Narayana Hrudayalaya, a complex of health centers based in southern India, offers low-cost, high-quality specialty care in a largely poor country of 1.2 billion people. By thinking differently about everything from the unusually high number of patients it treats to the millions for whom it provides insurance, the hospital group is able to continually reduce costs. Narayana Hrudayalaya’s operations include the world’s largest and most productive cardiac (心脏病的) hospital, where the average open-heart surgery runs less than $2,000, a third or less what it costs elsewhere in India.
Narayana Hrudayalaya’s origins date back to 2001, when it built its massive cardiac center on the outskirts （市郊）of Bangalore. But it has expanded since then into what founder Dr. Devi Shetty calls a "health city," a series of centers specializing in eye, trauma, and cancer care. Narayana Hrudayalaya now manages or owns hospitals in 14 other Indian cities.
Expanding access is paired with a ongoing focus on efficiency. Typically, says Shetty, private hospitals in India focus on patients who can easily afford treatment. "We did it the other way around," he says. "This hospital is for poor people, but we also treat some rich people. We don’t look at people who are sgabbily dressed and have trouble paying as outsiders. "  Narayana Hrudayalaya’s flagship hospital has 3,000 beds and negotiates for better prices and buys directly from manufacturers, cutting out distributors.
In addition to cost-cutting, Narayana Hrudayalaya finds creative ways to make the economics work. The company started a micro-insurance program backed by the government that enables 3 million farmers to have coverage for as little as 22 cents a month in premiums（保险费）. Patients who pay discounted rates are in effect compensated by those who pay full price
Doing something--doing more, actually--is the point. By 2017, Shetty, 58, plans to expand from 5,000 beds throughout India to 30,000. Before becoming one of India’s best-known health-care entrepreneurs, Shetty was its best-known heart surgeon. He was interrupted in surgery one day during the 1990s by a request to make a house call. "I said, 'I don’t make home visits,'?" Shetty says, "and the caller said, 'If you see this patient, the experience may transform your life.'?" The request was from Mother Teresa. Inspired by the her work with the poor, he then set out to create a hospital to deliver care based on need, not wealth.  "One lesson she taught me," he says, quoting a saying he keeps framed in his office, "is 'Hands that sew are holier than lips that pray.'?"
【小题1】Narayana Hrudayalayastarted a micro-insurance to _______.

A．cut down on the cost of the treatment	B．get the support of the government
C．make the company run smoothly	D．attract more people to its hospital

【小题2】We can infer from the passage that _______.

A．the cost of medicine care in India is very low

B．Shetty wouldn’t have succeeded without Mother Teresa

C．Shetty and his colleagues are likely to make home visits now

D．Shetty has expanded his hospitals to most of other cities in India

【小题3】Why did Shetty build the massive cardiac center in 2001?

A．He wanted to build a health city.

B．He was motivated and decided to help more people.

C．He intended to develop his career in different areas.

D．He meant to help more poor people get free treatment.

【小题4】How would you understand the underlined sentence in the last paragraph ?

A．It’s doing something and doing more that really matters.

B．It’s not easy to take positive action to contribute to society.

C．Healthcare workers are the holiest persons in the world.

D．Praying alone is of no significance in face of difficult situation.

Narayana Hrudayalaya, a complex of health centers based in southern India, offers low-cost, high-quality specialty care in a largely poor country of 1.2 billion people. By thinking differently about everything from the unusually high number of patients it treats to the millions for whom it provides insurance, the hospital group is able to continually reduce costs. Narayana Hrudayalaya’s operations include the world’s largest and most productive cardiac (心脏病的) hospital, where the average open-heart surgery runs less than $2,000, a third or less what it costs elsewhere in India.

Narayana Hrudayalaya’s origins date back to 2001, when it built its massive cardiac center on the outskirts （市郊）of Bangalore. But it has expanded since then into what founder Dr. Devi Shetty calls a "health city," a series of centers specializing in eye, trauma, and cancer care. Narayana Hrudayalaya now manages or owns hospitals in 14 other Indian cities.

Expanding access is paired with a ongoing focus on efficiency. Typically, says Shetty, private hospitals in India focus on patients who can easily afford treatment. "We did it the other way around," he says. "This hospital is for poor people, but we also treat some rich people. We don’t look at people who are sgabbily dressed and have trouble paying as outsiders. "  Narayana Hrudayalaya’s flagship hospital has 3,000 beds and negotiates for better prices and buys directly from manufacturers, cutting out distributors.

