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CR:
1. C: fishermen will still be profitable even in the short term.
P: reducing the fishing yield to protect certain fish species from extinction
My answer: D
2. C: Most video games adapted from blockbuster movies fail to achieve success
P: whereas a successful video game requires interactive design and structured gameplay.
My answer: B
3. C: he can still maintain his restaurant's profitability in the short term
P: despite drastically increasing the innovation difficulty and frequency of his dishes
My answer: B
Key
4. C: the novel fails to achieve success upon its release
p: decides to adapt his image into a culinary-themed online novel to expand his personal brand influence.
My answer: A
Key: B
RC生词好多:
The American healthcare sector is ensnared诱捕 in a paradoxical malaise对社会的不满/心神不宁. Its voracious consumption of the Gross National Product (GNP)—allocating one-eighth of every dollar—dwarfs小矮人 that of Japan and surpasses超过 by no less than 50% that of other industrialized nations. Its exponential含指数的 growth trajectory, outpacing the GNP by 50%, exacerbates the nation's already perilous非常危险的 trade deficit quandary窘境.
Despite the prodigious expenditure on healthcare, a significant portion of the American populace民众 is besieged围住 by an inability to access requisite services. A litany祷文 of pervasive遍布的 maladies, from lumbar腰部的 discomfort to gastrointestinal胃肠的 tribulations苦难, plagues折磨 the workforce, diminishing productivity. The healthcare services available are often disparately迥然不同 distributed, impersonal, inconveniently located, and ill-timed. The inconsistency in the quality of care is particularly alarming; while the system demonstrates prowess杰出的才能 in life-saving interventions, it frequently falters动摇/蹒跚 in delivering routine procedures with the same level of expertise. For instance, the medical necessity of a substantial number of the annual 700,000 hysterectomies子宫切除术 performed is subject to expert scrutiny.
The 1970s witnessed the emergence of novel organizations, conceived in response to the glaring显眼的 deficiencies of the existing system and the burgeoning迅速发展的 demand for enhanced healthcare services. These entities, precursors先驱 to a transformative彻底改观的 movement anticipated in the 1980s, sought to revolutionize healthcare delivery by amalgamating合并 the strides made in molecular biology and computer science to elevate both the quality and accessibility of care.
Unlike their predecessors前任, these nascent新生的 organizations—ranging from Health Maintenance Organizations (HMOs) to health-centric enterprises—were typified by their entrepreneurial vigor and reliance on financial markets for sustenance. The investment community, captivated by their potential, unleashed a torrent狂潮 of capital, fueling speculative猜测的/投机的 forecasts about universal enrollment in these modern healthcare frameworks. Following the initial public offering of U.S. Healthcare in 1983, its valuation skyrocketed, epitomizing成为……的典范 the fervor热情 that gripped吸引……的注意 the financial sector.
Entrepreneurs, exemplified by the legendary Abe Gosman who parlayed使增值 a nascent新生的 nursing home chain into a lucrative venture, were propelled推动 by the challenge of rejuvenating使年轻 the leviathan庞然大物/强者 that the healthcare industry had become. They endeavored to supplant取代 the complacency自满 endemic流行的to the system with innovation, efficiency, and cutting-edge technology, driven by a conviction in the nobility高尚 of their cause.
The impetus刺激 for change was further bolstered by the collective dismay of government and large private employers over escalating healthcare costs. By 1985, projections indicated that healthcare expenses for major corporations were on an unsustainable trajectory, threatening to eclipse淹没/凌驾 net income by 1993. The government, confronted with the fiscal implications of an aging populace民众, alongside businesses, championed the introduction of competition as a panacea灵丹妙药.
This confluence of governmental and business interests, wielding握着武器/施加影响 substantial influence through their healthcare expenditures, set the stage for systemic reform. Initiatives such as the federal government's adoption of fixed hospital payments and the private sector's implementation of audit mechanisms for healthcare providers heralded预示 the advent of the much-anticipated healthcare revolution.
Yet, the revolution faltered动摇/蹒跚. Despite the entrepreneurial acumen慧眼, the mobilization of vast financial resources, the advocacy主张 of influential sectors, and the clarity of the objective, the envisioned期望 transformation remained elusive难以……的/困难的. The anticipated efficiencies and innovations failed to materialize in a manner that curtailed costs or uniformly enhanced service quality. The promise of integrating scientific breakthroughs into effective medical technologies has largely remained unfulfilled.
The crux关键 of this failure, I contend争夺/主张, resides not in the strategic vision but in the operational execution处决/实行. The architects of this new healthcare paradigm, enamored迷恋 with the grandeur of their vision, overlooked the granularities粒度 of management essential for its realization. My discourse对话/演说/论文 aims to pivot the revolution toward a second phase, one underpinned by meticulous attention to detail, in the belief that the essence of effective management, much like in architecture, resides in the minutiae细节.
P-1: 美国医疗部门的花销影响了美国的GNP
P-2: 不能接触到需要的服务也是一个问题
P-3: 1980s, 新型组织通过提高分子生物学和电脑技术来提高医疗质量和可接触度
P-4: 这些组织和之前的组织不同，他们依靠市场和企业的力量并在1983年快速成长发展起来
P-5: 企业家们收到成功先例的影响向里面投钱出力
P-6: 政府在老龄化财政的压力下，和企业一同认为引入竞争是林丹妙药
P-7: 政府和商业利益极大影响了健康产业费用，促进了组织改革
P-8: 改革失败了
P-9: 作者认为改革失败主要在于执行层而非战略。
我的答案：ABEBC AEB |
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发表于 2024-4-7 23:20:03
