PartB
Directions:Inthefollowingarticle,somesentenceshavebeenremoved.ForQuestions41—45,choosethemostsuitable onefromthelistA—Gtofitintoeachofthenumberedblank.Therearetwoextr achoices,whichdonotfitinanyofthegaps.MarkyouranswersonANSWERSHEETI.(10points)
41)____________Manyoftheoptionshavealreadybeenrehearsedinthepress:excludingsometr eatmentsfromtheNHS,chargingforcertaindrugsandservices,anddevelopingvoluntaryorcompulsoryhealthinsuranceschemes.
42)____________Wespendabout7percentofGDPonhealth,comparedwith9percentintheNetherlandsand10percentinFranceandGermany.Intermsofhealthoutcomesversusspend,wecompareprettyfavourably.
Idon'tseeprivatehealthcareprovidingmuchofthesolutiontocurrentproblems.43)____________Neitherisclosetobeingimplemented,butthefuturecouldseeadeliberateshiftofattentiontovoluntaryhealthinsuranceandanemphasisonsocialinsurance.
44)____________Evenso,highertaxeswillplainlybeneededtofundhealthcare.Ithinkwe'lleventuallyseelargerNHScharges,morerationingofmedicalservicesandrestr ictionsoncertainprocedureswithoutprovenoutcomes.Str ictereligibilitycriteriaforcertaintr eatmentsareanotherpossibility.
45)____________.Noneofthemisgoingtowinvotesforthepoliticalpartydesperateenoughtointr oducethem—butthennobodyisgoingtovoteforill—healthoranearlydeatheither.
[A]EnglishNationalHealthServiceisauniversalhealthkeepingsystem.ButNow,theshortageofmoneybecomesaseriousproblem.
[B]Allsuchoptionswouldmeanasharpbreakwithtr aditionandpoliticalfalloutthatcouldbeextr emelydamaging.
[C]Theoptionsprovidessolutiontotheshortageofmoneyproblem.
[D]Iexpectindividualstotakegreaterresponsibilityfortheirpersonalhealthusingtechnologythatallowsselfdiag-nosisfollowedbyserf-tr eatmentorhomecare.
[E]Lookingathowfarwe'11beabletofundtheHealthServiceinthe21stcenturyraisesanynumberofthornyis-sues.
[F]Morelikelyisashiftfromuniversalhealthcoveragetotopupschemeswhichgivepeoplebasichealthentitlementsbutr equirethemtofinanceothertr eatmentthroughprivatefinancing,oroptoutschemeswhichusetaxrelieftoencourageindividualstomakeprivateprovision.
[G]ComparedtoitsEuropeanUnioncounterpartsBritain.operatesalowcosthealthsystem.
41.____________
正确答案：E答案：E
[详细解答]第一段可译为“看一看21世纪我们能为国民保健服务提供多少资金，会发现一大堆棘手问题。许多解决办法已经在报纸上讨论过多次，例如把一些治疗项目从国民保健服务中剔除出去，对某些药物和服务实行收费，建立自愿或强制性医疗保险制度等等。”选项A虽然说的是最根本上的问题，却只是干扰事项。
