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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  74
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."
What does Dr. Peedell think about the chain hospitals?
选项 A、The mergers of the hospital will be a foreseeable triumph for the NHS.
B、The evidence from America shows the promising future for the chain hospital.
C、The care in the chain hospitals may be improved with the mergers in the NHS.
D、The success of the chain hospitals in the NHS may be uncertain.
答案D
解析 根据题干定位到最后一段。首先这段话不难理解，这个医生是不看好这种合并的。D项选项来自第一句后半句：The history of mergers in the NHS，and in the wider world of industry, is by no means one of predictable success．这句话中有一个重要的短语：by no means“绝不”，等于not。所以by no means one of predictable success=uncertain。而且其他三个选项都在说这次合并好，所以三正一负，答案常选负啊。C项选项中哪怕有may也不对啊！毕竟这段话都是在说合并医院不好。优先选D项啊！
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