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2010年12月
PassageOne
Intheearly20thcentury,fewthingsweremoreappealingthanthepromise
ofscientificknowledge.Inaworldstrugglingwithrapidindustrialization,sc
ienceandtechnologyseemedtooffersolutionstoalmosteveryproblem.Newlyc
reatedstatecollegesanduniversitiesdevotedthemselvesalmostentirelytosc
ientific,technological,andengineeringfields.ManyAmericanscametobelieve
thatscientificcertaintycouldnotonlysolvescientificproblems,butalsor
eformpolitics,government,andbusiness.TwoworldwarsandaGreatDepression
rockedtheconfidenceofmanypeoplethatscientificexpertisealonecouldere
ateaprosperousandorderedworld.AfterWorldWarII,theacademicworldturn
edwithnewenthusiasmtohumanisticstudies,whichseemedtomanyscholarsthe
bestwaytoensurethesurvivalofdemocracy.Americanscholarsfannedoutacr
ossmuchoftheworld-withsupportfromtheFordFoundation,theFulbrightpro
gram,etc.一topromotetheteachingofliteratureandtheartsinaneffortto
makethecasefordemocraticfreedoms.
IntheAmericaofourowntime,thegreateducationalchallengehasbecome
anefforttostrengthentheteachingofwhatisnowknownastheSTEMdisciplin
es(science,technology,engineering,andmath).Thereisconsiderableandjust
ifiedconcernthattheUnitedStatesisfallingbehindmuchoftherestofthe
developedworldintheseessentialdisciplines.India,China,Japan,andother
regionsseemtobeseizingtechnologicalleadership.
Atthesametime,perhapsinevitably,thehumanities-whilestillpopulari
nelitecollegesanduniversities-haveexperiencedasignificantdecline.Huma
nisticdisciplinesareseriouslyunderfunded,notjustbythegovernmentandth
efoundationsbutbyacademicinstitutionsthemselves.Humanistsareusuallyam
ongthelowest-paidfacultymembersatmostinstitutionsandareoftenlightly
regardedbecausetheydonotgenerategrantincomeandbecausetheyprovideno
obviouscredentials(资质)formostnonacademiccareers.
UndoubtedlyAmericaneducationshouldtrainmorescientistsandengineers.
MuchoftheconcernamongpoliticiansaboutthestateofAmericanuniversities
todayisfocusedontheabsenceof“realworld“education—whichmeansprepar
ationforprofessionalandscientificcareers.Buttheideathatinstitutionso
rtheirstudentsmustdecidebetweenhumanitiesandscienceisfalse.Oursocie
tycouldnotsurvivewithoutscientificandtechnologicalknowledge.Butwewou
Idbeequallyimpoverished(贫困的)withouthumanisticknowledgeaswell.Scien
ceandtechnologyteachuswhatwecando.Humanisticthinkinghelpsusunderst
andwhatweshoulddo.
Itisalmostimpossibletoimagineoursocietywithoutthinkingoftheextr
aordinaryachievementsofscientistsandengineersinbuildingourcomplicated
world.Buttrytoimagineourworldaswellwithouttheremarkableworksthath
avedefinedourcultureandvalues.Wehavealwaysneeded,andwestillneed,b
oth.
52.Intheearly20thcenturyAmericansbelievedscienceandtechnologycould
[A]solvevirtuallyallexistingproblems[C]helpraisepeople'slivings
tandards
[B]quickenthepaceofindustrialization[D]promotethenation,ssocial
progress
53.WhydidmanyAmericanscholarsbecomeenthusiasticabouthumanisticstu
diesafterWorldWarII?
[A]Theywantedtoimprovetheirownstatuswithinthecurrenteducationsy
stem.
[B]Theybelievedthestabilityofasocietydependedheavilyonhumanistic
studies.
[C]Theycouldgetfinancialsupportfromvariousfoundationsforhumanisti
cstudies.
[D]Theyrealizedscienceandtechnologyalonewerenoguaranteeforabett
erworld.
54.WhyareAmericanscholarsworriedabouteducationtoday?
[A]TheSTEMsubjectsaretoochallengingforstudentstolearn.
[B]SomeAsiancountrieshaveovertakenAmericainbasicsciences.
[C]AmericaislaggingbehindintheSTEMdisciplines.
[D]Therearenotenoughscholarsinhumanisticstudies.
55.Whataccountsforthesignificantdeclineinhumanisticstudiestoday?
[A]Insufficientfunding.[C]Shortageofdevotedfaculty.
