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全真试题( 全真试题(2005-20
  08) ) Passage1 Part B
Directions: In the following text, some sentences have been removed. For Questions 41-45, choose the most suitable one from the list A-G to fit into each of the numbered blanks. There are two extra choices, which do not fit in any of the gaps. Mark your answers on ANSWER SHEET
  1. (10 points) Canada’s premiers (the leaders of provincial governments), if they have any breath left after complaining about Ottawa at their late July annual meeting, might spare a moment to do something, together, to reduce health-care costs. They’re all groaning about soaring health budgets, the fastest-growing component of which are pharmaceutical costs.
  41. What to do? Both the Romanow commission and the Kirby committee on health care -- to say nothing of reports from other experts -- recommended the creation of a national drug agency. Instead of each province having its own list of approved drugs, bureaucracy, procedures and limited bargaining power, all would pool resources, work with Ottawa, and create a national institution.
  42. But “national” doesn’t have to mean that. “National” could mean interprovincial -provinces combining efforts to create one body. Either way, one benefit of a “national” organization would be to negotiate better prices, if possible, with drug manufacturers. Instead of having one province -- or a series of hospitals within a province -- negotiate a price for a given drug on the provincial list, the national agency would negotiate on behalf of all provinces. Rather than, say, Quebec, negotiating on behalf of seven million people, the national agency would negotiate on behalf of 31 million people. Basic economics suggests the greater the potential consumers, the higher the likelihood of a better price.
  43. A small step has been taken in the direction of a national agency with the creation of the Canadian Coordinating Office for Health Technology Assessment, funded by Ottawa and the provinces. Under it, a Common Drug Review recommends to provincial lists which new drugs should be included. Predictably, and regrettably, Quebec refused to join. A few premiers are suspicious of any federal-provincial deal-making. They (particularly Quebec and Alberta) just want Ottawa to fork over additional billions with few, if any, strings attached. That’s one reason why the idea of a national list hasn’t gone
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anywhere while drug costs keep rising fast.
  44. Premiers love to quote Mr. Romanow’s report selectively, especially the parts about more federal money. Perhaps they should read what he had to say about drugs: “A national drug agency would provide governments more influence on pharmaceutical companies in order to constrain the ever-increasing cost of drugs.”
  45. So when the premiers gather in Niagara Falls to assemble their usual complaint list, they should also get cracking about something in their jurisdiction that would help their budgets and patients. [A] Quebec’s resistance to a national agency is provincialist ideology. One of the first advocates for a national list was a researcher at Laval University. Quebec’s Drug Insurance Fund has seen its costs skyrocket with annual increases from
  14.3 per cent to
  26.8 per cent! [B] Or they could read Mr. Kirby’s report: “the substantial buying power of such an agency would strengthen the public prescription-drug insurance plans to negotiate the lowest possible purchase prices from drug companies.” [C] What does “national” mean? Roy Romanow and Senator Michael Kirby recommended a federal-provincial body much like the recently created National Health Council. [D] The problem is simple and stark: health-care costs have been, are, and will continue to increase faster than government revenues. [E] According to the Canadian Institute for Health Information, prescription drug costs have risen since 1997 at twice the rate of overall health-care spending. Part of the increase comes from drugs being used to replace other kinds of treatments. Part of it arises from new drugs costing more than older kinds. Part of it is higher prices. [F] So, if the provinces want to run the health-care show, they should prove they can run it, starting with an interprovincial health list that would end duplication, save administrative costs, prevent one province from being played off against another, and bargain for better drug prices. [G] Of course the pharmaceutical companies will scream. They like divided buyers; they can lobby better that way. They can use the threat of removing jobs from one province to another. They can hope that, if one province includes a drug on its list, the pressure will cause others to include it on theirs. They wouldn’t like a national agency, but self-interest would lead them to deal with it.
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Passage 2
Part B
Directions: In the following text, some sentences have been removed. For Questions 41-45, choose the most suitable one from the list A-G to fit into each of numbered blanks. There are two extra choices, which do not fit in any of the blanks. Mark your answers on ANSWER SHEET
  1. (10 points) On the north bank of the Ohio River sits Evansville, Ind., home of David Williams, 52, and of a riverboat casino where gambling games are played. During several years of gambling in that casino, Williams, a state auditor earning $35,000 a year, lost approximately $175,0
  00. He had never gambled before the casino sent him a coupon for $20 worth of gambling. He visited the casino, lost the $20 and left. On his second visit he lost $8
  00. The casino issued to him, as a good customer, a Fun Card, which when used in the casino earns points for meals and drinks, and enables the casino to track the user’s gambling activities. For Williams, these activities become what he calls electronic morphine. (
  41) . In 1997 he lost $21,000 to one slot machine in two days. In March 1997 he lost $72,1
  86. He sometimes played two slot machines at a time, all night, until the boat locked at 5 a.m., then went back aboard when the casino opened at 9 a.m. Now he is suing the casino, charging that it should have refused his patronage because it knew he was addicted. It did know he had a problem. In March 1998, a friend of Williams’s got him involuntarily confined to a treatment center for addictions, and wrote to inform the casino of Williams’s gambling problems. The casino included a photo of Williams among those of banned gamblers, and wrote to him a “cease admissions” letter. Noting the medical/psychological nature of problem gambling behaviors, the letter said that before being readmitted to the casino he would have to present medical/psychological information demonstrating that patronizing the casino would pose no threat to his safety or well-being. (
  42) . The Wall Street Journal reports that the casino has 20 signs warning: “Enjoy the fun... and always bet with your head, not over it.” Every entrance ticket lists a toll-free number for counseling from the Indiana Department of Mental Health. Nevertheless, Williams’s suit charges that the casino, knowing he was “helplessly addicted to gambling,” intentionally worked to “lure” him to “engage in conduct against his will.” Well. (
  43) . The fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) says “pathological gambling” involves persistent, recurring and uncontrollable pursuit less of money than of thrill of taking risks in quest of a windfall.
