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Directions:Readthefollowingtext.Choosethebest wordsforeachnumberedblankandmarkABCorDonAnswerSheet1. Inanidealworldthenation’selite schoolswouldenrollthemostqualifiedstudents.Butthat’snothowit 1.Applicantswhoseparentsarealumsgetspecialtreatment as2athletesandrichkids.Underrepresented minoritiesarealsogiven3.Thirtyyearsofaffirmative actionhavechangedthecharacterof4whiteuniversities; nowabout13percentofallundergraduatesareblackorLatino.5 arecentstudybytheCenturyFoundationfoundthatatthenation’s 146most6schools74percentofstudentscamefromupper middle-classandwealthyfamilieswhileonlyabout5percentcamefromfamilies withanannualincomeof7$35000orless. Manyschoolssaydiversity--racialeconomicandgeographic--is 8tomaintainingintellectually9 campuses.ButRichardKahlenbergoftheCenturyFoundationsaysthat eventhoughcolleges10theywantpoorkidstheydon’t tryveryhardtofindthem.11ruralstudentsmany collegesdon’ttryatall.Unfortunatelywegowherewecan 12asizablenumberofpotentialapplicantssaysTulane admissionschiefRichardWhitesidewho13aggressively andinperson--frommetropolitanareas.Kidsinruralareasgeta glossy14inthemail.Evenwhenpoorrural studentshavethe15fortopcollegestheirhighschools oftendon’tknowhowtogetthemthere.Admissionsofficers16 guidancecounselorstodirectthemtopromisingprospects.In 17highschoolsguidancecounselorsoftenhavepersonal 18withbothkidsandadmissionsofficers.Inruralareasa teacheracounseloror19analumnuscanhelpputarural studentonourradarscreensaysWesleyanadmissionsdeanNancyMeislahn.But poorruralschoolsrarelyhavecollege20withthose connections;withoutthemadmissioncanbeacrapshootsaysCarnegie Mellon’sSteidel.
本题为选做题请在ⅠⅡ两道试题中选取其中一道作答若两题都回答只按第1道试题的成绩计入总分 选做题Ⅰ 材料1 2002年5月__同志在中央党校的重要讲话指出联系党成立以来的全部历史经验总结我们党带领人民建设有中国特色社会主义事业必须坚持的基本经验归结起来就是我们党必须始终代表中国先进生产力的发展要求代表中国先进文化的前进方向代表中国最广大人民的根本利益 材料2 2001年7月__在纪念中国__成立八十周年大会上讲话指出代表中国先进生产力的发展要求代表中国先进文化的前进方向代表中国最广大人民的根本利益是统一的整体相互联系相互促进发展先进的生产力是发展先进文化实现最广大人民根本利益的基础条件人民群众是先进生产力和先进丈化的创造主体也是实现自身利益的根本力量不断发展先进生产力和先进文化归根到底都是为了满足人民群众日益增长的物质文化生活需要不断实现最广大人民的根本利益 请回答 1．阅读材料1结合所学的知识说明__同志关于必须始终代表中国最广大人民的根本利益思想的依据及其重大意义 2．阅读材料2结合所学的知识说明为什么说人民群众是先进生产力和先进文化的创造主体
Text3 Fiercelyindependent90year-old VincenziaRinaldiwouldn’tconsiderahomehealthaideornursinghome.So LouisCritellihernephewhadtocoaxthewidowedhomemakerintoassisted livingthenation’sgrowinglong-termcareoptionfortheelderly.For$1100 amonthRinaldibecamethereluctantresidentofanefficiencyunitwhereshe couldstillsimmerhermuch-lovedtomatosauceandwherecaregiverswouldmake sureshetookherpills.Instead30monthslatershedied. Notbecauseshewasold.ButbecauseaidesathernewhomeLoretto UticaCenteroneofthemodernhotel-stylefacilitiesthathavesprouted acrossthecountryoverthepastdecademistakenlygaveheranotherresident’s prescriptionmedication.Thaterrorledtoherdeathstateinspectors concluded.NeitherthestatenorLorettotoldhernephewabout thecauseofdeath.Critellithinkinghisaunthadbeenproperlycaredfor onlylearnedofthefindingyearslaterfromUSATODAY.Whentheyfind somethingblatantlikethatyou’dthinkthey’dtellthefamilytheshaken nephewtoldareporterafteralongpause.AUSATODAY investigationshowsthatRinaldi’sdeathrepresentsthetragicextremeina patternofmistakesandviolationsthatleadtoscoresofinjuriesand occasionaldeathsamongtheestimated1millionelderlyresidentsofassisted livingfacilities.Thecentersarethestateregulatedlargelyprivate-pay residencesthathelpseniorswithmedicationandotheractivitiesofdaily life.InawideranginganalysisUSATODAYreviewedtwoyears ofinspectionrecordswithin2000-02formorethan5300assistedliving facilitiesinsevenstates:AlabamaArizonaColoradoFloridaIndianaNew YorkandTexas.Theprecisetimeperiodvariedslightlyfromstateto state.Theanalysiscoveredabroadrange--frommom-and-popfacilitieswithjust afewresidentstocorporateruncenterswithscoresofbedsand’manylevelsof care.Itisthefirsttimesuchdatahavebeengatheredandanalyzedacrossso manystates.Thereviewincludedless-detaileddatafromfiveotherstates andfocusedonbroadquality-of-carecategoriestocompensateforvariationsin regulationsfromstatetostate.Asaffluentandmiddle-class Americanscopewiththeinfirmitiesofagemanyturntoassistedlivingasan alternativetoanursinghomeindustrythathasbeenperiodicallyplaguedby abuseorneglectscandals.Eventhoughassistedlivingfacilitiesgenerally don’tprovide24-hourskilledmedicalcaretheyincreasinglyserveseniorswho onlyadecadeagomighthavebeeninnursing homes.Thefirstparagraphimpliesthat
Directions:Readthefollowingtext.Choosethebest wordsforeachnumberedblankandmarkABCorDonAnswerSheet1. Inanidealworldthenation’selite schoolswouldenrollthemostqualifiedstudents.Butthat’snothowit 1.Applicantswhoseparentsarealumsgetspecialtreatment as2athletesandrichkids.Underrepresented minoritiesarealsogiven3.Thirtyyearsofaffirmative actionhavechangedthecharacterof4whiteuniversities; nowabout13percentofallundergraduatesareblackorLatino.5 arecentstudybytheCenturyFoundationfoundthatatthenation’s 146most6schools74percentofstudentscamefromupper middle-classandwealthyfamilieswhileonlyabout5percentcamefromfamilies withanannualincomeof7$35000orless. Manyschoolssaydiversity--racialeconomicandgeographic--is 8tomaintainingintellectually9 campuses.ButRichardKahlenbergoftheCenturyFoundationsaysthat eventhoughcolleges10theywantpoorkidstheydon’t tryveryhardtofindthem.11ruralstudentsmany collegesdon’ttryatall.Unfortunatelywegowherewecan 12asizablenumberofpotentialapplicantssaysTulane admissionschiefRichardWhitesidewho13aggressively andinperson--frommetropolitanareas.Kidsinruralareasgeta glossy14inthemail.Evenwhenpoorrural studentshavethe15fortopcollegestheirhighschools oftendon’tknowhowtogetthemthere.Admissionsofficers16 guidancecounselorstodirectthemtopromisingprospects.In 17highschoolsguidancecounselorsoftenhavepersonal 18withbothkidsandadmissionsofficers.Inruralareasa teacheracounseloror19analumnuscanhelpputarural studentonourradarscreensaysWesleyanadmissionsdeanNancyMeislahn.But poorruralschoolsrarelyhavecollege20withthose connections;withoutthemadmissioncanbeacrapshootsaysCarnegie Mellon’sSteidel.
