2015年考研英语阅读习题演练 (9)
<p> <span word="Technology">Technology</span> <span word="is">is</span> <span word="a">a</span> <span word="two">two</span>-<span word="edged">edged</span> <span word="sword">sword</span>. <span word="Rarely">Rarely</span> <span word="is">is</span> <span word="this">this</span> <span word="as">as</span> <span word="clear">clear</span> <span word="as">as</span> <span word="it">it</span> <span word="is">is</span> <span word="in">in</span> <span word="the">the</span> <span word="realm">realm</span> <span word="of">of</span> <span word="health">health</span> <span word="care">care</span>. <span word="Technology">Technology</span> <span word="allows">allows</span> <span word="doctors">doctors</span> <span word="to">to</span> <span word="test">test</span> <span word="their">their</span> <span word="patients">patients</span> <span word="for">for</span> <span word="genetic">genetic</span> <span word="defectsand">defectsand</span> <span word="then">then</span> <span word="to">to</span> <span word="turn">turn</span> <span word="around">around</span> <span word="and">and</span> <span word="spread">spread</span> <span word="the">the</span> <span word="results">results</span> <span word="throughout">throughout</span> <span word="the">the</span> <span word="world">world</span> <span word="via">via</span> <span word="the">the</span> <span word="Internet">Internet</span>. <span word="For">For</span> <span word="someone">someone</span> <span word="in">in</span> <span word="need">need</span> <span word="of">of</span> <span word="treatment">treatment</span>， <span word="that">that</span> <span word="s">s</span> <span word="good">good</span> <span word="news">news</span>. <span word="But">But</span> <span word="for">for</span> <span word="someone">someone</span> <span word="in">in</span> <span word="search">search</span> <span word="of">of</span> <span word="a">a</span> <span word="job">job</span> <span word="or">or</span> <span word="an">an</span> <span word="insurance">insurance</span> <span word="policy">policy</span>， <span word="the">the</span> <span word="tidings">tidings</span> <span word="can">can</span> <span word="be">be</span> <span word="all">all</span> <span word="bad">bad</span>. <span word="Last">Last</span> <span word="week">week</span> <span word="President">President</span> <span word="Bill">Bill</span> <span word="Clinton">Clinton</span> <span word="proposed">proposed</span> <span word="a">a</span> <span word="corollary">corollary</span> <span word="to">to</span> <span word="the">the</span> <span word="patients">patients</span> <span word="bill">bill</span> <span word="of">of</span> <span word="rights">rights</span> <span word="now">now</span> <span word="before">before</span> <span word="Congress">Congress</span>： <span word="a">a</span> <span word="right">right</span> <span word="to">to</span> <span word="medical">medical</span> <span word="privacy">privacy</span>. <span word="Beginning">Beginning</span> <span word="in">in</span> 2002， <span word="under">under</span> <span word="rules">rules</span> <span word="set">set</span> <span word="to">to</span> <span word="become">become</span> <span word="law">law</span> <span word="in">in</span> <span word="February">February</span>， <span word="patients">patients</span> <span word="would">would</span> <span word="be">be</span> <span word="able">able</span> <span word="to">to</span> <span word="stipulate">stipulate</span> <span word="the">the</span> <span word="conditions">conditions</span> <span word="under">under</span> <span word="which">which</span> <span word="their">their</span> <span word="personal">personal</span> <span word="medical">medical</span> <span word="data">data</span> <span word="could">could</span> <span word="be">be</span> <span word="divulged">divulged</span>. <span word="They">They</span> <span word="would">would</span> <span