The health care system is certainly going through profound change. Health maintenance organizations and other forms of managed care are expanding rapidly. As managed care grows, demand for hospital care shrinks. Hospitals are merging, closing beds and cutting jobs; some new buildings stand vacant. The incomes of specialists in some areas are dropping, and primary-care practitioners are in demand. Once stubbornly independent physicians are selling their practices to hospitals and insurers or taking a fixed payment per enrolled patient and accepting the discipline of the corporation.
1. What is the writers attitude towards the Congresss move to change the principles on which Medicare and Medicaid were established 30 years ago?
A) Ironic
B) Humorous.
C) Sympathetic
D) Critical.
2. The phrase behind closed doors in the second paragraph could best be replaced by which of the following?
A) At home
B) In secret
C) In a room secure from attack
D) In prison
3. Republicans have been holding meetings behind closed doors in order to
A) mobilize support from their opponents.
B) Prepare for the upcoming national debate.
C) Release their proposals without running into any trouble
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