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Healthcare Reform During the past two decades, all of the industrialized nations have enacted some form of healthcare reform. America is no exception. Just a few years ago, the U. S. was consumed by a vigorous public debate about healthcare. In the end, the debate reaffirmed that the U. S. would retain its essentially market-based system. Instead of reform imposed from the top down, 3 the American healthcare system underwent some rather profound self-reform, driven by powerful market forces. The market—not the government—managed to wring inflation out of the private healthcare market. 4 Today, it appears that U.S. healthcare costs are again on the rise. At the same time, American patients—like patients elsewhere—are becoming more vocal5 about the restrictions many face in their healthcare plans. Talk of government-led reform is once again in the air. 6 We must think twice, though, before embarking on “reform” if that means imposing further restrictions on our healthcare markets. The more sensible course is to introduce policies that make the market work better—that is, to the advantage of consumers. I base this argument on our company’s decades of experience in healthcare systems around the world, which has given us a unique global perspective on the right and wrong way to reform healthcare. The wrong way is to impose layer after layer of regulation and restrictions. We have seen this approach tried in many countries, and we have always see it fail—fail to hold down costs, and fail to provide the best quality care. Medicine is changing at so rapid a pace that no government agency or expert commission can keep up with it. Only an open, informed and competitive market can do that. This lesson holds true for the U. S., and for all countries contemplating healthcare reform. Free markets do what governments mean to do—but can’t. The right approach10 is to foster a flexible, market-based system in which consumers have rights, responsibilities, and choices. Healthcare systems do not work if patients are treated as passive recipients of services: 11 they do work if consumers are well-informed about quality, costs, and new treatments, and are free to act responsibly on that knowledge. Of course, reform should never be driven purely by cost considerations. Instead, we ought to devise new ways of funding healthcare that will make it possible for all patients to afford the best care. Ideally, these new approaches would not only reward individuals and families but also encourage innovation, which can make healthcare systems more efficient, more productive, and ultimately of greater value for patients. The path we choose will have enormous implications for all of us. We are in a golden age of science, and no field of scientific inquiry holds more promise than that of biomedicine. 13 Not only can we look forward to the discovery of cures for chronic and acute disease, but also to the development of enabling therapies that can help people enjoy more rewarding and productive lives.14 New drugs are already helping people who would once have been disabled by arthritis or cardiovascular disease stay active and mobile.15 More effective anti-depressants and anti-psychotics are beginning to relieve the crippling illness of the mind, allowing sufferers to function normally and happily in society. The promise is quite simply—one of longer, healthier lives. 16 What is at issue are the pace and breadth of discovery, and how quickly we can make the benefits of our knowledge available to the patients who need them. Therefore, the policy environment the biomedical industry will face in the next century may make or break the next wave of biomedical breakthroughs. 17 Will that environment include protection for intellectual property, freedom for the market to determine price, and support for a robust science base? 18 Will healthcare systems nurture innovation, or remove incentives for discovery? Will they give consumers information and options, or impose stringent rules and regulations that limit access and choice? For the U. S., as for the rest of the world, the healthcare debate is by no means over. And for all of us, the stakes are higher than ever.