word="be">be</span> <span word="able">able</span> <span word="to">to</span> <span word="examine">examine</span> <span word="their">their</span> <span word="records">records</span> <span word="and">and</span> <span word="make">make</span> <span word="corrections">corrections</span>. <span word="They">They</span> <span word="could">could</span> <span word="learn">learn</span> <span word="who">who</span> <span word="else">else</span> <span word="had">had</span> <span word="seen">seen</span> <span word="the">the</span> <span word="information">information</span>. <span word="Improper">Improper</span> <span word="use">use</span> <span word="of">of</span> <span word="records">records</span> <span word="by">by</span> <span word="a">a</span> <span word="caregiver">caregiver</span> <span word="or">or</span> <span word="insurer">insurer</span> <span word="could">could</span> <span word="result">result</span> <span word="in">in</span> <span word="both">both</span> <span word="civil">civil</span> <span word="and">and</span> <span word="criminal">criminal</span> <span word="penalties">penalties</span>. <span word="The">The</span> <span word="plan">plan</span> <span word="was">was</span>， <span word="said">said</span> <span word="Clinton">Clinton</span>， <span word="an">an</span> <span word="unprecedented">unprecedented</span> <span word="step">step</span> <span word="toward">toward</span> <span word="putting">putting</span> <span word="Americans">Americans</span> <span word="back">back</span> <span word="in">in</span> <span word="control">control</span> <span word="of">of</span> <span word="their">their</span> <span word="own">own</span> <span word="medical">medical</span> <span word="records">records</span>. <span word="While">While</span> <span word="the">the</span> <span word="administration">administration</span> <span word="billed">billed</span> <span word="the">the</span> <span word="rules">rules</span> <span word="as">as</span> <span word="an">an</span> <span word="attempt">attempt</span> <span word="to">to</span> <span word="strike">strike</span> <span word="a">a</span> <span word="balance">balance</span> <span word="between">between</span> <span word="the">the</span> <span word="needs">needs</span> <span word="of">of</span> <span word="consumers">consumers</span> <span word="and">and</span> <span word="those">those</span> <span word="of">of</span> <span word="the">the</span> <span word="health">health</span>-<span word="care">care</span> <span word="industry">industry</span>， <span word="neither">neither</span> <span word="doctors">doctors</span> <span word="nor">nor</span> <span word="insurance">insurance</span> <span word="companies">companies</span> <span word="were">were</span> <span word="happy">happy</span>. <span word="The">The</span> <span word="doctors">doctors</span> <span word="said">said</span> <span word="the">the</span> <span word="rules">rules</span> <span word="could">could</span> <span word="actually">actually</span> <span word="erode">erode</span> <span word="privacy">privacy</span>， <span word="pointing">pointing</span> <span word="to">to</span> <span word="a">a</span> <span word="provision">provision</span> <span word="allowing">allowing</span> <span word="managed">managed</span>-<span word="care">care</span> <span word="plans">plans</span> <span word="to">to</span> <span word="use">use</span> <span word="personal">personal</span> <span word="information">information</span> <span word="without">without</span> <span word="consent">consent</span> <span word="if">if</span> <span word="the">the</span> <span word="purpose">purpose</span> <span word="was">was</span> <span word="health">health</span>-<span word="care">care</span> <span word="operations">operations</span>. <span word="That">That</span>， <span word="physicians">physicians</span> <span word="said">said</span>， <span word="was">was</span> <span