Drug Overuse ① Nowadays,millions of people misuse and even overuse pain medications and other drugs. Research by the American National Institute on Drug Abuse （NIDA， 1999） shows that around 2% of the population over age 12 were using drugs non-medically. ② NIDA views medications as a powerful force for good in the contemporary world. They reduce and remove pain for millions of people suffering from illness and disease. They make it possible for doctors to perform complicated surgery to save lives. Many people afflicted by serious medical conditions are able to control their symptoms and become active， contributing citizens. NIDA points out that most individuals who take these drags use them in a responsible. ③ Nevertheless， overuse of drugs such as opioids， central nervous system（CNS） depressants and stimulants does lead to harmful reliance in some people and is therefore becoming a serious public health concern. Although this abuse affects many people worldwide， particular trends of concern to the medical profession in the US appear among older adults， teenagers arid women. ④ Though it may be a surprise to many， the misuse of medications may be the most common form of drug abuse among the elderly. Dr Kenneth Schrader of Duke University， North Carolina states that although the elderly represent about 13% of the US population， those aged 65 and over account for the consumption of one third of all drugs. People in this age group use medications roughly three times more than the general population and have poorer compliance with instruction for use. In another study of elderly patients admitted to treatment programs， 70% were women who had overused medicines. ⑤ Unfortunately， this trend among women does not only affect those aged over. In general， among women and men who are using either an anti-anxiety drug or a sedative， women are twice as likely to become addicted. In addition， statistics compiled for 12 —17 year olds show that teenage girls are more likely than teenage boys to begin overusing psychotherapeutic medication such as painkillers， tranquillizers， stimulants and sedatives. Paragraph①（）.
第1题：
_______________
[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.
第2题：
According to the NAS\'s report, one of the problems in end-of-life care is
A prolonged medical procedures.
B inadequate treatment of pain.
C systematic drug abuse.
D insufficient hospital care.
第3题：
此题为判断题(对，错)。
第4题：
第5题：
第6题：
according to the text, which of the following is not a dysfunction caused by drug abuse?
A. There is a strong association between drug use and crime.
B. Drug abuse is a major cause of unemployment.
C. There are great economic losses because of drug abuse.
D. Drug dependence takes a significant toll in terms of personal health and safety. .
第7题：
第8题：
Part B
Directions:
In the following text, some sentences have removed. For Questions 41-45, choose the most suitable one from the list A-G to fit into of the numbered blank 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 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 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.
41.___________________
[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.
第9题：
第10题：