In addition to cost-cutting, Narayana Hrudayalaya finds creative ways to make the economics work. The company started a micro-insurance program backed by the government that enables 3 million farmers to have coverage for as little as 22 cents a month in premiums（保险费）. Patients who pay discounted rates are in effect compensated by those who pay full price

Doing something--doing more, actually--is the point. By 2017, Shetty, 58, plans to expand from 5,000 beds throughout India to 30,000. Before becoming one of India’s best-known health-care entrepreneurs, Shetty was its best-known heart surgeon. He was interrupted in surgery one day during the 1990s by a request to make a house call. "I said, 'I don’t make home visits,'?" Shetty says, "and the caller said, 'If you see this patient, the experience may transform your life.'?" The request was from Mother Teresa. Inspired by the her work with the poor, he then set out to create a hospital to deliver care based on need, not wealth.  "One lesson she taught me," he says, quoting a saying he keeps framed in his office, "is 'Hands that sew are holier than lips that pray.'?"

1.Narayana Hrudayalayastarted a micro-insurance to _______.

A．cut down on the cost of the treatment       B．get the support of the government

C．make the company run smoothly            D．attract more people to its hospital

2.We can infer from the passage that _______.

A．the cost of medicine care in India is very low

B．Shetty wouldn’t have succeeded without Mother Teresa

C．Shetty and his colleagues are likely to make home visits now

D．Shetty has expanded his hospitals to most of other cities in India

3.Why did Shetty build the massive cardiac center in 2001?

A．He wanted to build a health city.

B．He was motivated and decided to help more people.

C．He intended to develop his career in different areas.

D．He meant to help more poor people get free treatment.

4.How would you understand the underlined sentence in the last paragraph ?

A．It’s doing something and doing more that really matters.

B．It’s not easy to take positive action to contribute to society.

C．Healthcare workers are the holiest persons in the world.

D．Praying alone is of no significance in face of difficult situation.

 

Dear Kind-Trustee-Who-Sends-Orphans-to-College,

       Here I am! I traveled yesterday for four hours in a train. It’s a funny feeling, isn’t it? I never rode in one before.

       College is the biggest, most puzzling place — I get lost whenever I leave my room. I will tell you more about it later when I’m feeling less confused; also I will tell you about my lessons. Classes don’t begin until Monday morning, and this is Saturday night. But I wanted to write a letter first just to get acquainted(认识的).

       It seems strange to be writing letters to somebody you don't know. It seems strange for me to be writing letters at all — I've never written more than three or four in my life, so please overlook it if these are not a model kind.

       Before leaving yesterday morning, Mrs. Lippett and I had a very serious talk. She told me how to behave all the rest of my life, and especially how to behave towards the kind gentleman who is doing so much for me. I must take care to be very respectful.

       But how can one be very respectful to a person who wishes to be called John Smith? Why couldn’t you have picked out a name with a little personality? I might as well write letters to Dear Flagpole or Dear Clothes-line.

       I have been thinking about you a great deal this summer; having somebody take an interest in me after all these years makes me feel as though I had found a sort of family. It seems as though I belonged to somebody now, and it’s a very comfortable feeling. I must say, however, that when I think about you, my imagination has very little to work upon. There are just three things that I know: I.You are tall. Ⅱ. You are rich. Ⅲ. You hate girls.

       I suppose I might call you Dear Mr. Girl-Hater. Only that's rather rude to me. Or Dear Mr. Rich-Man, but that's rude to you, as though money were the only important thing about you. Besides, being rich is such a very external（外在的） quality. Maybe you won’t stay rich all your life; lots of very clever men get broke in Wall Street. But at least you will stay tall all your life! So I've decided to call you Dear Daddy-Long-Legs. I hope you won’t mind. It’s just a private pet name we won’t tell Mrs. Lippett.

       The ten o’clock bell is going to ring in two minutes. Our day is divided into sections by bells. We eat and sleep and study by bells. It's very lifeful. There it goes! Lights out. Good night.

       Observe how precisely I obey rules — due to my training in the John Grier Home.

Yours most respectfully,

Jerusha Abbott

To Mr. Daddy-Long-Legs Smith

62. Jerusha thought that she couldn’t be very respectful to “John Smith” because __________.

       A. he was a total stranger to her                    B. she was sure it was a false identity

       C. the name was too common                        D. nobody would like to be called that way

63. According to Jerusha, being rich may be __________.

       A. temporary        B. unimaginable                 C. traditional              D. rude

64. The fact that her day is “divided into sections by bells” makes Jerusha feel __________.

       A. too busy                B. restricted by rules    C. pressed for time     D. full of energy

65. Jerusha decided to call the trustee Dear Daddy-Long-legs __________.

       A. in order to show her respect for him  

       B. because it was his only inner quality

       C. in order to make them feel closer to each other

     D. because she had always wanted a father

  When my grandmother moved into a retirement community named Seventy Five State Street last December, I didn’t know quite what to expect. I imagined the place as a terrible nursing home where the residents would need ____21___ to go to the bathroom and where the staff was cruel. To prove my assumption ___22__, my aunt took me to see my grandmother.

   The view of my grandmother’s room was beautiful. Her two rooms with a private bath were __23___ for someone in her 80s. The sofa and chairs were very comfortable. You could tell she ___24__ it.