word="a">a</span> <span word="loophole">loophole</span> <span word="through">through</span> <span word="which">which</span> <span word="HMOs">HMOs</span> <span word="and">and</span> <span word="other">other</span> <span word="insurers">insurers</span> <span word="could">could</span> <span word="pry">pry</span> <span word="into">into</span> <span word="the">the</span> <span word="doctor">doctor</span>-<span word="patient">patient</span> <span word="relationship">relationship</span>， <span word="in">in</span> <span word="the">the</span> <span word="name">name</span> <span word="of">of</span> <span word="assessing">assessing</span> <span word="the">the</span> <span word="quality">quality</span> <span word="of">of</span> <span word="care">care</span>. <span word="Meanwhile">Meanwhile</span>， <span word="the">the</span> <span word="insurers">insurers</span> <span word="protested">protested</span> <span word="that">that</span> <span word="the">the</span> <span word="rules">rules</span> <span word="would">would</span> <span word="make">make</span> <span word="them">them</span> <span word="vulnerable">vulnerable</span> <span word="to">to</span> <span word="lawsuits">lawsuits</span>. <span word="They">They</span> <span word="were">were</span> <span word="especially">especially</span> <span word="disturbed">disturbed</span> <span word="by">by</span> <span word="a">a</span> <span word="provision">provision</span> <span word="holding">holding</span> <span word="them">them</span> <span word="liable">liable</span> <span word="for">for</span> <span word="privacy">privacy</span> <span word="breaches">breaches</span> <span word="by">by</span> <span word="business">business</span> <span word="partners">partners</span> <span word="such">such</span> <span word="as">as</span> <span word="lawyers">lawyers</span> <span word="and">and</span> <span word="accountants">accountants</span>. <span word="Both">Both</span> <span word="groups">groups</span> <span word="agreed">agreed</span> <span word="that">that</span> <span word="privacy">privacy</span> <span word="protections">protections</span> <span word="would">would</span> <span word="drive">drive</span> <span word="up">up</span> <span word="the">the</span> <span word="cost">cost</span> <span word="of">of</span> <span word="health">health</span> <span word="care">care</span> <span word="by">by</span> <span word="at">at</span> <span word="least">least</span> <span word="an">an</span> <span word="additional">additional</span> $3.8 <span word="billion">billion</span>， <span word="and">and</span> <span word="maybe">maybe</span> <span word="much">much</span> <span word="more">more</span>， <span word="over">over</span> <span word="the">the</span> <span word="next">next</span> <span word="five">five</span> <span word="years">years</span>. <span word="They">They</span> <span word="also">also</span> <span word="complained">complained</span> <span word="about">about</span> <span word="the">the</span> <span word="increased">increased</span> <span word="level">level</span> <span word="of">of</span> <span word="federal">federal</span> <span word="scrutiny">scrutiny</span> <span word="required">required</span> <span word="by">by</span> <span word="the">the</span> <span word="new">new</span> <span word="rules">rules</span> <span word="enforcement">enforcement</span> <span word="provisions">provisions</span>. <span word="One">One</span> <span word="aim">aim</span> <span word="of">of</span> <span word="the">the</span> <span word="rules">rules</span> <span word="is">is</span> <span word="to">to</span> <span word="reassure">reassure</span> <span word="patients">patients</span> <span word="about">about</span> <span word="confidentiality">confidentiality</span>， <span word="thereby">thereby</span> <span word="encouraging">encouraging</span> <span word="them">them</span> <span word="to">to</span> <span