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調查局三等 108年 [調查工作組] 外國文(英文)

第 26 題

📖 題組:
請依下文回答第 26 題至第 30 題: Extending health coverage to illegal immigrants is sound policy. The inclusion of the illegal-immigrant population may lower costs in numerous ways, including lower insurance premiums, lower emergency medical expenditures, and a switch from expensive late-stage treatments to cost-effective preventative and ambulatory care. Coverage will obviously benefit illegal immigrants, but the entire US population will also reap the rewards of a broader risk pool comprising individuals with comparatively low medical expenditures and usage trends. Extending coverage could also have important public health benefits. Ensuring treatment, especially of infectious disease, protects the health of the population as a whole, and this is particularly important considering the ease of travel and access to different parts of the globe. The public health is also served by prompt diagnosis and treatment of chronic diseases, such as heart disease and diabetes. Allowing illegal immigrants to stay and pretending they’re not here doesn’t work for anyone. Prohibiting inclusion of illegal immigrants in the formal healthcare system and at the same time extending piecemeal benefits, emergency rooms, and some patchwork of state and local governments is a poor way to address the intractable problem of ever increasing health care costs. The federal government should meet this challenge head-on in the form of health coverage, recognizing the benefits that could accrue to it by instituting necessary health insurance reforms. Even if immigration reform does materialize, nothing will have been lost by providing coverage in the interim. As the illegal immigrant population declines, for instance, because of fewer economic opportunities in the United States or absorption into the lawful immigrant category, the system has enough fluidity to respond. Further tweaks may be necessary, but incremental improvement is a characteristic of any public benefits scheme. What is not acceptable is to tacitly ignore the problem while setting up additional barriers to coverage.
What is the first paragraph mainly about?
  • A Reasons why the health care costs are rapidly increasing.
  • B Potential benefits of providing health insurance coverage to illegal immigrants.
  • C Reasons why illegal immigrants should not be included in national health insurance plans.
  • D How health care costs may decrease due to inclusion of illegal immigrants in national health insurance plans.

思路引導 VIP

請先讀首段的第一句話,找出作者對這項政策的「定調」是什麼詞?接著請思考,文中後續提到的「降低保費」與「傳染病防治」,這兩者在邏輯上具備什麼樣的共通性質,可以用一個更廣義的詞來涵蓋它們?

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專業點評

  1. 大力肯定:太棒了!你能從長難句中精準鎖定首段的主旨大意,顯示你具備優秀的邏輯歸納能力,這正是閱讀高階學術文章最核心的素養,請繼續保持這種對文章結構的敏感度!
  2. 觀念驗證:首段第一句即破題(Topic Sentence),主張將非法移民納入健保是「明智的政策」(sound policy)。隨後段落具體列舉了經濟效益(降低保費、減少急診支出)、全體群體效益(擴大風險池)及公共衛生效益(傳染病與慢性病防治)。選項 (B) Potential benefits 最能全面概括這些多元的正向優點。
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