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My pre-thinking said that the citizenry would have increased, thus decreasing the standard of healthcare or the standard would have some other definition. Lets go to answer choice analysis now.

A. Over the past five years, the percentage of the NHCP funds spent on actual health care has increased, while the percentage spent on the management of NHCP's program has decreased. Correct. This bridges the logical gap between allocation and actual spending. While the allocation has increased but the real spending amount has decreased. This weakens the conclusion in so far as it provides an alternate reason.

B. Five years ago the standard of health care in the country Z was better than the standard of health care in other industrialized countries that have national health care programs. -- Incorrect. Completely irrelevant. The conclusion hasn't compared but rather presented reason for the falling standard in country Z.

C. The average salaries of doctors and nurses in country Z are slightly higher than the average salaries of doctors and nurses in other industrialized countries that have national health care programs -- Incorrect. Similar to B.

D. National Healthcare programs in other industrialized countries provide free medical care to resident aliens and tourists, as well as to citizens. -- Incorrect. Similar to B.

E. Over the past five years, the increase in the absolute amount of funds received by NHCP has averaged approximately two percent above country Z's rate of inflation during that time period. -- Incorrect. Strengthens the argument in so far as it says that rate of increase of funding has stayed over the rate of inflation.
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A. Over the past five years, the percentage of the NHCP funds spent on actual health care has increased, while the percentage spent on the management of NHCP's program has decreased.
This supports the claim that NHC has been working hard in providing more for health and helping the avoidance of bad bureucracy

B. Five years ago the standard of health care in the country Z was better than the standard of health care in other industrialized countries that have national health care programs.
This is in support of the statement that NHC healthcare system has dwindled

C. The average salaries of doctors and nurses in country Z are slightly higher than the average salaries of doctors and nurses in other industrialized countries that have national health care programs
This wasclose second in the race however since the money provided to NHC has increased drastically a minor increase will not have a serious impact

D. National Healthcare programs in other industrialized countries provide free medical care to resident aliens and tourists, as well as to citizens.
This also provides support that other healthcare systems are far better

E. Over the past five years, the increase in the absolute amount of funds received by NHCP has averaged approximately two percent above country Z's rate of inflation during that time period.
This is out of context
Hence IMO A
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Country Z's National Health-Care Program(NHCP) provides free health care to all citizens. In the last five years, NHCP has received increase funds, both in absolute terms and as a percent of country Z's gross national product. Yet the standard of health care in the country Z has decreased. Meanwhile, the standard of health care in other industrialized countries has increased. Clearly, over the past five years, NHCP must have become an overgrown and wasteful bureaucracy.

P: In the last five years, NHCP has received increase funds, both in absolute terms and as a percent of country Z's gross national product
P: Yet the standard of health care in the country Z has decreased
P: Meanwhile, the standard of health care in other industrialized countries has increased
C: Clearly, over the past five years, NHCP must have become an overgrown and wasteful bureaucracy

OK, so the amount of money received for healthcare has increased, but care has decreased. Therefore, we conclude that we have a wasteful bureaucracy. Hmm, is this the only conclusion we can draw? This is a very narrow interpretation and there could other conclusions. In the end, the assumption being made here is that less care = wasteful. If you can spot this, you are in good shape to move into the answer choices.


Which of the following, if true, would most seriously weaken the conclusion reached in the passage?

A. Over the past five years, the percentage of the NHCP funds spent on actual health care has increased, while the percentage spent on the management of NHCP's program has decreased. -- This is weak, and I put a hold on it initially, but it does weaken our conclusion. We are told that we have turned into a wasteful bureaucracy. But if we have decreased management cost, this goes directly against this conclusion. Rarely will a current day GMAT question attack a conclusion directly unless it is an easy question. Do we have to make the assumption that less spending = non wasteful? Sure, but it is the best that we have.

B. Five years ago the standard of health care in the country Z was better than the standard of health care in other industrialized countries that have national health care programs. -- OK, but who cares? So our healthcare has decreased in quality. At best, this is completely random information comparing healthcare systems; something we already know, technically. At worst, this strengthens our argument (with some assumptions made) that we are wasteful. Either way, this doesn't help us.

C. The average salaries of doctors and nurses in country Z are slightly higher than the average salaries of doctors and nurses in other industrialized countries that have national health care programs -- OK, this is more random information. We do not care if doctors make slightly more than others across other systems. Remember our conclusion: We are a wasteful bureaucracy. So if we pay more does that weaken our conclusion that we are wasteful? Maybe we are. Maybe we pay our horrible doctors 10x the average (How much is slightly?) of other doctors across different countries. But maybe we aren't wasteful. Maybe we pay more because our doctors are the best. Does this disprove we are wasteful? Nope. We could still pay management far more than anyone else and have bloated budgets. Always remember the conclusion and never make assumptions to justify an answer choice.

