During the 1980s there was considerable restructuring of the Health Service with an increased emphasis on managerial efficiency and the privatization of some services (for example, cleaning). At the end of the 1980s the government introduced proposals for further reform of the NHS, including allowing some hospitals to be self-governing, and encouraging GPs to compete for patients. Patients would be able to choose and change their family doctor more easily and GPs would have more financial responsibility. The political questions continue of how much money should be provided to support the NHS and where it should come from.

　　16. We can know from the first paragraph that ______________.

　　A. the original aim of the NHS was to provide equal basic health care for everybody

　　B. people didn’t have to pay for health care since the NHS was set up

　　C. patients were charged for receiving health care before 1948

　　D. the NHS was an organization which gave free advice to villagers

　　17. What do we know about the NHS?

　　A. It’s managed by the central government.

　　B. Its cost is mainly paid for by the National Insurance contributions.

　　C. It hires more people than any other unit in Europe.

　　D. Fewer patients go to its hospitals than before because they spend less on health care.

　　18. All the following statements about GPs are true except that they ____________.

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