[B]Shrinkingenrollment.[D]Dimprospectsforgraduates.
56.Whydoestheauthorattachsomuchimportancetohumanisticstudies?
[A]Theypromotethedevelopmentofscienceandtechnology.
[B]Theyhelppreparestudentsfortheirprofessionalcareers.
[C]Humanisticthinkinghelpsdefineourcultureandvalues.
[D]Humanisticthinkinghelpscultivatestudents'creativity.
PassageTwo
WillthereeverbeanotherEinstein?Thisistheundercurrentofconversati
onatEinsteinmemorialmeetingsthroughouttheyear.AnewEinsteinwillemerg
e,scientistssay.Butitmaytakealongtime.Afterall,morethan200years
separatedEinsteinfromhisnearestrival,IsaacNewton.
ManyphysicistssaythenextEinsteinhasn,tbeenbornyet,orisababyn
ow.That?sbecausethequestforaunifiedtheorythatwouldaccountforallt
heforcesofnaturehaspushedcurrentmathematicstoitslimits.Newmathmust
becreatedbeforetheproblemcanbesolved.
ButresearcherssaytherearemanyotherfactorsworkingagainstanotherEi
nsteinemerginganytimesoon.
Foronething,physicsisamuchdifferentfieldtoday.InEinstein,sday,
therewereonlyafewthousandphysicistsworldwide,andthetheoreticianswho
couldintellectuallyrivalEinsteinprobablywouldfitintoastreetcarwithse
atstospare.
Educationisdifferent,too.OnecrucialaspectofEinstein,strainingtha
tisoverlookedistheyearsofphilosophyhereadasateenager-Kant,Schopen
hauerandSpinoza,amongothers.Ittaughthimhowtothinkindependentlyanda
bstractlyaboutspaceandtime,anditwasn,tlongbeforehebecameaphilosop
herhimself.
“Theindependencecreatedbyphilosophicalinsightis一inmyopinion一the
markofdistinctionbetweenamereartisan(工匠)orspecialistandarealseek
eraftertruth,“Einsteinwrotein1944.
Andhewasanaccomplishedmusician.Theinterplaybetweenmusicandmathi
swellknown.Einsteinwouldfuriouslyplayhisviolinasawaytothinkthroug
haknottyphysicsproblem.
Today,universitieshaveproducedmillionsofphysicists.Therearen,tma
nyjobsinscienceforthem,sotheygotoWallStreetandSiliconValleytoap
plytheiranalyticalskillstomorepractical-andrewarding-efforts.
uMaybethereisanEinsteinouttheretoday,“saidColumbiaUniversityph
ysicistBrianGreene,“butitwouldbealotharderforhimtobeheard.”
EspeciallyconsideringwhatEinsteinwasproposing.
“Theactualfabricofspaceandtimecurving?MyGod,whatanidea!wGree
nesaidatarecentgatheringattheAspenInstitute."Ittakesacertaintype
ofpersonwhowillbanghisheadagainstthewallbecauseyoubelieveyou'11f
indthesolution.”
PerhapsthebestexamplesarethefivescientificpapersEinsteinwrotein
his“miracleyear”of1905.Theseuthoughtexperiments“werepagesofcalcu
lationssignedandsubmittedtotheprestigiousjournalAnnalenderPhysikbya
virtualunknown.Therewerenofootnotesorcitations.
Whatmighthappentosuchasubmissiontoday?
“Weallgetpaperslikethoseinthemail,Greenesaid."Weputthemin
thejunkfile.”
57.Whatdoscientistsseemtoagreeupon,judgingfromthefirsttwop
aragraphs?
[A]Einsteinpushedmathematicsalmosttoitslimits.
[B]ItwilltakeanotherEinsteintobuildaunifiedtheory.
[C]NophysicistislikelytosurpassEinsteininthenext200years.
[D]ItwillbesometimebeforeanewEinsteinemerges.
58.WhatwascriticaltoEinstein'ssuccess?
[A]Histalentasanaccomplishedmusician.
[B]Hisindependentandabstractthinking.
[C]Hisuntiringefforttofulfillhispotential.
[D]Hissolidfoundationinmaththeory.
59.Whatdoestheauthortellusaboutphysiciststoday?
[A]Theytendtoneglecttraininginanalyticalskills.
[B]Theyareverygoodatsolvingpracticalproblems.
[C]Theyattachgreatimportancetopublishingacademicpapers.
[D]Theyoftengointofieldsyieldinggreaterfinancialbenefits.