D. National Healthcare programs in other industrialized countries provide free medical care to resident aliens and tourists, as well as to citizens. -- Very simply, we don't care about this because we do not care about other countries! We are talking about our system, not the other systems.

E. Over the past five years, the increase in the absolute amount of funds received by NHCP has averaged approximately two percent above country Z's rate of inflation during that time period. -- So this just says that we are receiving more money. This confirms that we are getting more cash, so while this supports a premise, it has nothing to do with our conclusion. Out.
­Hi 
nightblade354
GMATNinja
KarishmaB
AjiteshArun

I was down to (A) and (E), but i think, i misinterpreted (E). Would appreciate if you could help me to understand why my reasoning about (E) is flawed:


NHCP has received increase funds + standard of health care in the country Z has decreased.
Hence, NHCP must have become an overgrown and wasteful bureaucracy.

(E) says: increase in the absolute amount of funds received by NHCP has averaged approximately two percent above country Z's rate of inflation

I thought, if rate increase in funds and inflation rates are moving parallelly, then even though you are getting more money in terms of absolute values, the things you can do with that money will remain constant.

Let suppose, in 2000 cost of lenovo laptop was $1000, but in 2024 the same laptop costs $5000. So even though i am getting more money in terms of absolute values, things i can purchase with those values are almost same.
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I thought, if rate increase in funds and inflation rates are moving parallelly, then even though you are getting more money in terms of absolute values, the things you can do with that money will remain constant.
­Hi ashutosh_73,

That would be the case if the increase matched the rate of inflation. For example, if someone receives ₹100, and the rate of inflation (for example, the CPI) is 7%, they would need ₹107 the next year just to match the ₹100 they had last year. Option E tells us that the NHCP is receiving CPI + 2%, or ₹109 in our example. This is more than the ₹107 they needed for parity.

Of course, things would be different if the rate of inflation for a basket of healthcare/pharma products were more than the general rate of inflation.
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Hi KarishmaB i dont follow how C is irrelevant. If average salaries are higher, it could be a reason why the increased funds have not resulted in an increase in standard of healthcare
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Montyyy95
Country Z's National Health-Care Program(NHCP) provides free health care to all citizens. In the last five years, NHCP has received increase funds, both in absolute terms and as a percent of country Z's gross national product. Yet the standard of health care in the country Z has decreased. Meanwhile, the standard of health care in other industrialized countries has increased. Clearly, over the past five years, NHCP must have become an overgrown and wasteful bureaucracy.

Which of the following, if true, would most seriously weaken the conclusion reached in the passage?


A. Over the past five years, the percentage of the NHCP funds spent on actual health care has increased, while the percentage spent on the management of NHCP's program has decreased.

B. Five years ago the standard of health care in the country Z was better than the standard of health care in other industrialized countries that have national health care programs.

C. The average salaries of doctors and nurses in country Z are slightly higher than the average salaries of doctors and nurses in other industrialized countries that have national health care programs

D. National Healthcare programs in other industrialized countries provide free medical care to resident aliens and tourists, as well as to citizens.

E. Over the past five years, the increase in the absolute amount of funds received by NHCP has averaged approximately two percent above country Z's rate of inflation during that time period.


NHCP provides free health care to all citizens. In the last five years,
NHCP has received increase funds, both in absolute terms and as a percent of GNP.
Yet the standard of health care has decreased.
Meanwhile, the standard of health care in other industrialized countries has increased.

Conclusion: Over the past five years, NHCP must have become an overgrown and wasteful bureaucracy.

The author says that the reason standard of health care has decreased inspite of obtaining more funds is that NHCP has become an overgrown and wasteful bureaucracy. So much money is being wasted in management and not enough is being used for actual health care.

What will weaken it?

A. Over the past five years, the percentage of the NHCP funds spent on actual health care has increased, while the percentage spent on the management of NHCP's program has decreased.

This option tells us that % of funds spent on actual health care has, in fact, increased. Hence, the conclusion that not enough is being used for actual health care is weakened. Also if % spent on management is lower now, NHCP may not be an overgrown and wasteful bureaucracy.
Correct.
vasuca10 - It is not necessary that wastefulness is being experienced. We don't know how standard of health care is calculated. Many variables could lead to lower standards despite putting in more money. What if drugs are getting more expensive? What if fewer medical professionals are available? What if raw materials needed to manufacture drugs are exhausted? What if more and more people are getting sick putting more pressure on healthcare resources? The reasons could be many.

B. Five years ago the standard of health care in the country Z was better than the standard of health care in other industrialized countries that have national health care programs.

Irrelevant what the status was vs other countries 5 yrs ago. Country Z's standard has decreased (compared with its own standard only) and standard in other countries has increased.

C. The average salaries of doctors and nurses in country Z are slightly higher than the average salaries of doctors and nurses in other industrialized countries that have national health care programs

Irrelevant.

D. National Healthcare programs in other industrialized countries provide free medical care to resident aliens and tourists, as well as to citizens.

Irrelevant.

