During the Song Dynasty, the purpose of the civil service exam was: to determine which civil servants could serve in the military
to make people study intensely and test for days
to hire knowledgeable workers to serve in the government
to see how much people knew about Buddhism

to hire knowledgeable workers to serve in the government

Explanation:

I learned this 3-4 months ago and I promise u this is right

health care plans in the united states having high costs because they are focusing on providing quality programs for different groups of individuals. the quality of the service is based on money flow received from the members. without this investment, couldn't be possible a constant scientific searching to prevent death and illness caused because of low levels of health investigation. currently, the complaints are not about the highest cost, but about the coverage and benefits to access the necessary health services required by the members.  

besides, if a global health system is established the quality levels will fall down because of the standardized of the health. the access to care will increase but the quality will be low because it depends on the money invested.