3． The doctors tried to save the__________ boy．A． dieB． dyingC． deadD． death
3． The doctors tried to save the__________ boy．
A． die
B． dying
C． dead
D． death
相关考题：
The present campaigns that doctors have begun are______.A. to save or rescue more than two million peopleB. to reveal the fight between doctors and mosquitoesC. to support the WHO's effects in destroying mosquitoesD. to kill all malaria-bearing mosquitoes before their resistance becomes too great
The victims of eating disorders, more often than not, will _____.［A］ starve themselves to death［B］ suffer greatly from the complications［C］ puzzle doctors in the years to come［D］ recover completely with no aftereffects
Text 4 The Supreme Court's decisions on physician-assisted suicide canrry 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 University, maintains that, as long as a doctor prescribes a drug for a legitimate 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 modem medicine has prolonged the physical agony of dying.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 at the End of Life. It identifies the undertreatment 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."第56题：From the first three paragraphs, we learn thatA doctors used to increase drug dosages to control their patients'pain.B it is still illegal for doctors to help the dying end their lives.C the Supreme Court strongly opposes physician-assisted suicide.D patients have no constitutional right to commit suicide.
Text 4It was 3:45 in the morning when the vote was finally taken. After six months of arguing and final 16 hours of hot parliamentary debates, Australia’s Northern Territory became the first legal authority in the world to allow doctors to take the lives of incurably ill patients who wish to die. The measure passed by the convincing vote of 15 to 10. Almost immediately word flashed on the Internet and was picked up, half a world away, by John Hofsess, executive director of the Right to Die Society of Canada. He sent it on via the group’s on-line service, Death NET. Says Hofsess: “We posted bulletins all day long, because of course this isn’t just something that happened in Australia. It’s world history.”The full import may take a while to sink in. The NT Rights of the Terminally Ill law has left physicians and citizens alike trying to deal with its moral and practical implications. Some have breathed sighs of relief, others, including churches, right to life groups and the Australian Medical Association, bitterly attacked the bill and the haste of its passage. But the tide is unlikely to turn back. In Australia—where an aging population, life extending technology and changing community attitudes have all played their part—other states are going to consider making a similar law to deal with euthanasia. In the US and Canada, where the right to die movement is gathering strength, observers are waiting for the dominoes to start falling.Under the new Northern Territory law, an adult patient can request death—probably by a deadly injection or pill—to put an end to suffering. The patient must be diagnosed as terminally ill by two doctors. After a “cooling off” period of seven days, the patient can sign a certificate of request. After 48 hours the wish for death can be met. For Lloyd Nickson, a 54 year old Darwin resident suffering from lung cancer, the NT Rights of Terminally Ill law means he can get on with living without the haunting fear of his suffering: a terrifying death from his breathing condition. “I’m not afraid of dying from a spiritual point of view, but what I was afraid of was how I’d go, because I’ve watched people die in the hospital fighting for oxygen and clawing at their masks,” he says.56. From the second paragraph we learn that ________.[A] the objection to euthanasia is slow to come in other countries[B] physicians and citizens share the same view on euthanasia[C] changing technology is chiefly responsible for the hasty passage of the law[D] it takes time to realize the significance of the law’s passage
The word “euthanasia” in the second paragraph most probably means ________.[A] doctors’ sympathy to dying patients[B] doctors’ aggressive medical measures to dying patients[C] doctors’ mercy killing to reduce sufferings of dying patients[D] doctors’ well-meaning treatment to save dying patients
It has been documented that during World War Ⅱ, America's armed forces once tried formation flight to save fuel.
共用题干第二篇Night of the Living AntsWhen an ant dies,other ants move the dead insect out of the nest.This behavior is interesting to scien-tists,who wonder how ants know for sure一and so soon一that another ant is dead.Dong-Hwan Choe,a scientist at the University of California,found that Argentine ants have a chemical on the outside of their bodies that signals to other ants,"I'm dead一take me away."But there's a twist to Choe's discovery. These ants behave a little bit like zombies（僵尸）.Choe says that the living ants一not just the dead ones一have this death chemicals. In other words,while an ant crawls around,perhaps in a picnic or home,it's telling other ants that it's dead.What keeps ants from hauling away the living dead? Choe found that Argentine ants have two additional chemicals on their bodies,and these tell nearby ants something like,"Wait一I'm not dead yet."So Choe's research turned up two sets of chemical signals in ants:one says,"I'm dead,"the other set says,"I'm not dead yet."Other scientists have tried to figure out how ants know when another ant is dead.If an ant is knockedunconscious,other ants leave it alone until it wakes up.That means ants know that unmoving ants can still be alive.Choe suspects that when an Argentine ant dies,the chemical that says"Wait一I'm not dead yet"quickly goes away. Once that chemical is gone,only the one that says"I'm dead"is left."It's because the dead ant no longer smells like a living ant that it gets carried to the graveyard（墓地）,not because its body releases new,unique chemicals after death,"said Choe.When other ants detect the"dead"chemical without the"not dead yet" chemical,they haul away the body. This was Choe's hypothesis（假设）.To test his hypothesis,Choe and his team put different chemicals on Argentine ant pupae（蛹）.When the scientists used the"I'm dead"chemical,other ants quickly hauled the treated pupae away.When the sci-entists used the"Wait一I'm not dead yet"chemical,other ants left the treated pupae alone.Choe believes this behavior shows that the" not dead yet" chemical overrides（优先于）the" dead" chemical when picked up by adult ants.And that when an ant dies,the"not dead yet"chemical fades away.Other nearby ants then de-tect the remaining"dead"chemical and remove the body from the nest.What is meant by"death chemical"mentioned in Paragraph 3?A:A chemical that contains poison.B:A chemical that causes death.C:A chemical that announces death.D:A chemical that prevents death.
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.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.
The best statement of the main idea of this passage is that__________.A.scientists have found a way to prolong the period of clinical deathB.biological death occurs when vital organs have suffered permanent damageC.modern scientists divide the process of dying into clinical and biological deathD.cooling delays the processes leading to biological death
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.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Scientists and doctors believed that “Lorenzo’s Oil” _____.Awas really effectiveBwas a success storyConly worked in theoryDwould save the boy’s life
单选题Doctors give less importance to the communication between patients and doctors mainly because ______.Amodem medical instruments are usedBthey can cure more diseases and save more livesCthey have much more medical experience than beforeDthey are too busy to have time to talk with patients