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We're bringing health care to"where peop

资格题库2022-08-02  41
问题 We're bringing health care to"where people live and work."So declared Larry Merlo,CEO of CVS Health,an American retail-pharmacy giant,announcing a$69 billion deal to buy Aetna,a heatth insurer.One rationale for the deal-assuming the regulators wave it through-is for the merged firm to develop personalised health care that people can easily get access to.There is another,more defensive,impetus behind the deal-the prospect of Amazon going into prescription medicine.The American pharmaceutical market is an alluring one for the online giant.It is large,worth$450 billion in 2016.And it is widely regarded as inefficient,leaving customers without good information about products they are buying.Compared with books,toys and other bulky items,the drugs market would appear to be a nirvana for Amazon.Prescription medicines weigh almost nothing,take up little space and can cost hundreds or thousands of dollars per pill.But three barriers block the road to this idyll.First,the sale and distribution of drugs is heavily regulated.Amazon would not be able to dump prescription drugs into the same fulfilment channels as its other products.It must acquire pharmaceutical licences for any state where it wishes to operate.Amazon would also need approval from the Food and Drug Administration at a federal level.Operating in a controlled industry would be a departure for a free-wheeling tech firm.Second,most drugs are paid for by insurers,not by consumers.The pharmacy-benefits managers（PBMs）,a sort of middlemen that buy drugs for insurers and companies,perform the complex task of matching purchases with patients'insurers,so that drugs are paid for.That is a source of the sort of opacity that Amazon would seek to remove.But the rcommerce firm would still need to handle issues of payment in the background,without keeping asking consumers for insurance details.Third,although drugs do come in small packages,their shipping and handling often require special attention.Many drugs must be kept cold throughout the supply chain.Others are dangerous,and must be kept in locked cages.Yet these drugs are often also the most expensive.If Amazon cherry-picks drugs that fit well into its existing network,it will miss out on a large slice of the market.Customers could find it confusing to be able to get some prescriptions through Amazon's store but not others.Amazon could find itself a partner,however.In July the boss of Express Scripts,a PBM,said it could use Amazon as an"efficient provider in networks".Or Amazon could buy what it needs.It might buy Rite Aid,a big pharmacy chain,giving it licences,a"cold-chain"infrastructure and Rite Aid's small PBM in one swoop.A prospect like that goes a long way to explaining the marriage of CVS and Aetna.To sell drugs in America,Amazon mustA.acquire a federal pharmaceurical license.B.strengthen iis shipping infrastructure.C.select those fitting into its existing network.D.state clearly what prescriptions it has in store.
选项 A.acquire a federal pharmaceurical license.
B.strengthen iis shipping infrastructure.
C.select those fitting into its existing network.
D.state clearly what prescriptions it has in store.
答案 B
解析 第五段指出，药品运输往往需要特殊处理（如冷链或密闭运输），且这些往往是最贵的药品（利润最高），如果Amazon放弃它们，只选择售卖适应现有运输网络的药品，则会失去很大市场且令顾客迷惑。推理可知，作者认为亚马逊若售卖药品，则必须加强运输基础设施，B.正确。[排除干扰]A.将第三段②③句信息“Amazon需获得每一个州的药品许可，还需获得联邦级别的FDA许可”生硬糅杂。C.对第五段⑤句Amazon cherry-picks drugs that fil well into its existing network断章取义，该句整体以If…it will miss out.…假定情形说明Amazon“不可只选择适合现有供应链的药品”。D.将末句“顾客会对‘有些处方药可以在其店内买到，有些却买不到？感到疑惑”的言外之意“Amazon不可只选择售卖适合现有供应链的药品”错误理解为“Amazon应清楚说明店内有什么药品在售”。
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