Directions:Readthefollowingtext.Choosethebest wordsforeachnumberedblankandmarkABCorDonAnswerSheet1. Inanidealworldthenation’selite schoolswouldenrollthemostqualifiedstudents.Butthat’snothowit 1.Applicantswhoseparentsarealumsgetspecialtreatment as2athletesandrichkids.Underrepresented minoritiesarealsogiven3.Thirtyyearsofaffirmative actionhavechangedthecharacterof4whiteuniversities; nowabout13percentofallundergraduatesareblackorLatino.5 arecentstudybytheCenturyFoundationfoundthatatthenation’s 146most6schools74percentofstudentscamefromupper middle-classandwealthyfamilieswhileonlyabout5percentcamefromfamilies withanannualincomeof7$35000orless. Manyschoolssaydiversity--racialeconomicandgeographic--is 8tomaintainingintellectually9 campuses.ButRichardKahlenbergoftheCenturyFoundationsaysthat eventhoughcolleges10theywantpoorkidstheydon’t tryveryhardtofindthem.11ruralstudentsmany collegesdon’ttryatall.Unfortunatelywegowherewecan 12asizablenumberofpotentialapplicantssaysTulane admissionschiefRichardWhitesidewho13aggressively andinperson--frommetropolitanareas.Kidsinruralareasgeta glossy14inthemail.Evenwhenpoorrural studentshavethe15fortopcollegestheirhighschools oftendon’tknowhowtogetthemthere.Admissionsofficers16 guidancecounselorstodirectthemtopromisingprospects.In 17highschoolsguidancecounselorsoftenhavepersonal 18withbothkidsandadmissionsofficers.Inruralareasa teacheracounseloror19analumnuscanhelpputarural studentonourradarscreensaysWesleyanadmissionsdeanNancyMeislahn.But poorruralschoolsrarelyhavecollege20withthose connections;withoutthemadmissioncanbeacrapshootsaysCarnegie Mellon’sSteidel.
Text2 House-pricefallsaregathering momentumandarespreadingacrosstheUKaccordingtoamonthlypollof surveyorswhichonMondaydelivereditsgloomiestreadingfornearly12 years.Fifty-sixpercentofsurveyorscontactedbytheRoyal InstitutionofCharteredSurveyorsreportedpricefallsinthethreemonthsto October.Only3percentsawpricesriseintheirareacomparedwith58 percentasrecentlyasMay.Therewasfurtherevidenceof slowingactivityinthepropertymarketasthenumberofsalespersurveyor divedtoanine-yearlow.Unsoldstockonagents’bookshasincreased10per centsincethesummer.IanPerryRics’nationalhousingspokesmansaid itwasnowveryclearthatbuyerswereunsettledbyhigherinterest rates.TheBankofEnglandraisedratesfivetimesto4.75per centoverthelastyeartocoolthepropertyboom.Buthealso blamedcommentsbyMervynKingtheBank’sgovernorandmisleadingmedia headlinesforinjectingadditionaluncertaintyintothemarketbycontinued speculationovermoreseriouspricedeclines.MervynKing presumablyfeltthathehadtobemoreexplicitinthesummerwhenpeoplewere stillbuying.Hiswarningsofadropinpropertypricesthenhavehadthe desiredeffect.Butourconcernnowisthatthependulumis swingingtoofarbesaid.LastweektheBank’smonetary policycommitteepredictedforthefirsttimethathousepricesmayfall modestlyforaperiodinitsNovemberinflationreport.TheNationwideand Halifaxmortgagelendersbothshowedamodestmonthlydeclineinhousepricesin theirlatestloanapprovaldata.Althoughthemajorityof surveyorsexpectpricestofallfurtherinthenextthreemonthsMr.Perry stressedthereweresignsofstabilizingdemandfrombuyersinLondon. Londontendstobeaheadoftherestofthemarket.Andagentsare tellingusthatmorepeoplearelookingtobuy.Itismuchbetterthanitwas Mr.Perrysaid.Howeverfallingpricescontinuedtospreadfrom theSouthofEnglandassurveyorsreportedthefirstcleardeclineinpricesin YorkshireandtheHumberthenorthandthenorthwest.Scotlandremainedthe onlyregionwithrisingprices.IntermsofthefutureofthepropertymarketMr.Perryseems
Directions:Readthefollowingtext.Choosethebest wordsforeachnumberedblankandmarkABCorDonAnswerSheet1. Inanidealworldthenation’selite schoolswouldenrollthemostqualifiedstudents.Butthat’snothowit 1.Applicantswhoseparentsarealumsgetspecialtreatment as2athletesandrichkids.Underrepresented minoritiesarealsogiven3.Thirtyyearsofaffirmative actionhavechangedthecharacterof4whiteuniversities; nowabout13percentofallundergraduatesareblackorLatino.5 arecentstudybytheCenturyFoundationfoundthatatthenation’s 146most6schools74percentofstudentscamefromupper middle-classandwealthyfamilieswhileonlyabout5percentcamefromfamilies withanannualincomeof7$35000orless. Manyschoolssaydiversity--racialeconomicandgeographic--is 8tomaintainingintellectually9 campuses.ButRichardKahlenbergoftheCenturyFoundationsaysthat eventhoughcolleges10theywantpoorkidstheydon’t tryveryhardtofindthem.11ruralstudentsmany collegesdon’ttryatall.Unfortunatelywegowherewecan 12asizablenumberofpotentialapplicantssaysTulane admissionschiefRichardWhitesidewho13aggressively andinperson--frommetropolitanareas.Kidsinruralareasgeta glossy14inthemail.Evenwhenpoorrural studentshavethe15fortopcollegestheirhighschools oftendon’tknowhowtogetthemthere.Admissionsofficers16 guidancecounselorstodirectthemtopromisingprospects.In 17highschoolsguidancecounselorsoftenhavepersonal 18withbothkidsandadmissionsofficers.Inruralareasa teacheracounseloror19analumnuscanhelpputarural studentonourradarscreensaysWesleyanadmissionsdeanNancyMeislahn.But poorruralschoolsrarelyhavecollege20withthose connections;withoutthemadmissioncanbeacrapshootsaysCarnegie Mellon’sSteidel.
