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
Across the developed world, health-care spending is rising and will continue to in crease as populations age. As each country fe
Across the developed world, health-care spending is rising and will continue to in crease as populations age. As each country fe
admin
2009-04-27
48
问题
Across the developed world, health-care spending is rising and will continue to in crease as populations age. As each country feels the financial strain, it is tempting to imagine that there must be a better way of funding medical care elsewhere. In Britain, for example, Bernard Ribeiro, the new president of the Royal College of Surgeons, has called for the National Health Service (NHS) to be financed from social-insurance contributions, as in Germany and France, rather than from general taxation. He worries that a tax-financed system will not deliver enough resources to meet the demand for health-care spending in the longer run.
There are indeed good reasons for concern about the way the NHS is financed, for it has allowed the government to pump in too much money too fast. But there is no ideal sys tem for paying for health care. The European social-insurance model is in even more trouble than Britain’s tax-based model. By loading the burden on to employers and workers and thus raising labour costs, it has contributed to the inflexibility of labour markets and thus to the Euro-sclerosis that continental governments are struggling to recover from. In France, the government has resorted to general taxation to spread the burden. In Germany and elsewhere the model looks increasingly unsustainable, not least because its narrow fiscal base will be exposed to unfavourable demographics when the post-war baby-boomers start leaving the labour force in droves.
Nor does America offer an ideal solution. It has a mixed financing system, in which the government stumps up for the elderly and the poor, and employers pay for private coverage of their workers. Health-care spending has reached a record 15% of GDP, dwarfing Britain’s 8%, yet 45m Americans lack insurance cover. The rising cost of publicly-financed medical care threatens America’s fiscal health.
Rather than focusing on how the money is raised, reformers should worry about how it is spent. Health-care expenditure is rocketing not just because demand is rising but also because health-care markets work badly. They are dominated by powerful providers—companies, hospitals and influential doctors—which find it fairly easy to pass on ever-rising costs from new medical technologies to the state or the insurers who pick up most of the tab. Private individuals’ payments generally account for a smallish share of health care spending precisely because medical bills tend to be so high that everybody needs insurance cover of one sort or another. Taxes, social-insurance contributions and payments by employers all boil down to forms of health insurance.
The cure is not to try to raise yet more money in a different way. Instead, the overriding goal must be to spend the money pouring into health care more effectively by getting wasteful medical systems to work better. Two sets of reform are vital and both, as it hap pens, are being undertaken in Britain’s tax-financed NHS.
选项
A、supportive.
B、indicative.
C、negative.
D、comprehensive.
答案
C
解析
本题是一道细节题,其答案信息在第一段第三句和第二段第二句(尤其是第二段第)。第一段第三句的大意是:"Ribeiro先生呼吁英国的NHS从社会保险中获得资金"。第二段第二句实际上是本文作者的观点:"然而没有理想的医疗卫生支付体系",这句话实际上是对第一段中Ribeiro先生观点的否定。在解题时要全面考虑上下段落之间的关系,更要注意转折词语(例如:but)的出现和使用。
转载请注明原文地址:https://kaotiyun.com/show/NHa4777K
0
考研英语一
相关试题推荐
IsitanywonderthatAmericaisalsoacountryofdangerouslyoverweightpeople?AccordingtoarecentstudybytheNational
Timewas,oldpeopleknewtheirplace.Powerwaspassedtosonsanddaughters,crownsplacedonyoungerheads.Notanymore.The
Scienceanditspracticalapplicationsintheformoftechnology,orthe"science"oftheindustrialarts,asWebsterdefinesth
WithJapan’swelfaresystembucklingunderthedemandsofanageingsociety,theworld’soldestmanapologizedyesterdayforhis
AnonymityisnotsomethingwhichwasinventedwiththeInternet.Anonymityandpseudonymityhasoccurredthroughouthistory.For
Theimmunesystemisequalincomplexitytothecombinedintricaciesofthebrainandnervoussystem.Thesuccessoftheimmune
Airbnb,thepopularplatformthatletspeoplerentouttheirhomesandapartments,releasedtheresultsofavolunteersurveyth
[A]Theyfocusattentionmainlyonthemselves[B]Theytreatyourpropertylikeit’stheirown[C]Theycan’tacceptyout
Notsolongago,itwasthestuffofnightmares:youpickupthelandlinetelephoneandthere’snodialingtone.Nothing.Theph
Notsolongago,itwasthestuffofnightmares:youpickupthelandlinetelephoneandthere’snodialingtone.Nothing.Theph
随机试题
Achildwhohasoncebeenpleasedwithatalelikes,asarule,tohaveitretoldinidenticallythesamewords,butthisshould
患者,男性,39岁,从高处跳下时,双下肢顿时感到无力。在急诊室骨科首先做的影像学检查是
对项目经理、技术负责人和技术干部安全教育的主要内容包括()。
运往境外加工的货物,出境时向海关报明,并在海关规定期限内复运进境的,应当以加工后的货物进境时的到岸价格作为完税价格。()
经济全球化对我国既有机遇,也是挑战。下列看法正确的是()。①要尽可能地避免经济全球化带来的影响②依据我国的经济实力推行贸易保护主义③要坚决维护我国的经济安全④我国既要参与区域经济合作,又要积极融入经济全球化
正态分布的对称轴是过()点垂线
按照餐饮业卫生管理条例,对宴席,特别是规模宴席(例如婚宴)的卫生检查程序要比普通散座餐饮更为严格。S市的绝大多数餐馆事实上都执行了上述规定。但是,近年来在S市对餐饮业的食物中毒投诉大多数是针对宴席的。以下哪项如果为真,有助于解释上述矛盾?I、S市餐饮业的主
Amajoraspectofmanyfirms’marketingstrategiesoverthepastdecadehavebeenthedevelopmentofnewproducts.【M1】______Co
HostilitytoGypsieshasexistedalmostfromthetimetheyfirstappearedinEuropeinthe14thcentury.TheoriginsoftheGyps
A、Theyshouldbetrainedbyarealteacher.B、Theyshouldparticipateinonlineactivities.C、They’dbetterlearnmoresoftware
最新回复
(
0
)