Crippling healthcare bills, long emergency-room waits and the inability to find a primary care physician just scratch the surface of the problems that patients face daily.
Primary care should be the backbone of any healthcare system. Countries with appropriate primary care resources score highly when it comes to health outcomes and cost. The US takes the opposite approach by emphasizing the specialist rather than the primary care physician.
A recent study analyzed the providers who treat Medicare beneficiaries. The startling finding was that the average Medicare patient saw a total of seven doctors — two primary care physicians and five specialists — in a given year. Contrary to popular belief, the more physicians taking care of you don’t guarantee better care. Actually, increasing fragmentation of care results in a corresponding rise in cost and medical errors.
How did we let primary care slip so far The key is how doctors are paid. Most
A. the more costly the medicine, the more effective the cure
B. seeing more doctors may result in more diagnostic errors
C. visiting doctors on a regular basis ensures good health
D. the more doctors taking care of a patient, the better
Passage Five Many animals are used to help scientists find cures for diseases. One of the most common animals used is monkeys, or primates. There are groups of people who want to stop the research on animals. They are called animal rights activists. The scientists say their research could help save the lives of many men, women and children. They try to cure diseases like cancer and AIDS. The animal rights activists say the animals suffer. They take baby monkeys away from their mothers, and sometimes holes are drilled in their heads. The activists have tried to stop the research for the past 10 years. They let animals go free or damage the labs. The University of California at Davis has 3,800 rhesus macaque monkeys. It is one of the largest primate research labs. The activists sent letters to researchers at Davis and about eighty other researchers around the country, whose names were on the web pages. The warning letters had razor blades hidden so that a person could slice
A. increasing
B. decreasing
C. ending
D. staying about the same
One day, a poor boy who was selling goods from door to door to pay his way through school found he had only one thin dime left, and he was hungry. He decided he would ask for a meal at the next house. However, he lost his nerve when a lovely young woman opened the door. Instead of a meal he asked for a drink of water. She thought he looked hungry so she brought him a large glass of milk. He drank it slowly, and then asked, "How much do I owe you" "You don’t owe me anything," she replied. He said, "Then I thank you from my heart."
Years later that young woman became critically ill. The local doctors sent her to the big city, where they called in specialists to study her rare disease. Dr. Howard Kelly was called in for the consultation. When he heard the name of the town she came from, he rose immediately and went to her room. Dressed in his doctor’s gown he went in to see her. He recognized her at once. He went back to the consulta
A. he wanted to help support his family
B. he needed money for school
C. he had to pay back a student loan
D. he did not have enough pocket money
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