Directions:Readthefollowingtext.Choosethebest wordsforeachnumberedblankandmarkABCorDonAnswerSheet1. Inanidealworldthenation’selite schoolswouldenrollthemostqualifiedstudents.Butthat’snothowit 1.Applicantswhoseparentsarealumsgetspecialtreatment as2athletesandrichkids.Underrepresented minoritiesarealsogiven3.Thirtyyearsofaffirmative actionhavechangedthecharacterof4whiteuniversities; nowabout13percentofallundergraduatesareblackorLatino.5 arecentstudybytheCenturyFoundationfoundthatatthenation’s 146most6schools74percentofstudentscamefromupper middle-classandwealthyfamilieswhileonlyabout5percentcamefromfamilies withanannualincomeof7$35000orless. Manyschoolssaydiversity--racialeconomicandgeographic--is 8tomaintainingintellectually9 campuses.ButRichardKahlenbergoftheCenturyFoundationsaysthat eventhoughcolleges10theywantpoorkidstheydon’t tryveryhardtofindthem.11ruralstudentsmany collegesdon’ttryatall.Unfortunatelywegowherewecan 12asizablenumberofpotentialapplicantssaysTulane admissionschiefRichardWhitesidewho13aggressively andinperson--frommetropolitanareas.Kidsinruralareasgeta glossy14inthemail.Evenwhenpoorrural studentshavethe15fortopcollegestheirhighschools oftendon’tknowhowtogetthemthere.Admissionsofficers16 guidancecounselorstodirectthemtopromisingprospects.In 17highschoolsguidancecounselorsoftenhavepersonal 18withbothkidsandadmissionsofficers.Inruralareasa teacheracounseloror19analumnuscanhelpputarural studentonourradarscreensaysWesleyanadmissionsdeanNancyMeislahn.But poorruralschoolsrarelyhavecollege20withthose connections;withoutthemadmissioncanbeacrapshootsaysCarnegie Mellon’sSteidel.
Directions:Readthefollowingtext.Choosethebest wordsforeachnumberedblankandmarkABCorDonAnswerSheet1. Inanidealworldthenation’selite schoolswouldenrollthemostqualifiedstudents.Butthat’snothowit 1.Applicantswhoseparentsarealumsgetspecialtreatment as2athletesandrichkids.Underrepresented minoritiesarealsogiven3.Thirtyyearsofaffirmative actionhavechangedthecharacterof4whiteuniversities; nowabout13percentofallundergraduatesareblackorLatino.5 arecentstudybytheCenturyFoundationfoundthatatthenation’s 146most6schools74percentofstudentscamefromupper middle-classandwealthyfamilieswhileonlyabout5percentcamefromfamilies withanannualincomeof7$35000orless. Manyschoolssaydiversity--racialeconomicandgeographic--is 8tomaintainingintellectually9 campuses.ButRichardKahlenbergoftheCenturyFoundationsaysthat eventhoughcolleges10theywantpoorkidstheydon’t tryveryhardtofindthem.11ruralstudentsmany collegesdon’ttryatall.Unfortunatelywegowherewecan 12asizablenumberofpotentialapplicantssaysTulane admissionschiefRichardWhitesidewho13aggressively andinperson--frommetropolitanareas.Kidsinruralareasgeta glossy14inthemail.Evenwhenpoorrural studentshavethe15fortopcollegestheirhighschools oftendon’tknowhowtogetthemthere.Admissionsofficers16 guidancecounselorstodirectthemtopromisingprospects.In 17highschoolsguidancecounselorsoftenhavepersonal 18withbothkidsandadmissionsofficers.Inruralareasa teacheracounseloror19analumnuscanhelpputarural studentonourradarscreensaysWesleyanadmissionsdeanNancyMeislahn.But poorruralschoolsrarelyhavecollege20withthose connections;withoutthemadmissioncanbeacrapshootsaysCarnegie Mellon’sSteidel.
Directions:Inthefollowingarticlesomesentences havebeenremoved.ForQuestions41-45choosethemostsuitableonefromthe listA--Gtofitintoeachofthenumberedblank.Therearetwoextra choiceswhichdonotfitinanyoftheblanks.MarkyouranswersonAnswer Sheet1. ThegovernmentpanelthatsetsU.S.vaccinepolicy alreadyhasbegundiscussinguniversalimmunizationasawaytoboost vaccinationratesandreduceflu-linkedsicknessanddeathDr.ScottHarperof thefederalCentersforDiseaseControlandPreventionsaidatavaccinemeeting thisweek.41___________________Harper acknowledgedthattherecentcrisismomentarilyupstageduniversalimmunization discussionsbutsaiditremainsaviableproposal.42 ___________________Thevaccinemeetingheldeveryyearseeks tosetanagendafortheupcomingfluseason.Participantsmanywitha financialstakeingettingmorepeoplevaccinated--saidtheuniversal vaccinationpushislikelytocomewithinthenextfiveyears. 43___________________Alsofluvaccineisaltered everyyearbecausetherearealwaysdifferentflustrainscirculating.The unusedvaccineisdiscardedatseason’sendmakingflushotsfinancially unappealingformanufacturers.44 ___________________SanofiPasteur’sPhilipHosbachsaidthe companyhastwoidleU.S.factoriesbecausethere’snotthereturnonthe investment.Universalvaccinationcouldinthelongtermhelpstabilizesupply ifitincreaseddemandhesaid.45 ___________________Demandhashistoricallybeenaproblemtoo. Millionsoftheat-riskpatientsroutinelyskipannualshots.Somepeople worrythevaccineisn’tsafeortheysimplydon’tlikeshotsbutmanyalso underestimatetheseriousnessofflusaidDr.AnnO’Malleyaresearcheratthe CenterforStudyingHealthSystemChange.A.Partofour jobistojustkeepthisissueontheradarscreenHarpertoldvaccine providersdistributorsandmanufacturersatthenationalfluvaccinesummit here.B.SofaronlyonecompanySanofiPasteurislicensedto makeU.S.fluvaccinefortheupcomingseasonthoughpublichealth officialshopetwoothersincludingChironwillsoongainapproval. C.Estimatessuggestthatinanaverageyearfluinfectsabout82million peoplenationwidehospitalizes200000andkills36000.D.Dr. HerbYoungoftheAmericanAcademyofFamilyPhysicianssaidrecommendingshots foreveryonecouldeasetheconfusion--andthathisgroupismovingtoward supportingtheidea.E.Thehurdlessomeobserverssayare daunting.Unstablesupplyisoneofthebiggest.Thisyearthebestcase scenario--havingabout90millionshotsavailable--isn’tevenenoughforthe180 millionhigh-riskpeopleadvisedtogetshotsletalonethetotal populationof280million.F.Theendofachaoticseasonwhere manypeopleseekingflushotswereturnedawaybecauseofashortagemightseem anoddtimetobroachtheideaofvaccinatingevenmorepeople. G.ButI’raLonginianEmoryUniversitybiostatisticianwhospecializes invaccineanalysissaiduniversalvaccinationwouldbeunworkableunless supplyproblemscanberesolved.
