Self-employed private doctors who charge a fee each patient’s visit are the foun

Self—employedprivate doctors who charge a fee each patient’s visit are the foundation ofmedical practice in the United States. Most doctors have contract relationshipwith one or more hospitals in the community. They send their patients to thishospital，whichusually charges patients according to the number of days they stay and thefacilities (operation room, tests, medicines that they use). Some hospitalsbelong to a city, a state or a government agency. Others are operated byreligious orders (教会)or othernon—profit groups.

Some medical doctors are on salary. Salaried doctors may work ashospital staff (员工)members,or residents, who are often still in training . They may teach in medicalschools, or be hired by corporations to care for their workers to work for thegovernment’s Public Health Service.

Doctors are among the best paid professionals in the UnitedStates. In the 1980s, it was not uncommon for medical doctors to earn incomesof more than $100,000 a year. Specialists, particularly surgeons, might earn several times that amount. Doctors list many reasons why they deserve to be sowell rewarded for their work. One reason is the long and expensive preparationrequired to become a doctor in the United States. Most would—be doctors firstattend college for four years, which can cost nearly $20,000 a year at one of the best private institutions. Then they attend medical school for four years. Tuition(学费)alone can more than$10,000 a year. By the time they have obtained their medical degrees, many young doctors are deeply in debt. They still face three to five years of residency(实习阶段) in hospital, thefirst year as an assistant. The hours are long and the pay is relatively low.

Setting up a medical practice is expensive, too. Sometimes severaldoctors will decide to establish a group practice, so they can share theexpense of maintaining an office and buying equipment. These doctors also takecare of each other’s patients in emergencies.

Doctors work long hours and must accept a great deal ofresponsibility. Many medical procedures, even quite practiced many times, stillinvolve risk. It is understandable that doctors want to be well—paid for makingdecisions which can mean the difference between life and death.

1.According to the passage, it is veryunlikely that an American hospital is owned by         .

       A．a church zxxk.com                              B．a corporation       C．a city    D．a state 

2.The expenses for becoming a doctor aremainly spent on           .

       A．schooling and retraining                       B．practice in a hospital

       C．facilities he or she uses                         D．education he or she receives

3.Sometimes several doctors set up agroup medical practice mainly because       .

       A．it’s difficult for one doctor to takecare of too many patients

       B．they can take turns to work for longhours

       C．facilities may be too much of burden forone doctor to shoulder

       D．no one wants to take too muchresponsibility

4.The statement that fully expresses theauthor’s view towards US doctors’ payment is that     .

       A．they deserve a very good payment fortheir expensive education and their responsibility

       B．it is reasonable for doctors to have alarge income because their work is dangerous

       C．doctors should be better paid becausethey work long hours in bad conditions

       D．doctors have great responsibility, so itis understandable that they should be well paid

试题答案

【答案】

1.B

2.D

3.C

4.A

【解析】略