60.WhatdoesBrianGreeneimplybysaying”.・・itwouldbealotharderf
orhimtobeheard”(Lines1-2,Para.9)?
[A]Peoplehavetocompeteinordertogettheirpaperspublished.
[B]Itishardforascientisttohavehispaperspublishedtoday.
[C]PaperslikeEinstein'swouldunlikelygetpublishedtoday.
[D]Nobodywillreadpapersonapparentlyridiculoustheories.
61.Whenhesubmittedhispapersin1905,Einstein.
[A]forgottomakefootnotesandcitations
[B]waslittleknowninacademiccircles
[C]wasknownasayounggeniusinmathcalculations
[D]knewnothingabouttheformatofacademicpapers
答案:52.A)solvevirtuallyallexistingproblems
53.D)Theyrealizedscienceandtechnologyalonewerenoguaranteeforabe
tterworld
54.B)SomeAsiancountrieshaveovertakenAmericainbasicscienes
55.A)Insufficientfunding
56.C)Humanisticthinkinghelpsdefineourcultureandvalues
57.D)ItwillbesometimebeforeanewEinsteinemerges
58.B)Hisindependentandabstractthinking
59.D)Theyoftengointofieldsyieldinggreaterfinancialbenefits
60.C)PaperslikeEinstein,swouldunlikelygetpublishedtoday
61.B)waslittleknowninacademiccircles
2010年6月
PassageOneQuestions51to56arebasedonthefollowingpassage.
Onlytwocountriesintheadvancedworldprovidenoguaranteeforpaidleav
efromworktocareforanewbornchild.Lastspringoneofthetwo,Australia,
gaveupthedubiousdistinctionbyestablishingpaidfamilyleavestartingin
2011.Iwasn'tsurprisedwhenthisdidn'tmakethenewshereintheUnitedStat
es一we'renowtheonlywealthycountrywithoutsuchapolicy.
TheUnitedStatesdoeshaveoneexplicitfamilypolicy,theFamilyandMedi
calLeaveAct,passedin1993.Itentitlesworkerstoasmuchas12weeks,unpa
idleaveforcareofanewbornordealingwithafamilymedicalproblem.Despit
ethemodestyofthebenefit,theChamberofCommerceandotherbusinessgroups
foughtitbitterly,describingitas〃government-runpersonnelmanagement'and
az,dangerousprecedent”.Infact,everystepoftheway,as(usually)Democrat
icleadershavetriedtointroducework-familybalancemeasuresintothelaw,b
usinessgroupshavebeenstronglyopposed.
AsYalelawprofessorAnneAlstottargues,justifyingparentalsupportdepe
ndsondefiningthefamilyasasocialgoodthat,insomesense,societymustp
ayfor.InherbookNoExit:WhatParentsOweTheirChildrenandWhatSociety0
wesParents,shearguesthatparentsareburdenedinmanywaysintheirlives:
thereis〃noexit"whenitcomestochildren."Societyexpects—andneeds—pare
ntstoprovidetheirchildrenwithcontinuityofcare,meaningtheintensive,i
ntimatecarethathumanbeingsneedtodeveloptheirintellectual,emotionalan
dmoralcapabilities.Andsocietyexpects一andneeds一parentstopersistinthe
irrolesfor18years,orlongerifneeded.,z
Whilemostparentsdothisoutoflove,therearepublicpenaltiesfornot
providingcare.Whatparentsdo,inotherwords,isofdeepconcerntothestat
e,fortheobviousreasonthatcaringforchildrenisnotonlymorallyurgentb
utessentialforthefutureofsociety.Thestaterecognizesthisinthelarge
bodyoffamilylawsthatgovernchildren'welfare,yetparentsreceivelittleh
elpinmeetingthelife-changingobligationssocietyimposes.Toclassifyparen
tingasapersonalchoiceforwhichthereisnocollectiveresponsibilityisno
tmerelytoignorethesocialbenefitsofgoodparenting;really,itistostea
1thosebenefitsbecausetheyaccrue(不断积累)tothewholeofsocietyastoda
y'schildrenbecometomorrow'sproductivecitizenry(公民).Infact,bysomees
timates,thevalueofparentalinvestmentsinchildren,investmentsoftimeand
money(includinglostwages),isequalto20-30%ofgrossdomesticproduct.If
theseinvestmentsgeneratehugesocialbenefits-astheyclearlydo-thebenef
itsofprovidingmoresocialsupportforthefamilyshouldbethatmuchcleare
r.
