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  3. Few would dispute that the Lansley reforms of the National Health Service in England, embodied in the Health and Social Care Act

Few would dispute that the Lansley reforms of the National Health Service in England, embodied in the Health and Social Care Act

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问题     Few would dispute that the Lansley reforms of the National Health Service in England, embodied in the Health and Social Care Act 2012, failed. More than 500 pages long, and often opaquely expressed, the legislation stripped control of the NHS from national and local government, and thus from the public, creating a large new bureaucracy to manage healthcare, drive competition and build a regulated internal market. Coming amid fierce spending austerity, the reforms were often seen as the enabler of a program of cuts and privatization. "I could and should have stepped in earlier," David Cameron admitted in his autobiography.
    Disastrous though the reforms have been, and clear though the case is for replacing them, a new attempt at reorganization would be destabilizing without strong support within the NHS that it can be implemented sympathetically. Matt Hancock embarked on such an attempt on Thursday, in his Integration and Innovation white paper. His proposals are unquestionably aligned with the goal that NHS England has been advocating to improve integrated care in the past two years. But Mr. Hancock will have to make a strong case over the coming weeks if the public is to be persuaded that this reorganization is the right priority in health policy.
    That’s because the context is at least as tough today as it was in 2010-11. The NHS is in the middle of the biggest public health crisis it has ever faced. Staff are exhausted
    and there are large numbers of vacancies. Waiting lists for essential interventions are alarmingly lengthening—nearly quarter of a million people are now waiting more than 12 months for treatment. The care crisis is getting worse and there is no clear plan for reform and financing. The economy is on life support, with public money likely to be very tight for years.
    Exactly why this is the right or necessary time to launch a structural reorganization of the NHS is not obvious. Higher spending seems a much more immediate and practical response. Mr. Hancock says that lessons from the pandemic point towards the need for new approach. That may well be true. Covid has cruelly exposed some of the multiple fragmentations in the health service—not just between health and care, but between proactive and reactive health services, between hospitals and general practitioners, and between physical and mental health.
    It is true that the Covid-19 crisis shows the need for better integration. This is something for which NHS England has been pressing, in the form of what it calls integrated care systems. But the largest single example of the current fragmentation—the relative neglect of care homes in relation to hospitals—will remain unaddressed until there is a proper spending programme, which forms no part of the white paper.
It can be learned from Paragraph 2 that Mr. Hancock’s attempt at reorganization will
选项 A、threaten the economic stability
B、gain sympathy from the NHS
C、run counter to NHS England’s viewpoints
D、have to convince the public of its priority
答案 D
解析 根据Mr．Hancock和Paragraph 2定位到第二段，该段描述了汉考克先生的重组努力：改组的重新尝试如果得不到NHS内部能使其得以推行的大力支持，将会造成动荡。马特.汉考克的提议与英国国家医疗服务体系在过去两年中一直提倡的改善综合保健的计划是一致的。但是，如果要让公众相信这一改组是卫生政策中正确的优先事项，汉考克先生必须在未来几周提出充分的理由。对照四个选项，与原文表述相一致的只有选项[D]，是原文the public is to be persuaded that this reorganization is the right priority in health policy的同义重述，故为正确答案。
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