题目
What does the author mean by saying “the Americans are in a mess”?A. The problem lies in the fact that public system is not a free competition system.B. The public system coexists with the private system.C. The private system has more influence than the public system.D. There is something wrong with the way health care is organized and financed.
What does the author mean by saying “the Americans are in a mess”?
A. The problem lies in the fact that public system is not a free competition system.
B. The public system coexists with the private system.
C. The private system has more influence than the public system.
D. There is something wrong with the way health care is organized and financed.
题目解答
答案
D. There is something wrong with the way health care is organized and financed.
解析
本题考查对文章中特定语句的理解，需要结合上下文判断作者用“mess”一词所表达的核心观点。关键点在于明确“Americans are in a mess”这一比喻所指代的具体问题，需联系文章中关于美国医疗体系组织和资金分配的描述。解题核心是区分选项中对问题本质的正确概括与干扰项中的表面现象。
选项分析：
- A选项提到“公共系统不是自由竞争系统”，但文章未将问题归因于缺乏竞争，而是强调系统本身的组织方式。
- B选项“公私系统共存”仅描述现象，未指出问题本质。
- C选项“私人系统影响更大”属于对作者观点的曲解，文章批评的是整体组织方式而非单一系统。
- D选项“医疗组织和资金方式有误”直接对应作者对美国医疗体系混乱的根本判断，符合上下文逻辑。
结论： 作者通过“mess”批评美国医疗体系在组织和资金分配上的缺陷，而非单纯讨论系统类型或共存关系。