Most people would be (21) by the high quality of medicine available (22) to most Americans. There is a lot of specialization, a great deal of (23) to the individual, a (24) amount of advanced technical equipment, and (25) effort not to make mistakes because of the financial risk which doctors and hospitals must (22) in the courts if they (27) things badly.

　　But the Americans are in a mess. The problem is the way in (28) health care is organized and (29). (30) to public belief it is not just a free competition system. To the private system has been joined a large public system, because private care was simply not (31) the less fortunate and the elderly.

　　But even with this huge public part of the system, (32) this year will eat up 84.5 billion dollars——more than 10 per cent of the U.S. Budget—large numbers of Americans are left (33). These include about half the 11 million unemployed and those who fail to meet the strict limits (34) income fixed by a government trying to make savings where in can.

　　The basic problem, however, is that there is no central control (35) the health system. There is no (36) to what doctors and hospitals charge for their services, other than what the public is able to pay. The number of doctors has shot up and prices have climbed. When faced with toothache, a sick child, or a heart attack, all the unfortunate person concerned can do is (37) up.

　　Twothirds of the population (38) covered by medical insurance. Doctors charge as much as they want (39) that the insurance company will pay the bill.

　　The rising cost of medicine in the U.S.A. is among the most worrying problems facing the country. In 1981 the country’s health bill climbed 15.9 per cent——about twice as fast as prices (40) general.

　　21. [A] compressed [B] impressed [C] obsessed [D]. repressed

　　22. [A] available [B] attainable [C] achievable [D]. amenable

　　23. [A] extension [B] retention [C] attention [D]. exertion

　　24. [A] countless [B] titanic [C] broad [D] vast

　　25. [A] intensive [B] absorbed [C] intense [D] concentrated

　　26. [A] run into [B] come into [C] face [D] defy

　　27. [A] treat [B] deal [C] maneuver [D] handle

　　28. [A] which [B] that [C] what [D] when

　　29. [A] to finance [B] financed [C] the finance [D] to be financed

　　30. [A] Contrary [B] Opposed [C] Averse [D] Objected

　　31. [A] looking for [B] looking into [C] looking after [D] looking over

　　32. [A] which [B] what [C] that [D] it

　　33. [A] over [B] out [C] off [D] away

　　34. [A] for [B] in [C] with [D] on

　　35. [A] over [B] on [C] under [D] behind

　　36. [A] boundary [B] restriction [C] confinement [D] limit

　　37. [A] to pay [B] paying [C] pay [D] to have paid

　　38. [A] is being [B] are [C] have been [D] is

　　39. [A] knowing [B] to know [C] they know [D] known

　　40. [A] in [B] with [C] on [D] for

　　答案與解析

　　21. [B]

　　解析：詞義辨析題。各個(gè)選項(xiàng)的意思和辨析如下： compress 擠壓;壓縮。壓縮機(jī)就是compressor。近義詞squeeze。 impress 影響;給某人以深刻印象。名詞impression印象。形容詞impressive給人深刻印象的，感人的，出色的。 obsess迷住，使困擾。例如He was obsessed with the idea. 她一心想著那個(gè)念頭。 express壓制(感情等);鎮(zhèn)壓。

　　22. [A]

　　解析：Something is available to someone：某人可以享受到……

　　例如：Free education is available to all taxpayers.所有納稅人都可以享受到免費(fèi)教育。 available 可以獲得的�，F(xiàn)成的。

　　attainable 雖然和available意思相近，但是沒(méi)有“現(xiàn)成的”之意。包含“需要努力才能得到的”意思。 achievable 的用法和attainable相近。也包含“需努力才能得到”的意思。 amenable 有責(zé)任的，需要負(fù)責(zé)的。應(yīng)該服從的，有服從義務(wù)的。例如，citizens amenable to the law，應(yīng)該遵紀(jì)守法的公民。

　　23. [C]

　　解析：extension 延長(zhǎng)，延續(xù);推遲。 retention保留，保持，保持物

　　attention注意，關(guān)心，關(guān)注，注意力。exertion 盡力，努力，發(fā)揮，行使，運(yùn)用

　　24. [D]

