<span> a means of rewarding the Duke of Marlborough</span>
After a little research I found that your question is multiple choice.
The answer choices are as follows:
<span>a.his inability to manage relations with the West.
b.his inability to get Russia out of Afghanistan.
c.the overall poor economy.
d.his movement toward communism.
The correct answer is C the overall poor community</span>
I think it is number 3 set up a medical system.