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【61】 Behind the forthcoming war over protecting patients’ records in an age of Health Maintenance Organizations and online medic

admin2010-06-30  31
问题       【61】 Behind the forthcoming war over protecting patients’ records in an age of Health Maintenance Organizations and online medicine, technology, is a two-edged sword, which rarely is as clear as in the health care realm. Technology allows doctors to test their patients for genetic defects--and then to turn around and spread the results throughout the world via the Internet. For someone in need of treatment, that’s good news. But for someone in search of a job or an insurance policy, the tidings can be all bad.
     Last week President Bill Clinton proposed a proposition to the patients’ bill of rights now before Congress: a right to medical privacy. 【62】 Beginning in 2002, under rules set to become law in February, patients would be able to specify the conditions under which their personal medical data could be exposed. They would be able to examine their records and make corrections. They could learn who else had seen the information. Improper use of records by a caregiver or insurer could result in both civil and criminal penalties. The plan was, said Clinton, "an unprecedented step toward putting Americans back in control of their own medical records."
     【63】 While the administration billed the rules as an attempt to strike a balance between the needs of consumers and those of the health-care industry, neither doctors nor insurance companies were happy. That, physicians said, was a loophole through which Health Maintenance Organizations and other insurers could peep into the doctor-patient relationship, in the name of assessing the quality of care. Meanwhile, the insurers protested that the rules would make them sensitive to lawsuits. They were especially disturbed by a provision holding them liable for privacy breaches by "business part hers’ such as lawyers and accountants. 【64】 The doctors said the rules could actually erode privacy, pointing to a provision allowing managed-care plans to use personal information without consent if the purpose was" health-care operations". Both groups agreed that privacy protections would drive up the cost of health care by at least an additional 5;3.8 billion, and maybe much more, over the next five years. They also complained about the increased level of federal close observation required by the new rules’ enforcement provisions.
     【65】 One aim of the rules is to reassure patients about confidentiality, thereby encouraging them to be open with their doctors. Today various cancers and sexually transmitted diseases can go untreated because patients are afraid of embarrassment or of losing insurance coverage. The fear is real: Clinton aides noted that a January poll by Princeton Survey Research Associates found that one m six U.S. adults had at some time done something unusual to conceal medical information, such as paying cash for services.
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答案从2002年开始，根据在二月份即将要生效的法规，病人将有权规定在何种情况下才可以透露其个人医疗资料。
解析 本句是复合句，含有一个限制性定语从句。它的主体句式是：....patients would be able to．．．under which．．.。其中beginning in 2002是时间状语；under rules set to become law in February是条件状语，此处的set是过去分词，作定语修饰rules，to become law in February不是目的状语，而是表将来。此外，which引导的定语从句修饰conditions，定语从句里含有被动语态。specify意思是“明确说明或详细指明”，可译为“规定”。
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