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This isn't a great question. a net increase in employment would require assuming that the injured persons are unemployed...... there is no mention of this in the passage. the question stem likely means that an injured person will be saved and be able to continue working... they dont just become unemployed when they become "seriously injured"
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Humanitarian considerations aside, sheer economics dictates that country X should institute, as country Y has done, a nationwide system of air and ground transportation for conveying seriously injured persons to specialized trauma centers. Timely access to the kind of medical care that only specialized centers can provide could save the lives of many people. The earnings of these people would result in a substantial increase in country X’s gross national product, and the taxes paid on those earnings would substantially augment government revenues.

The argument depends on the assumption that

(A) lifetime per-capita income is roughly the same in country X as it is in country Y

(B) there are no specialized trauma centers in country X at present

(C) the treatment of seriously injured persons in trauma centers is not more costly than treatment elsewhere

(D) there would be a net increase in employment in country X if more persons survived serious injury

(E) most people seriously injured in automobile accidents in country X do not now receive treatment in specialized trauma centers­
­
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unicornilove the argument states that - "The earnings of these people would result in a substantial increase in country X’s gross national product". Earnings would substantially increase the GNP only when the employment rate is also increasing.

If employment is not getting changed, then those who are unemployed will replace the ones who are getting seriously injured and the GNP will remain the same.

So, the correct answer would be D in this case.
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Understanding the argument - ­
Humanitarian considerations aside, sheer economics dictates that country X should institute, as country Y has done, a nationwide system of air and ground transportation for conveying seriously injured persons to specialized trauma centers. - Opinion
Timely access to the kind of medical care that only specialized centers can provide could save the lives of many people. - Premise. 
The earnings of these people would result in a substantial increase in country X’s gross national product, and the taxes paid on those earnings would substantially augment government revenues. - Conclusion. 

The argument depends on the assumption that

(A) lifetime per-capita income is roughly the same in country X as it is in country Y - No. This comparison is out of scope.

(B) there are no specialized trauma centers in country X at present - At best, it may weaken. 

(C) the treatment of seriously injured persons in trauma centers is not more costly than treatment elsewhere - This comparison is out of the scope. Our focus here is to find the minimum, necessary condition or missing premise for the conclusion.

(D) there would be a net increase in employment in country X if more persons survived serious injury - Consider a scenario in which one meets with a serious accident and loses one limb, which makes them unfit for their current job. So, while someone takes their job, they can still enter the job market for some other work, leading to a net increase in employment rather than just being unemployed. Moreover, negating the option, "there would be no net increase in employment," would shatter the conclusion. Look at the part of the conclusion that "would substantially augment government revenues." If a person meets with an accident and the same person takes the same job, the net effect is zero. So, to "substantially augment" the assumption has to be an increase in employment. OK.

(E) most people seriously injured in automobile accidents in country X do not now receive treatment in specialized trauma centers­ - This is very specific about automobile accidents. But the proposal's scope is quite broad - anyone and everyone in the country in whatever accident. ­
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Humanitarian considerations aside, sheer economics dictates that country X should institute, as country Y has done, a nationwide system of air and ground transportation for conveying seriously injured persons to specialized trauma centers. Timely access to the kind of medical care that only specialized centers can provide could save the lives of many people. The earnings of these people would result in a substantial increase in country X’s gross national product, and the taxes paid on those earnings would substantially augment government revenues.

The argument depends on the assumption that

(A) lifetime per-capita income is roughly the same in country X as it is in country Y
(B) there are no specialized trauma centers in country X at present
(C) the treatment of seriously injured persons in trauma centers is not more costly than treatment elsewhere
(D) there would be a net increase in employment in country X if more persons survived serious injury
(E) most people seriously injured in automobile accidents in country X do not now receive treatment in specialized trauma centers­

Premise - people who are saved in trauma centers will be able to contribute to the GNP, increasing earnings from taxes that are paid
Conclusion - Country X should build an air system to better transport injured trauma patients to special hospitals
Goal - we need find an answer that must be true and links the premise + conclusion. AKA we need to find an answer that, if it's NOT true, the conclusion falls apart. (Negation)


A - Trick answer as it discusses per-capita income but how is this related to impact due to trauma patients?
B - Could be true but doesn't necessarily need to be true for the conclusion to stand. Out
C Cost of treatment is out of scope. Out
D - In scope. This is the answer. The reason is that if there would be a net decrease in implement in Country X if people survived injury, then we might expect govt revenue from taxes paid to decrease.
E - out of scope


D is the answer
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