29. 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.

【譯文】 渥太華和一些省出資成立了加拿大醫療技術評估協作辦公室，這意味著向成立全國性機構的目標邁出了一小步。

【析句】 這是一個簡單句，句子的主干是A small step has been taken in the direction of a national agency。with the creation…Assessment是狀語，過去分詞短語（funded by Ottawa and the provinces）作定語，修飾the Canadian Coordinating Office for Health Technology Assessment。

【講詞】 assess意為“估定,評定”，assessment是其名詞形式。Damages were assessed at 1,000 RMB.（損失估計達一千元人民幣。）What is your assessment of the situation?(你對時局的看法如何?)

fund作名詞時表示“資金,基金（會）”，作動詞意為“資助,投資”。idle fund（游資），public welfare fund（公益金），a relief fund（救濟基金），a reserve fund（公積金），a scholarship fund（獎學金基金）。The project was abandoned for want of funds.（這個計劃因為缺少資金而作罷。）The project funded by the government has eased the traffic problem in the city.（政府投資的項目緩解了城市的交通問題。）

30. Or they could read Mr. Kirby�餾 report: “the substantial buying power of such an agency would strengthen the public prescription�瞕rug insurance plans to negotiate the lowest possible purchase prices from drug companies.”

【譯文】 或許他們可以讀一讀科爾比先生的報告：“由于這樣一個機構擁有實實在在的購買力，因而公共處方藥保險計劃就會得到加強，從而與制藥公司展開談判，以盡可能低的價格采購藥品�！�

【析句】 引號之內的成分可以視作為Mr. Kirby�餾 report的同位語。引號中的成分是一個單句，to negotiate the lowest possible purchase prices from drug companies是其目的狀語。由于引號中的主語（the substantial buying power of such an agency）太長，因此在譯成漢語時應該考慮譯成一個分句。

【講詞】 buying power又叫purchasing power（購買力）。注意negotiate的用法，to negotiate sth with sb。Mexico had unequal bargaining power when it negotiated the Treaty with the United States.（墨西哥在與美國締結條約時沒有平等的討價還價權力。）You should negotiate a pay raise with your boss.（你應該與你的老板交涉，爭取讓他給你漲工資。）

31. According to the Canadian Institute for Health Information,prescription drug costs have risen since 1997 at twice the rate of overall health�瞔are 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.

【譯文】 根據加拿大醫療信息研究所的報告，處方藥的成本自1997年以來持續上漲，其上漲幅度是整個醫療支出速度的兩倍。部分原因是不斷有新藥取代舊的治療手段，部分原因是新藥比舊藥貴，部分原因是價格高。

【析句】 句子并不復雜，但要注意英語中的倍數表達（twice the rate），以及如何解釋原因。

【講詞】 twice可以表達兩倍。Greenland ice cap is breaking up at twice the rate it was five years ago.（格陵蘭的冰冠正以5年前兩倍的速度融化。）

arise from意為“起于”。This case arose from a fire in a residential property in southern Delaware.（這一案件源于南特拉華州一處民宅的火災。）The serious health problems arose from the Gulf War.（這一嚴重的健康問題起于海灣戰爭。）

32. So,if the provinces want to run the health�瞔are 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.

【譯文】 所以說，如果各省都想自己掌管醫療事業，它們就應該證明自己能夠管好，首先各省應當不再單獨制定藥品采購清單，而是協同制定一份統一的藥品采購清單，節省管理成本，防止各省之間互相爭斗，并盡量爭取壓低藥品的價格。

【析句】 這是一個條件復合句，從句是if the provinces want to run the health�瞔are show，主句是they should prove they can run it。starting with an interprovincial health list作句子的伴隨狀語，而an interprovincial health list后面跟了一個定語從句。在定語從句中，謂語動詞一共有四個（end，save，prevent和bargain）。

【講詞】 run在句中是“管理”的意思。Remember when George W. Bush said he�餯 run the country like a corporation?(記得喬治·W·布什曾說他管理國家會像管理公司一樣嗎？）The problem we have is that he has no idea how to run the company.（我們的問題是他不知如何管理公司。）