Text2 House-pricefallsaregathering momentumandarespreadingacrosstheUKaccordingtoamonthlypollof surveyorswhichonMondaydelivereditsgloomiestreadingfornearly12 years.Fifty-sixpercentofsurveyorscontactedbytheRoyal InstitutionofCharteredSurveyorsreportedpricefallsinthethreemonthsto October.Only3percentsawpricesriseintheirareacomparedwith58 percentasrecentlyasMay.Therewasfurtherevidenceof slowingactivityinthepropertymarketasthenumberofsalespersurveyor divedtoanine-yearlow.Unsoldstockonagents’bookshasincreased10per centsincethesummer.IanPerryRics’nationalhousingspokesmansaid itwasnowveryclearthatbuyerswereunsettledbyhigherinterest rates.TheBankofEnglandraisedratesfivetimesto4.75per centoverthelastyeartocoolthepropertyboom.Buthealso blamedcommentsbyMervynKingtheBank’sgovernorandmisleadingmedia headlinesforinjectingadditionaluncertaintyintothemarketbycontinued speculationovermoreseriouspricedeclines.MervynKing presumablyfeltthathehadtobemoreexplicitinthesummerwhenpeoplewere stillbuying.Hiswarningsofadropinpropertypricesthenhavehadthe desiredeffect.Butourconcernnowisthatthependulumis swingingtoofarbesaid.LastweektheBank’smonetary policycommitteepredictedforthefirsttimethathousepricesmayfall modestlyforaperiodinitsNovemberinflationreport.TheNationwideand Halifaxmortgagelendersbothshowedamodestmonthlydeclineinhousepricesin theirlatestloanapprovaldata.Althoughthemajorityof surveyorsexpectpricestofallfurtherinthenextthreemonthsMr.Perry stressedthereweresignsofstabilizingdemandfrombuyersinLondon. Londontendstobeaheadoftherestofthemarket.Andagentsare tellingusthatmorepeoplearelookingtobuy.Itismuchbetterthanitwas Mr.Perrysaid.Howeverfallingpricescontinuedtospreadfrom theSouthofEnglandassurveyorsreportedthefirstcleardeclineinpricesin YorkshireandtheHumberthenorthandthenorthwest.Scotlandremainedthe onlyregionwithrisingprices.Paragraphs2and3arewrittento
__指出马克思主义必须是同中国实际相结合的马克思主义社会主义必须是切合中国实际的有中国特色的社会主义这句话的含义是
在德国古典哲学中对马克思主义创始人影响较大的是
中国共产__委员会关于建国以来党的若干历史问题的决议中指出以__同志为主要代表的中国__人根据马克思列宁主义的基本原理把中国长期革命实践中的一系列独创性经验作了理论概括形成了适合中国情况的科学指导思想这就是马克思列宁主义普遍原理和中国革命具体实践相结合的产物——__思想请根据这段科学论述来分析说明如何正确理解__和__思想的关系
红军到达陕北后__系统地论述党的辩证唯物主义的思想路线的著作是
Directions:Inthefollowingarticlesomesentences havebeenremoved.ForQuestions41-45choosethemostsuitableonefromthe listA--Gtofitintoeachofthenumberedblank.Therearetwoextra choiceswhichdonotfitinanyoftheblanks.MarkyouranswersonAnswer Sheet1. ThegovernmentpanelthatsetsU.S.vaccinepolicy alreadyhasbegundiscussinguniversalimmunizationasawaytoboost vaccinationratesandreduceflu-linkedsicknessanddeathDr.ScottHarperof thefederalCentersforDiseaseControlandPreventionsaidatavaccinemeeting thisweek.41___________________Harper acknowledgedthattherecentcrisismomentarilyupstageduniversalimmunization discussionsbutsaiditremainsaviableproposal.42 ___________________Thevaccinemeetingheldeveryyearseeks tosetanagendafortheupcomingfluseason.Participantsmanywitha financialstakeingettingmorepeoplevaccinated--saidtheuniversal vaccinationpushislikelytocomewithinthenextfiveyears. 43___________________Alsofluvaccineisaltered everyyearbecausetherearealwaysdifferentflustrainscirculating.The unusedvaccineisdiscardedatseason’sendmakingflushotsfinancially unappealingformanufacturers.44 ___________________SanofiPasteur’sPhilipHosbachsaidthe companyhastwoidleU.S.factoriesbecausethere’snotthereturnonthe investment.Universalvaccinationcouldinthelongtermhelpstabilizesupply ifitincreaseddemandhesaid.45 ___________________Demandhashistoricallybeenaproblemtoo. Millionsoftheat-riskpatientsroutinelyskipannualshots.Somepeople worrythevaccineisn’tsafeortheysimplydon’tlikeshotsbutmanyalso underestimatetheseriousnessofflusaidDr.AnnO’Malleyaresearcheratthe CenterforStudyingHealthSystemChange.A.Partofour jobistojustkeepthisissueontheradarscreenHarpertoldvaccine providersdistributorsandmanufacturersatthenationalfluvaccinesummit here.B.SofaronlyonecompanySanofiPasteurislicensedto makeU.S.fluvaccinefortheupcomingseasonthoughpublichealth officialshopetwoothersincludingChironwillsoongainapproval. C.Estimatessuggestthatinanaverageyearfluinfectsabout82million peoplenationwidehospitalizes200000andkills36000.D.Dr. HerbYoungoftheAmericanAcademyofFamilyPhysicianssaidrecommendingshots foreveryonecouldeasetheconfusion--andthathisgroupismovingtoward supportingtheidea.E.Thehurdlessomeobserverssayare daunting.Unstablesupplyisoneofthebiggest.Thisyearthebestcase scenario--havingabout90millionshotsavailable--isn’tevenenoughforthe180 millionhigh-riskpeopleadvisedtogetshotsletalonethetotal populationof280million.F.Theendofachaoticseasonwhere manypeopleseekingflushotswereturnedawaybecauseofashortagemightseem anoddtimetobroachtheideaofvaccinatingevenmorepeople. G.ButI’raLonginianEmoryUniversitybiostatisticianwhospecializes invaccineanalysissaiduniversalvaccinationwouldbeunworkableunless supplyproblemscanberesolved.
