单选题The text intends to express the idea that ______.Amedicine will further prolong people’s livesBlife beyond a certain limit is not worth livingCdeath should be accepted as a fact of lifeDexcessive demands increase the cost of health care
单选题
The text intends to express the idea that ______.
A
medicine will further prolong people’s lives
B
life beyond a certain limit is not worth living
C
death should be accepted as a fact of life
D
excessive demands increase the cost of health care
参考解析
解析：
主旨题。A项与作者观点相反。B项也不正确，作者在第四段已举例反驳了这种过激的看法。D项阐述的是事实，原则上没有错，但却不是文章主要要表达的思想。
主旨题。A项与作者观点相反。B项也不正确，作者在第四段已举例反驳了这种过激的看法。D项阐述的是事实，原则上没有错，但却不是文章主要要表达的思想。
相关考题：
Text 4 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-minuts 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.In1950, the U.S. spent .7 billion on health care. In 2002, the cost will be 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 todie 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 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. Ask 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.第56题：What is implied in the first sentence?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.
The text intends to express the idea thatA medicine will further prolong people's lives.B. life beyond a certain limit is not worth living.C. death should be accepted as a fact of life.D. excessive demands increase the cost of health care.
People’s dreams of a better life ().A、are nearly the same worldwideB、take various formsC、express different demands on lifeD、reflect the economic power of the country
The author intends to .A.stress the advantages of TV t o people’s livesB.persuade women to become more independntC.encourage people to improve their reading skillsD.introduce the readers some websites such as Google
请阅读Passage l，完成第小题。Passage 1Move over Methuselah. Future generations could be living well into their second century and still doing Sudoku, if life expectancy predictions are true. Increasing by two years every decade,they show no signs of flattening out. Average lifespan worldwide is already double what it was 200 years ago. Since the 1980s, experts thought the increase in life expectancy would slow down and then stop, but forecasters have repeatedly been proved wrong.The reason behind the steady rise in life expectancy is "the decline in the death rate of the elderly", says Professor Tom Kirkwood from Newcastle University. He maintains that our bodies are evolving to maintain and repair themselves better and our genes are investing in this process to put off the damage which will eventually lead to death. As a result, there is no ceiling imposed by the realities of the ageing process. "There is no use-by-date when we age. Ageing is not a fixed biological process," Tom says.A large study of people aged 85 and over carried out by Professor Kirkwood discovered that there were a remarkable number of people enjoying good health and independence in their late 80s and beyond. With people reaching old age in better shape, it is safe to assume that this is all due to better eating habits, living conditions, education and medicine.There are still many people who suffer from major health problems, but modern medicine means doctors are better at managing long-term health conditions like diabetes, high blood pressure and heart disease. "We are reaching old age with less accumulative damage than previous generations. We are less damaged," says Professor Kirkwood. Our softer lives and the improvements in nutrition and healthcare have had a direct impact on longevity.Nearly one-in-five people currently in the UK will live to see their 100th birthday, the Office for National Statistics predicted last year. Life expectancy at birth has continued to increase in the UK--from 73.4 years for the period 1991 to 1993 to 77.85 years for 2007 to 2009. A report in Science from 2002 which looked at life expectancy patterns in different countries since 1840 concluded that there was no sign of a natural limit to life.Researchers Jim Oeppen and Dr. James Vaupel found that people in the country with the highest life expectancy would live to an average age of 100 in about six decades. But they stopped short of predicting anything more."This is far from eternity: modest annual increments in life expectancy will never lead to immortality," the researchers said.We do not seem to be approaching anything like the limits of life expectancy, says Professor David Leon from the London School of Hygiene and Tropical Medicine. "There has been no flattening out of the best of the best--the groups which everyone knows have good life expectancy and low mortality," he says.These groups, which tend to be in the higher social and economic groups in society, can live for several years longer than people in lower social groups, prompting calls for an end to inequalities within societies.Within populations, genes also have an important role to play in determining how long we could survive for--but environment is still the most important factor.It is no surprise that healthy-living societies like Japan have the highest life expectancies in the world. But it would still be incredible to think that life expectancy could go on rising forever. "I would bet there will be further increases in life expectancy and then it will probably begin to slow," says Tom, "but we just don't know."The underlined phrase "low mortality" in Paragraph 8 could best be replaced by“__________ ”.查看材料A．short life spanB．low death rateC．low illness rateD．good health condition
