PASSAGEFOUR(1)TheSupremeCourt'sdecisionsonphysician-assistedsuicidecarryimportantimplicationsforhowmedicineseekstorelievedyingpatientsofpainandsuffering.(2)Althoughitruledthatthereisnoconstitutionalrighttophysician-assistedsuicide,theCourtineffectsupportedthemedicalprincipleof"doubleeffect",acenturies-oldmoralprincipleholdingthatanactionhavingtwoeffects—agoodonethatisintendedandaharmfulonethatisforeseen—ispermissibleiftheactorintendsonlythegoodeffect.(3)Doctorshaveusedthatprincipleinrecentyearstojustifyusinghighdosesofmorphinetocontrolterminallyillpatients'pain,eventhoughincreasingdosageswilleventuallykillthepatient.(4)NancyDubler,directorofMontefioreMedicalCenter,contendsthattheprinciplewillshielddoctorswho"untilnowhavevery,verystronglyinsistedthattheycouldnotgivepatientssufficientmediationtocontroltheirpainifthatmighthastendeath."(5)GeorgeAnnas,chairofthehealthlawdepartmentatBostonUniversity,maintainsthat,aslongasadoctorprescribesadrugforalegitimatemedicalpurpose,thedoctorhasdonenothingillegalevenifthepatientusesthedrugtohastendeath."It'slikesurgery,"hesays."Wedon'tcallthosedeathshomicidesbecausethedoctorsdidn'tintendtokilltheirpatients,althoughtheyriskedtheirdeath.Ifyou'reaphysician,youcanriskyourpatient'ssuicideaslongasyoudon'tintendtheirsuicide."(6)Onanotherlevel,manyinthemedicalcommunityacknowledgethattheassisted-suicidedebatehasbeenfueledinpartbythedespairofpatientsforwhommodemmedicinehasprolongedthephysicalagonyofdying.(7)JustthreeweeksbeforetheCourt'srulingonphysician-assistedsuicide,theNationalAcademyofScience(NAS)releasedatwo-volumereport,ApproachingDeath:ImprovingCareattheEndofLife.Itidentifiestheundertreatmentofpainandtheaggressiveuseof"ineffectualandforcedmedicalproceduresthatmayprolongandevendishonortheperiodofdying"asthetwinproblemsofend-of-lifecare.(8)Theprofessionistakingstepstorequireyoungdoctorstotraininhospices,totestknowledgeofaggressivepainmanagementtherapies,todevelopaMedicarebillingcodeforhospital-basedcare,andtodevelopnewstandardsforassessingandtreatingpainattheendoflife.(9)Annassayslawyerscanplayakeyroleininsistingthatthesewell-meaningmedicalinitiativestranslateintobettercare.“Largenumbersofphysiciansseemunconcernedwiththepaintheirpatientsareneedlesslyandpredictablysuffering,”totheextentthatitconstitutes“systematicpatientabuse。”Hesaysmedicallicensingboards“mustmakeitclear...thatpainfuldeathsarepresumptivelyonesthatareincompetentlymanagedandshouldresultinlicensesuspension.”39.Whichofthefollowingbestdefinestheword“aggressive"(line3,paragraph7)?
【答案】 A 【考点】 词义题。 【分析】 这个单词的所在句“It identifies the under treatment of pain and the aggressive use of ineffectual and for...