word="be">be</span> <span word="open">open</span> <span word="with">with</span> <span word="their">their</span> <span word="doctors">doctors</span>. <span word="Today">Today</span> <span word="various">various</span> <span word="cancers">cancers</span> <span word="and">and</span> <span word="sexually">sexually</span> <span word="transmitted">transmitted</span> <span word="diseases">diseases</span> <span word="can">can</span> <span word="go">go</span> <span word="untreated">untreated</span> <span word="because">because</span> <span word="patients">patients</span> <span word="are">are</span> <span word="afraid">afraid</span> <span word="of">of</span> <span word="embarrassment">embarrassment</span> <span word="or">or</span> <span word="of">of</span> <span word="losing">losing</span> <span word="insurance">insurance</span> <span word="coverage">coverage</span>. <span word="The">The</span> <span word="fear">fear</span> <span word="is">is</span> <span word="real">real</span>： <span word="Clinton">Clinton</span> <span word="aides">aides</span> <span word="noted">noted</span> <span word="that">that</span> <span word="a">a</span> <span word="January">January</span> <span word="poll">poll</span> <span word="by">by</span> <span word="Princeton">Princeton</span> <span word="Survey">Survey</span> <span word="Research">Research</span> <span word="Associates">Associates</span> <span word="found">found</span> <span word="that">that</span> <span word="one">one</span> <span word="in">in</span> <span word="six">six</span> <span word="U">U</span>.<span word="S">S</span>. <span word="adults">adults</span> <span word="had">had</span> <span word="at">at</span> <span word="some">some</span> <span word="time">time</span> <span word="done">done</span> <span word="something">something</span> <span word="unusual">unusual</span> <span word="to">to</span> <span word="conceal">conceal</span> <span word="medical">medical</span> <span word="information">information</span>， <span word="such">such</span> <span word="as">as</span> <span word="paying">paying</span> <span word="cash">cash</span> <span word="for">for</span> <span word="services">services</span>. 1. <span word="The">The</span> <span word="author">author</span> <span word="begins">begins</span> <span word="his">his</span> <span word="article">article</span> <span word="with">with</span> <span word="technology">technology</span> <span word="is">is</span> <span word="a">a</span> <span word="two">two</span>-<span word="edged">edged</span> <span word="sword">sword</span> <span word="to">to</span> _____________. [<span word="A">A</span>] <span word="show">show</span> <span word="that">that</span> <span word="doctors">doctors</span> <span word="improper">improper</span> <span word="use">use</span> <span word="of">of</span> <span word="technology">technology</span> <span word="can">can</span> <span word="end">end</span> <span word="up">up</span> <span word="in">in</span> <span word="bad">bad</span> <span word="results">results</span> [<span word="B">B</span>] <span word="call">call</span> <span word="on">on</span> <span word="peoples">peoples</span> <span word="attention">attention</span> <span word="to">to</span> <span word="the">the</span> <span word="potential">potential</span> <span word="danger">danger</span> <span word="technology">technology</span> <span word="can">can</span> <span word="bring">bring</span> <span word="to">to</span> <span word="us">us</span> [<span word="C">C</span>] <span word="warn">warn</span> <span word="of">of</span> <span word="the">the</span> <span word="harm">harm</span> <span word="patients">patients</span> <span word="are">are</span> <span word="prone">prone</span> <span word="to">to</span> <span word="suffer">suffer</span> [<span word="D">D</span>] <span word="show">show</span> <span word="the">the</span> <span word="advantages">advantages</span> <span