Many rural areas in the United States have no doctor. Some medical schools are trying different ways to treat the problem . One idea is to educate doctors in smaller communities and hope they stay. Dr. William Cathcart-Rake heads a new program at the University of Kansas in the Midwest.
“We need more doctors. There’s somewhere like a quarter of all of our physicians in Kansas who are sixty years of age or older. So we need to be replacing physicians, too.”Says Dr. William Cathcart. He also says medical students from rural areas now typically study in Wichita or Kansas City, two of the biggest cities in Kansas. They say, “You know, I really have every intention of coming back to rural Kansas,”but they meet a soul mate, they get married, their soul mate happens to be from a big city and we never see them again. They get captured in the big city. Hopefully, if we train them in smaller communities, they can meet the future spouses here , they can network here, and they have those connections which can hopefully be lifelong.
The program is based in Kansas’ tenth largest city , Salina, home to about fifty thousand people. Salina is about a three-hour drive from Kansas City, past fields of corn, soybeans and cattle.
Student Claire Hinrichsen grew up in a town of about six hundred people. She attended the University of Kansas, or KU, as an undergraduate. One reason why the chose the Salina program is because of the size. There are only eight students—the smallest medical school in the country. Classes are taught by professors in Salina or on a video link from Kansas City or Wichita.
Students who complete the four year program will then do their residency training in a small community in the surrounding area. One place a resident might work is the Clay Center Clinic, where Dr. Kerry Murphy is a family physician.
Rural doctors generally serve older, poorer patients. Going into a specialty in a big city can mean better working hours and more money to pay off student loans.
The Salina program will pay tuition for each year that students practice in a rural area in Kansas.
【小题1】What does the underlined word “spouses”in Paragraph 2 mean?

Great changes ________ in the rural areas in the last two decades．

1. A.
   have taken place
2. B.
   took place
3. C.
   have been taken place
4. D.
   are happening

Great changes_______ in the rural areas in the last two decades.

   A．have taken place   B. took place  C. have been taken place  D. are happening

About 270 million people in rural areas in China have no        to safe drinking water.

    A．entrance B．access   C．solutions    D．sources