E. Over the past five years, the increase in the absolute amount of funds received by NHCP has averaged approximately two percent above country Z's rate of inflation during that time period.

Just tells us more about what we already know - NHCP has received more funds over the past 5 years.

Answer (A)
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Hi KarishmaB i dont follow how C is irrelevant. If average salaries are higher, it could be a reason why the increased funds have not resulted in an increase in standard of healthcare

You would be correct if it were given that the average salaries have increased in the last 5 years. But (C) says that average salaries here are higher than avg salaries in other countries. This does not imply that salaries have increased recently. It means that normally here the salaries are higher.
Now the point is - so what? This has always been the case. But NHCP has received extra funds in the last 5 years. Then why did the facilities not improve? Looks like NHCP has become wasteful. It remains a valid point. I did not weaken my conclusion.

Always keep in mind what is being compared - Facilities in Z 5 years ago vs facilities today.
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Thanks for the detailed answer, but A doesnt give an explanation that why healthcare decrease. If we are saying that the statement should weaken the conclusion, but A statement never answered how the healthcare decreased. As per my pre thinking, shouldn't the best answer here be the one that gives an alternate reasoning of healthcare decrease?
nightblade354
Country Z's National Health-Care Program(NHCP) provides free health care to all citizens. In the last five years, NHCP has received increase funds, both in absolute terms and as a percent of country Z's gross national product. Yet the standard of health care in the country Z has decreased. Meanwhile, the standard of health care in other industrialized countries has increased. Clearly, over the past five years, NHCP must have become an overgrown and wasteful bureaucracy.

P: In the last five years, NHCP has received increase funds, both in absolute terms and as a percent of country Z's gross national product
P: Yet the standard of health care in the country Z has decreased
P: Meanwhile, the standard of health care in other industrialized countries has increased
C: Clearly, over the past five years, NHCP must have become an overgrown and wasteful bureaucracy

OK, so the amount of money received for healthcare has increased, but care has decreased. Therefore, we conclude that we have a wasteful bureaucracy. Hmm, is this the only conclusion we can draw? This is a very narrow interpretation and there could other conclusions. In the end, the assumption being made here is that less care = wasteful. If you can spot this, you are in good shape to move into the answer choices.

Which of the following, if true, would most seriously weaken the conclusion reached in the passage?

A. Over the past five years, the percentage of the NHCP funds spent on actual health care has increased, while the percentage spent on the management of NHCP's program has decreased. -- This is weak, and I put a hold on it initially, but it does weaken our conclusion. We are told that we have turned into a wasteful bureaucracy. But if we have decreased management cost, this goes directly against this conclusion. Rarely will a current day GMAT question attack a conclusion directly unless it is an easy question. Do we have to make the assumption that less spending = non wasteful? Sure, but it is the best that we have.

B. Five years ago the standard of health care in the country Z was better than the standard of health care in other industrialized countries that have national health care programs. -- OK, but who cares? So our healthcare has decreased in quality. At best, this is completely random information comparing healthcare systems; something we already know, technically. At worst, this strengthens our argument (with some assumptions made) that we are wasteful. Either way, this doesn't help us.

C. The average salaries of doctors and nurses in country Z are slightly higher than the average salaries of doctors and nurses in other industrialized countries that have national health care programs -- OK, this is more random information. We do not care if doctors make slightly more than others across other systems. Remember our conclusion: We are a wasteful bureaucracy. So if we pay more does that weaken our conclusion that we are wasteful? Maybe we are. Maybe we pay our horrible doctors 10x the average (How much is slightly?) of other doctors across different countries. But maybe we aren't wasteful. Maybe we pay more because our doctors are the best. Does this disprove we are wasteful? Nope. We could still pay management far more than anyone else and have bloated budgets. Always remember the conclusion and never make assumptions to justify an answer choice.

D. National Healthcare programs in other industrialized countries provide free medical care to resident aliens and tourists, as well as to citizens. -- Very simply, we don't care about this because we do not care about other countries! We are talking about our system, not the other systems.

E. Over the past five years, the increase in the absolute amount of funds received by NHCP has averaged approximately two percent above country Z's rate of inflation during that time period. -- So this just says that we are receiving more money. This confirms that we are getting more cash, so while this supports a premise, it has nothing to do with our conclusion. Out.
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Thanks for the detailed answer, but A doesnt give an explanation that why healthcare decrease. If we are saying that the statement should weaken the conclusion, but A statement never answered how the healthcare decreased. As per my pre thinking, shouldn't the best answer here be the one that gives an alternate reasoning of healthcare decrease?


You don’t need an alternate cause to weaken this conclusion, because the conclusion is specifically “NHCP became an overgrown, wasteful bureaucracy.” To weaken that, it’s enough to show NHCP did not become more bureaucratic/wasteful. Choice (A) does exactly that: it says more money went to actual care and less to management, which directly contradicts the “overgrown bureaucracy” claim even if we still don’t know the exact cause of the quality drop.
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