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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2025-03-22  21
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 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 under-funding research on humbler therapies that could improve people’s lives. [br] In contrast to the U. S. , Japan and Sweden are funding their medical care______.
选项 A、more flexibly
B、more extravagantly
C、more cautiously
D、more reasonably
答案 D
解析 细节题。文中的原话是：I also know that people in Japan and Sweden，countries that spendfar less on medical care，have achieved longer，healthier lives than we have．说明了虽然日本和瑞典在医疗保健上的花费比美国少，但寿命却比美国人长，身体也更健康。接着，作者提出倡议，与其将资金徒劳地花在没有希望的治疗上，还不如投入到较一般的治疗中，以提高人们的生活质量。所以可以推断出，日本和瑞典在医疗保健上的投资更合理。因此选择D。
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