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更多 “问答题Healthcare Reform During the past two decades, all of the industrialized nations have enacted some form of healthcare reform. America is no exception. Just a few years ago, the U. S. was consumed by a vigorous public debate about healthcare. In the end, the debate reaffirmed that the U. S. would retain its essentially market-based system. Instead of reform imposed from the top down, 3 the American healthcare system underwent some rather profound self-reform, driven by powerful market forces. The market—not the government—managed to wring inflation out of the private healthcare market. 4 Today, it appears that U.S. healthcare costs are again on the rise. At the same time, American patients—like patients elsewhere—are becoming more vocal5 about the restrictions many face in their healthcare plans. Talk of government-led reform is once again in the air. 6 We must think twice, though, before embarking on “reform” if that means imposing further restrictions on our healthcare markets. The more sensible course is to introduce policies that make the market work better—that is, to the advantage of consumers. I base this argument on our company’s decades of experience in healthcare systems around the world, which has given us a unique global perspective on the right and wrong way to reform healthcare. The wrong way is to impose layer after layer of regulation and restrictions. We have seen this approach tried in many countries, and we have always see it fail—fail to hold down costs, and fail to provide the best quality care. Medicine is changing at so rapid a pace that no government agency or expert commission can keep up with it. Only an open, informed and competitive market can do that. This lesson holds true for the U. S., and for all countries contemplating healthcare reform. Free markets do what governments mean to do—but can’t. The right approach10 is to foster a flexible, market-based system in which consumers have rights, responsibilities, and choices. Healthcare systems do not work if patients are treated as passive recipients of services: 11 they do work if consumers are well-informed about quality, costs, and new treatments, and are free to act responsibly on that knowledge. Of course, reform should never be driven purely by cost considerations. Instead, we ought to devise new ways of funding healthcare that will make it possible for all patients to afford the best care. Ideally, these new approaches would not only reward individuals and families but also encourage innovation, which can make healthcare systems more efficient, more productive, and ultimately of greater value for patients. The path we choose will have enormous implications for all of us. We are in a golden age of science, and no field of scientific inquiry holds more promise than that of biomedicine. 13 Not only can we look forward to the discovery of cures for chronic and acute disease, but also to the development of enabling therapies that can help people enjoy more rewarding and productive lives.14 New drugs are already helping people who would once have been disabled by arthritis or cardiovascular disease stay active and mobile.15 More effective anti-depressants and anti-psychotics are beginning to relieve the crippling illness of the mind, allowing sufferers to function normally and happily in society. The promise is quite simply—one of longer, healthier lives. 16 What is at issue are the pace and breadth of discovery, and how quickly we can make the benefits of our knowledge available to the patients who need them. Therefore, the policy environment the biomedical industry will face in the next century may make or break the next wave of biomedical breakthroughs. 17 Will that environment include protection for intellectual property, freedom for the market to determine price, and support for a robust science base? 18 Will healthcare systems nurture innovation, or remove incentives for discovery? Will they give consumers information and options, or impose stringent rules and regulations that limit access and choice? For the U. S., as for the rest of the world, the healthcare debate is by no means over. And for all of us, the stakes are higher than ever.” 相关考题
考题
Scientists didn’t know much about lung cancer _____.
A、before longB、until recentlyC、long beforeD、in the past few years
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● Management information systems form. a bedrock of IT use in the public sector. They are therefore found in all sections ofthe public sector and in all countries..Of course, different people use the term "management information system" differently. The term should therefore not form. the basis for arguments about (71) an MIS is and is not. So long as one and those with whom one works understand and agree on a definition, that is good enough.Similarly, when dealing with written material, one needs to be able to(72)and communicate, not get locked into doctrinal debate,Many public service providers have developed management information systems to morutor and control the services that they provide. Both the US (73) UK Social Security agencies have developed MIS to report on the welfare payments and services that they provide . The British public healthcare system has also been a major investor in MIS as it 1ries to control healthcare costs and simultaneously improve delivery standards .Individual schools can also(74)use of MIS. Hobmoor Junior and Infant School, a public school in Birmingham, UK, introduced a computerised attendance system to produce MIS reports that monitor pupil attendance. This improved the Principal's ability to understand and control absence patterns, resulting in a 2.5 per cent ( 75) in attendance rates.(71) A.whatB.thatC.whichD.this(72) A.lookB.understandC.getD.familar(73) A.withB.andC.alsoD.to(74) A.makeB.getC.takeD.go(75) A.passB.increaseC.decreaseD.rise