请阅读Passage l，完成第小题。Passage 1Move over Methuselah. Future generations could be living well into their second century and still doing Sudoku, if life expectancy predictions are true. Increasing by two years every decade,they show no signs of flattening out. Average lifespan worldwide is already double what it was 200 years ago. Since the 1980s, experts thought the increase in life expectancy would slow down and then stop, but forecasters have repeatedly been proved wrong.The reason behind the steady rise in life expectancy is "the decline in the death rate of the elderly", says Professor Tom Kirkwood from Newcastle University. He maintains that our bodies are evolving to maintain and repair themselves better and our genes are investing in this process to put off the damage which will eventually lead to death. As a result, there is no ceiling imposed by the realities of the ageing process. "There is no use-by-date when we age. Ageing is not a fixed biological process," Tom says.A large study of people aged 85 and over carried out by Professor Kirkwood discovered that there were a remarkable number of people enjoying good health and independence in their late 80s and beyond. With people reaching old age in better shape, it is safe to assume that this is all due to better eating habits, living conditions, education and medicine.There are still many people who suffer from major health problems, but modern medicine means doctors are better at managing long-term health conditions like diabetes, high blood pressure and heart disease. "We are reaching old age with less accumulative damage than previous generations. We are less damaged," says Professor Kirkwood. Our softer lives and the improvements in nutrition and healthcare have had a direct impact on longevity.Nearly one-in-five people currently in the UK will live to see their 100th birthday, the Office for National Statistics predicted last year. Life expectancy at birth has continued to increase in the UK--from 73.4 years for the period 1991 to 1993 to 77.85 years for 2007 to 2009. A report in Science from 2002 which looked at life expectancy patterns in different countries since 1840 concluded that there was no sign of a natural limit to life.Researchers Jim Oeppen and Dr. James Vaupel found that people in the country with the highest life expectancy would live to an average age of 100 in about six decades. But they stopped short of predicting anything more."This is far from eternity: modest annual increments in life expectancy will never lead to immortality," the researchers said.We do not seem to be approaching anything like the limits of life expectancy, says Professor David Leon from the London School of Hygiene and Tropical Medicine. "There has been no flattening out of the best of the best--the groups which everyone knows have good life expectancy and low mortality," he says.These groups, which tend to be in the higher social and economic groups in society, can live for several years longer than people in lower social groups, prompting calls for an end to inequalities within societies.Within populations, genes also have an important role to play in determining how long we could survive for--but environment is still the most important factor.It is no surprise that healthy-living societies like Japan have the highest life expectancies in the world. But it would still be incredible to think that life expectancy could go on rising forever. "I would bet there will be further increases in life expectancy and then it will probably begin to slow," says Tom, "but we just don't know."Which statement below is TRUE concerning life expectancy according to the passage?查看材料A．Life expectancy goes on rising forever.B．There could be further increases in life expectancy.C．Life expectancy has slowed down since 1950s and it will stop.D．Life expectancy in Japan doubles what it was 200 years ago.
请阅读短文，完成此题。Move over Methuselah. Future generations could be living well into their second century andstill doing Sudoku, if life expectancy predictions are true. Increasing by two years every decade,they show no signs of flattening out. Average lifespan worldwide is already double what it was 200years ago. Since the 1980s, experts thought the increase in life expectancy would slow down andthen stop, but forecasters have repeatedly been proved wrong.The reason behind the steady rise in life expectancy is "the decline in the death rate of theelderly", says Professor Tom Kirkwood from Newcastle University. He maintains that our bodies areevolving to maintain and repair themselves better and our genes are investing in this process to putoff the damage which will eventually lead to death. As a result, there is no ceiling imposed by thereahties of the ageing process."There is no use-by-date when we age. Ageing is not a fixed biological process," Tom says.A large study of people aged 85 and over carried out by Professor Kirkwood discovered that there were a remarkable number of people enjoying good health and independence in their late 80s and beyond. With people reaching old age in better shape, it is safe to assume that this is all due to better eating habits, living conditions, education and medicine.There are still many people who suffer from