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  44) . Pushed by science, or what claims to be science, society is reclassifying what once were considered character flaws or moral failings as personality disorders akin to physical disabilities. (
  45) . Forty-four states have lotteries, 29 have casinos, and most of these states are to varying degrees dependent on -- you might say addicted to -- revenues from wagering. And since the first Internet gambling site was created in 1995, competition for gamblers’ dollars has become intense. The Oct. 28 issue of Newsweek reported that 2 million gamblers patronize 1,800 virtual casinos every week. With $
  3.5 billion being lost on Internet wagers this year, gambling has passed pornography as the Web’s most profitable business. [A] Although no such evidence was presented, the casino’s marketing department continued to pepper him with mailings. And he entered the casino and used his Fun Card without being detected. [B] It is unclear what luring was required, given his compulsive behavior. And in what sense was his will operative? [C] By the time he had lost $5,000 he said to himself that if he could get back to even, he would quit. One night he won $5,500, but he did not quit. [D] Gambling has been a common feature of American life forever, but for a long time it was broadly considered a sin, or a social disease. Now it is a social policy: the most important and aggressive promoter of gambling in America is government. [E] David Williams’s suit should trouble this gambling nation. But don’t bet on it. [F] It is worrisome that society is medicalizing more and more behavioral problems, often defining as addictions what earlier, sterner generations explained as weakness of will. [G] The anonymous, lonely, undistracted nature of online gambling is especially conductive to compulsive behavior. But even if the government knew how to move against Internet gambling, what would be its grounds for doing so?
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Passage 3
Part B
Directions: You are going to read a list of headings and a text about what parents are supposed to do to guide their children into adulthood. Choose a heading from the list A--G that best fits the meaning of each numbered part of the text (41-
  45). The first and last paragraphs of the text are not numbered. There are two extra headings that you do not need to use. Mark your answers on ANSWER SHEET
  1. (10 points) A. Set a Good Example for Your Kids B. Build Your Kids’ Work Skills C. Place Time Limits on Leisure Activities D. Talk about the Future on a Regular Basis E. Help Kids Develop Coping Strategies F. Help Your Kids Figure Out Who They Are G. Build Your Kids’ Sense of Responsibility How Can a Parent Help? Mothers and fathers can do a lot to ensure a safe landing in early adulthood for their kids. Even if a job’s starting salary seems too small to satisfy an emerging adult’s need for rapid content, the transition from school to work can be less of a setback if the start-up adult is ready for the move. Here are a few measures, drawn from my book Ready or Not, Here Life Comes, that parents can take to prevent what call “work-life unreadiness.” 大41家 http://www.TopSage.com You can start this process when they are 11 or
  12. Periodically review their emerging strengths and weaknesses with them and work together on any shortcomings, like difficulty in communicating well or collaborating. Also, identify the kinds of interests they keep coming back to, as these offer clues to the careers that will fit them best. 大42家 http://www.TopSage.com Kids need a range of authentic role models ? as opposed to members of their clique, pop stars and vaunted athletes. Have regular dinner-table discussions about people the family knows and how they got where they are. Discuss the joys and downsides of your own career and encourage your kids to form some ideas about their own future. When asked what they want to do, they should be discouraged from saying “I have no idea.”
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They can change their minds 200 times, but having only a foggy view of the future is of little good. 大43家 http://www.TopSage.com Teachers are responsible for teaching kids how to learn; parents should be responsible for teaching them how to work. Assign responsibilities around the house and make sure homework deadlines are met. Encourage teenagers to take a part-time job. Kids need plenty of practice delaying gratification and deploying effective organizational skills, such as managing time and setting priorities. 大44家 http://www.TopSage.com Playing video games encourages immediate content. And hours of watching TV shows with canned laughter only teaches kids to process information in a passive way. At the same time, listening through earphones to the same monotonous beats for long stretches encourages kids to stay inside their bubble instead of pursuing other endeavors. All these activities can prevent the growth of important communication and thinking skills and make it difficult for kids to develop the kind of sustained concentration they will need for most jobs. 大45家 http://www.TopSage.com They should know how to deal with setbacks, stress and feeling of inadequacy. They should also learn how to solve problems and resolve conflicts, ways to brainstorm and think critically. Discussions at home can help kids pra



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