word="and">and</span> <span word="disadvantages">disadvantages</span> <span word="of">of</span> <span word="technology">technology</span> 2. <span word="According">According</span> <span word="to">to</span> <span word="the">the</span> <span word="proposal">proposal</span> <span word="made">made</span> <span word="by">by</span> <span word="President">President</span> <span word="Clinton">Clinton</span>， <span word="patients">patients</span> <span word="will">will</span> <span word="be">be</span> <span word="able">able</span> <span word="to">to</span> <span word="do">do</span> <span word="the">the</span> <span word="following">following</span> <span word="EXCEPT">EXCEPT</span> _____________. [<span word="A">A</span>] <span word="enjoy">enjoy</span> <span word="more">more</span> <span word="rights">rights</span> <span word="to">to</span> <span word="their">their</span> <span word="medical">medical</span> <span word="records">records</span> [<span word="B">B</span>] <span word="be">be</span> <span word="open">open</span> <span word="with">with</span> <span word="their">their</span> <span word="doctors">doctors</span> [<span word="C">C</span>] <span word="decide">decide</span> <span word="how">how</span> <span word="to">to</span> <span word="use">use</span> <span word="their">their</span> <span word="medical">medical</span> <span word="information">information</span> [<span word="D">D</span>] <span word="sue">sue</span> <span word="their">their</span> <span word="insurers">insurers</span> <span word="for">for</span> <span word="improper">improper</span> <span word="use">use</span> <span word="of">of</span> <span word="their">their</span> <span word="medical">medical</span> <span word="records">records</span> 3. <span word="Doctors">Doctors</span> <span word="tend">tend</span> <span word="to">to</span> <span word="think">think</span> <span word="that">that</span> <span word="the">the</span> <span word="rules">rules</span> _____________. [<span word="A">A</span>] <span word="may">may</span> <span word="ruin">ruin</span> <span word="doctor">doctor</span>-<span word="patient">patient</span> <span word="relationship">relationship</span> [<span word="B">B</span>] <span word="can">can</span> <span word="do">do</span> <span word="more">more</span> <span word="harm">harm</span> <span word="than">than</span> <span word="good">good</span> [<span word="C">C</span>] <span word="will">will</span> <span word="prevent">prevent</span> <span word="doctors">doctors</span> <span word="from">from</span> <span word="doing">doing</span> <span word="medical">medical</span> <span word="research">research</span> [<span word="D">D</span>] <span word="will">will</span> <span word="end">end</span> <span word="up">up</span> <span word="in">in</span> <span word="more">more</span> <span word="health">health</span> <span word="care">care</span> <span word="cost">cost</span> <span word="and">and</span> <span word="poorer">poorer</span> <span word="medical">medical</span> <span word="service">service</span> 4. <span word="The">The</span> <span word="example">example</span> <span word="of">of</span> <span word="the">the</span> <span word="January">January</span> <span word="poll">poll</span> <span word="by">by</span> <span word="Princeton">Princeton</span> <span word="Survey">Survey</span> <span word="Research">Research</span> <span word="Associates">Associates</span> <span word="is">is</span> <span word="used">used</span> <span word="to">to</span> <span word="show">show</span> <span word="that">that</span> __________________. [<span word="A">A</span>] <span word="American">American</span> <span word="patients">patients</span> <span word="concealment">concealment</span> <span word="of">of</span> <span word="their">their</span> <span word="medical">medical</span> <span word="information">information</span> <span word="has">has</span> <span word="become">become</span> <span