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
The money is there. So why is it not being spent? That is the big puzzle about the rich world’s efforts to improve health in poo
The money is there. So why is it not being spent? That is the big puzzle about the rich world’s efforts to improve health in poo
admin
2015-06-24
77
问题
The money is there. So why is it not being spent? That is the big puzzle about the rich world’s efforts to improve health in poor countries. In June the leaders of the G8 promised up to $8 billion to the Global Fund to Fight AIDS, Tuberculosis and Malaria, an umbrella group coordinating health aid. The Global Fund closed its latest round of funding applications this week but much of themoney committed remains unused. officials at the fund insist that all is fine: disbursements always lag commitments and money can be released only if it will be spent effectively. But experts such as Joseph Dwyer of Management Sciences for Health say that the pitiful state of poor countries’ health services is the main reason for the gap between what is promised and what is spent. Julian Schweitzer of the World Bank says that physical and human shortages in local health services represent "a huge bottleneck to aid".
Now the aid efforts may be making things worse. Jordan Kassalow of the Scojo Foundation, an American charity, observes that rich singleissue outfits tend to divert the best medical talent to trendy causes and away from basic medicine against diarrhoea and respiratory infections—the chief killers of children.
Laurie Garrett of the Council on Foreign Relations has a different worry: those anti-corruption efforts have pushed donors into an obsession with often meaningless short-term targets. The result is a never-ending stream of documents and meetings. A sharp focus on process and targets ordained from on high makes it harder to be flexible and innovative or to take advantage of enterprising locals. In poor countries, laments Ms Garrett, "we almost spit on the private sector."
But it is the private sector that may offer the most practical chance of progress. Fed up with the costs of an unhealthy workforce, many big local and multinational firms in Africa and Asia are now offering their own innovative health schemes. These started as simple anti-AIDS efforts at mining firms such as Anglo American. Now they have spread. HSBC, a London-based international bank, recently started a scheme to improve its suppliers’ and customers’ health.
In training, too, private-sector and voluntary efforts may work better than official programmes. The International Centre for Equal Healthcare Access has trained thousands of local health-care workers in South-East Asia. Kenya’s HealthStore Foundation has helped nurses and community health workers set up dozens of for-profit clinics that reach patients government clinics don’t. Such ideas may yet transform the world’s most dilapidated health systems into better and more far-reaching ones—if only the current wave of top-down spending does not drown them out.
According to some experts, Global Fund delays the disbursements because
选项
A、there remains a huge gap between what is promised and what is spent.
B、the $8 billion can’t be released until it will be spent effectively.
C、the situation of health-care in poor countries presents a tough barrier.
D、the physical condition of local people imposes a bottleneck to aid.
答案
C
解析
事实细节题,考查因果细节。根据Global Fund定位到第一段。题干中because是因果标志性词汇。解题关键是找到相应词汇main reason,该句提到:“穷国糟糕的医疗卫生状况是导致承诺援助金额与实际拨款金额之间巨大差距的主要原因”,故选C项。A项是描述一个事实,并非原因;B项是利用文中的信息胡乱拼凑的干扰项;D项因果颠倒,为强干扰项。
转载请注明原文地址:https://kaotiyun.com/show/l574777K
0
考研英语一
相关试题推荐
AmericanScientistsTrytoDevelopArtificialBloodVesselwiththeSkinCellScientistshavegrownbloodvesselsforkidney
Intalksaboutreducingthenation’sexplodinghealthcarecosts,theword"rationing"strikesfearintotheheartsofbothpati
Comparedwithothermodesoftransport,traintechnologymightseemtobeprogressingasslowlyasasuburbancommuterservicer
Comparedwithothermodesoftransport,traintechnologymightseemtobeprogressingasslowlyasasuburbancommuterservicer
Thoughitisfedupwithdifferentarguments,thecurtainhasbeenliftedonthe2006"SuperGirls"contesthostedbyHunanSat
Theworldisundergoingtremendouschanges.Theriseofglobalization,bothaneconomicandculturaltrendthathassweptthroug
Forallhisvauntedtalents,FederalReserveChairmanAlanGreenspanhasneverhadmuchofareputationasaneconomicforecaste
Doanimalshaverights?Thisishowthequestionisusuallyput.Itsoundslikeauseful,groundclearingwaytostart.(46)Actu
It’sGroundhogDayattheUSPostalService:timeonceagainforthefamiliarlamentsabouthowtheagency’sfinanciallossesar
Thefirstmanwho,havingenclosedapieceofground,remindedhimselfofsaying’Thisismine’,andfoundpeoplesimpleenough
随机试题
男,35岁,面部及下肢水肿两个月,尿液检查蛋白(++++),肾穿刺组织光镜下观察肾小球体积增大,肾小球毛细血管壁弥漫性增厚。此例患者肾呈
患者男性,38岁,排尿痛,血尿,排尿困难,该患者可能是
某增值税一般纳税人,2019年3月销售三批同样的货物,每批各1000件,不含税销售价分别为每件70元、50元和30元。如果30元/件的销售价格被主管税务机关认定为明显偏低且无正当理由,则该纳税人当月计算销项税额的销售额应为()元。
上市公司在1年内购买、出售重大资产或者担保金额超过一定比例的,应当由股东大会作出特别决议。该比例是()。
定势也称心向,指的是先于一定活动而指向这种活动的______。它对于学习迁移既有可能产生积极影响,也可能起阻碍作用。
数罪并罚中的“限制加重”是指()。
在行政管理的各项职能中,处于管理过程的核心环节,对提高行政管理的效率和效果起灵魂作用的职能是()。
《平凡的世界》:路遥
网络体系结构可以定义成______。
(1)"ITisanevilinfluenceontheyouthofourcountry."Apoliticiancondemningvideogaming?Actually,aclergymandenouncin
最新回复
(
0
)