首页
外语
计算机
考研
公务员
职业资格
财经
工程
司法
医学
专升本
自考
实用职业技能
登录
考研
Canada’s premiers ( the leaders of provincial governments), if they have any breath left after complaining about Ottawa at their
Canada’s premiers ( the leaders of provincial governments), if they have any breath left after complaining about Ottawa at their
admin
2009-01-14
84
问题
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 drug 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 behalf 31 million people. Basic economies 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 nationalist 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 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 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 percent !
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 costs 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 heahh-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
G
解析
描述医药公司会喜欢零散的买家,而不会喜欢全国性代理机构,这是医药公司对national drug agency的态度,因此是对第五、六段内容(即national drug agency对医药生产商的优势)的回应。
转载请注明原文地址:https://kaotiyun.com/show/AUsa777K
本试题收录于:
MBA联考(英语)题库专业硕士分类
0
MBA联考(英语)
专业硕士
相关试题推荐
我国计算机网络事业发展很快。据中国互联网中心的一项统计显示,截至1999年6月30日,我国上网用户人数约400万,其中使用专线上网的用户人数约为144万,使用拨号上网的用户人数约为324万。根据以上数据,最可能推出以下哪项判断有误?()
某计算机销售部向顾客承诺:“本部销售的计算机在一个月内包换、一年内免费包修、三年内上门服务免收劳务费,因使用不当造成的故障除外。”以下哪项所讲的是该销售部应该提供的服务?()
说某种语言的人依赖他们的常识来理解他们所听到或看到的语句的意思。人们能够很容易地教会计算机一种语言的正式规则,但是提供给它们常识却是另一回事。因此,教会计算机推导出普通语句的意思是极其困难的。下面哪一项可以从题干中推导出来?
在西方工业化国家里,许多企业主通过设备自动化而解雇工人,减少开支,但因自动化而被解雇的失业者需要政府的救济才能维持生计。失业者的队伍扩大了,政府的失业救济负担随之增加,这又导致了税收的增加。征税对象中,当然包括那些因自动化而解雇工人的企业。这段议
WholesalepricesinJulyrosemoresharplythanexpectedandatafasterratethanconsumerprices,【1】thatbusinesseswerestill
WholesalepricesinJulyrosemoresharplythanexpectedandatafasterratethanconsumerprices,【1】thatbusinesseswerestill
Eachyear,hundredsofthousandsofpeoplediefromheartattack,aleadingcauseofdeath.IntheLandmarkPhysicians’HealthS
Theroleofgovernmentsinenvironmentalmanagementisdifficultbutinescapable.Sometimes,thestatetriestomanagetheresou
Anothermonth,anotherdismalsetofjobfigures.AmericapulledoutofitslasteconomicrecessionwaybackinNovember2001,y
ThenewprestigeoftheBritishgraduatesisthemostspectacularbecauseinthepastBritainhasbeenmuch【1】interestedinuniv
随机试题
电路如图3所示,二极管D1,D2,D3均为理想元件,则输出电压u0为_________。
DNA复制所需要的能量来源是
“阴在内,阳之守也;阳在外,阴之使也”是说明()
根据《环境影响评价技术导则一地面水环境》,关于水质取样垂线布设的说法,错误的是()。
甲公司为居民企业,2014年有关收支情况如下:(1)取得销售货物收入4300万元、理财产品收益30万元、从事直接投资的未上市居民企业分回股息收益270万元、出售闲置厂房收入400万元。(2)按规定提取的折旧费用180万元,其中机器设备折旧费50万元、运
学校教育制度是我国教育制度的主要部分,是按照受教育者的身心发展规律而系统实施的,具体包括()四个阶段
甲对乙使用暴力,欲将其打残。乙慌忙掏出手机准备报警,甲一把夺过手机装进裤袋并将乙打成重伤。甲在离开现场五公里后,把乙价值7000元的手机扔进水沟。甲的行为构成
GooglealreadyhasawindowintooursoulsthroughourInternetsearchesanditnowhasinsightintoourailingbodiestoo.The
在Excel中,假设单元格A1、A2、B1和B2内容如下图所示,在C1中输入公式“=$AS1+SB$1”并将公式复制到C2,那么C2的内容为(5)。
A、Asmallplacewithaniceviewofthecity.B、AspaciousapartmentthatincludescableTV.C、Anapartmentdowntownwithfreep
最新回复
(
0
)