　　Vast amount of：大量的。 countless無(wú)數(shù)的。通常用于可數(shù)名詞。近義詞myriad, many。titanic 巨大的。常形容體積。近義詞colossal

　　broad寬的，寬廣的 vast的用途比較廣泛�？梢杂脕�(lái)形容體積，數(shù)量，程度，及強(qiáng)度。近義詞enormous。比如：vast amounts of investment巨額的投資。

　　25. [C]

　　解析：intensive強(qiáng)烈的，精深的，透徹的。Absorbed全神貫注的，一心一意的。

　　intense強(qiáng)烈的，劇烈的，熱切的，熱情的，激烈的

　　例如，the excitement was intense非常激動(dòng)intense pain劇烈的疼痛。

　　26. [C]

　　解析：Must后面用動(dòng)詞原形。To face = to be faced with：面對(duì)。

　　27. [D]

　　解析：Handle = to deal with：處理。Treat：給……治病，對(duì)待。Maneuver：有策略、有手腕地對(duì)待、處理。

　　28. [A]

　　解析：Which引導(dǎo)的定語(yǔ)從句修飾the way。這里in which完全可以省略掉，變成：the way health care is organized... 再比如：the way he treated his wife：他對(duì)待他妻子的方式 = the way in which he treated his wife。

　　29. [B]

　　解析：Finance在這里是動(dòng)詞。和organize是并列關(guān)系，用其過(guò)去分詞。

　　30. [A]

　　解析：Contrary to…和……相反。Opposed to 和……反對(duì)，敵對(duì)，作對(duì)。

　　Averse (常與to連用)嫌惡的 I am not averse to a dance party and a good meal after a week’s hard work. 我不反對(duì)一周緊張的工作后舉辦一次舞會(huì),再美餐一頓。

　　31. [C]

　　解析：looking for 尋找

　　looking into 調(diào)查 look after 照顧;照看

　　looking over 檢查，察看

　　32. [A]

　　解析：Which引導(dǎo)一個(gè)非限定性定語(yǔ)從句，修飾名詞this huge public part of the system。非限定性定語(yǔ)從句不能用that修飾。

　　33. [B]

　　解析：To leave someone/something out：省略，忽略，不考慮。 The entire Chapter II was left out in the second edition. 再版的時(shí)候整個(gè)的第二章都被刪掉了。 To leave over：留下，剩下。 questions left over by history歷史遺留下來(lái)的問(wèn)題

　　34. [D]

　　解析：There’s no limit on…：……是沒(méi)有限度的。 There’s no limit on the potential of the human brain. 人大腦的潛力是無(wú)限的。

　　35. [A]

　　解析：和control搭配的介詞是over。

　　36. [D]

　　解析：boundary界線;邊界。例如，the boundaries of the country ，國(guó)界。界限;范圍。例如：the boundaries of knowledge 知識(shí)范圍。

　　Restriction限制。例如：restrictions for hunters對(duì)獵人實(shí)施的限制。a restriction against smoking in schools 禁止在學(xué)校吸煙。

　　confinement (被)限制, (被)禁閉, 產(chǎn)期, 分娩。近義詞imprisonment, limit, restrict, confine這三個(gè)動(dòng)詞的一般含義為“限制”或“局限”。

　　limit 指時(shí)、空、程度、量等方面的“限定”，其內(nèi)涵是如果超出了這種限度就會(huì)受罰或遭到令人不快的后果;此外，這個(gè)詞也常用來(lái)表示“局限”。 This driver received a ticket because he failed to limit his speed while driving in heavy traffic. 那位司機(jī)收到了一個(gè)違章通知單，因?yàn)樗�在車輛多的地方?jīng)]能限制開(kāi)車速度。

　　37. [C]

　　解析：省略to的不定式作表語(yǔ)。

　　As I had created the embarrassing situation, I knew the kindest thing I could do was walk away.

　　因?yàn)槭俏以斐闪四莻�(gè)尷尬的局面，我知道我所能做的最好的事就是遠(yuǎn)遠(yuǎn)走開(kāi)。

　　38. [B]

　　解析：主語(yǔ)是復(fù)數(shù)名詞，謂語(yǔ)動(dòng)詞應(yīng)用復(fù)數(shù)形式。另外因?yàn)槭且话闶聦?shí)，用一般現(xiàn)在時(shí)。

　　39. [A]

　　解析：knowing that…現(xiàn)在分詞作狀語(yǔ)。

　　40. [A]

　　解析：in general：總的來(lái)說(shuō)。

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