Section E
Just as 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 more 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 major 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.
As a consequence, during the 1980s‖a kind of doomsday scenario was projected by health administrators, economists and politicians.In this scenario,‖ever-rising health costs were matched against static or declining resources.
主位推进模式分析:
T1+R1T2+R2∥T3+R3∥T4+R4∥
T5+R5∥
信息衔接上的重复:S2S3的主位推进是集中型,述位的一部分相同,主要是描述了health costs change, demographic and social changes,特别重复强调了health costs change。
逻辑关系:S3S4信息链接存在明显的因果逻辑关系,而S4S5的主位推进是延续型,表明意义上的延续。因此断定S4/S5是结果,S2/S3是其成因,语篇的中心内容是S2/S3所重点描述的health costs change及其所造成的结果。所以标题选项The impact of recent change为正确答案。
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