word="a">a</span> <span word="big">big</span> <span word="concern">concern</span> [<span word="B">B</span>] <span word="a">a</span> <span word="large">large</span> <span word="portion">portion</span> <span word="of">of</span> <span word="patients">patients</span> <span word="would">would</span> <span word="rather">rather</span> <span word="leave">leave</span> <span word="their">their</span> <span word="diseases">diseases</span> <span word="untreated">untreated</span> [<span word="C">C</span>] <span word="concealing">concealing</span> <span word="medical">medical</span> <span word="information">information</span> <span word="is">is</span> <span word="widespread">widespread</span> <span word="in">in</span> <span word="the">the</span> <span word="U">U</span>.<span word="S">S</span>. [<span word="D">D</span>] <span word="paying">paying</span> <span word="cash">cash</span> <span word="for">for</span> <span word="medical">medical</span> <span word="service">service</span> <span word="is">is</span> <span word="a">a</span> <span word="common">common</span> <span word="practice">practice</span> <span word="among">among</span> <span word="American">American</span> <span word="patients">patients</span> 5. <span word="From">From</span> <span word="the">the</span> <span word="article">article</span> <span word="we">we</span> <span word="can">can</span> <span word="learn">learn</span> <span word="that">that</span> ________________. [<span word="A">A</span>] <span word="American">American</span> <span word="government">government</span> <span word="will">will</span> <span word="tighten">tighten</span> <span word="its">its</span> <span word="control">control</span> <span word="over">over</span> <span word="the">the</span> <span word="use">use</span> <span word="of">of</span> <span word="patients">patients</span> <span word="personal">personal</span> <span word="information">information</span>. [<span word="B">B</span>] <span word="doctors">doctors</span> <span word="and">and</span> <span word="insurers">insurers</span> <span word="are">are</span> <span word="both">both</span> <span word="against">against</span> <span word="the">the</span> <span word="rules">rules</span> <span word="for">for</span> <span word="the">the</span> <span word="same">same</span> <span word="reasons">reasons</span> [<span word="C">C</span>] <span word="patients">patients</span> <span word="are">are</span> <span word="entitled">entitled</span> <span word="to">to</span> <span word="have">have</span> <span word="complete">complete</span> <span word="control">control</span> <span word="of">of</span> <span word="their">their</span> <span word="medical">medical</span> <span word="information">information</span> [<span word="D">D</span>] <span word="the">the</span> <span word="new">new</span> <span word="rules">rules</span> <span word="put">put</span> <span word="insurers">insurers</span> <span word="in">in</span> <span word="a">a</span> <span word="very">very</span> <span word="disadvantageous">disadvantageous</span> <span word="position">position</span> 答案：<span word="ABBAD">ABBAD</span> 篇章剖析 本文主要讲述了病人医疗隐私权立法及其引发的争议，采用的是指出问题分析问题的模式。作者首先说明了病人医疗隐私泄露可能带来的问题，接着谈了提议中的病人医疗隐私权法案的内容。在第三段作者说明了反对该法案一方的观点。最后一段则强调了新法规的宗旨和不立法可能造成的不良后果。 词汇注释 <span word="brewing">brewing</span> <span word="adj">adj</span>. 酝酿中的;逐渐形成的;即将发生的 <span word="HMO">HMO</span>： <span word="Health">Health</span> <span word="Maintenance">Maintenance</span> <span word="Organization">Organization</span> 医疗保健机构 <span word="tidings">tidings</span> <span word="n">n</span>. 消息 <span word="corollary">corollary</span> <span word="n">n</span>. 必然的结果;推论 <span word="stipulate">stipulate</span> <span word="v">v</span>. 规定，保证 <span word="divulge">divulge</span> <span word="v">v</span>. 泄露， 暴露 <span word="bill">bill</span> <span word="v">v</span>. 