B．some services are in the charge of individuals

　　C．more and more patients go to GPs for treatment

　　D．there is not enough money for further reform

　　B

　　For most of his life，Daniel Defoe worked as a business man.However，when he was 60，he wrote something that was a great success.It was Robinson Crusoe，the first novel in English literature.

　　Why do we say that Robinson Crusoe was the first novel in English literature？Novels are full­length invented stories.But even if the events and people in the story are invented，they are described in a way that makes them seem real.Before Robinson Crusoe，nobody in English literature had written a story like that.In Robinson Crusoe，Defoe describes Robinson's adventures in great detail.It seems that the writer is talking to the reader.In the early 18th century，most writers wrote in a complex style that was very different from the way people talked.Critics at the time didn't like the style of Robinson Crusoe.They didn't understand that Defoe had created something new in literature.

　　Robinson Crusoe is not only an exciting story but also a great novel.It makes the reader think about important questions about life.One interesting idea in the book is about the relationship between individuals and society.Robinson lives alone on an island.He is free to live in any way he wants，but he chooses to live as a civilized man.Another interesting idea in the book is how people need one another in society.On the island，there is nobody to help Robinson.He has to do everything by himself.He has to learn how to be a builder，a farmer and how to make clothes and shoes.This experience teaches Robinson how we all need the help of experts.Values are also discussed in the book.When Robinson goes back to the sunken ship，looking for things that could be useful，he picks up some gold and says，“This is no use to me.”He understands that something has value on condition that it is useful.

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