补充材料第5篇 公私诊所

麻集爱

The advent of private hospital health insurance, which provided middle-class patients with the purchasing power to pay for private hospital services, guaranteed the private hospital a regular source of income. Private hospitals restricted themselves to revenue-generating patients, leaving the public hospitals to care for the poor. Although public hospitals continued to provide services for patients with communicable diseases and outpatient and emergency services, the Blue Cross (blue cross: 蓝十字(毒气)) plans developed around the needs of the private hospitals and the inpatients they served. Thus, reimbursement for ambulatory care has been minimal under most Blue Cross plans, and provision of outpatient care has not been a major function of the private hospital, in part because private patients can afford to pay for the services of private physicians. Additionally, since World War II, there has been a tremendous influx of federal money into private medical schools and the hospitals associated with them. Further, large private medical centers with expensive research equipment and programs have attracted the best administrators, physicians, and researchers. As a result of the greater resources available to the private medical centers, public hospitals have increasing problems attracting highly qualified research and medical personnel. With the mainstream of health care firmly established in the private medical sector, the public hospital has become a “dumping ground (dumping ground: 垃圾堆积场, 倾销市场).

        The author cites all of the following as factors contributing to the decline of public hospitals EXCEPT.

(A) Government money was used to subsidize private medical schools and hospitals to the detriment of public hospitals.

(B) Public hospitals are not able to compete with private institutions for top flight managers and doctors.

(C) Large private medical centers have better research facilities and more extensive research programs than public hospitals.

(D) Public hospitals accepted the responsibility for treating patients with certain diseases.（E）

(E) Blue Cross insurance coverage does not reimburse subscribers for medical expenses incurred in a public hospital.

文章没说到E 啊？

yongchou

reimbursement for ambulatory care has been minimal

--E) does not reimburse 很少, 不能就說沒有

麻集爱

reimbursement for ambulatory care 　是指对public阿！恍然大悟～