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  3. Unlike the private enterprise model, which is the foundation of the U. S. health care system, Canada has a health care system ba

Unlike the private enterprise model, which is the foundation of the U. S. health care system, Canada has a health care system ba

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问题     Unlike the private enterprise model, which is the foundation of the U. S. health care system, Canada has a health care system based on different principles: 1) Universality: everyone is covered. 2) Portability: people can move from province to province and from job to job, or be unemployed , and they will still be covered. 3) Comprehensiveness: the plan covers all medically necessary treatment. 4) Public administration; the system is publicly run and publicly accountable.
    Since 1947 Canada has had a tax-supported health care system in which every Canadian is covered for the costs of all medically necessary services. Under this plan, each citizen is issued a health card by the government, which is presented when health care is received. Using tax money, the government pays back physicians and hospitals, based on a fee schedule determined by the government, not the market. The keys are that the health services are paid for by the government and all Canadians have equal access to the care they need. Canadians can select any doctor they like. The plan is a "single payer"plan, with the doctors billing the provincial insurance plans directly (the government of each Canadian province pays the medical bills of its citizens). For patients, there are no bills, claim forms, fees, and long waits for compensations from insurance carriers.
    The key difference between the Canadian system and that in the United States is that "in Canada health care is considered a social right, while in the United States it is treated more like a commodity".
    The usual arguments against such a plan are that it is inefficient and costly. In Canada’s case, health care is administered more efficiently, at less cost, and with better results, than the health care system in the United States. The results, as measured by infant mortality and life expectancy, show that Canada is ahead of the United States. Administrative costs are less in Canada (about one-fourth of U. S. administrative expenses for physicians, hospitals, and insurance companies).
    The Canadian health care system is not perfect. Canadians have less access than Americans to the latest technological innovations. There may be waits for those not needing immediate surgeries. But despite some small problems, most Canadians like their health care system. A Gallup Poll in 1991 revealed, for example, that 91 percent of Canadians rated their health care system better than that in the United States, compared to only 26 percent of Americans who felt their system was superior to that in Canada.
We can infer from the last paragraph that
选项 A、Americans enjoy the medical care of their choice.
B、most Canadians deem their health care system to be flawless.
C、Canadians do not benefit from all new medical achievements.
D、most Americans are proud of their health care system.
答案C
解析 根据最后一段最后一句“…only 26 percent of Americans who felt their system was superior to that in Canada．”中，我们判断出只有少数美国人对美国的医疗体系感到满意，故选项A和D是错误的；从最后一段第三句“But despite some small problems，most Canadians like their health care system．”中，我们可以判断出，加拿大人并不认为加拿大的医疗体系是完美的，他们承认其存在一些问题，故选项B是错误的；从最后一段第二句“Canadians have less access than Americans to the latest technological innovations．”中，我们可以判断出，加拿大的医疗技术革新落后于美国，因此加拿大公民不能受益于所有的新的医疗成果，故选项C是正确的。
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