major health problems, but modem medicine means doctors are better at managing long-term health conditions like diabetes, high blood pressure and heart disease."We are reaching old age with less accumulative damage than previous generations. We are less damaged," says Professor Kirkwood. Our softer lives and the improvements in nutrition and healthcare have had a direct impact on longevity.Nearly one-in-five people currently in the UK will live to see their lOOth birthday, the Office for National Statistics predicted last year. Life expectancy at birth has continued to increase in the UK--from 73.4 years for the period 1991 to 1993 to 77.85 years for 2007 to 2009. A report in Science from 2002 which looked at life expectancy patterns in different countries since 1840 concluded that there was no sign of a natural limit to life.Researchers Jim Oeppen and Dr. James Vaupel found that people in the country with the highest life expectancy would live to an average age of 100 in about six decades. But they stoppedshort of predicting anything more."This is far from eternity: modest annual increments in life expectancy will never lead toimmortality," the researchers said.We do not seem to be approaching anything like the limits of life expectancy, says Professor David Leon from the London School of Hygiene and Tropical Medicine. "There has been no flattening out of the best of the best--the groups which everyone knows have good life expectancy and low mortalit_y"he says.These groups, which tend to be in the higher social and economic groups in society, can live for several years longer than people in lower social groups, prompting calls for an end to inequalities within societies.Within populations, genes also have an important role to play in determining how long we could survive for---but environment is still the most important factor.It is no surprise that healthy-living societies like Japan have the highest life expectancies in the world. But it would still be incredible to think that life expectancy could go on rising forever. "I would bet there will be further increases in life expectancy and then it will probably begin to slow," says Tom, "but we just donTt know."Which statement below is TRUE concerning life expectancy according to the passage?查看材料A．Life expectancy goes on rising forever.B．There could be further increases in life expectancy.C．Life expectancy has slowed down since 1980s and it will stop.D．Life expectancy in Japan doubles what it was 200 years ago.
Text4 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 ofpain.Yet hospital remains the most common place ofdeath.For some this is unavoidable-not every disease has as clear a tuming point as cancer-but for others a lack of planning is to blame.The govemment,motivated by both compassion and thrift,wants to help.To steer patients away from hospitals,general practitioners have been encouraged to find their l%-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 ofa patient's bath.A bill now would cap the cost of an individual's social care by Parliament.Still,some want it to be free for those on end-of-life registries.That would cut into the govemment's savings-but allow more people to die as they want.37.Which of the following would Dr.Granger most probably agree on?A.A planned death is equal to suicide.B.Death is a failure for doctors.C.Planning for death is beneficial for patients.D.End-of-Iife care is a fundamental rask for doctors.
Text4 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 ofpain.Yet hospital remains the most common place ofdeath.For some this is unavoidable-not every disease has as clear a tuming point as cancer-but for others a lack of planning is to blame.The govemment,motivated by both compassion and thrift,wants to help.To steer patients away from hospitals,general practitioners have been encouraged to find their l%-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 ofa patient's bath.A bill now would cap the cost of an individual's social care by Parliament.Still,some want it to be free for those on end-of-life registries.That would cut into the govemment's savings-but allow more people to die as they want.39.It can be inferred from Paragraphs 5 and 6 that Britons want the govemment toA.pay for the fee to care end-of-life patients.B.offer more shelter homes for patientsC.provide necessary medical care.D.give more pocket money to patients.
Text4 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 ofpain.Yet hospital remains the most common place ofdeath.For some this is unavoidable-not every disease has as clear a tuming point as cancer-but for others a lack of planning is to blame.The govemment,motivated by both compassion and thrift,wants to help.To steer patients away from hospitals,general practitioners have been encouraged to find their l%-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 ofa patient's bath.A bill now would cap the cost of an individual's social care by Parliament.Still,some want it to be free for those on end-of-life registries.That would cut into the govemment's savings-but allow more people to die as they want.38.The"palliative-care co-ordination systems"may suggestA.doctors require patients to receive treatment at home.B.patients can get different advice from several doctors.C.incurable patients could choose to stay at home.D.part ofthe patients are unwilling to waste money in hospital.