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Text 3During the past generation， the American middle-class family that once could count on hard work and fair play to keep itself financially secure has been transformed by economic risk and new realities. Now a pink slip， a bad diagnosis. or a disappearing spouse can reduce a family from solidly middle class to newly poor in a few months.In just one generation， millions of mothers have gone to work， transforming basic family economics. Scholars， policymakers， and critics of all stripes have debated the social implications of these changes， but few have looked at the side effect family risk has risen as well. Today's families have budgeted to the limits of their new two-paycheck status. As a result they have lost the parachute they once had in times of financial setback- a back-up earner （usually Mom） who could go into the workforce if the primary earner got laid off or fell sick. This “added-worker effect” could support the safety net offered by unemployment insurance or disability insurance to help families weather bad times. But today， a disruption to family fortunes can not longer be made up with extra income from an otherwise-stay-at-home partner.During the same period， families have been asked to absorb much more risk in their retirement income. Steelworkers， airline employees， and now those in the auto industry are joining millions of families who must worry about interest rates， stock market fluctuation， and the harsh reality that they may outlive their retirement money. For much of the past year. President Bush campaigned to move Social Security to a savings-account model， with retirees trading much or all of their guaranteed payments for payments depending on investment returns. For younger families， the picture is not any better. Both the absolute cost of healthcare and the share of it borne by families have risen-and newly fashionable health-savings plans are spreading from legislative halls to Wal-Mart workers， with much higher deductibles and a large new does of investment risk for families‘ future healthcare. Even demographics are working against the middle class family， as the odds of having a weak elderly parent- and all the attendant need for physical and financial assistance have jumped eightfold in just one generation.From the middle-class family perspective， much of this， understandably， looks far less like an opportunity to exercise more financial responsibility， and a good deal more like a frightening acceleration of the wholesale shift of financial risk onto their already overburdened shoulders. The financial fallout has begun， and the political fallout may not be far behind.[421 words]31. Today's double-income families are at greater financial risk in that[A] the safety net they used to enjoy has disappeared.[B] their chances of being laid off have greatly increased.[C] they are more vulnerable to changes in family economics.[D] they are deprived of unemployment or disability insurance.
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According go the author， health-savings plans will[A] help reduce the cost of healthcare.[B] popularize among the middle class.[C] compensate for the reduced pensions.[D] increase the families investment risk.
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During the past two decades, research has＿our knowledge of daydreaming.A. expanded B. emergedC. descended D. conquered
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DThe American newspaper has been around for about three hundred years. In 1721, the printer James Franklin. Benjamin's older brother, started the New England Courant, and that was what we might recognize today as a real newspaper. He filled his paper with stories of adventure, articles on art, on famous people, and on all sorts of political subjects.Three centuries after the appearance of Franklin's Courant. few believe that newspapers in their present printed form. will remain alive for long Newspaper complies are losing advertisers （广告商）, readers, market value. and. in some cases, their sense of purpose at a speed that would not have been imaginable just several years ago The chief editor （主编） of the times said recently, "At places where they gather, editors ask one another, 'How are you?', as if they have just come out of the hospital or a lost law came. “An article about the newspaper appeared on the website of the Guardian, under the headline “NOT DEAD YET.”perhaps not, but the rise of the Internet which has made the daily newspaper look slow and out of step with the world, has brought about a real sense of death. Some American newspapers have lost 42% of their market value in the past thee years The New York Times Company has seen its stock （股票） drop by 54% since the end of 2004, with much of the loss coming in the past year A manager at Deutsche Bank suggested that stock-holders sell off their Times stock The Washington Post Comply has prevented the trouble only by changing part of its business to education its testing and test-preparation service now brings in at least half the company's income.53. What can we learn about the New England Curran?A. It is mainly about the stock market.B. It marks the beginning of the American newspaper.C. It remains a successful newspaper in America.D. It comes articles by political leaders.
