2. 考研
  3. In the following text, some sentences have been removed. Choose the most suitable one from the list A—G refit into each of the n

In the following text, some sentences have been removed. Choose the most suitable one from the list A—G refit into each of the n

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问题     In the following text, some sentences have been removed. Choose the most suitable one from the list A—G refit into each of the numbered blank. There are two extra choices which do not fit in any of the gaps.

    Canada’s premiers (the leaders of provincial governments), if they have any breath left after complaining about Ottawa at their late July annual meeting, might spare a moment to do something, to reduce health-care costs.
    They’re all groaning about soaring health budgets, the fastest-growing component of which are pharmaceutical costs.
    (41)______.
    What to do? Both the Romanow commission and the Kirby committee on health care—to say nothing of reports from other experts—recommended the creation of a national drug agency. Instead of each province having its own list of approved drugs, bureaucracy, procedures and limited bargaining power, all would pool resources, work with Ottawa, and create a national institution.
    (42)______.
    But "national" doesn’t have to mean that. "National" could mean interprovincial—provinces combining efforts to create one body.
    Either way, one benefit of a "national" organization would be to negotiate better prices, if possible, with drag manufacturers. Instead of having one province—or a series of hospitals within a province—negotiate a price for a given drug on the provincial list, the national agency would negotiate on behalf of all provinces.
    Rather than, say, Quebec, negotiating on behalf of seven million people, the national agency would negotiate on be half of 31 million people. Basic economics suggests the greater the potential consumers, the higher the likelihood of a better price.
    (43)______.
    A small step has been taken in the direction of a national agency with the creation of the Canadian Coordinating Office for Health Technology Assessment, funded by Ottawa and the provinces. Under it, a Common Drug Review recommends to provincial lists which new drugs should be included. Predictably, and regrettably Quebec refused to join.
    A few premiers are suspicious of any federal-provincial deal-making. They (particularly Quebec and Alberta) just want Ottawa to fork over additional billions with few, if any, strings attached. That’s one reason why the idea of a national list hasn’t gone anywhere while drug costs keep rising fast.
    (44)______.
    Premiers love to quote Mr. Romanow’s report selectively, especially the parts about more federal money. Perhaps they should read what he had to say about drugs: "A national drug agency would provide governments more influence on pharmaceutical companies in order to try to constrain the ever-increasing cost of drugs".
    (45)______.
    So when the premiers gather in Niagara Falls to assemble their usual complaint list, they should also get cracking about something in their jurisdiction that would help their budgets and patients.

A. Quebec’s resistance to a national agency is provincialist ideology. One of the first advocates for a national list was a researcher at Laval University. Quebec’s Drug Insurance Fund has seen its costs skyrocket with annual increases from 14.3 per cent to 26.8 per cent!
B. Or they could read Mr. Kirby’s report: "the substantial buying power of such an agency would strengthen the public prescription-drug insurance plans to negotiate the lowest possible purchase prices from drug companies".
C. What does "national" mean? Roy Romanow and Senator Michael Kirby recommended a federal-provincial body much like the recently created National Health Council.
D. The problem is simple and stark: health-care cost have been, are, and will continue to increase faster than government revenues.
E. According to the Canadian Institute for Health Information, prescription drug costs have risen since 1997 at twice the rate of overall health-care spending. Part of the increase comes from drugs being used to replace other kinds of treatments. Part of it arises from new drugs costing more than older kinds. Part of it is higher prices.
F. So, if the provinces want to run the health-care show, they should prove they can run it, starting with an interprovincial health list that would end duplication, save administrative costs, prevent one province from being played off against another, and bargain for better drug prices.
G. Of course the pharmaceutical companies will scream. They like divided buyers; they can lobby better that way. They can use the threat of removing jobs from one province to another. They can hope that, if one province includes a drug on its list, the pressure will cause others to include it on theirs. They wouldn’t like a national agency, but self-interest would lead them to deal with it.

选项
答案F
解析 空前有两段文字。第一段最后提到魁北克拒绝加入全国性代理机构。而第二段提到有很多省的政府官员对于这种全国性代理机构持怀疑态度，这些官员只希望首都渥太华出钱，他们自己并不想出钱，这就是为什么到目前为止这个办法还没有向全国推广的一个很重要的原因。可以发现这里仍然存在推行全国性代理机构的设想所遇到的阻力，阻力一是来自于药厂，二是来自这些省本身。接下来当然会谈到怎么处理这个阻力。而F选项非常明确的说明了"所以如果某些省想完成健康福利的任务，他们就必须有完成这个任务的能力，他们必须开一张省际单子，他们还必须节约管理费用，防止一个省和另一个省之间的斗争，而且还要尽量争取更好的药价"。
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