   After our ___25__, my grandmother brought up the idea of my ___26__ at the retirement community. It was __27___ to visit, but to spend hours talking to old people and hearing their long, boring stories of family and wars didn’t ___28__ me, especially since it would be during my summer vacation. However, it was still winter, and with my busy life, I put the __29__ in the back of my mind. But my grandmother was ___30__ about her idea. To my surprise, she talked to the director without my ___31__. Eventually, I was ___32__ to have a try.

   After scheduling my first day, I became a little ___33__. I wasn’t sure if the residents would ___34__ me. When I finally went in for the beano (雇工宴席) on that summer afternoon, I was ___35__ by what I saw. Instead of a large beano hall crowded with ___36__ people, I found a warm, inviting center. I was immediately drawn into the nicely wallpapered, air-conditioned room.

   Over the next two months, I ___37__ more than 100 hours at Seventy Five State Street doing the beano, social gatherings, picnics and talking to people one-on-one. ___38__, the experience turned out to be well worth my time and efforts.

   It’s a(an) ___39__ feeling to walk down the halls of Seventy Five State Street and be stopped by a resident who doesn’t always know your name, ___40__ who knows you’re someone who cares.

21. A. time            B. help            C. permission        D. guidance

22. A. reasonable       B. good            C. wrong           D. honest

23. A. terrible          B. possible         C. necessary         D. great 

24. A. bought          B. cleaned          C. destroyed         D. liked

25. A. walk            B. ride             C. visit             D. report

26. A. staying          B. volunteering      C. studying          D. arriving

27. A. hard            B. nice             C. strange           D. useless

28. A. interest          B. worry            C. shock            D. satisfy

29. A. story            B. dream           C. suggestion         D goal

30. A. concerned        B. careless          C. angry             D. excited

31. A. promise          B. presence         C. agreement         D. preparation

32. A. told             B. persuaded        C. allowed           D. invited

33. A. bored            B. eager            C. anxious           D. upset

34. A. praise            B. believe          C. accept            D. remember

35. A. surprised         B. frightened        C. cheated           D. encouraged

36. A. famous           B. common         C. busy             D. old

37. A. wasted            B. saved           C. waited           D. spent

38. A. Unfortunately      B. Certainly         C. Hopefully        D. Basically

39. A. horrible           B. mixed            C. awesome        D. real

40. A. but               B. and              C. if               D. unless

Ever since Jerusha started her college, she began to write letters. Through a series of letters, from freshman to senior in college, she shared her life and study with an unknown gentleman, who never wrote back. Here is the very first letter.

Dear Mr. Kind, Here I am! I traveled yesterday for four hours in a train. It's a funny experience. I never rode in one before. College is the biggest, most confusing place — I get lost whenever I leave my room. I will tell you more later when I'm feeling less puzzled. Now I want to write a letter first just to get me familiar to you. It seems strange to be writing letters to somebody you don't know. It seems strange for me to be writing letters at all — I've never written more than three or four in my life, so please overlook it if they are not a model kind. Before leaving yesterday morning, Mrs. Lippett and I had a very serious talk. She told me how to behave, especially towards the kind gentleman who is doing so much for me. I must take care to be very respectful. I have been thinking of you a great deal this summer; having somebody take an interest in me after all these years makes me feel as though I had found a sort of family. It seems as though I belonged to somebody now, and it's a very comfortable feeling. I must say, however, that when I think about you, my imaqination has very little to work upon. There are just three things that I know: I .You are tall. II .You are rich. III. You hate girl. I suppose I might call you Dear Mr. Girl-Hater. Only that's rather unpleasant to me. Or Dear Mr. Rich-Man, but that's unpleasant to you, as though money were the only important thing about you. Maybe you won't stay rich all your life; But at least you will stay tall all your life! So I decide to call you Dear Daddy-long-legs. I hope you won't mind. It's just a private pet name — we won't tell Mrs. Lippett. The ten o'clock bell is going to ring in two minutes. Our day is divided by bells. We eat and sleep and study by bells. There it goes! Lights out. Good night. You can see how strictly I obey rules due to my training in the John Grier Home. Yours most respectfully, Jerusha Abbott

【小题1】Which of the following is NOT the reason for Jerusha to write the letter to Mr.Kind?

A．To get her familiar to him.

B．To present her thankfulness to him.

C．To share her brand-new college life with him.

D．To apologize to him for not writing letters too often.

【小题2】If Mrs. Lippett learned that the writer calls the man she writes to Daddy-long-legs, she would probably        .

A．burst into laughter	B．think it acceptable
C．criticize the writer	D．inform the man

【小题3】By "when I think about you, my imagination has very little to work upon.", the writer intends to tell us that       .

A．the man she writes to is dull and boring

B．she is not familiar with the one she writes to

C．it is not interesting at all to write to a stranger

D．she lacks imagination when it comes to writing a letter

【小题4】Jerusha was probably         while she worked on the letter.

A．curious

B．light-hearted

C．serious

D．skeptical