The following paragraphs are given in a wrong order. For questions 41 — 45, you are required to reorganize these paragraphs into

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问题     The following paragraphs are given in a wrong order. For questions 41 — 45, you are required to reorganize these paragraphs into a coherent article by choosing from the list A—G to fill in each numbered box. The first and the fourth paragraphs have been placed for you in Boxes. Mark your answers on ANSWER SHEET 1.(10 points)
[A]The human and economic toll is enormous yet often hidden. Untreated mental illnesses in the U. S. cost more than $ 100 billion a year in lost productivity, according to the National Alliance on Mental Illness(NAMI). Local hospitals and clinics must cope with associated chronic physical diseases. Courts and jails handle)a large number of individuals who suffer from untreated mental illnesses. Suicide ranks among the top 15 most common killers in the U. S.(in the top three among young people), and 90 percent of cases can be attributed to mental illness.
[B]The Patient Protection and Affordable Care Act, which were signed into law in 2010, should help fill these holes. It requires that insurance plans offer "behavioral health" coverage, including mental health and addiction and substance abuse help, as an "essential health benefit. " At least 3. 7 million Americans who are currently living with severe mental illness will get new benefits for their conditions by 2014, either through extended Medicaid coverage or insurance exchanges.
[C]Mental health care is one of the biggest unmet needs of our time. Nearly one in two people in the U. S. will suffer from depression, anxiety disorders or another mental health ailment at some point in their life, and about one in 17 Americans currently has a serious mental illness. Yet millions of people living with these conditions do not receive the care they require. In recent years the health system and state and federal governments have taken steps to right that wrong. Progress has been slow, and budget cuts and legal wrangling have now put many of these measures at risk. Doctors, insurers and politicians need to pick up the pace.
[D]Yet these measures are in legal jeopardy. The U. S. Supreme Court will hear arguments for and against the constitutionality of the act late in March. If the court rules that states do not have to expand their Medicaid programs, as the act currently requires, it could shut out 16 million Americans who would otherwise receive Medicaid coverage for mental health. A ruling that closes the state insurance exchanges would deprive another 16 million. Scuttling the law would also do away with plans to build national centers for the treatment of depression and to improve the way behavioral health services are integrated into standard care.
[E]The severity of the problem has prodded politicians into action. By 2002, 29 states had mandated that health insurance packages cover mental illness on the same terms as physical illness, and in those states the suicide rate fell by an average of 5 percent. But equalizing coverage means little to those who lack insurance altogether, and states are increasingly failing to make provision for them. In the past three years states have cut up to 39 percent of their mental health budgets, according to NAMI. [F]If the law falls, Congress must reinstitute its most crucial provisions, and even if it stands we all have more to do. Insurance alone does not guarantee that people get the care they need; doctors and social workers must work to ensure that. Drug companies must refill the research pipeline for new drugs, which has been sorely neglected, and develop other treatments. The rewards will be that millions of our friends, neighbors and children will have a chance to become healthier, happier and more productive members of society.
[G]Mental illness strikes without regard for economic class, but the strain is acute for people with low incomes. Without access to affordable treatment, many have a hard time holding down a job yet do not qualify as formally disabled, thus leaving them locked out from insurance coverage. A recent large study in California found that only 32 percent of uninsured residents with mental illnesses received any treatment at all and that less than 12 percent got adequate help.
order: C—【R1】( )—【R2】( )—E—【R3】( )—【R4】( )—【R5】( )
【R4】

选项

答案D

解析 上段([B]段)引出了新法案,并介绍了新法案在治理精神疾病方面的一系列举措,包括要求保险计划提供“行为健康”保险,通过扩大的医疗救助保险和保险交易所帮助重度精神疾病患者等。[D]选项立即转折,指出这些举措目前在法律上处于危险境地,最高法院将审查该法案的合宪性。其中首句中these measures回指上段中新法案提出的一系列新举措,第二句中the act指代上段中The Patient Protection and Affordable Care Act与上文保持了话题的一致性。第三、四句中expand their Medi—caid programs和the state insurance exchanges分别对应上段末extended Medicaid coverage和insuranceexchanges。
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