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.

1. 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

2.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

3.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.

4.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

5. 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.

In the 1960s, many young Americans were dissatisfied with American society. They wanted to end the Vietnam War and to make all of the people in the U.S. equal. Some of them decided to "drop out" of American society and form their own societies. They formed utopian communities, which they called “communes”, where they could follow their philosophy of “do your own thing”. A group of artists founded a commune in southern Colorado called "Drop City." Following the ideas of philosopher and architect Buckminster Fuller, they built dome-shaped houses from pieces of old cars. Other groups, such as author Ken Kesey’s Merry Pranksters, the followers of San Francisco poet Steve Gakin, and a group that called itself the Hog Farm, lived in old school houses and traveled around the United States. The Hog Farm became famous when they helped organize the Woodstock Rock Festival in 1969. Steve Gaskin’s followers tried to settle down on a farm in Tennessee, but they had to leave when some members of the group were arrested for growing marijuana.

　　Not all communes believed in the philosophy of “do your own thing”. However, Twin Oaks, a commune founded in Virgiania in the late 1960s, was based on the ideas of psychologist B.F.Skinner. The people who lived at Twin Oaks were carefully controlled by Skinner’s “conditioning” techniques to do things that were good for the community. In 1972, Italian architect Paolo Soleri began to build Arcosanti, a utopian city Arizsona where 2500 people will live closely together in one large building called an “archeology”. Soleri believes that people must live closely together so that they will all become one.

Why did some young Americans decide to “drop out” of society during the 1960s?

　　A. They were not satisfied with American society.

　　B. They wanted to grow marijuana.

　　C. They wanted to go to the Vietnam War.

　　D. They did not want all people to be equal.

Where did the members of the Hog Farm commune live?

　　A. In dome-shaped house.         B. In old school houses.

　　C. On a farm in Tennessee.        D. In an archeology in Arizona.

Who gave the people of Drop City the idea to build dome-shaped house?

　　A. Paolo Soleri.  　             B. B.G.Skinner.

　　C. Steve Gaskin.                D. Buckminster Fuller.

What was the Twin Oaks commune based on?

　　A. The philosophy of “do your own thing”.

　　B. Virginia in the late 1960s.

　　C. The ideas of psychologist.

　　D. The belief that people must live closely together.

What is an “archeology”?

　　A. A person who studies archaeology.

　　B. A large building where people live closely together.

　　C. A city in Arizona.

　　D. A technique to control people.

    Getting paid to talk about the World Cup is a great job. I' m not a football commentator (评论员), though --just an English teacher in Japan.

    I came to Japan two years ago, and did’t think I would stay, but Japan has that effect on you. People often end up living here longer than they planned. I think it' s best to teach, in a bigger city where there are other foreigners to mix with, rather than a small town where English teachers often complain of feeling like a goldfish in a bowl. Many people choose to live in Tokyo, of course, which is good for tile nightlife factor. But I' d say that for general quality of living, cities of neither too large nor too small, like Sapporo where I live, are better choices.

    I teach English privately, which means I' m my own boss. If you want to devote yourself to private teaching, it's well worth doing a TEFL course first, because your lessons will be much better for it. The problem with private teaching is finding students; it took me a year to build up a full schedule (日程表) of private lessons, so I started out teaching in schools part-time.

    Most of my foreign friends here work full-time for big English conversation schools. The salary is fine to live on, but whether you can save money depends on how much going out and traveling you do here.

    The schools are reluctant to take time off -- even teachers with tickets for the England-Argentina game had trouble getting the day off.

56. From the passage we know in Japan the writer likes to live in ________.

  A. Tokyo                       B. a small town

  C. a city of middle size            D. a big city

57. According to the writer, one had better ________ first to do private teaching better.

  A. take a TEFL course             B. decide his or her own lessons

  C. find students                  D. build up a full schedule

58. The underlined sentence in the second paragraph implies that ________.

  A. there are many foreigners in Japan

  B. Japan is good for nightlife

  C. they can teach English privately in Japan

  D. Japan has something more attractive than expected

59. The underlined word "reluctant" in the passage may probably mean ________.

  A. kind         B. unwilling          C. free           D. careless

  Getting paid to talk about the World Cup is a great job. I’m not a football commentator(评论员),though-just an English teacher in Japan.

