Medical bills in the United States have risen violently since 1960’s and steps need to be taken to reverse this trend or the average American will not be able to afford medical care. The major factor in increasing the cost of medical care has been the dramatic increase in the cost of hospital services. The rise in the cost of hospitalization can be only partly blamed on inflation (通货膨胀)since hospital bills in the last two decades have risen at a considerably higher rate than inflation
Another factor cited by doctors as a major cause for the increase in the cost of medical care is malpractice(治疗错误). Increasingly large awards for malpractice have caused doctors to increase their rates to cover the higher malpractice insurance. Because of the large malpractice awards, doctors are also prescribing more conservative and more extensive and therefore more costly treatment for patients as a defense against malpractice claims. Whatever the causes of the wild increases in the
A. the increasing cost of malpractice insurance
B. factors causing the increase in U. S. medical bills
C. steps for Americans to take to obtain medical care
D. the dramatic medical profession
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. Bridge the salary gap between specialists and primary care physicians.
B. Extend primary care to patients with chronic diseases.
C. Recruit more medical students by offering them loans.
D. Reduce the tuition of students who choose primary care as their major.
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