Question 16 is based on the recording you have just heard.

Recording One

听力原文

        Appear to be submissive, humble, grateful, and undemanding. Show great pleasure when a doctor comes into your room, even if the visit is brief and useless. Don’t challenge anyone with authority, unless you are famous or very rich. Those are a few strategies for dealing with today’s American medical establishment.

        What patients want is to be treated with respect and consideration. (16) [But in my experience, too few hospitals and doctors are ready to do that.] In his book, A Whole New Life, novelist Reynolds Price recalls that his doctors chose a crowded hallway as the place to tell him he might have a tumor on his spinal cord. It did not occur to the two physicians that a hallway was not the most appropriate place for that particular piece of news.

        My surgeon, who is in his mid-thirties, looks tired. He has been overwhelmed with patients who have fallen on the winter ice. He is a witty man, but sometimes his wit is unwelcome. “The health insurance company, Blue Cross, wants me to put you out in the snow tomorrow afternoon,” he tells me after I have been in the hospital for more than a week. I’m terrified, because I have no idea where to go. I cannot walk or even lift my leg a few inches. The hospital social worker strikes me as an idiot, but my complaints about her only annoy my surgeon. “I have to work with these people,” he tells my friend, Dr. Karen Brudney, when she mercifully intervenes on my behalf and arranges for me to be transferred to another hospital. “If you say one negative thing, they get defensive,” she tells me later. “They have this kind of institutional loyalty. Always bring an advocate, that is, any other person with you to the hospital, and (17) [write down every single question and the answer, the name of every doctor and nurse.] When people know you have their names, they behave better.”

        And Brudney adds, “If you, as a patient, suggest that you might like to control even part of the situation or be consulted or informed, then you are considered difficult. (18) [They want you to be totally passive.]” The entire healthcare system, particularly hospitals and nursing homes, exists for reasons that have nothing to do with taking care of patients. Patients are incidental.

16. What does the speaker say about most American hospitals? （关于大多数美国医院，讲话者说了什么？）

解析：A。录音中提到，病人希望得到的是尊重和关怀，接着又说到，但根据自己的经验，很少有医院和医生愿意这样做。也就是说大多数美国医院都没有做到尊重和关怀病人，A项符合题意，故为正确答案。

错项排除：B项的doctor-patient conflicts和D项的how much patients have to pay在录音中都无依据，故均可排除。C项利用录音中出现的social worker和strikes进行干扰，但录音中说的是作者认为医院社工是个白痴，strike sb. as表示“让某人觉得”，而不是“罢工”，故C项排除。