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题库 / Prep2007E1-CR-72
United States hospitals have traditionally relied primarily on revenues from paying patients to offset losses from unreimbursed care. Almost all paying patients now rely on governmental or private health insurance to pay hospital bills. Recently, insurers have been strictly limiting what they pay hospitals for the care of insured patients to amounts at or below actual costs.
Which of the following conclusions is best supported by the information above?
Although the advance of technology has made expensive medical procedures available to the wealthy, such procedures are out of the reach of low-income patients.
If hospitals do not find ways of raising additional income for unreimbursed care, they must either deny some of that care or suffer losses if they give it.
Some patients have incomes too high for eligibility for governmental health insurance but are unable to afford private insurance for hospital care.
If the hospitals reduce their costs in providing care, insurance companies will maintain the current level of reimbursement, thereby providing more funds for unreimbursed care.
Even though philanthropic donations have traditionally provided some support for the hospitals, such donations are at present declining.
背景信息——在美国，没有资格参加公立医疗保险的民众大多自行购买商业医疗保险，但有一些美国人没有任何医疗保险。无论在何种类型的医院，都会出现一部分无保险或保险不足的患者(Uninsured or Underinsured Patients)在接受医疗服务后无力支付医疗费用的情形[9]。这种情形在美国被称为“未获补偿的服务”(Unreimbursed Care)，也就是所谓的“欠费服务”。由于美国采取先看病后收费的制度，而且为所有到急诊部求医的病人提供医疗服务是急救医生长期坚持的传统，因而“欠费”的情形在美国医院的急诊部经常发生。事实上，在任何类型的医院都会出现“欠费”的情形，但是有研究显示，在公立医院和民办非营利性医院中，出现“欠费服务”的情形相对来说较多。从某种意义上说，公立医院的职责之一就是为低收入人群提供基本的医疗服务，无论其是否“欠费”，这就是其公益性的体现。
Recently, insurers have been strictly limiting what they pay hospitals for the care of insured patients to amounts at or below actual costs.——用来offset的钱少了
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