公立医疗机构在管理和运行上缺乏活力。

The public medical institutions have poor capacity in management and operation.

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在乡下，他们离医院和学校很远，但在城市里，襁褓中的儿子可以得到免费的医疗，而阿奴卡可以去公立学校上学。

In the countryside they were far removed from nurses and schools, but here they can get free medical care for their infant son, and Anuka can attend a public school.

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西班牙提供两种医疗服务：公立的和私立的。

Spain has two options when it comes to medical care: they have a public option and a private one.

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