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In the U. S., at Christmas, schoolchildren have ______ for holiday.A. a monthB. a weekC. two weeksD. three weeks
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根据下面 ，回答 53 ~56 题：DThe American newspaper has been around for about three hundred years. In 1721, the printer James Franklin. Benjamin's older brother, started the New England Courant, and that was what we might recognize today as a real newspaper. He filled his paper with stories of adventure, articles on art, on famous people, and on all sorts of political subjects.Three centuries after the appearance of Franklin's Courant. few believe that newspapers in their present printed form. will remain alive for long Newspaper complies are losing advertisers （广告商）, readers, market value. and in some cases, their sense of purpose at a speed that would not have been imaginable just several years ago The chief editor （主编） of the times said recently, "At places where they gather, editors ask one another, 'How are you?', as if they have just come out of the hospital or a lost law came. “An article about the newspaper appeared on the website of the Guardian, under the headline “NOT DEAD YET.”Perhaps not, but the rise of the Internet which has made the daily newspaper look slow and out of step with the world, has brought about a real sense of death. Some American newspapers have lost 42% of their market value in the past thee years The New York Times Company has seen its stock （股票） drop by 54% since the end of 2004, with much of the loss coming in the past year A manager at Deutsche Bank suggested that stock-holders sell off their Times stock The Washington Post Comply has prevented the trouble only by changing part of its business to education its testing and test-preparation service now brings in at least half the company's income.第13题：What can we learn about the New England Curran?A．It is mainly about the stock market.B．It marks the beginning of the American newspaper.C．It remains a successful newspaper in America.D．It comes articles by political leaders.
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The sentence" We have people. . . down the road" ( Line 4, Paragraph 2)probably means[ A] we have people calling us for parking space two years ahead of time.[ B] people called us for permission to use the places two years ago.[ C] we received calls from people down the road two years ago.[D] people called us for school vacancies two years in advance.
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The world’s population continues to grow. There now are about 4 billion of us on earth. That could reach 6 billion by the end of the century and 11 billion in a further 75 years. Experts have long been concerned about such a growth. Where will we find the food, water, jobs, houses, school and health care for all these people?A major new study shows that the situation may be changing. A large and rapid drop in the world’s birth rate has taken place during the past 10 years. Families generally are smaller now than they were a few years ago. It is happening in both developing and industrial nations.Researchers said they found a number of reasons for this. More men and women are waiting longer to get married and are using birth control devices and methods to prevent or delay pregnancy. More women are going to school or working at jobs away from home instead of having children. And more governments, especially in developing nations, now support family planning programs to reduce population grow.China is one of the nations that have made great progress in reducing its population growth. China has already cut its rate of population growth by about half since 1970.Each Chinese family is now urged to have no more than one child. And the hope is to reach a zero population growth with the total number of births equaling the total number of deaths by the year 2000.Several nations in Europe already have fewer births than deaths. Experts said that these nations could face a serious shortage of workers in the future. And the persons who are working could face much higher taxes to help support the growing number of retired people.1. The world’s population could reach ____________.A. 6 billion in 75 yearsB. 11 billion in 2075C. 11 billion by the end of this centuryD. 600 million in 15 years2. Which of the following is true?A. The world’s birth rate is higher than ten years ago.B. There has been a slower population growth in the past ten years.C. Families are as large as before.D. Birth control has been well practiced in all nations.3. By the year 2000, the number of births and the number of deaths in China will _______.A. be greatly differentB. drop a great dealC. be equalD. become much larger4. According to the essay, China’s population control ________.A. is not quite successfulB. should be considered a big successC. is far from being successfulD. is a complete failure5. It may happen in the future that the people who are working in Europe will have to pay much higher taxes because___________.A. more and more children will be bornB. the number of retired people will become ever largerC. fewer and fewer children will be bornD. they will be making a lot of money
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When most people refer to multimedia, they generally mean the combination of two or more continuous media, usually with some user(115). In practice, the two media are normally audio and video, this is,(116)plus moving(117).It should be' obvious by now that transmitting multimedia material in uncompressed form. is completely out of(118). The only hope is that massive compression is possible. Fortunately, a large body of research over the past few decades has led to many compression techniques and algorithms that make multimedia transmission(119).A．displayB．gamesC．helpD．interactionE．pictures
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During the past two decades，research has______our knowledge of daydreaming.A．expandedB．emergedC．descendedD．conquered
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During the past generation, the American middle-class family that once could count on hard work and fair play to keep itself financially secure has been transformed by economic risk and new realities. Now a pink slip, a bad diagnosis, or a disappearing spouse can reduce a family from solidly middle class to newly poor in a few months.
