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ID:37079052
大小:44.50 KB
页数:8页
时间:2019-05-17
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1、A(words:311&225)TheBritishNationalHealthService(NHS)wassetupin1948andwasdesignedtoprovideequalbasichealthcare,freeofcharge,foreverybodyinthecountry.Beforethistimehealthcarehadtobepaidforbyindividuals.NowadayscentralgovernmentisdirectlyresponsiblefortheNHSalthoughitisadministeredbylocalhealtha
2、uthorities.About83percentofthecostofthehealthserviceispaidforbygeneraltaxationandtherestismetfromtheNationalInsurancecontributionspaidbythoseinwork.Therearechargesforprescriptionanddentalcarebutmanypeople,suchaschildren,pregnantwomen,pensioners,andthoseonIncomeSupport,areexemptfrompayment.Mos
3、tpeopleareregisteredwithalocaldoctor(aGP,orGeneralPractitioner)whoisincreasinglylikelytobepartofahealthcentrewhichservesthecommunity.AsthepopulationofBritaingetsolder,thehospitalservicenowtreatsmorepatientsthanbefore,althoughpatientsspendlesstimeinhospital.NHShospitals—manyofwhichwerebuiltint
4、henineteenthcentury—providenearlyhalfamillionbedsandhaveover480,000medicalstaff.TheNHSisthebiggestemployerinEuropealthoughBritainactuallyspendslessperpersononhealthcarethanmostofherEuropeanneighbours.Duringthe1980stherewasconsiderablerestructuringoftheHealthServicewithanincreasedemphasisonman
5、agerialefficiencyandtheprivatizationofsomeservices(forexample,cleaning).Attheendofthe1980sthegovernmentintroducedproposalsforfurtherreformoftheNHS,includingallowingsomehospitalstobeself-governing,andencouragingGPstocompeteforpatients.Patientswouldbeabletochooseandchangetheirfamilydoctormoreea
6、silyandGPswouldhavemorefinancialresponsibility.ThepoliticalquestionscontinueofhowmuchmoneyshouldbeprovidedtosupporttheNHSandwhereitshouldcomefrom.41.Wecanknowfromthefirstparagraphthat______________.A.theoriginalaimoftheNHSwastoprovideequalbasichealthcareforeverybodyB.peopledidn’thavetopayforh
7、ealthcaresincetheNHSwassetupC.patientswerechargedforreceivinghealthcarebefore1948D.theNHSwasanorganizationwhichgavefreeadvicetovillagers42.WhatdoweknowabouttheNHS?A.It’smanagedbythecentralgovernment.B.ItscostismainlypaidforbytheNationalInsura
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