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1、2022年考博英语-重庆大学考前拔高综合测试题（含答案带详解）1. 单选题1.（ ）Every health system in an economically developed society is faced with the need to decide (either formally or informally) what proportion of the communitys total resources should be spent on health-care; how resources are to be apportioned; what diseases and
2、 disabilities and which forms of treatment are to be given priority; which members of the community are to be given special consideration in respect of their health needs; and which forms of treatment are the most cost-effective.2.（ ）What is new is that, from the 1950s onwards, there have been certa
3、in general changes in outlook about the finitude of resources as a whole and of health-care resources in particular, as well as more specific changes regarding the clientele of health-care resources and the cost to the community of those resources. Thus, in the 1950s and 1960s, there emerged an awar
4、eness in Western societies that resources for the provision of fossil fuel energy were finite and exhaustible and that the capacity of nature or the environment to sustain economic development and population was also finite. In other words, we became aware of the obvious fact that there were “limits
5、 to growth”. The new consciousness that there were also severe limits to health-care resources was part of this general revelation of the obvious. Looking back, it now seems quite incredible that in the national health systems that emerged in many countries in the years immediately after the 1939-45
6、 World War, it was assumed without question that all the basic health needs of any community could be satisfied, at least in principle; the “invisible hand” of economic progress would provide.3.（ ）However, at exactly the same time as this new realization of the finite character of health-care resour
7、ces was sinking in, an awareness of a contrary kind was developing in Western societies: that people have a basic right to health-care as a necessary condition of a proper human life. Like education, political and legal processes and institutions, public order, communication, transport and money sup
8、ply, health-care came to be seen as one of the fundamental social facilities necessary for people to exercise their other rights as autonomous human beings. People are not in a position to exercise personal liberty and to be self-determining if they are poverty-stricken, or deprived of basic educati
9、on, or do not live within a context of law and order. In the same way, basic health-care is a condition of the exercise of autonomy.4.（ ）Although the language of “rights” sometimes leads to confusion, by the late 1970s it was recognized in most societies that people have a right to health-care (thou
10、gh there has been considerable resistance in the United States to the idea that there is a formal right to health-care). It is also accepted that this right generates an obligation or duty for the state to ensure that adequate health care resources are provided out of the public purse. The state has
11、 no obligation to provide a health-care system itself, but to ensure that such a system is provided. Put another way, basic health-care is now recognized as a “public good”, rather than a “private good” that one is expected to buy for oneself. As the 1976 declaration of the World Health Organization
12、 put it: “The enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition.” As has just been remarked, in a liberal society basic health is seen as one of the indisp
13、ensable conditions for the exercise of personal autonomy.5.（ ）Just at the time when it became obvious that health-care resources could not possibly meet the demands being made upon them, people were demanding that their fundamental right to health-care be satisfied by the state. The second set of mo
14、re specific changes that have led to the present concern about the distribution of health-care resources stems from the dramatic rise in health costs in most OECD countries, accompanied by large-scale demographic and social changes which have meant, to take one example, that elderly people are now m
15、ajor (and relatively very expensive) consumers of health-care resources. Thus in OECD countries as a whole, health costs increased from 3.8% of GDP in 1960 to 7% of GDP in 1980, and it has been predicted that the proportion of health costs to GDP will continue to increase. (In the US the current fig
16、ure is about 12% of GDP, and in Australia about 7.8% of GDP.)As a consequence, during the 1980s a kind of doomsday scenario (analogous to similar doomsday extrapolations about energy needs and fossil fuels or about population increases) was projected by health administrator, economists and politicians. In this scenario, ever-rising health costs were matched against static or declining resources.问题1选项A.The connection between health-care and other hu
