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Everyone, it seems, has a health problem. After pouring billions into the National Health Service, British people moan about dir

admin2022-07-19  76
问题     Everyone, it seems, has a health problem. After pouring billions into the National Health Service, British people moan about dirty hospitals, long waits and wasted money. In Germany, the chancellor, Angela Merkel, is under fire for suggesting changing the financing of its health system. Canada’s Conservative Prime Minister, Stephen Harper, made a big fuss during the election about reducing the country’s lengthy medical queues. Across the rich world, affluence, ageing and advancing technology are driving up health spending faster than income.
    But nowhere has a bigger health problem than America. Soaring medical bills are squeezing wages, swelling the ranks of the uninsured and pushing huge firms and perhaps even the government towards bankruptcy. Ford’s announcement that it would cut up to 30,000 jobs was as much a sign of its "legacy" health-care costs as of the ills of the car industry. Pushed by polls that show health care is one of his main domestic problems and by forecasts showing that the baby boomers will crush the government’s finances, President of the United Stares is to unveil a reform plan in next week’s state-of-the-union address.
    America’s health system is unlike any other. The United States spends 16％ of its GDP on health, around twice the rich-country average, equivalent to $6,280 for every American each year. Yet it is the only rich country that does not guarantee universal health coverage. Thanks to an accident of history, most Americans receive health insurance through their employer, with the government picking up the bill for the poor and the elderly.
    This curious hybrid certainly has its strengths. Americans have more choice than anybody else, and their health-care system is much more innovative. Europeans’ bills could be much higher if American medicine were not doing much of their Research and Development (R&D) for them. But there are also huge weaknesses. The one most often cited—especially by foreigners—is the army of uninsured. Some 46 million Americans do not have cover. In many cases that is out of choice and, if they fall seriously ill, hospitals have to treat them. But it is still deeply unequal. And there are also shocking inefficiencies: by some measures, 30％ of American health spending is wasted.
    Then there is the question of state support. Many Americans disapprove of the "socialized medicine" of Canada and Europe. In fact, even if much of the administration is done privately, around 60％ of America’s health-care bill ends up being met by the government. Proportionately, the American state already spends as much on health as the OECD (Organization of Economic Cooperation and Development) average and that share is set to grow as the baby boomers run up their Medicare bills and ever more employers avoid providing health-care coverage. America is, in effect, heading towards a version of socialized medicine by default.
It is implied in the passage that________.
选项 A、America’s health system has its strengths and weaknesses
B、the U.S. government pays medical bills for the poor and the elderly
C、some 46 million Americans do not have medical insurance
D、Europeans benefit a lot from America’s medical research
答案D
解析 本题题干没有关键词，但根据选项可以定位到第三段和第四段。根据第四段第三句话：要不是美国医疗为欧洲的医疗研发做了大量贡献的话。欧洲人的医疗费会更加昂贵(much higher)，即原文暗示：欧洲人从美国的医疗研究中受益颇多，因此选项D推断合理，是正确答案。根据第四段第一句话和第四句话：这种不寻常的混合体制当然有它的优点 (strengths)，但是这样的医疗体制也有巨大的缺点(weaknesses)，因此选项A是原文明确的细节事塞，不属于暗示的内容。根据第三段第四句话，由于历史的偶然事件，大部分美国人通过他们的雇主获得医疗保险，政府为穷人和老年人(the elderly)的医疗费用买单(pick up the bill)，选项B中的pays medical bills与原文的picking up the bill属于同义替换，也是原文明确的细节事实，不属于暗示的内容。根据第四段第六句话，大约有4600万美国人没有医疗保险(do not have cover)，选项C与原文是同义替换，也不属于暗示的内容。
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