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  3. Death comes to all, but some are more sure of its timing, and can make plans. Kate Granger, a 32-year-old doctor suffering from

Death comes to all, but some are more sure of its timing, and can make plans. Kate Granger, a 32-year-old doctor suffering from

admin2021-02-21  79
问题    Death comes to all, but some are more sure of its timing, and can make plans. Kate Granger, a 32-year-old doctor suffering from an incurable form of sarcoma, has "very strong ambitions" for her last hours. She plans to avoid hospital emergency departments and die at her parents’ house—music playing, candles glowing, family by her side.
   Surveys show that over two-thirds of Britons would like to die at home. Like Dr Granger, they want to be with family and free of pain. Yet hospital remains the most common place of death. For some this is unavoidable—not every disease has as clear a turning point as cancer—but for others a lack of planning is to blame. The government, motivated by both compassion and thrift, wants to help.
   In death, at least, public wishes align neatly with the state’s desire to save money. The NHS has calculated that if roughly one more patient per general practitioner died outside hospital each year, it would save 180m ($295m). In 2008 it introduced a broad end-of-life care strategy, which sought to increase awareness of how people die while improving care. Since then the proportion of people dying at home or in care homes (the split is about half-and-half between them) has increased, from 38% to 44%.
   To steer patients away from hospitals, general practitioners have been encouraged to find their 1 %— those patients likely to die in the next year—and start talking about end-of-life care. This can be difficult for doctors. "As a profession we view death as failure," says Dr Granger. Yet when there is no cure to be had, planning for death can be therapeutic for patients.
   Those who do plan ahead are much more likely to have their wishes met. A growing number of patients have electronic "palliative-care co-ordination systems", which allow doctors to register personal preferences so that other care providers can follow them. A paramedic called to a patient’s home would know of a do-not-resuscitate order, for example. One study showed that such systems increase the number of people dying in their homes.
   But savings for the government may mean costs for charities and ordinary folk. At the end of life it is not always clear who should pay for what. Although Britons can get ordinary health care without paying out of pocket, social care is means-tested. People must often shell out for carers or care homes— or look after the terminally ill themselves. Disputes crop up over trivial things, like responsibility for the cost of a patient’s bath.
   A bill now trundling through Parliament would cap the cost of an individual’s social care. Still, some want it to be free for those on end-of-life registries. That would cut into the government’s savings—but allow more people to die as they want.
The best title of this text may be______.
选项 A、Dying at Home
B、Home Helpless
C、Hospital Best
D、End of Life Care
答案A
解析 主旨大意题。解决题目的关键是做完前四道题，大致猜出文章的中心，再通读各段首句，验证中心，全文通过比较英国人选择在哪里死亡的不同可以得出，文章体现的是更多英国人希望在家结束自己的生命，A项Dying at Home“家中安息”与此信息相匹配，故A项为正确选项。
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