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  3. It is said that in England death is pressing, in Canada inevitable and in Ca

It is said that in England death is pressing, in Canada inevitable and in Ca

游客2025-04-02  25
问题     It is said that in England death is pressing, in Canada inevitable and in California optional. Small wonder. Americans’ life expectancy has nearly doubled over the past century. Failing hips can be replaced, cataracts removed in a 30-minutes surgical procedure. Such advances offer the aging population a quality of life that was unimaginable when I entered medicine 50 years ago. But not even a great health-care system can cure death, and our failure to confront that reality now threatens this greatness of ours.
    Death is normal; we are genetically programmed to disintegrate and perish, even under ideal conditions. We all understand that at some level, yet as medical consumers we treat death as a problem to be solved. Shielded by third-party payers from the cost of our care, we demand everything that can possibly be done for us, even if it’s useless. The most obvious example is late-stage cancer care. Physicians—frustrated by their inability to cure the disease and fearing loss of hope in the patient—too often offer aggressive treatment far beyond what is scientifically justified.
    In 1950, the U.S. spent $12.7 billion on health care. In 2002, the cost will be $1,540 billion. Anyone can see this trend is unsustainable. Yet few seem willing to try to reverse it. Some scholars conclude that a government with finite resources should simply stop paying for medical care that sustains life beyond a certain age—say 83 or so. Former Colorado governor Richard Lamm has been quoted as saying that the old and infirm "have a duty to die and get out of the way", so that younger, healthier people can realize their potential.
    I would not go that far. Energetic people now routinely work through their 60s and beyond, and remain dazzlingly productive. At 78, Viacom chairman Sumner Redstone jokingly claims to be 53. Supreme Court Justice Sandra Day O’Connor is in her 70s, and former surgeon general C. Everett Koop chairs an Internet start-up in his 80s. These leaders are living proof that prevention works and that we can manage the health problems that come naturally with age. As a mere 68-year-old, I wish to age as productively as they have.
    Yet there are limits to what a society can spend in this pursuit. As a physician, I know the most costly and dramatic measures may be ineffective and painful. I also know that people in Japan and Sweden, countries that spend far less on medical care, have achieved longer, healthier lives than we have. As a nation, we may be overfunding the quest for unlikely cures while underfunding research on humbler therapies that could improve people’s lives. [br] The author uses the example of cancer patients to show that ______.
选项 A、medical resources are often wasted
B、doctors are helpless against fatal diseases
C、some treatments are too aggressive
D、medical costs are becoming unaffordable
答案 A
解析 本题可参照文章的第2段。从中可知，由于第三方为我们支付医疗费用，我们便要求别人为我们做一切可能的事情，尽管有时候是徒劳的。最明显的例子便是晚期癌症的护理。由于不能治愈这种疾病所导致的沮丧以及害怕病人失去希望，医生经常提供大胆的医疗方法——这些方法远远超过科学上所证实的合理标准。从第3段的内容可知，1950年，美国用于医疗保健的费用是127亿美元；2002年，费用达到15400亿美元。人人都知道这种趋势无法维持。有些学者断定——资源有限的政府完全应该停止为维持超过一定年龄的生命支付医疗保健费用。据此可知，美国没有利用好可利用的资源。A项与文意相符，因此A项为正确答案。
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