__思想的历史地位和现实指导意义主要体现在
Directions:Readthefollowingtext.Choosethebest wordsforeachnumberedblankandmarkABCorDonAnswerSheet1. Inanidealworldthenation’selite schoolswouldenrollthemostqualifiedstudents.Butthat’snothowit 1.Applicantswhoseparentsarealumsgetspecialtreatment as2athletesandrichkids.Underrepresented minoritiesarealsogiven3.Thirtyyearsofaffirmative actionhavechangedthecharacterof4whiteuniversities; nowabout13percentofallundergraduatesareblackorLatino.5 arecentstudybytheCenturyFoundationfoundthatatthenation’s 146most6schools74percentofstudentscamefromupper middle-classandwealthyfamilieswhileonlyabout5percentcamefromfamilies withanannualincomeof7$35000orless. Manyschoolssaydiversity--racialeconomicandgeographic--is 8tomaintainingintellectually9 campuses.ButRichardKahlenbergoftheCenturyFoundationsaysthat eventhoughcolleges10theywantpoorkidstheydon’t tryveryhardtofindthem.11ruralstudentsmany collegesdon’ttryatall.Unfortunatelywegowherewecan 12asizablenumberofpotentialapplicantssaysTulane admissionschiefRichardWhitesidewho13aggressively andinperson--frommetropolitanareas.Kidsinruralareasgeta glossy14inthemail.Evenwhenpoorrural studentshavethe15fortopcollegestheirhighschools oftendon’tknowhowtogetthemthere.Admissionsofficers16 guidancecounselorstodirectthemtopromisingprospects.In 17highschoolsguidancecounselorsoftenhavepersonal 18withbothkidsandadmissionsofficers.Inruralareasa teacheracounseloror19analumnuscanhelpputarural studentonourradarscreensaysWesleyanadmissionsdeanNancyMeislahn.But poorruralschoolsrarelyhavecollege20withthose connections;withoutthemadmissioncanbeacrapshootsaysCarnegie Mellon’sSteidel.
PartADirections:Readthefollowingfour texts.AnswerthequestionsbeloweachtextbychoosingABCorD.Markyour answersonAnswerSheet1.Text1 TheCatholicChurchischangingin Americaatitsmostvisiblepoint:theparishchurchwherebelieverspraysing andclasphandsacrosspewstosharethepeaceofGod.Todaytherearefewer parishesandfewerprieststhanin1990andfewerofthenation’s65million Catholicsinthosepews.Andthere’snosignofreturn.Some blametheexplosive2002clergysexualabusescandalanditsfinancialprice tag.Butastudyof176RomanCatholicdiocesesshowsnostatistically significantlinkbetweenthedeclineinpriestsandparishesandthe$772 millionthechurchhasspenttodateondealingwiththescandal. Ratherthechangesaredrivenbyaconstellationoffactors: ·CatholicsaremovingfromcitiesintheNortheastandMidwesttothe suburbsSouthandSouthwest.·Fordecadessofewmenhave becomeprieststhatoneinfivediocesesnowcan’tputapriestinevery parish.·Massattendancehasfallenaseachgenerationhas becomelessreligiouslyobservant.·Bishops--trainedtobless nottobudget--lackthemanagerialskillstogovernmultimillion-dollar institutions.Allthesetrendshadbegunyearsbeforethe scandalpiledonfinancialpressurestocoversettlementslegalcostscareand counselingforvictimsandabusers.TheArchdioceseofBostonepicenter ofthecrisissoldchancerypropertytocover$85millioninsettlementslast yearandthisyearwillclose67churchesandrecast16othersasnewparishes orworshipsiteswithoutafull-timepriest.ArchbishopSeanO’Malleyhassaid thecrisisandthereconfigurationplanareinnowayrelated.He citesdemographicshiftsthepriestshortageandagingcrumblingbuildingstoo costlytokeepup.FargoN.D.whichspent$821000ontheabuse crisiswillclose23parishesbutit’sbecausethedioceseisshortofmore than50priestsforits158parishessomewithfewerthanadozenfamilies attendingMass.Theyknowhowthis~eelsinMilwaukee. Thatarchdioceseshutteredaboutoneinfiveparishesfrom1995to2003. Thecityconsolidationsgavesomepeoplewhohadbeendrivingbackintothe cityfromnewhomesinthesuburbsachancetosaytheyhadnoloyaltytoanew parishandbegingoingtooneneartheirhome’saysNoreenWeltedirectorof parishplanningfortheMilwaukeeArchdiocese.Itgavesomepeoplewhoalready weremadatthechurchforonereasonoranotheranexcusetostopgoing altogether.AttendanceoftheChurchhasdeclinedbecause
PartADirections:Readthefollowingfour texts.AnswerthequestionsbeloweachtextbychoosingABCorD.Markyour answersonAnswerSheet1.Text1 TheCatholicChurchischangingin Americaatitsmostvisiblepoint:theparishchurchwherebelieverspraysing andclasphandsacrosspewstosharethepeaceofGod.Todaytherearefewer parishesandfewerprieststhanin1990andfewerofthenation’s65million Catholicsinthosepews.Andthere’snosignofreturn.Some blametheexplosive2002clergysexualabusescandalanditsfinancialprice tag.Butastudyof176RomanCatholicdiocesesshowsnostatistically significantlinkbetweenthedeclineinpriestsandparishesandthe$772 millionthechurchhasspenttodateondealingwiththescandal. Ratherthechangesaredrivenbyaconstellationoffactors: ·CatholicsaremovingfromcitiesintheNortheastandMidwesttothe suburbsSouthandSouthwest.