Most people would be 【21】______ by the high quality of medicine 【22】______ to most Americans. There is a lot of specialization, a great deal of 【23】______ to the individual, a 【24】______ amount of advanced technical equipment, and 【25】______ effort not to make mistakes because of the financial risk which doctors and hospitals must 【26】______ in the courts if they 【27】______ things badly. But the Americans are in a mess. The problem is the way in 【28】______ health care is organized and 【29】______ . 【30】______ to pubic belief it is not just a free competition system. The private system has been joined a large public system, because private care was simply not 【31】______ the less fortunate and the elderly. But even with this huge public part of the system, 【32】______ this year will eat up 84.5 billion dollars—more than 10 percent of the U.S. Budget—large number of Americans are left 【33】______ . These include about half the 11 million unemployed and those who fail to meet the strict limits 【34】______ income fixed by a government trying to make savings where it can. The basic problem, however, is that there is no central control 【35】______ the health system. There is no 【36】______ to what doctors and hospitals charge for their services, other than what the public is able to pay. The number of doctors has shot up and prices have climbed. When faced with toothache, a sick child, or a heart attack, all the unfortunate persons concerned can do is 【37】______ up. Two thirds of the population 【38】______ covered by medical insurance. Doctors charge as much as they want 【39】______ that the insurance company will pay the bill. The rising cost of medicine in the U. S. A. is among the most worrying problems facing the country. In 1981 the country's health bill climbed 15.9 percent—about twice as fast as prices 【40】______ general. 【21】