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  3. The NHS (National Health Service) has approved the creation of chains of hospitals for the first time in its history in a bid to

The NHS (National Health Service) has approved the creation of chains of hospitals for the first time in its history in a bid to

admin2018-06-06  33
问题     The NHS (National Health Service) has approved the creation of chains of hospitals for the first time in its history in a bid to tackle its deep financial problems and to allow more patients to be cared for by leading doctors in their fields. It will see highly respected institutions, such as Moorfields eye hospital in London and Manchester’s Christie cancer centre, providing specialist services to patients potentially many miles away in another part of England.
    But the move has prompted fears that it will lead to the running down, and even closure, of small local hospitals which are highly valued by patients as a result of mergers and takeovers. Simon Stevens, the chief executive of NHS England, will announce the dramatic step in a speech to the CBI on Friday in which he will hail it as part of the "radical reform" the health service must undergo if it is to remain viable. He has pledged to transform the way the NHS in England works by 2020 so it can withstand the huge pressures caused by the growing and ageing population, growth in the number of people with long-term conditions such as diabetes and dementia, and tight budgets expected for years to come.
    The decision to permit hospitals to band together into chains, which are common in many other countries, overturns 67 years of NHS history. Ed Smith, the chair of NHS financial regulator Monitor, said the era of standalone hospitals such as the foundation trust hospitals introduced by the last Labour government, was dead. Smith said: "These were right at the time, but the economic and clinical circumstances facing the NHS are now different, and our response needs to evolve."
    While hospitals would still retain their separate identities for the time being, NHS sources admitted it could lead to big or high-performing hospitals taking over smaller district general hospitals, many of which are increasingly in the red and struggling to provide high-class care, especially with a growing shortage of many types of health professionals.                                                   
    Dr. Gives Peedell, an oncologist who co-chairs the National Health Action party, said: "The history of mergers in the NHS, and in the wider world of industry, is by no means one of predictable success. The danger would be that smaller trusts are gobbled up by larger ones in the name of efficiency, leaving services much less accessible for local people. And the evidence from America shows that chains end up squeezing out competition and care is compromised in the quest to maximize profit."
Why has the NHS approved of the creation of chains of hospitals?
选项 A、To address the serious economic setbacks facing the hospital.
B、To improve the medical facilities of the chains of hospitals.
C、To help more patients receive care from respected institutions.
D、To provide specialist services for more hospitals to help patients.
答案C
解析 定位到第一段第一句：The NHS has approved the creation of chains of hospitals for the first time in its history in a bid tackle its deep financial problems and to allow more patients to be cared for by leading doctors in their fields．“英国国家医疗服务系统首次批准设立连锁医院，以解决其严重的金融问题，并让更多患者受到各领域一流医生的照料。”问因果找因果，C项选项就是第二个原因啊！只是在替换的时候我用到了下一句中的词汇来替换：leading doctors in their fields=respected institutions。就好像我们遇到过的the supreme court=the Justices，它们是一个道理。A项选项：大家注意原文中说的是its，也就是NHS面对经济问题，而不是hospitals“医院”面对经济问题(facing主动表被动)，这是典型的偷换啊！（这个选项给我们的提示就是一定要关注指代！）B项选项说改善连锁医院的医疗设备就更不对了，题干问的是为什么同意设立连锁医院；这根本就是不知所云，这是出题人瞎编的一个答案。D项选项说提供专业的服务给更多的医院来帮助病人。这也不是题干的原因啊！
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