·Fordecadessofewmenhave becomeprieststhatoneinfivediocesesnowcan’tputapriestinevery parish.·Massattendancehasfallenaseachgenerationhas becomelessreligiouslyobservant.·Bishops--trainedtobless nottobudget--lackthemanagerialskillstogovernmultimillion-dollar institutions.Allthesetrendshadbegunyearsbeforethe scandalpiledonfinancialpressurestocoversettlementslegalcostscareand counselingforvictimsandabusers.TheArchdioceseofBostonepicenter ofthecrisissoldchancerypropertytocover$85millioninsettlementslast yearandthisyearwillclose67churchesandrecast16othersasnewparishes orworshipsiteswithoutafull-timepriest.ArchbishopSeanO’Malleyhassaid thecrisisandthereconfigurationplanareinnowayrelated.He citesdemographicshiftsthepriestshortageandagingcrumblingbuildingstoo costlytokeepup.FargoN.D.whichspent$821000ontheabuse crisiswillclose23parishesbutit’sbecausethedioceseisshortofmore than50priestsforits158parishessomewithfewerthanadozenfamilies attendingMass.Theyknowhowthis~eelsinMilwaukee. Thatarchdioceseshutteredaboutoneinfiveparishesfrom1995to2003. Thecityconsolidationsgavesomepeoplewhohadbeendrivingbackintothe cityfromnewhomesinthesuburbsachancetosaytheyhadnoloyaltytoanew parishandbegingoingtooneneartheirhome’saysNoreenWeltedirectorof parishplanningfortheMilwaukeeArchdiocese.Itgavesomepeoplewhoalready weremadatthechurchforonereasonoranotheranexcusetostopgoing altogether.WhichofthefollowingreflectsthechangeofCatholicChurch
Directions:Readthefollowingtext.Choosethebest wordsforeachnumberedblankandmarkABCorDonAnswerSheet1. Inanidealworldthenation’selite schoolswouldenrollthemostqualifiedstudents.Butthat’snothowit 1.Applicantswhoseparentsarealumsgetspecialtreatment as2athletesandrichkids.Underrepresented minoritiesarealsogiven3.Thirtyyearsofaffirmative actionhavechangedthecharacterof4whiteuniversities; nowabout13percentofallundergraduatesareblackorLatino.5 arecentstudybytheCenturyFoundationfoundthatatthenation’s 146most6schools74percentofstudentscamefromupper middle-classandwealthyfamilieswhileonlyabout5percentcamefromfamilies withanannualincomeof7$35000orless. Manyschoolssaydiversity--racialeconomicandgeographic--is 8tomaintainingintellectually9 campuses.ButRichardKahlenbergoftheCenturyFoundationsaysthat eventhoughcolleges10theywantpoorkidstheydon’t tryveryhardtofindthem.11ruralstudentsmany collegesdon’ttryatall.Unfortunatelywegowherewecan 12asizablenumberofpotentialapplicantssaysTulane admissionschiefRichardWhitesidewho13aggressively andinperson--frommetropolitanareas.Kidsinruralareasgeta glossy14inthemail.Evenwhenpoorrural studentshavethe15fortopcollegestheirhighschools oftendon’tknowhowtogetthemthere.Admissionsofficers16 guidancecounselorstodirectthemtopromisingprospects.In 17highschoolsguidancecounselorsoftenhavepersonal 18withbothkidsandadmissionsofficers.Inruralareasa teacheracounseloror19analumnuscanhelpputarural studentonourradarscreensaysWesleyanadmissionsdeanNancyMeislahn.But poorruralschoolsrarelyhavecollege20withthose connections;withoutthemadmissioncanbeacrapshootsaysCarnegie Mellon’sSteidel.
作为一个完整的科学体系马克思主义理论体系的三个组成部分是
Directions:Readthefollowingtext.Choosethebest wordsforeachnumberedblankandmarkABCorDonAnswerSheet1. Inanidealworldthenation’selite schoolswouldenrollthemostqualifiedstudents.Butthat’snothowit 1.Applicantswhoseparentsarealumsgetspecialtreatment as2athletesandrichkids.Underrepresented minoritiesarealsogiven3.Thirtyyearsofaffirmative actionhavechangedthecharacterof4whiteuniversities; nowabout13percentofallundergraduatesareblackorLatino.5 arecentstudybytheCenturyFoundationfoundthatatthenation’s 146most6schools74percentofstudentscamefromupper middle-classandwealthyfamilieswhileonlyabout5percentcamefromfamilies withanannualincomeof7$35000orless. Manyschoolssaydiversity--racialeconomicandgeographic--is 8tomaintainingintellectually9 campuses.ButRichardKahlenbergoftheCenturyFoundationsaysthat eventhoughcolleges10theywantpoorkidstheydon’t tryveryhardtofindthem.11ruralstudentsmany collegesdon’ttryatall.Unfortunatelywegowherewecan 12asizablenumberofpotentialapplicantssaysTulane admissionschiefRichardWhitesidewho13aggressively andinperson--frommetropolitanareas.Kidsinruralareasgeta glossy14inthemail.Evenwhenpoorrural studentshavethe15fortopcollegestheirhighschools oftendon’tknowhowtogetthemthere.Admissionsofficers16 guidancecounselorstodirectthemtopromisingprospects.In 17highschoolsguidancecounselorsoftenhavepersonal 18withbothkidsandadmissionsofficers.Inruralareasa teacheracounseloror19analumnuscanhelpputarural studentonourradarscreensaysWesleyanadmissionsdeanNancyMeislahn.But poorruralschoolsrarelyhavecollege20withthose connections;withoutthemadmissioncanbeacrapshootsaysCarnegie Mellon’sSteidel.
