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It is said that in England death is pressing, in Canada inevitable and in California option al. Small wonder, Americans life exp
It is said that in England death is pressing, in Canada inevitable and in California option al. Small wonder, Americans life exp
admin
2010-06-30
61
问题
It is said that in England death is pressing, in Canada inevitable and in California option al. 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 call possibly be done for us, even if it’s useless. The most obvious ex ample 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 be yond, 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 general C. 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 over funding the quest for unlikely cures while under funding research on humbler therapies that could improve people’s lives.
What is implied in the first sentence?
选项
A、Americans are better prepared for death than other people.
B、Americans enjoy a higher life quality than ever before.
C、Americans are over-confident of their medical technology.
D、Americans take a vain pride in their long life expectancy.
答案
C
解析
本题为推理判断题。文章第一句话就说英、美、加拿大人对死亡的不同态度:“在英国,死亡被看作是迫不得已的;加拿大人认为死亡不可避免;而在美国加利福尼亚,人们认为死亡是可以选择的。其他国家的人认为死亡是注定的,而美国人却自信地认为他们可以在死亡问题上做出选择”。随后,句子解释了他们自信的原因——医疗技术提供了健康保障。据此推断,选项C“美国对自己的医疗技术过于自信”是这句话的隐含意思,是本题的答案。
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