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医学
It is said that in England death is pressing, in Canada inevitable and in California optional. Small wonder. Americans’ life exp
It is said that in England death is pressing, in Canada inevitable and in California optional. Small wonder. Americans’ life exp
admin
2020-11-30
6
问题
It is said that in England death is pressing, in Canada inevitable and in California optional. Small wonder. Americans’ life expectancy has nearly doubled over the past century. Failing hips can be replaced, clinical depression controlled, cataracts removed in a 30-minute surgical procedure. Such advances offer the aging population a quality of life that was unimaginable when I entered medicine 50 years ago. But not even a great health-care system can cure death — and our failure to confront that reality now threatens this greatness of ours.
Death is normal, we are genetically programmed to disintegrate and perish, even under ideal conditions. We all understand that at some level, yet as medical consumers, we treat death as a problem to be solved. Shielded by third-party payers from the cost of our care, we demand everything that can possibly be done for us, even if it’s useless. The most obvious example is late-stage cancer care. Physicians — frustrated by their inability to cure the disease and fearing loss of hope in the patient — too often offer aggressive treatment far beyond what is scientifically justified.
In 1950, the U.S. spent $12.7 billion on health care. In 2002, the cost will be $1,540 billion. Anyone can see this trend is unsustainable. Yet few seem willing to try to reverse it. Some scholars conclude that a government with finite resources should simply stop paying for medical care that sustains life beyond a certain age — say 83 or so. Former Colorado governor Richard Lamm has been quoted as saying that the old and infirm "have a duty to die and get out of the way "so that younger, healthier people can realize their potential, I would not go that far. Energetic people now routinely work through their 60s and beyond, and remain dazzlingly productive. At 78, Viacom chairman Sumner Redstone jokingly claims to be 53. Supreme Court Justice Sandra Day O’Connor is in her 70s and former surgeon generalc. Everett Koop chairs an Internet start-up in his 80s.These leaders are living proof that prevention works and that we can manage the health problems that come naturally with age. As a mere 68-year-old, I wish to age as productively as they have.
Yet there are limits to what a society can spend in this pursuit. As a physician, I know the most costly and dramatic measures may be ineffective and painful. I also know that people in Japan and Sweden, countries that spend far less on medical care, have achieved longer, healthier lives than we have. As a nation, we may be overfunding the quest for unlikely cures while underfunding research on humbler therapies that could improve people’s lives.
The author uses the example of cancer patients to show that________.
选项
A、medical resources are often wasted
B、doctors are helpless against fatal diseases
C、some treatments are too aggressive
D、medical costs are becoming unaffbordable
答案
A
解析
推理题。在第二段中,作者用晚期癌症患者为例,指出医生们往往采取一些激进的缺乏科学根据的治疗方法。这是为了说明人们通常浪费了医疗资源,过度地投入在已经没有用处的事情上。因此我们可以推断出作者的意图,即不应该浪费医疗资源在那些无可救药的人身上。
转载请注明原文地址:https://kaotiyun.com/show/kZT3777K
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