Instinctively, the first thing we want to know about a disease is whether it

游客2023-07-07  10

问题     Instinctively, the first thing we want to know about a disease is whether it is going to kill us. Twenty-five years ago, this was the only question about AIDS we could answer with any certainty; now, it is the only question we really cannot answer well at all.
    By now, those of us in the AIDS business long term have cared for thousands of patients. No one with that kind of personal experience can doubt for a moment the deadly potential of H. I. V. or the life-saving capabilities of the drugs developed against it. But there are also now hundreds of footnotes and exceptions and modifications to those two facts that make the big picture ever murkier(扑朔迷离).
    We have patients scattered at every possible point: men and women who cruise on their medications with no problems at all, and those who never become stable on them and die of AIDS; those who refuse them until it is too late, and those who never need them at all; those who leave AIDS far behind only to die from lung cancer or breast cancer or liver failure, and those few who are killed by the medications themselves.
    So, when we welcome a new patient into our world, one whose fated place in this world is still unclear, and that patient asks us, as most do, whether this illness is going to kill him or not, it often takes a bit of mental stammering(口吃)before we hazard an answer.
    Now, a complete rundown of all the news from the front would take hours. The statistics change almost hourly as new treatments appear. It is all too cold, too mathematical, too scary to dump on the head of a sick, frightened person. So we simplify. " We have good treatments now," we say. " You should do fine. "
    Once, not so long ago, we were working in another universe. Now we have simply rejoined the carnival(嘉年华)of modern medicine, noisy and encouraging, confusing and contradictory, fueled by the eternal balancing of benefits and risks.
    You can win big, and why shouldn’t you, with the usual fail-safe combination of luck and money. You have our very best hopes, so step right up: we sell big miracles but, offer no guarantees. [br] What can be inferred from the last two paragraphs?

选项 A、The life of AIDS patients was offered no guarantees not so long ago.
B、AIDS can be got rid of with the fail-safe combination of luck and money.
C、Doctors should offer AIDS patients their best hopes to encourage them.
D、Modern medicine brings about both benefits and risks to AIDS patients.

答案 D

解析 推理判断题。本题考查原文最后两段暗含的意思。原文提到,受对益处和风险不断地进行均衡的驱使,我们又重新加人到了现代医学的狂欢节中,由此可推断,现代医学既给艾滋病人带来了益处,同时也带来了风险,且原文第三段末句也提到,少数病人最后会死于药物服用,故答案为D)。A)“不久前,艾滋病人的生命没有保障”和原文意思不符,原文提到现在也没有人能给予艾滋病人肯定答复,故排除;B)“在运气和金钱万无一失的双重保险下,艾滋病人会康复”是对原文的曲解。原文的意思是在运气和金钱万无一失的双重保险下,艾滋病人应该大获全胜,这是作者的美好愿望,而不是事实,而且作者在最后一句提到,“我们销售了不起的医学奇迹,但却给不了保证”,故排除;C)“医生应给予病人最好的希望来鼓励他们”是原文最后一段陈述的事实,并不是作者的建议和暗示的内容,故排除。
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