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(教會(huì)) 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(實(shí)習(xí)階段) 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.
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科目:高中英語(yǔ) 來(lái)源:2012-2013學(xué)年江蘇省鹽城中學(xué)高一第二次隨堂練習(xí)英語(yǔ)試卷(帶解析) 題型:完型填空
When we talk about a wolf, we tend to describe it as a kind of fierce creature. But is it true that the wolf stands for devil(魔鬼) and ugliness?
Have you read the book "The Wolf Totem'' 《狼圖騰》by a famous writer Jiang Rong, which tells the story of the relationship between wolves and human beings? Have you ever 51 the wolves' world? If you had, you would __52__ the wolves. In the book, wolves are heroes on the large grassland. They know more about __53__ than humans. They can attack sheep without disturbing their mothers. They also know how to __54__ full use of the shape of land to __55__ sheep. I believe that if wolves were humans, they would be __56__ at fighting.
The wolf is a kind of special creature that can deeply understand __57__. Each wolf serves its group with its heart and soul. A __58__ wolf has little power, but a group of wolves __59__ nothing. All the wolves obey the rules. __60__ they are beaten, they run away together. It is their teamwork __61__ makes wolves powerful.
The wolves also have great self-preservation and won't __62__ to anyone. The writer, who wrote the book “The Wolf Totem”, __63__ stole a one - month - old baby wolf and raised it very carefully. To his __64__, he found the little wolf still wanted to go back with __65__ wolves. The little wolf bit through the iron chain that limited it. The wolf was __66__ and never gave up fighting __67__ its death. It seemed that the little wolf died as a glorious fighter.
I was shocked by this kind of __68__ wolves which are one of the most respected creature on the earth. I want everyone to look at wolves in a __69__ way. They are our teachers. They show us how to survive and __70__ this not simple but dangerous world. Please honor the wolves, please honor all these heroes of nature!
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科目:高中英語(yǔ) 來(lái)源:2012-2013學(xué)年內(nèi)蒙古一機(jī)集團(tuán)第一中學(xué)高一下學(xué)期期中考試英語(yǔ)卷(帶解析) 題型:完型填空
On Thursday afternoon Mrs. Clarke locked the door and went to the women’s 36 as usual. It was a pleasant way of passing time for an old woman who lived 37 .
When she came home she sensed 38 unusual. Had someone got in? The back door and the 39 were all locked and there was no sign of forced entry ( 進(jìn)入). Had anything been 40 ? She went from room to room, checking, and found her camera and watch 41 .
The following Thursday she went out at her 42 time, but she didn’t go to the club. 43 , she took a short walk in a park nearby and came home, 44 herself in through the back door. She settled down to wait and see what would 45 .
It was 4 o’clock when the front doorbell rang. Mrs. Clarke was making tea at the time. The bell rang again, and 46 she heard her letter-box being pushed open. 47 the kettle(壺)of boiling water, she moved quietly towards the door. A piece of wire appeared through the letter-box, and then a 48 . The wire turned and caught around the knob (圓型旋包鈕) on the door-lock. Mrs. Clarke raised the kettle and 49 _ the water over the hand. 50 __ was heard outside as the 51 fell to the floor and the hand was pulled back, which was 52 by the sound of running feet.
It wasn’t long 53 the police caught the thief. And Mrs. Clarke was greatly 54 at the club for her successful 55 .
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科目:高中英語(yǔ) 來(lái)源:2012-2013學(xué)年四川南充蓬安中學(xué)高二下期第二次階段性考試英語(yǔ)卷(帶解析) 題型:完型填空
From the time each of my children started school, I packed their lunches. And in each lunch, I 11 a note. Often written on a napkin (餐巾), it might be a thank-you for a 12 moment, a reminder of something we were happily expecting, or a bit of 13 for the coming test or sporting event.
In early grade school they 14 their notes. But as children grow older they becomes self-conscious(有自我意識(shí)的), and 15 he reached high school, my older son, Marc, informed me he no longer 16 my daily notes. Telling him that he no longer needed to 17 them but I still needed to write them, I 18 until the day he graduated.
Six years after high school graduation, Marc called and asked if he could move 19 for a couple of months. He had spent those years well, graduating from college, 20 two internship (實(shí)習(xí)) in Washington, D.C., and 21 , becoming a technical assistant in Sacramento, 22 short vacation visits, however, he had lived away from home. With his younger sister leaving for college, I was 23 happy to have Marc back. Since I was 24 making lunch for his younger brother, I 25 one for Marc, too. Imagine my 26 when I got a call from my 24-year-old son, 27 his lunch.
