单选题
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
pub-icly 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 hilling 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．
单选题
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．
【正确答案】
B
【答案解析】[解析] 细节题，参见文章第1段，这段文字谈到，加拿大的卫生保健系统不同于美国以私人企业模式为基础的医疗体系，加拿大的卫生保健系统有不同的原则，并归纳了加拿大医疗体系的四个特点：普遍性(Universality)、便捷性(Portability)、全面性(Comprehensiveness)和公共管理(Public administration)，由此可知，加拿大的卫生保健系统按不同的原则运行；故正确答案为B。其他选项[A]财政支援依靠私人企业，与文中第2段第1句的a tax-supported health care system相悖；[C]为方便民众而设计；[D]被行政管理复杂化了；均不符合题意。
单选题
We learn from the text that______．
A. Canadians have easy access to any type of medical care they want．
B. the Canadian government compensates every citizen for medical
expenses．
C. a medical card is issued once a citizen seeks medical care．
D. the principle of demand and supply does not apply in the Canadian
system．
【正确答案】
D
【答案解析】[解析] 细节题，参见文章第2段第一句：Since 1947 Canada has had a taxsupported health care system in which every Canadian is covered for the costs of all medically necessary services．其大意是：自1947年以来，加拿大的医疗体系的费用一直由税收支持，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政府支付。第2段第3句进一步提到，加拿大医疗体制下医疗费用标准由政府而非市场决定(based on a fee schedule determined by the government，not the market)，因而市场经济中的供求规律在该体制下也就不适用。由此可确定正确答案为D。
单选题
The superiority of the Canadian health care system is seen in______．
A. its low medical cost and better public health．
B. the immediate compensations from insurance companies．
C. its prompt application of advanced technological innovations．
D. the low charges made by medical personnel．
【正确答案】
A
【答案解析】细节题，参见文章第4段第2句：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．其大意是：与美国相比，加拿大的医疗费管理效率高、成本低，且效果好。由此可确定正确答为A。
单选题
We can infer from the last paragraph that______．
A. Americans enjoy the medical care of their choice．
B. most Canadians deem their health care system to be flawless．
C. Canadians do not benefit from all new medical achievements．
D. most Americans are proud of their health care system．
【正确答案】
C
【答案解析】[解析] 推论题，参见文章末段第2、3句：Canadians have less access than Americans to the latest technological innovations．There may be waits for those not needing immediate surgeries．其大意是：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治疗的人可能要等上一段时间。由此可推论加拿大人不像美国人那样受益于所有医学新成就。故正确答案为C。其他选项，[A]美国人拥有他们所选择的医疗保健；[B]大多数加拿大人认为他们的卫生保健系统毫无瑕疵；[D]大多数美国人以他们的卫生保健系统感到自豪；均不符合题意。
单选题
What is the author’s attitude toward the U．S．health care system？