Text4 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 ofpain.Yet hospital remains the most common place ofdeath.For some this is unavoidable-not every disease has as clear a tuming point as cancer-but for others a lack of planning is to blame.The govemment,motivated by both compassion and thrift,wants to help.To steer patients away from hospitals,general practitioners have been encouraged to find their l%-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 ofa patient's bath.A bill now would cap the cost of an individual's social care by Parliament.Still,some want it to be free for those on end-of-life registries.That would cut into the govemment's savings-but allow more people to die as they want.40.Which ofthe following would be the best title ofthe text?A.British Govemment Wants Britons to Have a Comfortable（and Cheap）DeathB.The Last Care for the End-of-Life PatientsC.A Better Social Care for Incurable PatientsD.Patients Prefer to Stay at Home in Their Last Hours
共用题干Double EffectThe Supreme Court's decisions on physician-assisted suicide carry important implications for how medicine seeks to relieve dying patients of pain and suffering.Although it ruled that there is no constitutional right to physician-assisted suicide,the Court in effect supported the medical principle of"double effect",a centuries-old moral principle holding that an action having two effects-a good one that is intended and a harmful one that is foreseen-is permissible if the actor intends only the good effect.Doctors have used that principle in recent years to justify using high doses of morphine to control terminally ill patients'pain,even though increasing dosages will eventually kill the patient.Nancy Dubler,director of Montefiore Medical Center,contends that the principle will shield doctors who"until now have very,very strongly insisted that they could not give patients sufficient mediation to control their pain if that might hasten death."George Annas,chair of the health law department at Boston Univeisity,maintains that,as long as a doctor prescribes a drug for a legitimale medical purpose,the doctor has done nothing illegal even if the patient uses the drug to hasten death."It's like surgery,"he says."We don't call those deaths homicides because the doctors didn't intend to kill their patients,although they risked their death.if you're a physician,you can risk your patient's suicide as long as you don't intend their suicide."On another level,many in the medical community acknowledge that the assisted-suicide debate has been fueled in part by the despair of patients for whom modern medicine has prolonged the physical agony of dying.Just three weeks before the Court's ruling on physician一assisted suicide,the National Academy of Science(NAS)released a two-volume report,Approaching Death:Improving Care at the End of Life.It identifies the under-treatment of pain and the aggressive use of"ineffectual and forced medical procedures that may prolong and even dishonor the period of dying" as the twin problems of end-of-life care.The profession is taking steps to require young doctors to train in hospices,to test knowledge of aggressive pain management therapies,to develop a Medicare billing code for hospital-based care,and to develop new standards for assessing and treating pain at the end of life.Annas says lawyers can play a key role in insisting that these well-meaning medical initiatives translate into better care."Large numbers of physicians seem unconcerned with the pain their patients are needlessly and predictably suffering,"to the extent that it constitutes"systematic patient abuse." He says medical licensing boards"must make it clear that painful deaths are presumptively ones that are incompetently managed and should result in license suspension."George Annas would probably agree that doctors should be punished if they______.A:manage their patients incompetently B:give patients more medicine than neededC:reduce drug dosages for their patients D:prolong the needless suffering of the patients
共用题干Double EffectThe Supreme Court's decisions on physician-assisted suicide carry important implications for how medicine seeks to relieve dying patients of pain and suffering.Although it ruled that there is no constitutional right to physician-assisted suicide,the Court in effect supported the medical principle of"double effect",a centuries-old moral principle holding that an action having two effects-a good one that is intended and a harmful one that is foreseen-is permissible if the actor intends only the good effect.Doctors have used that principle in recent years to justify using high doses of morphine to control terminally ill patients'pain,even though increasing dosages will eventually kill the patient.Nancy Dubler,director of Montefiore Medical Center,contends that the principle will shield doctors who"until now have very,very strongly insisted that they could not give patients sufficient mediation to control their pain if that might hasten death."George Annas,chair of the health law department at Boston Univeisity,maintains that,as long as a doctor prescribes a drug for a legitimale medical purpose,the doctor has done nothing illegal even if the patient uses the drug to hasten death."It's like surgery,"he says."We don't call those deaths homicides because the doctors didn't intend to kill their patients,although they risked their death.if you're a physician,you can risk your patient's suicide as long as you don't intend their suicide."On another level,many in the medical community acknowledge that the assisted-suicide debate has been fueled in part by the despair of patients for whom modern medicine has prolonged the physical agony of dying.Just three weeks before the Court's ruling on physician一assisted suicide,the National Academy of Science(NAS)released a two-volume report,Approaching Death:Improving Care at the End of Life.It identifies the under-treatment of pain and the aggressive use of"ineffectual and forced medical procedures that may prolong and even dishonor the period of dying" as the twin problems of end-of-life care.The profession is taking steps to require young doctors to train in hospices,to test knowledge of aggressive pain management therapies,to develop a Medicare billing code for hospital-based care,and to develop new standards for assessing and treating pain at the end of life.Annas says lawyers can play a key role in insisting that these well-meaning medical initiatives translate into better care."Large numbers of physicians seem unconcerned with the pain their patients are needlessly and predictably suffering,"to the extent that it constitutes"systematic patient abuse." He says medical licensing boards"must make it clear that painful deaths are presumptively ones that are incompetently managed and should result in license suspension."Which of the following statements is true according to the text?A:Doctors will be held guilty if they risk their patients'death.B:Modern medicine has assisted terminally ill patients in painless recovery.C:The Court ruled that high-dosage pain-relieving medication should be prescribed.D:A doctor's medication is no longer justified by his intentions.
