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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2023-08-31  28
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, clinical depression controlled, cataracts removed in a 30-minute surgical procedure. Such advances offer the aging population a quality of life that was unimaginable when I entered medicine 50 years ago. But not even a great health-care system can cure death, and our failure to confront that reality now threatens this greatness of ours. Death is normal; we are genetically programmed to disintegrate and perish, even under ideal conditions. We all understand that at some level, yet as medical consumers we treat death as a problem to be solved. Shielded by third-party payers from the cost of our care, we demand everything that 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 US 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 over funding the quest for unlikely cures while under funding 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 与痼症有关的内容出现在第一段倒数第二句和第三句：“Shielded by third-party payers from the cost of our care，we demand every thing that can possibly be done for us，even if it’s useless．The most obvious example is late stage cancer care．”山于医疗是第三方付款，病人就要求一切可能做的事情，甚至做一些无效的努力。最典型的例子是癌症病人，因此由useless 就可以知道好多的钱财被浪费掉了。所以本题选A medical resources are often wasted。B，C和D都不合适。
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