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Text 4Unlike the private enterprise model whi

2022-08-05 18:22:33 问答库 阅读 170 次

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Text 4
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:l) Universality: everyone is covered. 2) Portability:people can move from province to province and from job to job, or be un-employed, 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 govemment 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.ln 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 su- perior to that in Canada.
56. The Canadian health care system is________
[ A] financially supported by private enterprises.
[ B] run according to different principles.
[ C] designed for the convenience of the public.
[ D] complicated by administration.请帮忙给出正确答案和分析,谢谢!

参考答案

正确答案:C
ext4参考译文不同于美国以私人企业模式为基础的医疗体系,加拿大医疗体系建立在不同的原则之上:①普遍性:每个人都包含在内。②灵活性:即使人们搬到别的省,换工作或者失业也仍然享受医疗。③广泛性:此体系包含了所有必要的医疗项目。④公共管理:此体系由公众运作并且由公众负责。从1947年开始,加拿大医疗体系的费用就由税收支持,在该体系下,每一个加拿大人所有必要的医疗服务费用都由该体系支付。在这个计划之下,加拿大政府发给每个公民一张医疗卡,公民在接受医疗服务的时候要出示医疗卡。政府用税收付给医生和医院费用,收费制度由政府制定而不是随市场而定。这个体系的关键是政府支付医疗费用且所有的加拿大公民接受所需医疗服务的机会是平等的。加拿大公民可以自由选择医生。这是一个“唯一买单者”计划,即由医生直接开出本省的保险账单(每个省各自为自己公民的医疗服务买单)。病人不用付账单、催询单或者任何费用,也不用长期等待保险公司的赔偿。加拿大医疗体系与美国医疗体系最大的区别在于:加拿大的医疗是一种社会权利,而美国的医疗更像是一种商品。反对美国医疗体系的人经常会说它效率低而且费用高。但是与美国相比,加拿大的医疗体系则更高效且花费低,效果也更好。以婴儿存活率和公民寿命来评判两种医疗体系的话,加拿大的医疗体系居于上风。加拿大医疗体系的管理费用也比美国低(大概是美国在医生、医院以及保险公司的管理上所花费用的四分之一)。加拿大的医疗体系也不是完美的。加拿大人享受最新医疗技术的机会不如美国人多。那些不需要马上接受手术的人可能要等上一段时间。但是尽管加拿大的医疗体系还存在一些小问题,大部分加拿大人还是喜欢这种体系的。比如,1991年公布的一项盖洛普民意调查显示91%的加拿大人认为自己国家的医疗体系比美国好,相比之下,只有26%的美国人认为自己国家的医疗体系比加拿大好。答案及精析56.C【精析】文章第一段提到加拿大医疗体系具备四个特点:普遍性、灵活性、广泛性和公共管理,由此可知正确答案为C选项;根据第二段第一句“Since1947Canadahashadatax-supportedhealthcaresysteminwhicheveryCanadianiscoveredforthecostsofallmedi-callynecessaryservices.”可知,从1947年开始,加拿大的医疗体系的费用由税收支持,故A选项错误;根据第一段首句“...Canadahasahealthcaresystembasedondifferentprinciples...”可知加拿大医疗体系的建立依据不同的准则,故B选项错误;根据第二段最后两句可知,在加拿大,每个省各自为该省公民的医疗服务买单,病人不用支付任何费用,故D选项与文意相悖。

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