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City Official: At City Hospital, uninsured patients tend to have shorter stays and fewer procedures performed than do insured patients,...

GMAT Critical Reasoning : (CR) Questions

Source: Official Guide
Critical Reasoning
Boldface
MEDIUM
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City Official: At City Hospital, uninsured patients tend to have shorter stays and fewer procedures performed than do insured patients, even though insured patients, on average, have slightly less serious medical problems at the time of admission to the hospital than uninsured patients have. Critics of the hospital have concluded that the uninsured patients are not receiving proper medical care. However, this conclusion is almost certainly false. Careful investigation has recently shown two things: insured patients have much longer stays in the hospital than necessary, and they tend to have more procedures performed than are medically necessary.

In the city official's argument, the two boldface portions play which of the following roles?

A
The first states the conclusion of the city official's argument; the second provides support for that conclusion.
B
The first is used to support the conclusion of the city official's argument; the second states that conclusion.
C
The first was used to support the conclusion drawn by hospital critics; the second states the position that the city official's argument opposes.
D
The first was used to support the conclusion drawn by hospital critics; the second provides support for the conclusion of the city official's argument.
E
The first states the position that the city official's argument opposes; the second states the conclusion of the city official's argument­
Solution

Understanding the Passage

Text from PassageAnalysis
"At City Hospital, uninsured patients tend to have shorter stays and fewer procedures performed than do insured patients, even though insured patients, on average, have slightly less serious medical problems at the time of admission to the hospital than uninsured patients have."
  • What it says: The city official presents a puzzling situation at the hospital. Uninsured patients get less treatment (shorter stays, fewer procedures) despite having more serious health problems when they arrive, while insured patients get more treatment despite having less serious problems.
  • Visualization: Uninsured patients: 3-day stays, 2 procedures, serious conditions vs. Insured patients: 7-day stays, 5 procedures, less serious conditions
  • What it does: This establishes the factual foundation that creates a medical care puzzle - why would sicker patients get less treatment?
  • Source: City official's view
(Boldface 1) "Critics of the hospital have concluded that the uninsured patients are not receiving proper medical care."
  • What it says: Hospital critics look at the situation described above and reach a logical conclusion - since uninsured patients are sicker but get less treatment, they must be receiving inadequate care.
  • Visualization: Critics' logic: Sicker patients (severity level 8/10) + Less treatment (3 days, 2 procedures) = Inadequate care
  • What it does: This presents the critics' interpretation of the facts, which seems reasonable given the information so far.
  • Source: Critics' view (not the city official's view)
"However, this conclusion is almost certainly false."
  • What it says: The city official directly disagrees with the critics' conclusion and states it's wrong.
  • Visualization: Official's position: Critics' conclusion of inadequate care = False
  • What it does: This signals that the official will now provide a different interpretation of the same facts.
  • Source: City official's view
(Boldface 2) "Careful investigation has recently shown two things: insured patients have much longer stays in the hospital than necessary, and they tend to have more procedures performed than are medically necessary."
  • What it says: New research reveals that insured patients actually receive excessive treatment - they stay longer than medically required and get more procedures than they actually need.
  • Visualization: Insured patients: Medical need = 4 days, 3 procedures vs. Actual treatment = 7 days, 5 procedures (overtreatment)
  • What it does: This provides evidence that reframes the entire situation - the comparison isn't between adequate vs. inadequate care, but between appropriate vs. excessive care.
  • Source: City official's view (citing investigation results)

Overall Structure

The city official is rejecting critics' interpretation of hospital data by providing an alternative explanation. The logic flows: Facts → Critics' conclusion → Official's disagreement → Evidence supporting alternative explanation.

Main Conclusion: The critics' conclusion that uninsured patients receive inadequate care is false.

Boldface Segments

  • Boldface 1: Critics of the hospital have concluded that the uninsured patients are not receiving proper medical care
  • Boldface 2: Careful investigation has recently shown two things: insured patients have much longer stays in the hospital than necessary, and they tend to have more procedures performed than are medically necessary

Boldface Understanding

Boldface 1:

  • Function: Presents the critics' conclusion that the city official wants to refute
  • Direction: Opposite direction (opposes the author's ultimate position since the official disagrees with this conclusion)

Boldface 2:

  • Function: Provides evidence that supports the official's position and explains why the critics are wrong
  • Direction: Same direction (supports the author's conclusion by showing insured patients get excessive, not just adequate, care)

Structural Classification

Boldface 1:

  • Structural Role: A conclusion being disputed/refuted by the main argument
  • Predicted Answer Patterns: "a conclusion that the argument disputes," "a view that the argument opposes"

Boldface 2:

  • Structural Role: Evidence supporting the main argument's position
  • Predicted Answer Patterns: "evidence supporting the argument's conclusion," "findings that support the author's position"
Answer Choices Explained
A
The first states the conclusion of the city official's argument; the second provides support for that conclusion.
  • 'The first states the conclusion of the city official's argument' - ✗ WRONG - The first boldface presents the critics' conclusion, not the city official's conclusion. The official actually disagrees with this statement.
  • 'The second provides support for that conclusion' - ✗ WRONG - The second boldface is the official's main conclusion, not supporting evidence. The supporting evidence comes after this statement.
B
The first is used to support the conclusion of the city official's argument; the second states that conclusion.
  • 'The first is used to support the conclusion of the city official's argument' - ✗ WRONG - The first boldface doesn't support the official's argument; it presents the critics' opposing view that the official argues against.
  • 'The second states that conclusion' - ✓ CORRECT - The second boldface does state the official's main conclusion that the critics are wrong.
C
The first was used to support the conclusion drawn by hospital critics; the second states the position that the city official's argument opposes.
  • 'The first was used to support the conclusion drawn by hospital critics' - ✗ WRONG - The first boldface IS the critics' conclusion, not evidence supporting it. The evidence supporting the critics' conclusion comes from the treatment disparity data mentioned earlier.
  • 'The second states the position that the city official's argument opposes' - ✗ WRONG - The second boldface states the official's own position, not what the official opposes.
D
The first was used to support the conclusion drawn by hospital critics; the second provides support for the conclusion of the city official's argument.
  • 'The first was used to support the conclusion drawn by hospital critics' - ✗ WRONG - Same issue as Choice C - the first boldface IS the critics' conclusion, not supporting evidence for it.
  • 'The second provides support for the conclusion of the city official's argument' - ✗ WRONG - The second boldface IS the official's conclusion, not evidence supporting it.
E
The first states the position that the city official's argument opposes; the second states the conclusion of the city official's argument­
  • 'The first states the position that the city official's argument opposes' - ✓ CORRECT - The first boldface presents the critics' conclusion that the official disagrees with and argues against.
  • 'The second states the conclusion of the city official's argument' - ✓ CORRECT - The second boldface directly states the official's main conclusion that the critics are wrong.
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