In just one generation, millions of mothers have gone to work, transforming basic family economics. Scholars, policymakers, and critics of all stripes have debated the social implications of these changes, but few have looked at the side effect: family risk has risen as well. Today's families have budgeted to the limits of their new two-paycheck status. As a result, they have lost the parachute they once had in times of financial setback-a back-up earner (usually Mom) who could go into the workforce if the primary earner got laid off or fell sick. This "added-worker effect" could support the safety net offered by unemployment insurance or disability insurance to help families weather bad times. But today, a disruption to family fortunes can no longer be made up with extra income from an otherwise-stay-at-home partner.
During the same period, families have been asked to absorb much more risk in their retirement income. Steelworkers, airline employees, and now those in the auto industry are joining millions of families who must worry about interest rates, stock market fluctuation, and the harsh reality that they may outlive their retirement money. For much of the past year, President Bush campaigned to move Social Security to a saving-account model, with retirees trading much or all of their guaranteed payments for payments depending on investment returns. For younger families, the picture is not any better. Both the absolute cost of healthcare and the share of it borne by families have risen--and newly fashionable health-savings plans are spreading from legislative halls to WalMart workers, with much higher deductibles and a large new dose of investment risk for families' future healthcare. Even demographics are working against the middle class family, as the odds of having a weak elderly parent--and all the attendant need for physical and financial assistance have jumped eightfold in just one generation.
From the middle-class family perspective, much of this, understandably, looks far less like an opportunity to exercise more financial responsibility, and a good deal more like a frightening acceleration of the wholesale shift of financial risk onto their already overburdened shoulders. The financial fallout has begun, and the political fallout may not be far behind．
As a result of President Bush's reform, retired people may have__A.a higher sense of security
B.less secured payments
C.less chance to invest
D.a guaranteed future
考题
During the past generation, the American middle-class family that once could count on hard work and fair play to keep itself financially secure has been transformed by economic risk and new realities. Now a pink slip, a bad diagnosis, or a disappearing spouse can reduce a family from solidly middle class to newly poor in a few months.
In just one generation, millions of mothers have gone to work, transforming basic family economics. Scholars, policymakers, and critics of all stripes have debated the social implications of these changes, but few have looked at the side effect: family risk has risen as well. Today's families have budgeted to the limits of their new two-paycheck status. As a result, they have lost the parachute they once had in times of financial setback-a back-up earner (usually Mom) who could go into the workforce if the primary earner got laid off or fell sick. This "added-worker effect" could support the safety net offered by unemployment insurance or disability insurance to help families weather bad times. But today, a disruption to family fortunes can no longer be made up with extra income from an otherwise-stay-at-home partner.
During the same period, families have been asked to absorb much more risk in their retirement income. Steelworkers, airline employees, and now those in the auto industry are joining millions of families who must worry about interest rates, stock market fluctuation, and the harsh reality that they may outlive their retirement money. For much of the past year, President Bush campaigned to move Social Security to a saving-account model, with retirees trading much or all of their guaranteed payments for payments depending on investment returns. For younger families, the picture is not any better. Both the absolute cost of healthcare and the share of it borne by families have risen--and newly fashionable health-savings plans are spreading from legislative halls to WalMart workers, with much higher deductibles and a large new dose of investment risk for families' future healthcare. Even demographics are working against the middle class family, as the odds of having a weak elderly parent--and all the attendant need for physical and financial assistance have jumped eightfold in just one generation.
