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  3. No other country spends what we do per capita for medical care. The care available is among the best technically, even if used t

No other country spends what we do per capita for medical care. The care available is among the best technically, even if used t

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问题    No other country spends what we do per capita for medical care. The care available is among the best technically, even if used too lavishly and thus dangerously, but none of the countries that stand above us in healthy status have such a high proportion of medically disenfranchised persons. Given the evidence that medical care is not that valuable and access to care not that bad, it seems most unlikely that our bad showing is caused by the significant proportion who are poorly served. Other hypotheses have greater explanatory power: excessive poverty, both actual and relative, and excessive affluence.
   Excessive poverty is probably more prevalent in the U. S. than in any of the countries that have a better infant mortality rate and female life expectancy at birth. This is probably true also for all but four or five of the countries with a longer male life expectancy. In the notably poor countries, that exceed us in male survival, difficult living conditions are a more accepted way of life and in several of them, a good basic diet, basic medical care and basic education, and lifelong employment opportunities are an everyday fact of life. In the U.S. a national unemployment level of 10 percent may be 40 percent in the ghetto while less than 4 percent elsewhere. The countries that have surpassed us in health do not have such severe or entrenched problems. Nor are such a high proportion of their people involve in them.
   Excessive affluence is not so obvious a cause of ill health, but, at least until recently, few other nations could afford such unhealthful ways of living. Excessive intake of animal protein and fats, dangerous intake of alcohol and use of tobacco and drugs (prescribed and proscribed), and dangerous recreational sports and driving habits are all possible only because of affluence. Our heritage, desires, opportunities, and our machismo, combined with the relatively low cost of bad foods and speedy vehicles, make us particularly vulnerable to our affluence. And those who are not affluent try harder. Our unacceptable health status, then, will not be improved appreciably by expanded medical resources nor by their redistribution so much as by a general at tempt to improve the quality of life for all. (373 words)
The passage best supports which of the following conclusions, about the relationship between per capita expenditure of the health of a population?
选项 A、The per capita expenditure for medical care has relatively little effect on the total amount of medical care available to a popnlation.
B、The genetic makeup of a population is a more powerful determinant of the healthof a population than the per capita expenditure for medical care.
C、A population may have very high per capita expenditures for medical care and yet have a lower health status than other populations with lower per capita expenditures.
D、The higher the per capita expenditure on medical care, the more advanced is the medical technology; and the more advanced the technology, the better is the health of the population.
答案C
解析 根据文章第一段第二句“The care available is among the best technically，even if used too lavishly and thus dangerously．but none of the countries that stand above us in healthy startls have such a high proportion of medicallv disenfranchised persons．”可知，从技术上来说， 医疗条件是世界一流的，但是，与那些健康状况超越我们的国家相比，没有哪一个国家会有 那么多的公民被剥夺了享受医疗服务的权利。据此判断，答案是C。
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