Text 2 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 ofsarcoma,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 tuming 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-halfbetween them）has increased,from 38%t0 44%.To steer patients away from hospitals,general practitioners have been encouraged to find their l%-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 govemment 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 ofien 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.It is stated from the passage that who will meet their wishes to die?A.People who accept palliative-care co-ordination system.B.People who prefer getting care from hospital,C.People who accept the end oflife care.D.People who make plans ahead of time.
Text 2 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 ofsarcoma,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 tuming 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-halfbetween them）has increased,from 38%t0 44%.To steer patients away from hospitals,general practitioners have been encouraged to find their l%-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 govemment 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 ofien 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.According to the text,people who die in the hospital will——.A.get more welfare than other choicesB.be aware ofthe importance ofend ofcare approachC.cost more than die at homeD.get an end of care life from the state
Text 2 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 ofsarcoma,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 tuming 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-halfbetween them）has increased,from 38%t0 44%.To steer patients away from hospitals,general practitioners have been encouraged to find their l%-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 govemment 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 ofien 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——A.Dying at HomeB.Home HelplessC.Hospital BestD.End of Life Care
Text l How,when and where death happens has changed over the past century.As late as 1990 half of deaths worldwide were caused by chronic diseases;in 2015 the share was two-thirds.Most deaths in rich countries follow years of uneven deterioration.Roughly two-thirds happen in a hospital or nursing home.They often come after a ctimax of desperate treatment.Such passionate intervention can be agonising for all concerned.These medicalised deaths do not seem to be what people want.Polls find that most people in good health hope that,when the time comes,they will die at home.They want to die free from pain,at peace,and surrounded by loved ones for whom they are not a burden.But some deaths are unavoidably miserable.Not everyone will be in a condition to toast death's imminence with champagne,as Anton Chekhov did.What people say they will want while they are well may change as the end nears.Dying at home is less appealing if all the medical kit is at the hospital.A treatment that is unbearable in the imagination can seem like the lesser of two evils when the alternative is death.Some patients will want to fight until all hope is lost.But too often patients receive drastic treatment in spite of their dying wishes~by default,when doctors do"everything possible",as they have been trained to,without talking through people's preferences or ensuring that the prediction is clearly understood.The legalisation of doctor-assisted dying has been called for,so that mentally fit,terminally ill patients can be helped to end their lives if that is their wish.But the right to die is just one part of better care at the end of life.The evidence suggests that most people want this option,but that few would,in the end,choose to exercise it.To give people the death they say they want,medicine should take some simple steps.More palliative care is needed.Providing it earlier in the course of advanced cancer alongside the usual treatments turns out not only to reduce suffering,but to prolong life,too.Most doctors enter medicine to help people delay death,not to talk about its inevitability.But talk they must.Medicare,America's public health scheme for the over-65s,has recently started paying doctors for in-depth conversations with terminally ill patients;other national health-care systems,and insurers,should follow.Cost is not an obstacle,since informed,engaged patients will be less likely to want pointless procedures.Fewer doctors may be sued,as poor communication is a common theme in malpractice claims.A ceniury ago,death was characterized as being_____A.quickB.slowC.medicalisedD.peaceful
Text 2 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 ofsarcoma,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 tuming 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-halfbetween them）has increased,from 38%t0 44%.To steer patients away from hospitals,general practitioners have been encouraged to find their l%-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 govemment 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 ofien 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.It is suggested in Paragraph 2 that most Britons want to die_____A.in the hospitalB.free ofpainC.at care homeD.out of hospital
