参考答案

正确答案：D
解析：细节题。倒数第二段首句提到“Substituting technology for about(such as the absent doctor at the government clinic)is another trend．”，这里提到的是人工替代技术，不是人员精简，[D]不符合文意，故为答案。倒数第四段首句指出“A second shove will come from American policy，which will dispense more than $ 30 billion in subsidies over the next few years to encourage doctors and hospitals to adopt electronic medical records．”，[A]符合文意；末段第二句提到“But given the growing evidence of its usefulness and the new business models from emerging markets．there is reason for hope too．”，[B]符合文意；倒数第三段首句指出“A further impetus is likely to be provided by ideas bubbling up from developing countries．”，[C]符合文意。