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A(words:311&225)TheBritishNationalHealthService(NHS)wassetupin1948andwasdesignedtoprovideequalbasichealthcare,freeofcharge,foreverybodyinthecountry.Beforethistimehealthcarehadtobepaidforbyindividuals.NowadayscentralgovernmentisdirectlyresponsiblefortheNHSalthoughitisadministeredbylocalhealthauthorities.About83percentofthecostofthehealthserviceispaidforbygeneraltaxationandtherestismetfromtheNationalInsurancecontributionspaidbythoseinwork.Therearechargesforprescriptionanddentalcarebutmanypeople,suchaschildren,pregnantwomen,pensioners,andthoseonIncomeSupport,areexemptfrompayment.Mostpeopleareregisteredwithalocaldoctor(aGP,orGeneralPractitioner)whoisincreasinglylikelytobepartofahealthcentrewhichservesthecommunity.AsthepopulationofBritaingetsolder,thehospitalservicenowtreatsmorepatientsthanbefore,althoughpatientsspendlesstimeinhospital.NHShospitals—manyofwhichwerebuiltinthenineteenthcentury—providenearlyhalfamillionbedsandhaveover480,000medicalstaff.TheNHSisthebiggestemployerinEuropealthoughBritainactuallyspendslessperpersononhealthcarethanmostofherEuropeanneighbours.Duringthe1980stherewasconsiderablerestructuringoftheHealthServicewithanincreasedemphasisonmanagerialefficiencyandtheprivatizationofsomeservices(forexample,cleaning).Attheendofthe1980sthegovernmentintroducedproposalsforfurtherreformoftheNHS,includingallowingsomehospitalstobeself-governing,andencouragingGPstocompeteforpatients.PatientswouldbeabletochooseandchangetheirfamilydoctormoreeasilyandGPswouldhavemorefinancialresponsibility.ThepoliticalquestionscontinueofhowmuchmoneyshouldbeprovidedtosupporttheNHSandwhereitshouldcomefrom.41.Wecanknowfromthefirstparagraphthat______________.A.theoriginalaimoftheNHSwastoprovideequalbasichealthcareforeverybodyB.peopledidn’thavetopayforhealthcaresincetheNHSwassetupC.patientswerechargedforreceivinghealthcarebefore1948D.theNHSwasanorganizationwhichgavefreeadvicetovillagers42.WhatdoweknowabouttheNHS?A.It’smanagedbythecentralgovernment.B.ItscostismainlypaidforbytheNationalInsurancecontributions.C.IthiresmorepeoplethananyotherunitinEurope.D.Fewerpatientsgotoitshospitalsthanbeforebecausetheyspendlessonhealthcare.43.AllthefollowingstatementsaboutGPsaretrueexceptthatthey____________.A.takecareofthelocalpeople’shealthB.oftentakepartincompetitionstoseewhoisthebestC.workunderhighpressurenowadaysD.havemoreresponsibilitiesthanbefore44.Whatdoestheunderlinedword“exempt”probablymean?A.sufferingB.differentC.preventedD.free45.ThebiggestproblemfortheNHSis______________.A.manyhospitalsaretoooldtobeusedB.someservicesareinthechargeofindividualsC.moreandmorepatientsgotoGPsfortreatmentD.thereisnotenoughmoneyforfurtherreform【答案与解析】41—45CCBDD国家保健中心由中央政府直接负责，但由地方当局管理。建立国家保健中心的最初目的是为农村居民提供免费的基本健康护理，尤其儿童、孕妇等可享受免费治疗。41.C。细节理解题。根据最后一自然段最后一句可知，建立国家保健中心的最初目的是为农村居民提供免费的基本健康护理，而不是针对所有的人，所以前两项错误。42.C。细节理解题。根据第4自然段“TheNHSisthebiggestemployerinEurope…”可知。从第二自然段第一句可以看出国家保健中心由中央政府直接负责，但由地方当局管理，所以A项错误。43.B。细节理解题。根据最后一自然段话“andencouragingGPstocompeteforpatients”可知政府鼓励全科医生之间相互竞争，而不是让他们进行竞赛，看谁的医术高明。44.D。猜测词义题。前面提到医生开药方及给病人治疗牙病需要收费，再结合but一词可推断儿童、孕妇等可享受免费治疗。45.D。细节理解题。根据最后一自然段最后一句可知。BParentshavetodomuchlessfortheirchildrentodaythantheyusedtodo，andhomehasbecomemuchlessofaworkshop.Clothescanbeboughtreadymade;washingcangotothelaundry;foodcanbebought;cooked，cannedorpreserved;breadisbakedanddeliveredbythebaker;milkarrivesonthedoorstep;meatscanbehadattherestaurant，thework’scanteen，andtheschooldining-room.Itisunusualnowforfathertopursuehistradeorotheremploymentathome，andhischildrenrarely，ifever，seehimathisplaceofwork.Boysarethereforeseldomtrainedtofollowtheirfather’soccupation，andinmanytownstheyhaveafairlywidechoiceofemploymentandsodogirls.Theyoungwage-earneroftenearnsgoodmoney，andsoonacquiresafeelingofeconomicindependence.Intextileareasithaslongbeencustomaryformotherstogoouttowork，butthispracticehasbecomesowidespreadthattheworkingmotherisnowanotunusualfactorinachild’shomelife，thenumberofmarriedwomeninemploymenthavingmorethandoubledinthelasttwenty-fiveyears.Withmotherearningandhisolderchildrendrawingsubstantialwagesfatherisseldomthedominantfigurethathestillwasatthebeginningofthecentury.Whenmotherworks,economicadvantagesaccrue，butchildrenlosesomethingofgreatvalueifmother’semploymentpreventsherfrombeinghometogreetthemwhentheyreturnfromschool.41.Thewritermentionshomeasworkshopbecause______.A.fathersoftenpursueemploymentathomeB.parentshadtomakefoodandnecessitythemselvesfortheirdaily-lifeC.manyfamiliesproducegoodsathomeforsaleD.bothfathersandmothersandmothersinmostfamiliesareworkers答案：B。细节理解题。解析：从第一段可知。42.Thewritersaysthathomehasbecomemuchlessofaworkshop.Hemeans______.A.inthepast,homewasmorelikeaworkshopB.homeismuchmoreofaworkshopnowC.home-workshopsarebecomingfewerandfewerD.homewaslesslikeaworkshopinthepast答案：A。推理判断题。解析：从第一句“Parentshavetodomuchlessfortheirchildrentodaythantheyusedtodo，andhomebecomemuchlessofaworkshop.”和下文所述可知，过去日常生活所需大部分都由自己做，“家”就如aworkshop一样。43.Theword“accrue”inthesentence“Whenmother...accrue，”isclosestinmeaningto__________________.A.changeB.dwindleC.doubl