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  3. Health care is an extraordinarily obsolete system. A professor of emergency medicine at major university sent me a really heartb

Health care is an extraordinarily obsolete system. A professor of emergency medicine at major university sent me a really heartb

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问题     Health care is an extraordinarily obsolete system. A professor of emergency medicine at major university sent me a really heartbreaking (1)_____ lie said that physicians have to start from the (2)_____ beginning with every patient. There is no history, no time to (3)_____—they know nothing about the (4)_____.
    We have inferior medical service (5)_____ the computer technology that could change it is not being used. The difficulties of just (6)_____ patient records—apart from analyzing them (7)_____—are unnecessary and hinder us from providing (8)_____ service.
    We have the opportunity to do some wholesale rethinking of (9)_____ we provide health care and turn it into not only medical service, but preventive maintenance that (10)_____ the patient in decision-making. We can begin through pilot and demonstration projects in hospitals, by doctors, and (11)_____ by private doctor participation. Physicians can show patients the (12)_____ of their actions and what the alternatives are. Technologies (13)_____ multimedia and interactive computers can (14)_____ patients, in the privacy of their own homes, to ask questions about these (15)_____. Other countries are moving much more (16)_____ than the United States in medical information. The computerization and redesign of Sweden’s health delivery system has reduced that nation’s (17)_____ on the health care from 12 % of GNP to a little over 7%. More than one-third of the population of the Nether-lands has their medical records computerized. (18)_____ some hospitals in the United States keep computerized patient (19)_____, these records only cover the time the patient is in the hospital and do not include their (20)_____ medical history.

选项 A、especially
B、exclusively
C、exactly
D、extremely
答案A
解析 词汇辨析题。该句指出：我们可以通过医生，特别是私人医生的参与，从医院开展试点项目和示范项目开始。从句中的doctors和private doctor可以看出，后者是对前者的进一步补充说明，将范围缩小，这与especially表达的语气一致。exclusively意为"排他地，独有地"，exactly意为"正是，精确地"，extremely意为"极端地，非常地"，这三项放在句中语义不通。
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考研英语一

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