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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.
The superiority of the Canadian health care system is seen in
选项 A、its low medical cost and better public health.
B、the immediate compensations form insurance companies.
C、its prompt application of advanced technological innovations.
D、the low charges made by medical personnel.
答案A
解析 根据第四段第二句“In Canada’s case，health care is administered more efficiently，at less cost，and with better results…”可知，加拿大的医疗管理效率高，成本低且效果好，故正确答案为A选项；根据第二段第六句和第七句“…(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．”可知，加拿大的医疗服务费用是由每个省的政府承担的。病人不用自己付账单、催询单或者任何费用，也不用长期等待保险公司的赔偿，故选项B错误；根据最后一段第二句“Canadians have less access than Americans to the latest technological innovations．”可知，加拿大在医疗技术革新方面要落后于美国，故选项C错误；第二段只提到了政府用税收付给医生和医院费用，并未提到医疗服务人员的薪资问题，故不选D。
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