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  3. In talks about reducing the nation’s exploding health care costs, the word "rationing" strikes fear into the hearts of both pati

In talks about reducing the nation’s exploding health care costs, the word "rationing" strikes fear into the hearts of both pati

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问题     In talks about reducing the nation’s exploding health care costs, the word "rationing" strikes fear into the hearts of both patients and doctors. Why, many people ask, shouldn’t the richest country in the world spend【C1】______is necessary to protect and preserve its citizens’ health? This is the philosophy【C2】______which our health care system operates, and it【C3】______to bankrupt us without【C4】______improving our health. In more【C5】______than many people realize, doing more medically can be worse than doing less. Too【C6】______, costly, overly aggressive medical care causes more pain and suffering than if nothing had been done at all.
    Our【C7】______and demands of health care must change, and we must【C8】______with the incentives for tremendous waste that are now【C9】______into the system. A growing body of research【C10】______that about 30 percent of what is now spent on medical tests and procedures is wasteful,【C11】______to benefit anyone except those whose pockets are【C12】______as a result.【C13】______this waste is curbed, rationing will almost certainly become a reality in the not-too-distant future.
    Patients don’t want to be【C14】______a test or treatment that they or their doctors believe could improve their health or save their lives — no matter what the【C15】______. But【C16】______faith in a procedure’s【C17】______is not enough. Each medical decision should be based on the best available evidence,【C18】______with the doctor’s best clinical judgment about what is right for each patient. Only then can we【C19】______the current practice of doing whatever is possible, no matter what the【C20】______of success.
【C9】
选项 A、fit
B、expanded
C、built
D、introduced
答案C
解析 本题考查动词短语+句内语义。空格所在部分是waste的定语从句，说明“这种浪费现在已……在医疗体系中”。这里的waste对应上文“为医疗保健倾其所有”带来的浪费，而这种做法由来已久，因此这种浪费现在已“嵌入”医疗系统中，built符合文意。文中并非是说其他方面的浪费“扩大到”医疗系统中，排除expand。
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