52.Whatdowelearnaboutpaidfamilyleavefromthefirstparagraph?
A)Americaisnowtheonlydevelopedcountrywithoutthepolicy.
B)IthasnowbecomeahottopicintheUnitedStates.
C)ItcameasasurprisewhenAustraliaadoptedthepolicy.
D)ItsmeaningwasclarifiedwhenitwasestablishedinAustralia.
53.Whathaspreventedthepassingofwork-familybalancelawsintheUnitedSt
ates?
A)TheincompetenceoftheDemocrats.B)TheexistingFamilyandMe
dicalLeaveAct.
C)ThelackofaprecedentinAmericanhistory.D)Theoppositionfromb
usinesscircles.
54.WhatisProfessorAnneAlstott,sargumentforparentalsupport?
A)ThecostofraisingchildrenintheU.S.hasbeengrowing.B)Goodpa
rentingbenefitssociety.
C)TheU.S.shouldkeepupwithotherdevelopedcountries.D)Children
needcontinuouscare.
55.WhatdoestheauthorthinkofAmerica'slargebodyoffamilylawsgoverning
children'swelfare?
A)Theyfailtoensurechildren,shealthygrowthB)Thefailtoprovidee
noughsupportforparents
C)Theyemphasizeparents'legalresponsibilities.D)Theyimposethecar
eofchildrenonparents.
56.Whydoestheauthorobjecttoclassifyingparentingasapersonalchoice?
A)Itisregardedasalegalobligation.B)Itrelieslargelyonsocial
support.
C)Itgenerateshugesocialbenefits.D)Itisbasicallyasocialunder
taking.
PassageTwoQuestions57to62arebasedonthefollowingpassage.
AnewstudyfromtheCenterforInformationandResearchonCivicLearning
andEngagement(CIRCLE)atTuftsUniversityshowsthattoday'syouthvoteinla
rgernumbersthanpreviousgenerations,anda2008studyfromtheCenterforAm
ericanProgressaddsthatincreasingnumbersofyoungvotersandactivistssupp
orttraditionallyliberalcauses.Butthere,snoeasywaytoseewhatthosefig
uresmeaninreallife.Duringthepresidentialcampaign,BarackObamaassemble
daraciallyandideologicallydiversecoalitionwithhismessageofhopeandc
hange;astherealityoflifeunderanewadministrationsettlesin,someofth
osesupportersmightbecomedisillusioned.Asthenationmovesfurtherintothe
Obamapresidency,willpoliticallyengagedyoungpeoplecontinuetosupportth
epresidentandhisagenda,orwilltheygraduallydriftaway?
ThewritersofGeneration0(shortforObama),anewNewsweekblogthatsee
kstochroniclethelivesofagroupofyoungObamasupporters,wanttoanswer
thatquestion.Forthenextthreemonths,MichelleKremerand11otherObamasu
pporters,ages19to34,willblogaboutlifeacrossmainstreamAmerica,witho
netwist:bytyingalloftheirideasandexperiencestothenewpresidentand
hisadministration,thebloggerswilltrytostartaconversationaboutwhatit
meanstobeyoungandpoliticallyactiveinAmericatoday.MalenaAmusa,a24-
year-oldwriteranddancerfromSt.Louisseestheprojectasawaytopreserve
historyasithappens.Amusa,whoistravelingtoIndiathisspringtofinish
abook,thentoSenegaltoteachEnglish,hasongoingconversationswithherfr
lendsabouthowtheObamapresidencyhaschangedtheirdailylivesandhopesto
putsomeofthoseideas,alongwithherglobalperspective,intoherposts.Sh
esexcitedbecause,assheputsit,〃Idon,thavetowait[until]15yearsfro
mnow〃tomakesenseoftheworld.
HenryElores,apolitical-scienceprofessoratSt.Mary'sUniversity,creditst
hisyoungergeneration*spoliticalstrengthtotheirembraceoftechnology.
heInternet]exposesthemtomorethinking,hesays,“andgroupsthatarelike
-mindedindifferentpartsofthecountrystarttocometogether.That'sexact
lywhattheGeneration0bloggersarehopingtodo.Theresultcouldbeagroup
ofyoungpeoplethat,liketheirboomer(二战后生育高峰期出生的美国人)parents,
growsupwithastrongsenseofpurposeandshedstheimageofapathy(冷漠)t
hey,veinheritedfromGenerationX(60年代后期和70年代出生的美国人).It'sno
smallchallengeforablogrunbyagroupofordinary—ifambitious-youngpeo
pie,butthemembersofGeneration0areuptothetask.