宣布，宣告 <span word="managed">managed</span>-<span word="care">care</span> <span word="plan">plan</span>： <span word="n">n</span>. 管理式医疗保健计划 <span word="loophole">loophole</span> <span word="n">n</span>. 漏洞 <span word="pry">pry</span> <span word="v">v</span>. 探查，侦查，窥探 <span word="provision">provision</span> <span word="n">n</span>. 规定 <span word="liable">liable</span> <span word="adj">adj</span>. 有责任的 <span word="breach">breach</span> <span word="n">n</span>. 违背;不履行 难句突破 1.<span word="The">The</span> <span word="doctors">doctors</span> <span word="said">said</span> <span word="the">the</span> <span word="rules">rules</span> <span word="could">could</span> <span word="actually">actually</span> <span word="erode">erode</span> <span word="privacy">privacy</span>， <span word="pointing">pointing</span> <span word="to">to</span> <span word="a">a</span> <span word="provision">provision</span> <span word="allowing">allowing</span> <span word="managed">managed</span>-<span word="care">care</span> <span word="plans">plans</span> <span word="to">to</span> <span word="use">use</span> <span word="personal">personal</span> <span word="information">information</span> <span word="without">without</span> <span word="consent">consent</span> <span word="if">if</span> <span word="the">the</span> <span word="purpose">purpose</span> <span word="was">was</span> <span word="health">health</span>-<span word="care">care</span> <span word="operations">operations</span>. 主体句式：<span word="The">The</span> <span word="doctors">doctors</span> <span word="said">said</span> 结构分析：本句中<span word="pointing">pointing</span> <span word="to">to</span> 这个作伴随状语的分词短语又包含了一个介词<span word="without">without</span>引出的方式状语和由<span word="if">if</span>引导的条件状语从句，使得句子的结构变得较为复杂。 句子译文：医生认为这些法规实际上是在破坏隐私权，因为其中一条规定允许管理式医疗保健计划在开展医疗保健工作时可以不经许可使用个人信息。 题目分析 1. 答案为<span word="A">A</span>，属推理判断题。文章以医生利用先进的互联网技术传播病人医疗信息会有助于治疗某些病人的疾病，但同时又给一些病人在就业和购买保险方面带来困难为例说明保护病人医疗信息的重要性，以及不当使用技术可能带来的不良后果。 2. 答案为<span word="B">B</span>，属事实细节题。<span word="be">be</span> <span word="open">open</span> <span word="with">with</span> <span word="their">their</span> <span word="doctors">doctors</span> 只是这项法规试图达到的效果，并不是该法规赋予病人的权利。因此答案应该是<span word="B">B</span>. 3. 答案为<span word="B">B</span>，属事实细节题。文章引用医生的观点认为新法规不但不利于保护病人的隐私，反而会<span word="actually">actually</span> <span word="erode">erode</span> <span word="privacy">privacy</span>，由此可见答案应该是<span word="B">B</span>. 4. 答案为<span word="A">A</span>，属推理判断题。前文讲到了病人因为羞于启齿或者担心失去保险赔付而隐瞒病情，使疾病得不到治疗;然后说<span word="The">The</span> <span word="fear">fear</span> <span word="is">is</span> <span word="real">real</span>. 继而引用普利斯顿调查研究协会的调查结果，意在说明这一问题的严重性。 5. 答案为<span word="D">D</span>，属事实细节题。文章中提到保险公司的反对意见时，引用了保险公司的说法：<span word="the">the</span> <span word="rules">rules</span> <span word="would">would</span> <span word="make">make</span> <span word="them">them</span> <span word="vulnerable">vulnerable</span> <span word="to">to</span> <span word="lawsuits">lawsuits</span>.由此可见答案应该是<span word="D">D</span>.<span word="A">A</span>项中提出的政府加强对病人私人信息的控制的说法是不正确的，因为保险公司抗议的是政府要加强对法规实施情况的审查。 参考译文 技术是一把双刃剑。这一点在医疗保健领域尤为明显。借助技术，医生可以测试病人的遗传缺陷并通过互联网很快将结果传遍全世界。对于那些需要治疗的人来说，这是好消息;但对于那些正在找工作，或者想要买一份保险的人来说，这样的消息可能非常糟糕。 上周比尔。克林顿总统向国会提交了一份病人权利法案的推论：医疗隐私权。从2002年开始，根据2月即将生效的法规，病人将有权规定透露其个人医疗资料的条件。他们可以检查自己的病历并进行更正。他们也可以了解哪些人曾看过他们的信息。医护人员或者保险公司对病历使用不当将会导致民事或者刑事处罚。克林顿说，这一提案在促使美国人重新获得对自己的病历控制权方面迈出了极其重要的一步。 虽然政府称这些法规旨在平衡消费者和医疗保健行业的需求，但医生和保险公司对此都颇有微词。医生认为这些法规实际上是在破坏隐私权，因为其中一条规定允许管理式医疗保健计划在开展医疗保健工作时可以不经许可使用个人信息。医生们称其为一个漏洞，它使得医疗保健机构和其他保险公司可以打着评估医疗保健质量的旗号窥探医患关系。同时，保险公司也对这些法规持反对意见，他们认为这些法规很容易让他们惹上官司。其中一条法规令他们尤为不满，该法规规定：保险公司对律师和会计这样的商业伙伴的侵犯隐私行为负责。这两个群体都一致认为，保护隐私会使医疗保健成本增加至少38亿美元，在接下来的五年里也许还会增加更多。根据新法规的执行条例，联邦政府将加大对医疗保健行业的审查力度，他们对此也表示不满。 新法规的目标之一就是要让病人不再担心自己的隐私被泄漏，从而鼓励他们对医生坦诚相告。今天各种各样的癌症和性病可能会因为病人羞于启齿或者担心失去保险赔付而得不到治疗。这种担心并非无中生有：克林顿的助手补充说，由普林斯顿调查研究协会在一月份进行的一项民意测试显示，在美国，每六个成年人中就有一个曾经做过刻意隐瞒医疗信息的事情，比如用现金支付服务费。</p>
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