2016新SAT模拟测试题2介绍.docxVIP

PAGE45 / NUMPAGES45 Section 1 Questions 1-11 are based on the following passage. This passage is adapted from Atul Grover, “Should Hospital Residency Programs Be Expanded to Increase the Number of Doctors?” ? 2013 Dow Jones Company. Thanks to baby boomers, the population over 65 will have doubled between 2000 and 2030. And when the Affordable Care Act takes full effect, up to 32 million new patients will seek access to medical care, many of whom will need treatment for ailments that have gone undiagnosed for years, such as cancer, diabetes, arthritis and heart disease. This surge in demand means the U.S. will have a shortfall of at least 90,000 doctors by the end of the decade, according to the Association of American Medical Colleges Center for Workforce Studies. Many parts of the country have too few doctors already. A small, vocal minority of researchers suggest we dont need more doctors. That minority clearly is having an impact: many clinicians and policy makers say there is 20% to 30% waste in our health-care system. Elliott Fisher, a Dartmouth professor, says those numbers are backed up by Dartmouth research. The Dartmouth studies base their conclusions about waste on comparisons of health-care spending in different geographic areas. But other studies have shown that differences in the health status of patients in the different regions explain the majority of variations in spending. In other words, urban areas, with their high concentrations of poor people, tend to have a higher disease burden and thus higher medical needs. Sicker patients, along with high labor costs, explain the higher levels of spending found in these urban areas—not too many doctors. There is no question that delivery of care needs to be better organized, and that some current reforms are likely to improve patient outcomes. Thats true, for example, with experiments in team-based care. However, these improvements in patient care have not translated to any reduction in the need for