, milk from cows injected with the growth hormone rbST, which boosts milk production. _____73 They call them an insult to free speech and an impediment to covering critical food safety issues, notes Nicols Fox in American Journalism Review (March 1995). Most critics question the laws' requirement that only charges based on "reasonable and reliable" evidence be allowed. _____74 After all, it's unlikely that agribusinesses will accept even the best evidence if it threatens their bottom line. Fox notes that even though the Environmental Protection Agency affirmed that Alar posed unacceptable health risks, Washington State Farm Bureau spokesperson Peter Stemberg insists that EPA's challenged accepted wisdom. Science is "subject to second opinion."-- opinions that challenged accepted wisdom. Instead of attacking what they sneer as‘just science," food producers should be listening to the public's food worries, says Sierra's Raubcr, who cites a recent Young & Rubicam poll that found that 4 out of 5 Americans are "very concerned about food safety.”_____75 A case in point is rbST maker Monsanto, who fought and eventually lost a battle to keep dairy producers from advertising that their milk came from rbST free cows. 73（）。
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