Text l How,when and where death happens has changed over the past century.As late as 1990 half of deaths worldwide were caused by chronic diseases;in 2015 the share was two-thirds.Most deaths in rich countries follow years of uneven deterioration.Roughly two-thirds happen in a hospital or nursing home.They often come after a ctimax of desperate treatment.Such passionate intervention can be agonising for all concerned.These medicalised deaths do not seem to be what people want.Polls find that most people in good health hope that,when the time comes,they will die at home.They want to die free from pain,at peace,and surrounded by loved ones for whom they are not a burden.But some deaths are unavoidably miserable.Not everyone will be in a condition to toast death's imminence with champagne,as Anton Chekhov did.What people say they will want while they are well may change as the end nears.Dying at home is less appealing if all the medical kit is at the hospital.A treatment that is unbearable in the imagination can seem like the lesser of two evils when the alternative is death.Some patients will want to fight until all hope is lost.But too often patients receive drastic treatment in spite of their dying wishes~by default,when doctors do"everything possible",as they have been trained to,without talking through people's preferences or ensuring that the prediction is clearly understood.The legalisation of doctor-assisted dying has been called for,so that mentally fit,terminally ill patients can be helped to end their lives if that is their wish.But the right to die is just one part of better care at the end of life.The evidence suggests that most people want this option,but that few would,in the end,choose to exercise it.To give people the death they say they want,medicine should take some simple steps.More palliative care is needed.Providing it earlier in the course of advanced cancer alongside the usual treatments turns out not only to reduce suffering,but to prolong life,too.Most doctors enter medicine to help people delay death,not to talk about its inevitability.But talk they must.Medicare,America's public health scheme for the over-65s,has recently started paying doctors for in-depth conversations with terminally ill patients;other national health-care systems,and insurers,should follow.Cost is not an obstacle,since informed,engaged patients will be less likely to want pointless procedures.Fewer doctors may be sued,as poor communication is a common theme in malpractice claims.Concerning dying patients,doctors are accustomed to_____A.giving them the death they wantB.helping them delay deathC.talking about the inevitability of deathD.providing them with palliative care
Text l How,when and where death happens has changed over the past century.As late as 1990 half of deaths worldwide were caused by chronic diseases;in 2015 the share was two-thirds.Most deaths in rich countries follow years of uneven deterioration.Roughly two-thirds happen in a hospital or nursing home.They often come after a ctimax of desperate treatment.Such passionate intervention can be agonising for all concerned.These medicalised deaths do not seem to be what people want.Polls find that most people in good health hope that,when the time comes,they will die at home.They want to die free from pain,at peace,and surrounded by loved ones for whom they are not a burden.But some deaths are unavoidably miserable.Not everyone will be in a condition to toast death's imminence with champagne,as Anton Chekhov did.What people say they will want while they are well may change as the end nears.Dying at home is less appealing if all the medical kit is at the hospital.A treatment that is unbearable in the imagination can seem like the lesser of two evils when the alternative is death.Some patients will want to fight until all hope is lost.But too often patients receive drastic treatment in spite of their dying wishes~by default,when doctors do"everything possible",as they have been trained to,without talking through people's preferences or ensuring that the prediction is clearly understood.The legalisation of doctor-assisted dying has been called for,so that mentally fit,terminally ill patients can be helped to end their lives if that is their wish.But the right to die is just one part of better care at the end of life.The evidence suggests that most people want this option,but that few would,in the end,choose to exercise it.To give people the death they say they want,medicine should take some simple steps.More palliative care is needed.Providing it earlier in the course of advanced cancer alongside the usual treatments turns out not only to reduce suffering,but to prolong life,too.Most doctors enter medicine to help people delay death,not to talk about its inevitability.But talk they must.Medicare,America's public health scheme for the over-65s,has recently started paying doctors for in-depth conversations with terminally ill patients;other national health-care systems,and insurers,should follow.Cost is not an obstacle,since informed,engaged patients will be less likely to want pointless procedures.Fewer doctors may be sued,as poor communication is a common theme in malpractice claims.We can learn from Paragraph 3 that____A.dying patients suffer undertreatmentB.doctor-paiient communication is poorC.doctor-assisted dying has been legalizedD.the right to die is better cure for dying patients
