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.
41. 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
42. 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
43. 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 years. B. Eight years.
C. Ten years. D. About twelve years.
44. 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
45. 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.
科目:高中英语 来源: 题型:阅读理解
请认真阅读下面短文,并根据所读内容在文章后表格中的空格里填入最恰当的单词。
注意:每空一词。
Most people who travel from China to the US find that,despite having studied English for years,they have to “re—learn” it upon arriving.
Words that we learned in English classes are not pronounced the same way here.To truly be part of the “melting pot”,fluency(流利)in English is not enough.You need an accent to stand out.
When I first came to the US for graduate school,1 was a nervous foreigner.I felt so out of place that I wanted to hide everything about me that was “different”.To talk like an American became one of my goals.
During my first term as a teaching assistant(TA),my students complained(抱怨) they could not understand me.I learned later from a study that this complaint was common among US students with an international TA.It is called the “Oh, no!” syndrome (情绪、举动):“Oh,no! Not another international TA,and not that accent again!’’
So I imitated(模仿)the way native speakers talk and,over time,I made such good progress that American friends started to praise my English as having “almost no accent’’.I took this as a sign of my success.Ever since.people have often mistaken me for someone from many places:the Midwest,the West Coast,China,Japan,South Korea.Most frequently,people think I am from California.
Suddenly,conformity (一致) was no longer a praise:If I talk like an American,am I still Chinese? If I lose my Chinese accent,do I also lose my cultural identity? Am I denying(否认)my past by being absorbed into(沉浸于)a new culture?
Now I realize that a person’s accent is a permanent(永久的)record of their past cultural experience and it is a mark of one’s experience and exposure to different cultures.
As a fourth-year student in the US,I am no longer a nervous foreigner.My nervousness has been replaced by a desire to hold on to my cultural origins.Now I consciously(有意识地)add some Chinese “accent” when I speak.I do not wish to speak “perfect” English because I am proud of who I am.
My Feeling of Speaking English in America | |
Time | Supporting details |
At the (71) ______ | I have to relearn English (72) ______ arriving there, for my pronunciations of words are (73) ______ from native speakers. |
My students complained that I couldn’t make myself (74)______. | |
During my stay | I made great (75) ______ in spoken English by imitating the (76) ______ native speakers talk. |
People often (77) ______ me for someone from the Midwest,the West Coast,China, California and so on. | |
Now | I think it necessary to keep my (78) ______ origins. |
I often add some Chinese “accent” consciously when (79) ______ English because I am (80) ______ of being a Chinese. |
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