根据下面资料,回答21-25题
It is a deep national shame that despite the dedication of staff, care home deaths account for almost a third of all Covid-19 fatalities in the UK.
Among the many calls for reform, one is gaining popularity:the idea of setting up a nationall care service. There is an obvious appeal to this. It echoes the idea of having a National Health Service, free to use and open to everyone. Incorporate broken social care into a tried-and-tested national system, goes the thinking. And just as the government plans to tighten its grip on the NHS, the appeal of also trying to run social care from Whitehall might be too great to resist. But in fact, the opposite is true. Social care is in urgent need of attention from decision-makers, but nationalising it is not the answer. Instead the NHS should become more locally accountable.
The NHS gets its money directly from government and hospitals are paid for what they do. Social care is funded by local government. But as social care demand grows, finite resources are stretched ever thinner. People can walk into a hospital, but higher thresholds for care mean it is only available to those who need it most. NHS staff have a much better pay deal and care workers feel undervalued. So the first priority is to fund social care properly.
But beyond this financial reality, there are deeper problems with a rigid national model that have been further exposed during the Covid-19 pandemic. Instead of being a safety net of last resort in a community-based system of care and support, acute hospital provision dominates the healthcare landscape, sucking in a huge amount of funding. Without reform to shift away from crisis intervention and towards prevention, hospital budgets will eat up an ever-gregter proportion of public service spend.
Setting up a national social care service risks replicating this bias. Care homes are expensive and for people with high needs. But social care is much broader than just care homes and applies to a wide range of support to enable people to live in their own homes independently. And it is not just for elderly people. These facts risk being lost in any move towards a national social care service. A single service would tend towards uniform, building-based services, easily managed and monitored from a Whitehall department, rather than adaptable, community support that would vary between areas.
Care is essentially about people and relationships, not buildings and services. It is not clear whether a national one-size-fits-all care system would be capable of embedding such fresh, community-led approaches. Health and care budgets in England need to be merged locally so everyone benefits from investing in prevention. There is no question that the care system is in urgent need of funding reform, but nationalising social care wouldn't solve its problems. Rather than rush to an institutional response, let's start with people. We could then reimagine a system of health and support to enable that ambition.
It can be inferred from Paragraph 4 that acute hospital provision_______
A gets little support from local communities
B absorbs too much of public service funding
C responds slowly to emergency health crises
D exposes healthcare workers to great danger