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1、2005年试题PartBDirections:Inthefollowingtext,somesentenceshaveremoved.ForQuestions41-45,choosethemostsuitableonefromthelisttofitintoofthenumberedblanktherearetyvoextrachoices,whichdonotfitinanyofthegaps.MarkyouranswersonANSWERSHEET1.(10points)Canadayspremiers(theleadersofprovi
2、ncialgovernments),iftheyhaveanybreathleftaftercomplainingaboutOttawaattheirlateJulyannualmeeting,mightspareamomenttodosomething,together,toreducehealth-carecosts.They'reallgroaningaboutsoaringhealthbudgets,thefastest-growingcomponentofwhicharepharmaceuticalcosts.41.Whattodo
3、?BoththeRomanowcommissionandtheKirbycommitteeonhealthcaretosaynothingofreportsfromotherexperts—recommendedthecreationofanationaldrugagency.Insteadofeachprovincehavingitsownlistofapproveddrugs,bureaucracy,proceduresandlimitedbargainingpower,allwouldpoolresources,workwithOtta
4、wa,andcreateanationalinstitution.42.But“national"doesn?thavetomeanthat.“National"couldmeaninterprovincial—provincescombiningeffortstocreateonebody.Eitherway,onebenefitofa“national”organizationwouldbetonegotiatebetterprices,ifpossible,withdrugmanufacturers.Insteadofhavingone
5、province—oraseriesofhospitalswithinaprovince―negotiateapriceforagivendrugontheprovinciallist,thenationalagencywouldnegotiateonbehalfofallprovinces.Ratherthan,say,Quebec,negotiatingonbehalfofsevenmillionpeople,thenationalagencywouldnegotiateonbehalf31millionpeople.Basicecono
6、micssuggeststhegreaterthepotentialconsumers,thehigherthelikelihoodofabetterprice.43.AsmallstephasbeentakeninthedirectionofanationalagencywiththecreationoftheCanadianCoordinatingOfficeforHealthTechnologyAssessment,fundedbyOttawaandtheprovinces.Underit,aCommonDrugReviewrecomm
7、endstoprovinciallistswhichnewdrugsshouldbeincluded.Predictably,andregrettably,Quebecrefusedtojoin.Afewpremiersaresuspiciousofanyfederal-provincialdeal-making.They(particularlyQuebecandAlberta)justwantOttawatoforkoveradditionalbillionswithfew,ifany,stringsattached.That5soner
8、easonwhytheideaofanationallisthasrflgoneanywherewhiledrugcostskeeprisingfast.44.Pr