Text l How,when and where death happens has changed over the past century.As late as 1990 half of deaths worldwide were caused by chronic diseases;in 2015 the share was two-thirds.Most deaths in rich countries follow years of uneven deterioration.Roughly two-thirds happen in a hospital or nursing home.They often come after a ctimax of desperate treatment.Such passionate intervention can be agonising for all concerned.These medicalised deaths do not seem to be what people want.Polls find that most people in good health hope that,when the time comes,they will die at home.They want to die free from pain,at peace,and surrounded by loved ones for whom they are not a burden.But some deaths are unavoidably miserable.Not everyone will be in a condition to toast death's imminence with champagne,as Anton Chekhov did.What people say they will want while they are well may change as the end nears.Dying at home is less appealing if all the medical kit is at the hospital.A treatment that is unbearable in the imagination can seem like the lesser of two evils when the alternative is death.Some patients will want to fight until all hope is lost.But too often patients receive drastic treatment in spite of their dying wishes~by default,when doctors do"everything possible",as they have been trained to,without talking through people's preferences or ensuring that the prediction is clearly understood.The legalisation of doctor-assisted dying has been called for,so that mentally fit,terminally ill patients can be helped to end their lives if that is their wish.But the right to die is just one part of better care at the end of life.The evidence suggests that most people want this option,but that few would,in the end,choose to exercise it.To give people the death they say they want,medicine should take some simple steps.More palliative care is needed.Providing it earlier in the course of advanced cancer alongside the usual treatments turns out not only to reduce suffering,but to prolong life,too.Most doctors enter medicine to help people delay death,not to talk about its inevitability.But talk they must.Medicare,America's public health scheme for the over-65s,has recently started paying doctors for in-depth conversations with terminally ill patients;other national health-care systems,and insurers,should follow.Cost is not an obstacle,since informed,engaged patients will be less likely to want pointless procedures.Fewer doctors may be sued,as poor communication is a common theme in malpractice claims.As people face dying,medicalised deaths would_____.A.arouse more of their curiosityB.incur more of their criticismC.raise more of their suspicionD.receive more of their support
Text l How,when and where death happens has changed over the past century.As late as 1990 half of deaths worldwide were caused by chronic diseases;in 2015 the share was two-thirds.Most deaths in rich countries follow years of uneven deterioration.Roughly two-thirds happen in a hospital or nursing home.They often come after a ctimax of desperate treatment.Such passionate intervention can be agonising for all concerned.These medicalised deaths do not seem to be what people want.Polls find that most people in good health hope that,when the time comes,they will die at home.They want to die free from pain,at peace,and surrounded by loved ones for whom they are not a burden.But some deaths are unavoidably miserable.Not everyone will be in a condition to toast death's imminence with champagne,as Anton Chekhov did.What people say they will want while they are well may change as the end nears.Dying at home is less appealing if all the medical kit is at the hospital.A treatment that is unbearable in the imagination can seem like the lesser of two evils when the alternative is death.Some patients will want to fight until all hope is lost.But too often patients receive drastic treatment in spite of their dying wishes~by default,when doctors do"everything possible",as they have been trained to,without talking through people's preferences or ensuring that the prediction is clearly understood.The legalisation of doctor-assisted dying has been called for,so that mentally fit,terminally ill patients can be helped to end their lives if that is their wish.But the right to die is just one part of better care at the end of life.The evidence suggests that most people want this option,but that few would,in the end,choose to exercise it.To give people the death they say they want,medicine should take some simple steps.More palliative care is needed.Providing it earlier in the course of advanced cancer alongside the usual treatments turns out not only to reduce suffering,but to prolong life,too.Most doctors enter medicine to help people delay death,not to talk about its inevitability.But talk they must.Medicare,America's public health scheme for the over-65s,has recently started paying doctors for in-depth conversations with terminally ill patients;other national health-care systems,and insurers,should follow.Cost is not an obstacle,since informed,engaged patients will be less likely to want pointless procedures.Fewer doctors may be sued,as poor communication is a common theme in malpractice claims.The last paragraph suggests that Medicare's move may____.A.build doctor-patient harmonyB.reduce the cost for MedicareC.lessen malpractice claimsD.encourage pointless procedures
Text 2 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 ofsarcoma,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 tuming 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-halfbetween them）has increased,from 38%t0 44%.To steer patients away from hospitals,general practitioners have been encouraged to find their l%-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 govemment 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 ofien 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 word"trundling"（Para.7）is closest in meaning to——.A.coveringB.workingC.overwhelmingD.identifying