From the middle-class family perspective, much of this, understandably, looks far less like an opportunity to exercise more financial responsibility, and a good deal more like a frightening acceleration of the wholesale shift of financial risk onto their already overburdened shoulders. The financial fallout has begun, and the political fallout may not be far behind．
Today's double-income families are at greater financial risk in thatA.the safety net they used to enjoy has disappeareD.B.their chances of being laid off have greatly increaseD.C.they are more vulnerable to changes in family economics
D.they are deprived of unemployment or disability insurance
考题
During the past generation, the American middle-class family that once could count on hard work and fair play to keep itself financially secure has been transformed by economic risk and new realities. Now a pink slip, a bad diagnosis, or a disappearing spouse can reduce a family from solidly middle class to newly poor in a few months.
In just one generation, millions of mothers have gone to work, transforming basic family economics. Scholars, policymakers, and critics of all stripes have debated the social implications of these changes, but few have looked at the side effect: family risk has risen as well. Today's families have budgeted to the limits of their new two-paycheck status. As a result, they have lost the parachute they once had in times of financial setback-a back-up earner (usually Mom) who could go into the workforce if the primary earner got laid off or fell sick. This "added-worker effect" could support the safety net offered by unemployment insurance or disability insurance to help families weather bad times. But today, a disruption to family fortunes can no longer be made up with extra income from an otherwise-stay-at-home partner.
During the same period, families have been asked to absorb much more risk in their retirement income. Steelworkers, airline employees, and now those in the auto industry are joining millions of families who must worry about interest rates, stock market fluctuation, and the harsh reality that they may outlive their retirement money. For much of the past year, President Bush campaigned to move Social Security to a saving-account model, with retirees trading much or all of their guaranteed payments for payments depending on investment returns. For younger families, the picture is not any better. Both the absolute cost of healthcare and the share of it borne by families have risen--and newly fashionable health-savings plans are spreading from legislative halls to WalMart workers, with much higher deductibles and a large new dose of investment risk for families' future healthcare. Even demographics are working against the middle class family, as the odds of having a weak elderly parent--and all the attendant need for physical and financial assistance have jumped eightfold in just one generation.
From the middle-class family perspective, much of this, understandably, looks far less like an opportunity to exercise more financial responsibility, and a good deal more like a frightening acceleration of the wholesale shift of financial risk onto their already overburdened shoulders. The financial fallout has begun, and the political fallout may not be far behind．
Which of the following is the best title for this text?A.The Middle Class on the Alert
B.The Middle Class on the Cliff
C.The Middle Class in Conflict
D.The Middle Class in Ruins
考题
During the past generation, the American middle-class family that once could count on hard work and fair play to keep itself financially secure has been transformed by economic risk and new realities. Now a pink slip, a bad diagnosis, or a disappearing spouse can reduce a family from solidly middle class to newly poor in a few months.
In just one generation, millions of mothers have gone to work, transforming basic family economics. Scholars, policymakers, and critics of all stripes have debated the social implications of these changes, but few have looked at the side effect: family risk has risen as well. Today's families have budgeted to the limits of their new two-paycheck status. As a result, they have lost the parachute they once had in times of financial setback-a back-up earner (usually Mom) who could go into the workforce if the primary earner got laid off or fell sick. This "added-worker effect" could support the safety net offered by unemployment insurance or disability insurance to help families weather bad times. But today, a disruption to family fortunes can no longer be made up with extra income from an otherwise-stay-at-home partner.
During the same period, families have been asked to absorb much more risk in their retirement income. Steelworkers, airline employees, and now those in the auto industry are joining millions of families who must worry about interest rates, stock market fluctuation, and the harsh reality that they may outlive their retirement money. For much of the past year, President Bush campaigned to move Social Security to a saving-account model, with retirees trading much or all of their guaranteed payments for payments depending on investment returns. For younger families, the picture is not any better. Both the absolute cost of healthcare and the share of it borne by families have risen--and newly fashionable health-savings plans are spreading from legislative halls to WalMart workers, with much higher deductibles and a large new dose of investment risk for families' future healthcare. Even demographics are working against the middle class family, as the odds of having a weak elderly parent--and all the attendant need for physical and financial assistance have jumped eightfold in just one generation.
