名师解析：考研英语阅读理解B七选五题型

解题原则分析：

　　求同存异123原则：文章的相邻段落之间存在着联系又同时存在差别。段落之间的联系体现为二者之间共享同一主题词；段落之间的差别体现为后面的段落比前面段落要多出一些内容，而且这些多出的内容恰恰体现了“启下”的关系。因此，利用段落之间的差额主题名词，即“相同表联系，相异引下文”的原则，便可以确定下一段落的主题词。

解题步骤分析：

　　第一段：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, to reduce health-care costs.

　　主题词：Canada’s premiers

　　主体动作：have any breath left after complaining about Ottawa 在抱怨渥太华后留下一口气
　　might spare a moment to do something 该节约点时间做些事
　　reduce health-care costs.减少医疗健康成本

　　第二段：They’re all groaning about soaring health budgets, the fastest-growing component of which are pharmaceutical costs.

　　主题词：they 即Canada’s premiers

　　主体动作：groaning about soaring health budgets 抱怨与日俱增的医疗健康预算
are pharmaceutical costs.是药品成本

　　第二段主题与第一段主题做减法得出的差额决定供选择的41题目主题为：pharmaceutical costs. 在备选答案中找到以该词为主题词的段落，即E

　　第三段：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.

　　主题词：Canadian Institute for Health Information 加拿大医疗健康信息局

　　主体动作：prescription drug costs have risen since 1997 at twice the rate of overall health-care spending. 自从1997年处方药品成本增加速度较之医疗健康总额快两倍。
　　is higher prices.是高价格。

　　第四段：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.

　　主题词：Romanow commission and the Kirby committee

　　主体动作：recommended the creation of a national drug agency. 倡导建立一个国家型组织。
　　would pool resources, work with Ottawa, and create a national institution.该集中资源，与渥太华合作，并且建立一个国家型组织。

　　第四段主题与第三段主题做减法得出的差额决定供选择的42题目主题为：
　　recommended the creation of national institution. 在备选答案中找到以该词为主题的段落，即C

　　第五段：What does “national” mean? Roy Romanow and Senator Michael Kirby recommended a federal-provincial body much like the recently created National Health Council.

　　主题词：Roy Romanow and Senator Michael Kirby

　　主体动作：recommended a federal-provincial body much like the recently created National Health Council.

　　第六段：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.

　　主题词：national agency, interprovincial—provinces

　　主体动作：combining efforts to create one body.联手建立一个组织
　　would be to negotiate better prices, if possible, with drug manufacturers. 如果可能与药品公司协商价格。
　　the national agency would negotiate on behalf of all provinces.国家型组织代表所有省份协商价格。
　　the national agency would negotiate on behalf of 31 million people. 国家型组织代表三千一百万人协商价格。
　　the greater the potential consumers, the higher the likelihood of a better price.潜在消费者越多，价格会更加合理。

　　第六段主题与第五段主题做减法得出的差额决定供选择的43题目主题为：would be to negotiate better prices, if possible, with drug manufacturers. 如果可能与药品公司协商价格。
　　the national agency would negotiate on behalf of all provinces.国家型组织代表所有省份协商价格。
　　the national agency would negotiate on behalf of 31 million people. 国家型组织代表三千一百万人协商价格。
　　the greater the potential consumers, the higher the likelihood of a better price.潜在消费者越多，价格会更加合理。在备选答案中找到以该词为主题的段落，即G

　　第八段：A small step has been taken in the direction of a national agency with the creation of the Canadian Co-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.

　　主题词：national agency, the Canadian Co-coordinating Office for Health Technology Assessment, Common Drug Review

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