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The need to reroute seriously ill patients because the community's critical-care beds are full is not good news. Earlier this week, four of the six local hospitals ran out of space for the critically ill and had to turn people away.
The federal laws require hospitals to treat anyone who walks in. As a result of having to treat large numbers of uninsured patients, the emergency rooms often become an economic drain on their hospitals. Doctors now want to set up their own free-standing ambulatory surgical facilities and diagnostic centers. Critics contend this would leave hospitals with less revenue and the same number of indigents to treat.
A bill was recently introduced to phase out the need for a "certificate of public need" for non-hospital-based facilities, provided those facilities met stringent regulations and requirements. The finance committee balked at the hefty price and killed the bill, another casualty of a failed legislative session.
Unfortunately, the problem of access to medical care is not going to go away anytime soon and, despite the well-intended regulations, too-full hospitals compromise everyone's welfare. Healthy competition with small neighborhood surgical and diagnostic centers may be what is necessary to help dampen rising medical costs. But under no circumstances should the hospitals be forced to care for everybody without health insurance without additional help.
1) The best conclusion to this passage is:
(A)If doctors want to run their own facilities, they should be required to take in at least some of the indigents.
(B)Something must be done to ensure adequate health care for the uninsured.
(C)Voters should tell the finance committee members that they will not be reelected if they do not pass some new legislation.
(D)Everyone should be very concerned when the area's emergency rooms turn away patients due to overcrowding.
(E)Health care costs have gotten way too high.
2) Which of the following best describes the author's mood?
3) Which of the following is cited as a reason why hospitals are being unfairly burdened?
I: Failed legislative session
II: Problem of access
III:Federal law
(A)I only
(B)II only
(C)III only
(D)I and II
(E)I, II, and III
4) The author cites the failed legislation in order to show that
(A)the legislature will never resolve this issue.
(B)the finance committee does not care about the uninsured citizens.
(C)there will always be uninsured hospital patients.
(D)the legislature recently attempted to resolve this issue.
(E)the doctors successfully lobbied the finance committee.
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1) A. The main idea of this passage is the role that non-hospital-based facilities should play in health care. Accordingly, A is the correct answer. It is the only choice that draws a conclusion about the role these institutions should play. Answer choices B and D are merely arguments that the author might advocate, given some of the supporting points made in the passage. The passage provides no facts to support choice E. Outside knowledge is never required to answer a reading comprehension question – and its use is never advisable. Choice C infers too much and in any event does not address a main point.
2) C. The author argues that small neighborhood diagnostic centers must not be allowed to gain an unfair business advantage over hospital emergency rooms by not having to shoulder the costs of caring for indigents. Answer choice D, despite the article's reference to the "consequence of a failed session," is too extreme to describe the author's overall tone. An extreme answer like this is never likely to be the correct answer choice on the GMAT. Choices A, B, and E are simply not correct.
3) E. All 3 of these reasons are cited in the passage. Answer E is correct even though the 3 arguments are not cited in this order, with reason III (federal law) being cited near the beginning of the passage rather than at the end.
4) D. The author's purpose in writing this passage is to inform the reader. Answer choice D is therefore correct because it says the author cited the failed legislation in order to inform the reader of something. Answer choice A makes an absolute and strongly-worded assertion. Its extreme tone alone should tell you that it can not be correct. Choice B is simply incorrect and it states a very strong opinion – something else the GMAT writers do not like test answers to do. Choice C is incorrect because it does not relate to the supporting fact referenced by the question. Choice E is also incorrect.
1. E is too general, B is in the right direction but A is more specific. Th author suggests easing the burden on overcrowded hospitals so shifting some uninsured cases to doctors would be a solution. C is not supported by evidence in the passage. D is a possible choice but somehow too evident
2. The author sounds concerned to me, "failed", "balked" are too colorful to be neutral. he's certainly not reverential and there's no positive take on the overcrowding problem.
3. Federal law is the only reason that is in place. Access problem is concequence of everyone walking in and patients being required to treat thim/her. Failed legislative session is the concequence of the finance committee killing the bill.
4. A - he doesn't make any predictions. B. they were put off by the high cost, but tat diesnt mean they don't care. C that' probably true generally but he doesn't say this in the "failed asession' part"
D - too broad an inference but acceptable. E - if they had the bill wouldn't have been killed.
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