From the middle-class family perspective, much of this, understandably, looks far less like an opportunity to exercise more financial responsibility, and a good deal more like a frightening acceleration of the wholesale shift of financial risk onto their already overburdened shoulders. The financial fallout has begun, and the political fallout may not be far behind．
It can be inferred from the last paragraph that__A.financial risks tend to outweigh political risks
B.the middle class may face greater political challenges
C.financial problems may bring about political problems
D.financial responsibility is an indicator of political status
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Management information systems form a bedrock ofIT use in the public sector.They are therefore found in all sections ofthe public sector and in all countries..Of course，different people use the term"management information system"differently:The term should therefore not form the basis for arguments about__（请作答此空）__an MIS is and is not.So long as one and those with whom one works understand and agree on a definition，that is good enough.Similarly，when dealing with written material，one needs to be able to__（ ）__and communicate，not get locked into doctrinal debate，Many public service providers have developed management information systems to morutor and control the services that they provide.Both the US__（ ）__UK Social Security agencies have developed MIS to report on the welfare payments and services that they provide.The British public healthcare system has also been a major investor in MIS as it 1ries to control healthcare costs and simultaneously improve delivery standards.Individual schools can also__（ ）__use ofMIS.Hobmoor Junior and Infant School，a public school in Birmingham，UK，introduced a computerised attendance system to produce MIS reports that monitor pupil attendance.This improved the Principal’s ability to understand and control absence patterns，resulting in a 2.5 per cent__（ ）__in attendance rates.A.what
B.that
C.which
D.this
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Management information systems form a bedrock ofIT use in the public sector.They are therefore found in all sections ofthe public sector and in all countries..Of course，different people use the term"management information system"differently:The term should therefore not form the basis for arguments about__（ ）__an MIS is and is not.So long as one and those with whom one works understand and agree on a definition，that is good enough.Similarly，when dealing with written material，one needs to be able to__（ ）__and communicate，not get locked into doctrinal debate，Many public service providers have developed management information systems to morutor and control the services that they provide.Both the US__（ ）__UK Social Security agencies have developed MIS to report on the welfare payments and services that they provide.The British public healthcare system has also been a major investor in MIS as it 1ries to control healthcare costs and simultaneously improve delivery standards.Individual schools can also__（请作答此空）__use ofMIS.Hobmoor Junior and Infant School，a public school in Birmingham，UK，introduced a computerised attendance system to produce MIS reports that monitor pupil attendance.This improved the Principal’s ability to understand and control absence patterns，resulting in a 2.5 per cent__（ ）__in attendance rates.A.make
B.get
C.take
D.go
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We are glad that in the past few years,（）joint efforts,have greatly promoted both business and friendship.
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When did you move to America?（）A、Three years ago.B、About three years.C、Next year.D、This year
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多选题Over the course of just a few years, the Works Progress Administration (WPA) constructed parks, bridges, and ______ buildings in neighborhoods all over America.AschoolBinnovativeCrefurbishedDmunicipalEprominentFpublic
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问答题The On-going Debate over Healthcare Reform It seems that the government’s so-called Blue Ribbon Commission has already decided what plan it will propose without undertaking any public consultation and is now merely engaged in a PR campaign to convince us they have the answer. This seems a little head over heels to us. Since it is our money and our health that is in question, shouldn’t we have been consulted at the break about which way we want to go? There are several models to achieve healthcare reform, and not all of them require us to hand more money over to keep government bureaucrats in big offices. Purely private healthcare may have big problems—but so does the socialised medicine the commission is recommending. For example, Canada’s universal system of socialised medicine is now busily engaged in transferring costs from the public to the private sector… by reducing covered expenses, by de-insuring some expenses and so on. Medical authorities are on record as saying that in an effort to manage costs, hospital stays are being shortened (or even dispensed with altogether). So while we in the Bahamas are citing universal ‘free’ health care as the answer to our problems, in Canada there is an uncoordinated scramble by the public system to reduce and offload the effects of rising health care costs. And we won’t even mention the litany of complaints from users who have to wait for poor service. But what mostly concerns us about the Blue Ribbon Commission is that they have plumped for social health insurance without determining the cost of their recommended programmer, or of the alternatives. And they do not seem to have taken into account the impact this plan will have on the fiscal deficit or on our individual pockets. Apparently, the position is that whatever the cost, this is the plan that will be presented to parliament. An initiative so far-reaching and so potentially damaging to our economy, should require more careful assessment of the alternatives in public. There is always more than one way to skin a cat. And we do not believe that a small group of consultants constitutes ‘the public’.