PartADirections:Readthefollowingfour texts.AnswerthequestionsbeloweachtextbychoosingABCorD.Markyour answersonAnswerSheet1.Text1 TheCatholicChurchischangingin Americaatitsmostvisiblepoint:theparishchurchwherebelieverspraysing andclasphandsacrosspewstosharethepeaceofGod.Todaytherearefewer parishesandfewerprieststhanin1990andfewerofthenation’s65million Catholicsinthosepews.Andthere’snosignofreturn.Some blametheexplosive2002clergysexualabusescandalanditsfinancialprice tag.Butastudyof176RomanCatholicdiocesesshowsnostatistically significantlinkbetweenthedeclineinpriestsandparishesandthe$772 millionthechurchhasspenttodateondealingwiththescandal. Ratherthechangesaredrivenbyaconstellationoffactors: ·CatholicsaremovingfromcitiesintheNortheastandMidwesttothe suburbsSouthandSouthwest.·Fordecadessofewmenhave becomeprieststhatoneinfivediocesesnowcan’tputapriestinevery parish.·Massattendancehasfallenaseachgenerationhas becomelessreligiouslyobservant.·Bishops--trainedtobless nottobudget--lackthemanagerialskillstogovernmultimillion-dollar institutions.Allthesetrendshadbegunyearsbeforethe scandalpiledonfinancialpressurestocoversettlementslegalcostscareand counselingforvictimsandabusers.TheArchdioceseofBostonepicenter ofthecrisissoldchancerypropertytocover$85millioninsettlementslast yearandthisyearwillclose67churchesandrecast16othersasnewparishes orworshipsiteswithoutafull-timepriest.ArchbishopSeanO’Malleyhassaid thecrisisandthereconfigurationplanareinnowayrelated.He citesdemographicshiftsthepriestshortageandagingcrumblingbuildingstoo costlytokeepup.FargoN.D.whichspent$821000ontheabuse crisiswillclose23parishesbutit’sbecausethedioceseisshortofmore than50priestsforits158parishessomewithfewerthanadozenfamilies attendingMass.Theyknowhowthis~eelsinMilwaukee. Thatarchdioceseshutteredaboutoneinfiveparishesfrom1995to2003. Thecityconsolidationsgavesomepeoplewhohadbeendrivingbackintothe cityfromnewhomesinthesuburbsachancetosaytheyhadnoloyaltytoanew parishandbegingoingtooneneartheirhome’saysNoreenWeltedirectorof parishplanningfortheMilwaukeeArchdiocese.Itgavesomepeoplewhoalready weremadatthechurchforonereasonoranotheranexcusetostopgoing altogether.NoreenWelteseemstosuggestthatsomepeople
外国教会为帝国主义侵略中国制造舆论办得较早的外文期刊是
Directions:Readthefollowingtext.Choosethebest wordsforeachnumberedblankandmarkABCorDonAnswerSheet1. Inanidealworldthenation’selite schoolswouldenrollthemostqualifiedstudents.Butthat’snothowit 1.Applicantswhoseparentsarealumsgetspecialtreatment as2athletesandrichkids.Underrepresented minoritiesarealsogiven3.Thirtyyearsofaffirmative actionhavechangedthecharacterof4whiteuniversities; nowabout13percentofallundergraduatesareblackorLatino.5 arecentstudybytheCenturyFoundationfoundthatatthenation’s 146most6schools74percentofstudentscamefromupper middle-classandwealthyfamilieswhileonlyabout5percentcamefromfamilies withanannualincomeof7$35000orless. Manyschoolssaydiversity--racialeconomicandgeographic--is 8tomaintainingintellectually9 campuses.ButRichardKahlenbergoftheCenturyFoundationsaysthat eventhoughcolleges10theywantpoorkidstheydon’t tryveryhardtofindthem.11ruralstudentsmany collegesdon’ttryatall.Unfortunatelywegowherewecan 12asizablenumberofpotentialapplicantssaysTulane admissionschiefRichardWhitesidewho13aggressively andinperson--frommetropolitanareas.Kidsinruralareasgeta glossy14inthemail.Evenwhenpoorrural studentshavethe15fortopcollegestheirhighschools oftendon’tknowhowtogetthemthere.Admissionsofficers16 guidancecounselorstodirectthemtopromisingprospects.In 17highschoolsguidancecounselorsoftenhavepersonal 18withbothkidsandadmissionsofficers.Inruralareasa teacheracounseloror19analumnuscanhelpputarural studentonourradarscreensaysWesleyanadmissionsdeanNancyMeislahn.But poorruralschoolsrarelyhavecollege20withthose connections;withoutthemadmissioncanbeacrapshootsaysCarnegie Mellon’sSteidel.
Text4 Youcouldbenefitfromflippingthrough thepagesofICan’tBelieveYouAskedThatabookbyauthorPhillipMilano that’ssubtitledANo-Holds-BarredQ&AAboutRaceSexReligionand OtherTerrifyingTopics.ForthepastsevenyearsMilano--who describeshimselfasastraightwhitemiddleclassmarriedguyraisedinan affluentsuburbofChicago’--hasoperatedyforumcomaWebsitethatwas createdtogetustalking.Throughthepostingofprobing provocativeandsometimessimplyinanequestionsandtheanswersthey generatepeopleareencouragedtohaveano-holds-barredexchangeontopics acrossracialethnicandculturallines.Moreoftenthannotthe questionsgrowoutofourbiasesandfearsandthestereotypesthatfuel misunderstandingamongus.AswiththeWebsiteMilanohopes hisbookwillbeasocialandculturalelixir.Thetimeisrightforanew cultureofcuriosity’tobegintounfoldwithpeoplefinallybreakingclownthe lastbarriertoimproveraceandculturalrelationsbyactuallytalking toeachotherabouttheirdifferencesMilanosaidinane-mailmessagetome. MilanowiselyusedtheInternettosparktheseconversations.Inseven yearsithasgenerated50000postings--manyofthemquestionsthatpeoplefind hardtoaskinaface-to-faceexchangewiththesubjectsoftheir inquiries.Butinhisbookwhichwaspublishedearlier thismonthMilanogivesreadersanopportunitytoreadthequestionsand amixofanswersthatmadeitontohisWebsite.Iamcuriousaboutwhatpeople whohavebeenblindfrombirth’see’intheirdreamsa13-year-oldboywanted toknow.Whydosomanymentallydisabledpeoplehavesuchpoor-looking haircutsand’nerdy’clothesawomanasked.HowdoAfrican-Americansperceive Godawhiteteenagerwantedtoknow.DotheypraytoawhiteGodora blackGodLikeIsaidthesequestionscangeneratearangeof emotionsandreactions.ButthepointofMilano’sWebsiteandhisbookisnot togetpeoplemadbuttoinformusaboutthelivesandexperiencesofothers. Thoughmanyoftheanswersthatpeopleofferedtothequestionsposedinhis bookareconflictingtheseresponsesarebalancedbythecommentsofexperts whoseresponsestothequeriesalsoappearinthebook.Getting peopletoopenlysaywhattheyarethinkingaboutthingsthatgiveriseto stereotypesandbigotryhasneverbeeneasy.Mostofussavethose conversationsforgatheringsofpeoplewholookorthinklike us.Whatisthemainideaofthispassage
