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、growth
B、purchase
C、spending
D、development

答案C

解析 语义衔接题。根据句子中提到的数字可以判断出本句大意:瑞典医疗体系的计算机化及其新设计将该国的医疗保健费用从国民生产总值的12%降到7%多一点。spending意为"开支,费用",符合句子的语义要求。growth意为"生长,发育",从数字来看,12%到7%不是增长,而是下降;purchase意为"购买,购置",根据常识可知,医疗保健体系是一种福利,是需要政府支出,而不是购买东西;development意为"发展,扩张",不符合句子语义逻辑关系。
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