57.WhatisthefindingofanewstudybyCIRCLE?
A)Moreyoungvotersaregoingtothepollsthanbefore.
B)Theyounggenerationsupportstraditionallyliberalcauses.
C)YoungvotersplayedadecisiveroleinObama*selection.
D)YoungpeopleinAmericaarenowmorediverseideologically.
58.WhatisamainconcernofthewritersofGeneration0?
A)HowObamaisgoingtoliveuptoyoungpeople,sexpectations.
B)WhetherAmericaisgoingtochangeduring0bama,spresidency.
C)WhetheryoungpeoplewillcontinuetosupportObama'spolicy.
D)HowObama'sagendaisgoingtoaffectthelifeofAmericans.
59.WhatwilltheGeneration0bloggerswriteaboutintheirposts?
A)TheirowninterpretationofAmericanpolitics.
B)PolicychangestotakeplaceinObama'sadministration.
C)Obama/spresidencyviewedfromaglobalperspective.
D)TheirlivesinrelationtoObama'spresidency.
60.Whataccountsfortheyoungergeneration'spoliticalstrengthaccordingto
ProfessorHenryFlores?
A)Theirembraceofradicalideas.B)TheirdesiretochangeAmerica.
C)TheirutilizationoftheInternet.D)Theirstrongsenseofresponsib
ility.
61.WhatcanweinferfromthepassageaboutGenerationX?
A)Theyarepoliticallyconservative.B)Theyrejectconventionalvalues.
C)Theydaretotakeupchallenges.D)Theyareindifferenttopolitics.
答案:52A)53D)54B)55B)56D)57A)58C)59D)60
C)61D)
2009年12月
SectionB
PassageOneQuestions52to56arebasedonthefollowingpassage.
Thereisnothinglikethesuggestionofacancerrisktoscareaparent,especi
allyoneoftheover-educated,eco-conscioustype.Soyoucanimaginethereact
ionwhenarecentUSATodayinvestigationofairqualityaroundthenation'ss
choolssingledoutthoseinthesmugly(自鸣得意的)greenvillageofBerkeley,
Calif.,asbeingamongtheworstinthecountry.Thecity'spublichighschool,
aswellasanumberofdaycarecenters,preschools,elementaryandmiddlescho
ols,fellinthelowest10%.Industrialpollutioninourtownhadsupposedlytu
rnedstudentsintolivingscienceexperimentsbreathinginalaboratoryJswort
hofheavymetalslikemanganese,chromiumandnickeleachday.Thisinacity
thatrequiresschoolcafeteriastoserveorganicmeals.Great,Ithought,organ
iclunch,toxiccampus.
SinceDecember,whenthereportcameout,themayor,neighborhoodactivists(活
跃分子)andvariousparent-teacherassociationshaveengagedinafiercebattle
overitsvalidity:overtheguiltofthesteel-castingfactoryonthewesterne
dgeoftown,overunionjobsversuschildren'shealthandoverwhat,ifanythi
ng,oughttobedone.Withallsidespresentingtheirownexpertsarmedwithco
nflictingscientificstudies,whomshouldparentsbelieve?Istheretrulyathr
eathere,weaskedoneanotheraswedroppedoffourkids,andifso,howgreat
isit?Andhowdoesitcomparewiththeother,seeminglyperpetualhealthscar
esweconfront,likepanicoverleadinsyntheticathleticfields?Ratherthan
justanotherweirdepisodeinthetownthatbroughtyouprotestingenvironmenta
lists,thislatestdramaisatrialforhowtoday'sparentsperceiverisk,how
wetrytokeepourkidssafe-whetherit'spossibletokeepthemsafe—inwhat
feelslikeanincreasinglythreateningworld.Itraisesthequestionofwhat,i
nourtime,“safe"couldevenmean.
“There'snowayaroundtheuncertainty,saysKimberlyThompson,presidento
fKidRisk,anonprofitgroupthatstudieschildren'shealth."Thatmeansyou
rchoicescanmatter,butitalsomeansyouaren,tgoingtoknowiftheydo.”
A2004reportinthejournalPediatricsexplainedthatnervousparentshavemor
etofearfromfire,caraccidentsanddrowningthanfromtoxicchemicalexposu
re.TowhichIsay:Well,obviously.Butsuchconcretehazardsarebesidethep
oint.It'sthedangersparentscan,t—andmaynever—quantifythatoccurall
ofsudden.That'swhyI'veridmycupboardofmicrowavefoodpackedinbagsc
oatedwithapotentialcancer-causingsubstance,butalthoughI'velivedblock
sfromamajorfaultline(地质断层)formorethan12years,IstillhavenJtbo
Itedourbookcasestothelivingroomwall.
