Directions: There are 10 questions in this part of the test. Read the passag

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问题    Directions: There are 10 questions in this part of the test. Read the passage through. Then, go back and choose one suitable word or phrase marked A, B, C, or D for each blank in the passage.
The health-care economy is filled with unusual and even unique economic relationships. One of the least understood involves the  (41) roles of producer or "provider" and purchaser or "consumer" in the typical doctor-patient relationship. In most sectors of the economy, it is the seller who attempts to attract a  (42) buyer with various inducements of price, quality, and utility, and it is the buyer who makes the  (43)  . Where circumstances permit the buyer no choice because there is effectively only one seller and the product is relatively  (44)  , government usually asserts monopoly and places the industry under price and other regulations.  (45) of these conditions prevails in most of the health-care industry.
In the health-care industry, the doctor-patient relationship is the mirror image of the ordinary relationship between producer and consumer.  (46) an individual has chosen to see a physician-and even then there may be no real choice-it is the physician who usually makes all significant  (47) decisions: whether the patient should return "next Wednesday", whether drugs should be prescribed, etc. It is a rare and sophisticated patient who will  (48) such professional decisions or raise in advance questions about price, especially when the disease is regarded as serious.
This is particularly significant in  (49) to hospital care. The physician must certify the need for hospitalization, determine what procedures will be performed and announce when the patient may be  (50)  . [br] (43)

选项 A、choice
B、judgment
C、commitment
D、decision

答案 D

解析本题四个选项中的名词都可与make构成动宾搭配，因此需从语意角度考查。连接词and之前的分句指出：在大多数经济部门，卖者试图用各种诱惑来吸引潜在的买主。本句应该是指买主决定是否购买，空格中应填入表示“决定”意思的词，所以D是正确答案。上句中卖者并没有提供不同的商品，因此买方也谈不上进行选择，因此choice“选择”用在这里不恰当；judgment，“判断”和commitment“承诺”同样也不符合上下文意思。

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