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问答题Public Schools However good the state schools may be, it is still true that if an English parent has enough money to pay the fees to send his children to an independent school he will most probably do so. In independent schools boys and girls above the age of eight are usually educated separately. The terms “primary” and “secondary” are not usually applied to independent schools at the different levels because the age of transfer from a lower to a higher school is normally thirteen or fourteen instead of eleven. The principal schools for boys of over thirteen are called “public schools” and those for younger boys are usually called “preparatory” (or colloquially “prep”) schools. For girls there are some preparatory schools and public schools which are female imitations of the boys’ institutions. A typical “preparatory school’“—or private primary school—is very small, with between fifty and a hundred boys, either all boarders or all dayboys, or some of each. Many of these schools are in adapted houses in the country or in small towns, houses built in the nineteenth century and too big to be inhabited by families in the conditions of the modern world. If there are fifty boys, aged between eight-plus and thirteen-plus, they will probably be taught in five or six grades (or “forms”); the headmaster will himself work as an ordinary teacher, and he will have four or five assistants working for him. The preparatory schools prepare boys for the public schools’ common entrance examination and for public school life. The, schools in the state system do not prepare boys for the public schools’ common entrance examination, so a boy who tried to change from the states system to the independent school system at the age of thirteen would find difficulty in entering a public school at all. With a few exceptions public schools are all boarding schools, providing residential accommodation for their pupils, though many of them take some day-boys also. Most are in the southern half of England. Some of them are several hundred years old, but many others, including some of the most prominent thirty, were founded during the past 140 years. Most public schools, particularly the most eminent ones, are called by the name of the town or village in which they are situated; some are called “College” and some are not. The four most famous of all are Eton College, Harrow School, Winchester College and Rugby School. Public schools are inspected by the inspectors of the Department of Education, but otherwise they are quite independent. Each has a board of governors. They control the finances and appoint the headmaster, who in his turn appoints the other teachers. To send a boy to .a leading public school costs about 900 to 1,100 pounds a year, though some of the less prominent schools may cost as little as 600 pounds. All the schools award “scholarships” to some of their boys who do very good work in an examination on entering or during their first year, and the boys who win scholarships pay reduced fees or in a few cases no fees at all.
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单选题During the past ten years, there have been_____changes in the country.A
lastingB
dramaticC
powerfulD
imaginary
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问答题Practice 3 In-state tuition. For decades, it was the one advantage big state schools had that even the Ivy League couldn’t match, in terms of recruiting the best and the brightest to their campuses. But these days, that’s no longer necessarily the case. Starting this September, some students will find a Harvard degree cheaper than one from many public universities. Harvard officials sent shock waves through academia last December by detailing a new financial-aid policy that will charge families making up to $180,000 just 10 % of their household income per year, substantially subsidizing the annual cost of more than $ 45,600 for all but its wealthiest students. The move was just the latest in what has amounted to a financial-aid bidding war in recent years among the U. S.’s élite universities. Though Harvard’s is the most generous to date, Princeton, Yale and Stanford have all launched similar plans to cap tuition contributions for students from low-and middle-income families. Indeed, students on financial aid at nearly every Ivy stand a good chance of graduating debt-free, thanks to loan-elimination programs introduced over the past five years. And other exclusive schools have followed their lead by replacing loans with grants and work-study aid. And several more schools are joining the no-loan club this fall. Even more schools have taken steps to reduce debt among their neediest students.
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