A
(2020·池州重点高中摸底)
Many Canadians are aware that problems with the nation’s health care system have resulted in a lack of hospital beds and medical equipment, overcrowded emergency rooms, long waiting lists, and not enough family doctors.
Over the last 10 years, the number of medical students choosing the family practice as their lifelong career has been dropping at a surprising rate. When asked why they lack interest in family medicine, the students cite(援引) a heavy student debt load and the long hours required of a doctor who is managing the family practice. As in other kinds of work, young doctors today want a balance between their professional and personal lives.
In British Columbia(BC) this problem is made worse because the province produces fewer medical graduates for each person than any other province in Canada. The provincial government has committed itself to doubling the number of medical student graduates. This strategy doesn’t come close to giving us the new doctors needed each year in BC to replace those who are retiring, moving out of the province, reducing their hours of practice, or dying.
The primary care system is showing its cracks. Ten years ago, 2，030 of BC’s family doctors were providing obstetrical(产科的) care. Today just 945 are performing this invaluable service. Although delivering babies is a “good news” area of medicine, the hours are long, but the reward for bringing new life into the world is modest. It’s no surprise, then, that many of BC’s family doctors are no longer taking on new patients. In 1999, there were 1，420 family doctors accepting new patients—in 2004 that number declined to 599, a drop of 58%.
The foundation of primary care needs to be strengthened. The Working Agreement between the doctors and the government includes a series of primary care renewal projects designed to make the family practice more attractive to medical graduates, improve upon working conditions, and entice family doctors from outside BC to start their business here. Yet still more needs to be done.
【解题导语】 本文是一篇说明文，主要介绍了加拿大家庭医生严重缺乏的问题。
1．What makes medical students unwilling to be family physicians?
A．The student debt and long working hours.
B．Long term of study at a medical school.
C．A limited number of places in the medical school.
D．An increasing number of patients and long waiting lists for specialists.
A 解析：细节理解题。根据第二段第二句“When asked why they lack interest in family medicine, the students cite(援引) a heavy student debt load and the long hours required of a doctor who is managing the family practice.”可知，学生债务负担和工作时间长成为阻碍医科学生选择成为家庭医生的两大障碍，故选A。
2．What does the text say about family doctors in BC?
A．They are no longer needed.
B．They are too few in number.
C．They will soon become abundant.
D．They are rapidly leaving the province.
B 解析：细节理解题。根据第四段第二、三句“Ten years ago, 2，030 of BC’s family doctors were providing obstetrical(产科的) care. Today just 945 are performing this invaluable service.”，并结合本段最后一句“In 1999, there were 1，420 family doctors accepting new patients—in 2004 that number declined to 599, a drop of 58%.”可知，在BC，家庭医生的数量在急剧下降，缺口很大，故选B。
3．Which can replace the underlined word “entice” in the last paragraph?
A．Forbid. B．Hire.
C．Remind. D．Attract.
D 解析：词义猜测题。根据最后一段第二句中的关键词“attractive”和“improve”可推知，画线词在此处的含义与D项“吸引”相近，故选D。
4．What is the primary purpose of the text?
A．To show sympathy for family doctors.
B．To inspire young people to be family doctors.
C．To stress the urgent need of more family doctors.
D．To tell the disadvantages of being family doctors.
C 解析：写作意图题。根据第一段的点题，并结合全文的内容可推知，本文主要介绍了加拿大家庭医生严重缺乏的问题，故选C。