52.WhatdoesarecentinvestigationbyUSATodayreveal?
A)Heavymetalsinlabteststhreatenchildren'shealthinBerkeley.
B)Berkeleyresidentsarequitecontentedwiththeirsurroundings.
C)TheairqualityaroundBerkeley,sschoolcampusesispoor.
D)ParentsinBerkeleyareover-sensitivetocancerriskstheirkidsface.
53.WhatresponsedidUSATodayrsreportdraw?
A)Aheateddebate.B)Popularsupport.C)Widespreadpanic.D)Strongcriti
cism.
54.Howdidparentsfeelinthefaceoftheexperts'studies?
A)Theyfeltverymuchrelieved.B)Theywerefrightenedbytheevidence.
C)Theydidn,tknowwhotobelieve.D)Theyweren'tconvincedoftheresults.
55.Whatistheviewofthe2004reportinthejournalPediatrics?
A)Itisimportanttoquantifyvariousconcretehazards.
B)Dailyaccidentsposeamoreseriousthreattochildren.
C)Parentsshouldbeawareofchildren,shealthhazards.
D)Attentionshouldbepaidtotoxicchemicalexposure.
56.Ofthedangersineverydaylife,theauthorthinksthatpeoplehavemostto
fearfrom.
A)theuncertainB)thequantifiableC)anearthquakeD)unhealthyfood
PassageTwoQuestions57to61arebasedonthefollowingpassage.
Cripplinghealthcarebills,longemergency-roomwaitsandtheinabilitytofin
daprimarycarephysicianjustscratchthesurfaceoftheproblemsthatpatien
tsfacedaily.
Primarycareshouldbethebackboneofanyhealthcaresystem.Countrieswitha
ppropriateprimarycareresourcesscorehighlywhenitcomestohealthoutcomes
andcost.TheU.S.takestheoppositeapproachbyemphasizingthespecialistr
atherthantheprimarycarephysician.
ArecentstudyanalyzedtheproviderswhotreatMedicarebeneficiaries(老年医保
受惠人).ThestartlingfindingwasthattheaverageMedicarepatientsawatot
alofsevendoctors一twoprimarycarephysiciansandfivespecialists一inagiv
enyear.Contrarytopopularbelief,themorephysicianstakingcareofyoudo
n'tguaranteebettercare.Actually,increasingfragmentationofcareresults
inacorrespondingriseincostandmedicalerrors.
Howdidweletprimarycareslipsofar?Thekeyishowdoctorsarepaid.Most
physiciansarepaidwhenevertheyperformamedicalservice.Themoreaphysici
andoes,regardlessofqualityoroutcome,thebetterhe'sreimbursed(返还费
用).Moreover,theamountaphysicianreceivesleansheavilytowardmedicalor
surgicalprocedures.Aspecialistwhoperformsaprocedureina30-minutevisit
canbepaidthreetimesmorethanaprimarycarephysicianusingthatsame30
minutestodiscussapatientsdisease.Combinethisfactwithannualgovernme
ntthreatstoindiscriminatelycutreimbursements,physiciansarefacedwithno
choicebuttoincreasequantitytoboostincome.
Primarycarephysicianswhorefusetocompromisequalityareeitherdrivenout
ofbusinessortocash-onlypractices,furthercontributingtothedeclineofp
rimarycare.
Medicalstudentsarenotblindtothisscenario.Theyseehowheavilythereimb
ursementdeckisstackedagainstprimarycare.Therecentnumbersshowthatsin
ce1997,newlygraduatedU.S.medicalstudentswhochooseprimarycareasacar
eerhavedeclinedby50%.Thistrendresultsinemergencyroomsbeingoverwhelm
edwithpatientswithoutregulardoctors.
Howdowefixthisproblem?
Itstartswithreformingthephysicianreimbursementsystem.Removethepressur
eforprimarycarephysicianstosqueezeinmorepatientsperhour,andreward
themforoptimally(最佳地)managingtheirdiseasesandpracticingevidence-bas
edmedicine.Makeprimarycaremoreattractivetomedicalstudentsbyforgiving
studentloansforthosewhochooseprimarycareasacareerandreconcilingth
emarkeddifferencebetweenspecialistandprimarycarephysiciansalaries
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