Text4 Youcouldbenefitfromflippingthrough thepagesofICan’tBelieveYouAskedThatabookbyauthorPhillipMilano that’ssubtitledANo-Holds-BarredQ&AAboutRaceSexReligionand OtherTerrifyingTopics.ForthepastsevenyearsMilano--who describeshimselfasastraightwhitemiddleclassmarriedguyraisedinan affluentsuburbofChicago’--hasoperatedyforumcomaWebsitethatwas createdtogetustalking.Throughthepostingofprobing provocativeandsometimessimplyinanequestionsandtheanswersthey generatepeopleareencouragedtohaveano-holds-barredexchangeontopics acrossracialethnicandculturallines.Moreoftenthannotthe questionsgrowoutofourbiasesandfearsandthestereotypesthatfuel misunderstandingamongus.AswiththeWebsiteMilanohopes hisbookwillbeasocialandculturalelixir.Thetimeisrightforanew cultureofcuriosity’tobegintounfoldwithpeoplefinallybreakingclownthe lastbarriertoimproveraceandculturalrelationsbyactuallytalking toeachotherabouttheirdifferencesMilanosaidinane-mailmessagetome. MilanowiselyusedtheInternettosparktheseconversations.Inseven yearsithasgenerated50000postings--manyofthemquestionsthatpeoplefind hardtoaskinaface-to-faceexchangewiththesubjectsoftheir inquiries.Butinhisbookwhichwaspublishedearlier thismonthMilanogivesreadersanopportunitytoreadthequestionsand amixofanswersthatmadeitontohisWebsite.Iamcuriousaboutwhatpeople whohavebeenblindfrombirth’see’intheirdreamsa13-year-oldboywanted toknow.Whydosomanymentallydisabledpeoplehavesuchpoor-looking haircutsand’nerdy’clothesawomanasked.HowdoAfrican-Americansperceive Godawhiteteenagerwantedtoknow.DotheypraytoawhiteGodora blackGodLikeIsaidthesequestionscangeneratearangeof emotionsandreactions.ButthepointofMilano’sWebsiteandhisbookisnot togetpeoplemadbuttoinformusaboutthelivesandexperiencesofothers. Thoughmanyoftheanswersthatpeopleofferedtothequestionsposedinhis bookareconflictingtheseresponsesarebalancedbythecommentsofexperts whoseresponsestothequeriesalsoappearinthebook.Getting peopletoopenlysaywhattheyarethinkingaboutthingsthatgiveriseto stereotypesandbigotryhasneverbeeneasy.Mostofussavethose conversationsforgatheringsofpeoplewholookorthinklike us.ThequotationsinParagraph4areintendedto
Text4 Youcouldbenefitfromflippingthrough thepagesofICan’tBelieveYouAskedThatabookbyauthorPhillipMilano that’ssubtitledANo-Holds-BarredQ&AAboutRaceSexReligionand OtherTerrifyingTopics.ForthepastsevenyearsMilano--who describeshimselfasastraightwhitemiddleclassmarriedguyraisedinan affluentsuburbofChicago’--hasoperatedyforumcomaWebsitethatwas createdtogetustalking.Throughthepostingofprobing provocativeandsometimessimplyinanequestionsandtheanswersthey generatepeopleareencouragedtohaveano-holds-barredexchangeontopics acrossracialethnicandculturallines.Moreoftenthannotthe questionsgrowoutofourbiasesandfearsandthestereotypesthatfuel misunderstandingamongus.AswiththeWebsiteMilanohopes hisbookwillbeasocialandculturalelixir.Thetimeisrightforanew cultureofcuriosity’tobegintounfoldwithpeoplefinallybreakingclownthe lastbarriertoimproveraceandculturalrelationsbyactuallytalking toeachotherabouttheirdifferencesMilanosaidinane-mailmessagetome. MilanowiselyusedtheInternettosparktheseconversations.Inseven yearsithasgenerated50000postings--manyofthemquestionsthatpeoplefind hardtoaskinaface-to-faceexchangewiththesubjectsoftheir inquiries.Butinhisbookwhichwaspublishedearlier thismonthMilanogivesreadersanopportunitytoreadthequestionsand amixofanswersthatmadeitontohisWebsite.Iamcuriousaboutwhatpeople whohavebeenblindfrombirth’see’intheirdreamsa13-year-oldboywanted toknow.Whydosomanymentallydisabledpeoplehavesuchpoor-looking haircutsand’nerdy’clothesawomanasked.HowdoAfrican-Americansperceive Godawhiteteenagerwantedtoknow.DotheypraytoawhiteGodora blackGodLikeIsaidthesequestionscangeneratearangeof emotionsandreactions.ButthepointofMilano’sWebsiteandhisbookisnot togetpeoplemadbuttoinformusaboutthelivesandexperiencesofothers. Thoughmanyoftheanswersthatpeopleofferedtothequestionsposedinhis bookareconflictingtheseresponsesarebalancedbythecommentsofexperts whoseresponsestothequeriesalsoappearinthebook.Getting peopletoopenlysaywhattheyarethinkingaboutthingsthatgiveriseto stereotypesandbigotryhasneverbeeneasy.Mostofussavethose conversationsforgatheringsofpeoplewholookorthinklike us.Thepurposeofthewebsiteisto
Text3 Fiercelyindependent90year-old VincenziaRinaldiwouldn’tconsiderahomehealthaideornursinghome.So LouisCritellihernephewhadtocoaxthewidowedhomemakerintoassisted livingthenation’sgrowinglong-termcareoptionfortheelderly.For$1100 amonthRinaldibecamethereluctantresidentofanefficiencyunitwhereshe couldstillsimmerhermuch-lovedtomatosauceandwherecaregiverswouldmake sureshetookherpills.Instead30monthslatershedied. Notbecauseshewasold.ButbecauseaidesathernewhomeLoretto UticaCenteroneofthemodernhotel-stylefacilitiesthathavesprouted acrossthecountryoverthepastdecademistakenlygaveheranotherresident’s prescriptionmedication.Thaterrorledtoherdeathstateinspectors concluded.NeitherthestatenorLorettotoldhernephewabout thecauseofdeath.Critellithinkinghisaunthadbeenproperlycaredfor onlylearnedofthefindingyearslaterfromUSATODAY.Whentheyfind somethingblatantlikethatyou’dthinkthey’dtellthefamilytheshaken nephewtoldareporterafteralongpause.AUSATODAY investigationshowsthatRinaldi’sdeathrepresentsthetragicextremeina patternofmistakesandviolationsthatleadtoscoresofinjuriesand occasionaldeathsamongtheestimated1millionelderlyresidentsofassisted livingfacilities.Thecentersarethestateregulatedlargelyprivate-pay residencesthathelpseniorswithmedicationandotheractivitiesofdaily life.InawideranginganalysisUSATODAYreviewedtwoyears ofinspectionrecordswithin2000-02formorethan5300assistedliving facilitiesinsevenstates:AlabamaArizonaColoradoFloridaIndianaNew YorkandTexas.Theprecisetimeperiodvariedslightlyfromstateto state.Theanalysiscoveredabroadrange--frommom-and-popfacilitieswithjust afewresidentstocorporateruncenterswithscoresofbedsand’manylevelsof care.Itisthefirsttimesuchdatahavebeengatheredandanalyzedacrossso manystates.Thereviewincludedless-detaileddatafromfiveotherstates andfocusedonbroadquality-of-carecategoriestocompensateforvariationsin regulationsfromstatetostate.Asaffluentandmiddle-class Americanscopewiththeinfirmitiesofagemanyturntoassistedlivingasan alternativetoanursinghomeindustrythathasbeenperiodicallyplaguedby abuseorneglectscandals.Eventhoughassistedlivingfacilitiesgenerally don’tprovide24-hourskilledmedicalcaretheyincreasinglyserveseniorswho onlyadecadeagomighthavebeeninnursing homes.TheauthormentionedRinaldi’sdeathinthetextinorderto
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