PREP1-Q49, Essay#14 (如何有效管理health care costs)求教

Essay #14.  323
   (23417-!-item-!-188;#058&00323-00)

Many United States companies believe that the rising cost of employees' health care benefits has hurt the country's competitive position in the global market by raising production costs and thus increasing the prices of exported and domestically sold goods.  As a result, these companies have shifted health care costs to employees in the form of wage deductions or high deductibles.  This strategy, however, has actually hindered companies' competitiveness.  For example, cost shifting threatens employees' health because many do not seek preventive screening.  Also, labor relations have been damaged:  the percentage of strikes in which health benefits were a major issue rose from 18 percent in 1986 to 78 percent in 1989.

Health care costs can be managed more effectively if companies intervene in the supply side of health care delivery just as they do with other key suppliers:  strategies used to procure components necessary for production would work in procuring health care.  For example, the make/buy decision--the decision whether to produce or purchase parts used in making a product--can be applied to health care.  At one company, for example, employees receive health care at an on-site clinic maintained by the company.  The clinic fosters morale, resulting in a low rate of employees leaving the company.  Additionally, the company has constrained the growth of health care costs while expanding medical services.

Which of the following, if true, would provide the most support for the author's view about intervening on the supply side of health care?

Which of the following, if true, would provide the most support for the author's view about intervening on the supply side of health care?

(A) Most companies do not have enough employees to make on-site clinics cost-effective.

(B) Many companies with on-site clinics offer their employees the option of going outside the company's system to obtain health care.

(C) The costs of establishing and running an on-site clinic are demonstrably higher than the costs of paying for health care from an outside provider.

(D) Companies with health care clinics find that employees are unwilling to assist in controlling the costs of health care.

(E) Employees at companies with on-site clinics seek preventive screening and are thus less likely to delay medical treatment.

这题答案是E, 我选了A. 作者对于intervening on the supply side of health care的看法, 我认为就是第二段的第一个长句.第二段后面的内容都是在举例具体说明这个看法而已. 但是五个选项看下来, 感觉好象没有一个是跟这个看法直接相关的, 只有A稍稍有点象: 因为第二段举例说, the make/buy decision--the decision whether to produce or purchase parts used in making a product--can be applied to health care. 而A项对应的恰恰是这种make/buy decision (公司的员工太少, 则设置on-site clinics就不够有效).

请NN赐教, A错在哪里, E对在哪里?