Question 18 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.

18. What do American doctors expect their patients to be according to Karen Brudney?（根据卡伦·布鲁德尼的说法，美国医生希望病人怎么做？）

解析：C。录音结尾部分提到，他们（They）希望你（you）完全被动，根据录音可知，They指的是医生，而you是病人（as a patient）。C项与此内容相符，Passive原词复现，故为正确答案。

错项排除：A项Cooperative和B项Appreciative分别利用录音中的submissive和grateful进行干扰，但这都是作者给出的与当今美国医疗机构打交道的一些策略，录音中并没有说这是医生希望病人做的，故两项均可排除。D项在录音中无依据，故排除。