“Did I do something 28 ? Don’t you love me 29 ,Mom?” were just a few of the questions he threw at me as I 30 asked him what was wrong. “My note, Mom,” he answered. “Where’s my note?”
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科目:高中英語(yǔ) 來(lái)源:2012屆浙江省杭州市西湖高級(jí)中學(xué)高三3月月考英語(yǔ)試卷 題型:閱讀理解
Most students hate their endless homework. The students from Class 2, Senior 2 of the High School Affiliated to Peking University certainly did before they published their own collection of English novels at home.
Their small book contains stories about a holy (神圣的) war, the happy life of a self-taught artist and the story of a laid-off worker who devoted his last breath to playing his beloved accordion (手風(fēng)琴). The book becomes an instant hit on campus. About 3,000 copies have been sold and the class is already working on the second volume.
"We’re up to our ears in homework. Exercises and exams make us out of breath. But to do something creative and full of imagination is such a great achievement," said Yu Xiaoxiao, 16.
"I took the writing as an ordinary homework at the beginning, but after I finished the first part of my story, I could not help but let it flow," said Wang An, who wrote "Accordion".
Inspired by "Lord of the Rings", Jiang Lu wrote his story about magic wars between angels from the light and the dark side. "The main message of the story was to look at the balance of the world. Both dark and light angels fight with love as their weapons. I want to tell people that selfish love might bring hate," Jiang said.
"I was shocked by their work and felt so proud to be the editor of my students’ book," said Nathaniel Timmermann, the oral English teacher at the school. Liu Xiuqin, an English teacher, started the project by asking students to write whatever was in their mind every week. "They have performed beyond expectation," Liu said. "They wrote interesting stories and their English has improved after they started to express their real minds."
"We never imagined that our homework would be so popular and profitable (盈利的). We sell the novels at five yuan, but many teachers pay more to encourage us," said Yuan Mengyao.
【小題1】 After Wang An finished the first part of his story, he _________.
A.couldn’t go on | B.had to put it aside |
C.just wanted to express it freely | D.lost it |
A.Being popular. | B.Being profitable. |
C.Improving their English. | D.Winning prize. |
A.It is creative and imaginative. |
B.It is profitable. |
C.Interesting stories are sure to be popular. |
D.Interesting stories can be well sold. |
A.Creative homework leads to a popular book |
B.Writing interesting stories |
C.Students’ new book |
D.A popular book |
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科目:高中英語(yǔ) 來(lái)源:2012屆吉林省白山市友好學(xué)校高三年級(jí)12月聯(lián)考英語(yǔ)試卷 題型:閱讀理解
When middle-aged Alex quit his job and made up his mind to become a self-employed writer, no one could tell for sure whether he would succeed or not.He found a cold storage room in a building, set up a used typewriter and settled down to work.
After a year or so, however, Alex began to doubt himself.He found it was difficult to earn his living by selling what he wrote.But Alex determined to put his dream to the test—even though it meant living with uncertainty and fear of failure.This is the shadowland(虛幻世界)of hope, and anyone with a dream must learn to live there.
One day Alex got a call, "We need an assistant, and we’re paying $ 6,000 a year.” $ 6,000 was real money in 1960.It would enable Alex to get a nice apartment, a used car and more.Besides, he could write in his spare time.As the dollars were dancing in Alex’s head, something cleared his senses.He had dreamed of being a writer? Full time."Thanks, but no," Alex said firmly and swiftly, "I’m going to stick it out and write."
After Alex got off the phone, he pulled out everything he had: two cans of vegetables and 18 cents.Alex put the cans and cents into a paper bag, saying to himself," There’s everything you’ve made of yourself so far.I’m not sure I ever felt so low."
Finally his work was published in 1970.Instantly he had the kind of fame and success that few writers ever experienced.The shadows had turned into focus of attention.
Then one day, Alex found a box filled with things he had owned years before.Inside was a paper bag with two cans and 18 cents.Suddenly he pictured himself working in that cold storage room.It reminds Alex, and anyone with a dream, of the courage and persistence it takes to stay the course in the shadowland.
【小題1】Why did Alex give up his job?
A.Because he didn’t like the working conditions. |
B.Because he couldn’t earn enough to make a living. |
C.Because he wanted to be a full-time writer. |
D.Because he felt he had no potential in his job. |
A.He refused the job offer. |
B.He was willing to give them a hand. |
C.He expected them to pay him more money. |
D.He would write in his spare time. |
A.Determined. | B.Modest | C.Shy. | D.Brave. |
A.Look before you leap. |
B.Two heads are better, than one. |
C.Hold on to your dream, and it will come true. |
D.A bird in hand is worth two in the bush. |
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