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24 Mar 2005, 05:42
Since Would War II considerable advances have been made in the area of health-care services. These include better access to health care (particularly for the poor and minorities), improvements in physical plants, and increased numbers of physicians and other health personnel. All have played a part in the recent improvement in life expectancy. But there is mounting criticism of the large remaining gaps in access, unbridled cost inflation, the further fragmentation of service, excessive indulgence in wasteful high-technology â€œgadgeteering,â€
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24 Mar 2005, 19:55
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25 Mar 2005, 00:51
prep_gmat wrote:
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25 Mar 2005, 19:56
Author makes an observation on the progress made in the realm of health care services and also points out that we are faced with a few problems. In the second paragraph, he talks about why such problems are pervasive and in the third he highlights that even though there are problems, they are not as grave as they are made out to be and gives an example of how it has actually worked in the case of kaiser and puget.

1
The author implies that the Kaiser Foundation and Puget Sound plans (lines 47-48) differed from other plans by

(C) providing incentives for cost control

Author identifies that the costs of traditional health care services are out of hand and he discusses the structural problems that cause this in the traditional systems and then cites kaiser and puget as exceptions, so one can infer it is based on cost. He also cites that Kaiser and Puget exercised self restraint and frugality, so your anser choice must be cost related.

2
The author cites the prepaid plans in lines 46-48 as
(A) counterexamples to the claim that nothing has worked

He indicates that kaiser and puget are prepaid plans that have worked and is a counterexample to the claim nothing has worked.
"Nor is it true that everything has been tried and nothing works, as shown by the prepaid group practice plans of the Kaiser Foundation and at Puget Sound".

3 Which of the following best describes the logical structure of the selection?
A) The third paragraph is intended as a refutation of the first and second paragraphs.
In the third he is accepting that there are some challenges with getting health care services right, so he is not refuting.
(B) The second and third paragraphs explain and put into perspective the points made in the first paragraph.
He seems to elaborate and give context on the points he made in the first with his second and third para.
(C) The first paragraph describes a problem, and the second and third paragraphs present two horns of a dilemma.
1st para also describes the progress and there is not much of a dilemma in the passage.
(D) The first paragraph describes a problem, the second its causes, and the third a possible solution.
third describes a system that has worked, not a solution as such, first talks about the progress and challenges, not just the problem. 2nd does talk about the causes of some of the problems
I will pick B here.

4 The tone of the passage can best be described as
(A) light-hearted and amused
(B) objective but concerned
(C) detached and unconcerned
(D) cautious but sincere
(E) enthusiastic and enlightened

The choice is between B and D. Pick B, as the author takes a balanced approach backed by several reasons for making his case and he shows concern with "In the main, however, such undertakings have been drowned by a veritable flood of public and private moneys which have supported and encouraged the continuation of conventional practices and subsidized their shortcomings on a massive, almost unrestricted scale."
25 Mar 2005, 19:56
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