   I came to Japan two years ago, and didn't think I would stay, but Japan has that effect on you. People often end up living here longer than they planned. I think it’s  best to teach in a biggest city where there are other foreigners to mix with, rather than a small town where English teachers often complain of feeling like a goldfish in a bowl. Many people choose to live in Tokyo, of course, which is good for the nightlife factor. But I’d say that for general quality of living, cities of neither too large nor too small, like Sapporo where I live, are better choices.

    I teach English  privately, which means I’m my own boss. If you want to devote yourself to private teaching, it’s well worth doing a TEFL course  first, because your lessons will be much better for it. The problem with private teaching is finding students; it took me a year to build up a full schedule(日程表)of private lessons, so I started out teaching in schools part-time.

     Most of my foreign friends here work full-time for big English conversation schools. The salary is fine to live on. But whether you can save money depends on how much going out and traveling you do here.

     The schools are reluctant to take time off –even teachers with tickets for the England-Argentina game had trouble getting the day off.

56.From the passage we know in Japan the write likes to live in_______.

A.Tokyo                             B.a small town                     C.a city of middle site                  D.a big city

57.According to the writer, one had better________first to do private teaching better.

A.take a TEFL course                                              B.decide his or her own lessons

C.find students                                                       D.build up a full schedule

58.The underlined sentence in the second paragraph implies that_______.

A.there are many foreigners in Japan                  B.Japan is good for nightlife

C.they can teach English privately in Japan 

D.Japan has something more attractive than expected

59.The underlined word“reluctant”in the passage may probably mean_____.

A.kind                        B.unwilling                  C.free                                        D.careless

In the 1960s, many young Americans were dissatisfied with American society. They wanted to end the Vietnam War and to make all of the people in the U.S. equal. Some of them decided to "drop out" of American society and form their own societies. They formed utopian communities, which they called “communes”, where they could follow their philosophy of “do your own thing”. A group of artists founded a commune in southern Colorado called "Drop City." Following the ideas of philosopher and architect Buckminster Fuller, they built dome-shaped houses from pieces of old cars. Other groups, such as author Ken Kesey’s Merry Pranksters, the followers of San Francisco poet Steve Gakin, and a group that called itself the Hog Farm, lived in old school houses and traveled around the United States. The Hog Farm became famous when they helped organize the Woodstock Rock Festival in 1969. Steve Gaskin’s followers tried to settle down on a farm in Tennessee, but they had to leave when some members of the group were arrested for growing marijuana.

　　Not all communes believed in the philosophy of “do your own thing”. However, Twin Oaks, a commune founded in Virgiania in the late 1960s, was based on the ideas of psychologist B.F.Skinner. The people who lived at Twin Oaks were carefully controlled by Skinner’s “conditioning” techniques to do things that were good for the community. In 1972, Italian architect Paolo Soleri began to build Arcosanti, a utopian city Arizsona where 2500 people will live closely together in one large building called an “archeology”. Soleri believes that people must live closely together so that they will all become one.

1.Why did some young Americans decide to “drop out” of society during the 1960s?

　　A. They were not satisfied with American society.

　　B. They wanted to grow marijuana.

　　C. They wanted to go to the Vietnam War.

　　D. They did not want all people to be equal.

2. Where did the members of the Hog Farm commune live?

　　A. In dome-shaped house.         B. In old school houses.

　　C. On a farm in Tennessee.        D. In an archeology in Arizona.

3. Who gave the people of Drop City the idea to build dome-shaped house?

　　A. Paolo Soleri.  　             B. B.G.Skinner.

　　C. Steve Gaskin.                D. Buckminster Fuller.

4. What was the Twin Oaks commune based on?

　　A. The philosophy of “do your own thing”.

　　B. Virginia in the late 1960s.

　　C. The ideas of psychologist.

　　D. The belief that people must live closely together.

5. What is an “archeology”?

　　A. A person who studies archaeology.

　　B. A large building where people live closely together.

　　C. A city in Arizona.

　　D. A technique to control people.