共用题干Physician-assisted Suicide1.The Supreme Court's decisions on physician-assisted suicide carry important implications forhow medicine seeks to relieve dying patients of pain and suffering.2.Although it ruled that there is no constitutional right to physician-assisted suicide,the Court in effect supported the medical principle of"double effect,"a centuries-old moral principle holding that an action having two effects一a good one that is intended and a harmful one that is foreseen一is permissible if the actor intends only the good effect.3.Doctors have used that principle in recent years to justify using high dose of morphine to control terminally ill patients' pain,even though increasing dosages will eventually kill the patient.4.Nancy Dubler,director of Montefiore Medical Center,contends that the principle will shield doctors who until now have very,very strongly insisted that they could not give patients sufficient medication to control their pain if that might hasten death.5.George Annas,chair of the health law department at Boston University,maintains that, as long as a doctor prescribes a drug for a legitimate medical purpose,the doctor has done nothingillegal even if the patient uses the drug to hasten death."It's like surgery,"he says."We don't callthose deaths homicides because the doctors didn't intend to kill their patients,although they risked their death.If you're a physician,you can risk your patient's suicide as long as you don't intend theirsuicide."On another level,many in the medical community acknowledge that the assisted-suicide debate has been fueled in part by the despair of patients for whom modern medicine has prolonged the physical agony of dying.6.Just three weeks before the Court's ruling on physician-assisted suicide,the National Academy of Science(NAS)released a two-volume report,Approaching Death:Improving Care atthe End of Life.It identifies the under-treatment of pain and the aggressive use of"ineffectual and forced medical procedures that may prolong and even dishonor the period of dying" as the twin problems of end-of-life care.7. The profession is taking steps to require young doctors to train in hospices（临终关怀医院）, to test knowledge of aggressive pain management therapies,to develop a Medicare billing code for hospital-based care,and to develop new standards for assessing and treating pain at the end of life. Annas says lawyers can play a key role in insisting that these well-meaning medical initiatives trans-late into better care.According to the NAS,one of the problems in end-of-life care is________.A:help the dying end their livesB:can be prescribedC:the needless suffering of the patientsD:the helplessness of the patientsE:inadequate treatment of pain F: prescribe a drug
共用题干Physician-assisted Suicide1.The Supreme Court's decisions on physician-assisted suicide carry important implications forhow medicine seeks to relieve dying patients of pain and suffering.2.Although it ruled that there is no constitutional right to physician-assisted suicide,the Court in effect supported the medical principle of"double effect,"a centuries-old moral principle holding that an action having two effects一a good one that is intended and a harmful one that is foreseen一is permissible if the actor intends only the good effect.3.Doctors have used that principle in recent years to justify using high dose of morphine to control terminally ill patients' pain,even though increasing dosages will eventually kill the patient.4.Nancy Dubler,director of Montefiore Medical Center,contends that the principle will shield doctors who until now have very,very strongly insisted that they could not give patients sufficient medication to control their pain if that might hasten death.5.George Annas,chair of the health law department at Boston University,maintains that, as long as a doctor prescribes a drug for a legitimate medical purpose,the doctor has done nothingillegal even if the patient uses the drug to hasten death."It's like surgery,"he says."We don't callthose deaths homicides because the doctors didn't intend to kill their patients,although they risked their death.If you're a physician,you can risk your patient's suicide as long as you don't intend theirsuicide."On another level,many in the medical community acknowledge that the assisted-suicide debate has been fueled in part by the despair of patients for whom modern medicine has prolonged the physical agony of dying.6.Just three weeks before the Court's ruling on physician-assisted suicide,the National Academy of Science(NAS)released a two-volume report,Approaching Death:Improving Care atthe End of Life.It identifies the under-treatment of pain and the aggressive use of"ineffectual and forced medical procedures that may prolong and even dishonor the period of dying" as the twin problems of end-of-life care.7. The profession is taking steps to require young doctors to train in hospices（临终关怀医院）, to test knowledge of aggressive pain management therapies,to develop a Medicare billing code for hospital-based care,and to develop new standards for assessing and treating pain at the end of life. Annas says lawyers can play a key role in insisting that these well-meaning medical initiatives trans-late into better care.George Annas would probably agree that doctors should be punished if they prolong________.A:help the dying end their livesB:can be prescribedC:the needless suffering of the patientsD:the helplessness of the patientsE:inadequate treatment of pain F: prescribe a drug
单选题The market economy is quickly changing people’s idea on ______ is accepted.AthatBwhichCwhatDhow
单选题What is the purpose of the event?ATo welcome health care professionalsBTo promote certain health servicesCTo discuss health workforce shortagesDTo promote careers in health care