PASSAGEFOUR(1)TheSupremeCourt'sdecisionsonphysician-assistedsuicidecarryimportantimplicationsforhowmedicineseekstorelievedyingpatientsofpainandsuffering.(2)Althoughitruledthatthereisnoconstitutionalrighttophysician-assistedsuicide,theCourtineffectsupportedthemedicalprincipleof"doubleeffect",acenturies-oldmoralprincipleholdingthatanactionhavingtwoeffects—agoodonethatisintendedandaharmfulonethatisforeseen—ispermissibleiftheactorintendsonlythegoodeffect.(3)Doctorshaveusedthatprincipleinrecentyearstojustifyusinghighdosesofmorphinetocontrolterminallyillpatients'pain,eventhoughincreasingdosageswilleventuallykillthepatient.(4)NancyDubler,directorofMontefioreMedicalCenter,contendsthattheprinciplewillshielddoctorswho"untilnowhavevery,verystronglyinsistedthattheycouldnotgivepatientssufficientmediationtocontroltheirpainifthatmighthastendeath."(5)GeorgeAnnas,chairofthehealthlawdepartmentatBostonUniversity,maintainsthat,aslongasadoctorprescribesadrugforalegitimatemedicalpurpose,thedoctorhasdonenothingillegalevenifthepatientusesthedrugtohastendeath."It'slikesurgery,"hesays."Wedon'tcallthosedeathshomicidesbecausethedoctorsdidn'tintendtokilltheirpatients,althoughtheyriskedtheirdeath.Ifyou'reaphysician,youcanriskyourpatient'ssuicideaslongasyoudon'tintendtheirsuicide."(6)Onanotherlevel,manyinthemedicalcommunityacknowledgethattheassisted-suicidedebatehasbeenfueledinpartbythedespairofpatientsforwhommodemmedicinehasprolongedthephysicalagonyofdying.(7)JustthreeweeksbeforetheCourt'srulingonphysician-assistedsuicide,theNationalAcademyofScience(NAS)releasedatwo-volumereport,ApproachingDeath:ImprovingCareattheEndofLife.Itidentifiestheundertreatmentofpainandtheaggressiveuseof"ineffectualandforcedmedicalproceduresthatmayprolongandevendishonortheperiodofdying"asthetwinproblemsofend-of-lifecare.(8)Theprofessionistakingstepstorequireyoungdoctorstotraininhospices,totestknowledgeofaggressivepainmanagementtherapies,todevelopaMedicarebillingcodeforhospital-basedcare,andtodevelopnewstandardsforassessingandtreatingpainattheendoflife.(9)Annassayslawyerscanplayakeyroleininsistingthatthesewell-meaningmedicalinitiativestranslateintobettercare.“Largenumbersofphysiciansseemunconcernedwiththepaintheirpatientsareneedlesslyandpredictablysuffering,”totheextentthatitconstitutes“systematicpatientabuse。”Hesaysmedicallicensingboards“mustmakeitclear...thatpainfuldeathsarepresumptivelyonesthatareincompetentlymanagedandshouldresultinlicensesuspension.”40.GeorgeAnnaswouldprobablyagreethatdoctorsshouldbepunishedifthey
【答案】 D 【考点】 事实细节题。 【分析】 本题的答题依据是文章的最后一段。在这一段中,“Annas”对大量的医生置病人的痛苦于不顾,无端地延长病人不必要的痛苦这种行为提出了批评,认为这种行为构成了“虐待病人”,并认为这样的医生应该...
III.ReadingComprehension.(2x15=30)Passage1(1)ThehumanitariancrisisinSyriahasreacheda“horrifyingnewlevel,”accordingtoaU.N.official.(2)That’showMarkLowcock,theUnitedNationsunder-secretary-generalforhumanitarianaffairsandemergencyreliefcoordinator,describedconditionsinnorthwestSyria,basedoneyewitnessaccountsfromU.N.staffinandaroundIdlibprovince.(3)Idlibhasbeenunderairattackforyears,buttheintensityofthoseattacksisnowworseandtherearenewgroundattacksaswell,saysRobertFord,formerambassadortoSyriaundertheObamaadministrationandnowaseniorfellowattheMiddleEastInstituteinWashington,D.C.Asthelastoppositionstronghold,theprovinceishometoabout3millionpeople,halfofthemrefugeesfromotherpartsofSyria.(4)Thislatesthumanitariancrisisinthe9-year-oldconflictwasbroughtonbyfightingthathasescalatedsinceDecember,withSyrian,TurkishandRussiantroopsattackingoppositionforces.Idlibhasseenairstrikesaswellasshellingfromartilleryandground-basedmissiles.(5)What’smore,temperatureshavedroppedbelowfreezingmanynightssinceDecember,andheavysnowhasfallen,mostrecentlyinmid-February.(6)Lowcock’sreportsaidthevastmajorityofthosedisplacedarewomenandchildren,manyofwhomaresleepingoutsidebecausetherefugeecampsarefull.“Mothersburnplastictokeepchildrenwarm.Babiesandsmallchildrenaredyingbecauseofthecold,”wroteLowcock.(7)ZaherSahloul,aphysicianandpresidentandco-founderofaidorganisationMedGlobal,waslastinIdlibinJanuaryandsaidthatwithsolittleroom,peoplearesleepinganywheretheycan,includingtentsinarefugeecampsetupinasoccerfieldandtinyclassroomsinschools.Manychildrenhadrespiratoryillnessesbecauseoftheovercrowdingandcold.Whenthereisnospaceinindoorstructuressetupasshelter,familiespitchtents,ofvaryingstrengthandquality,ofteninthemudthataccumulateswhenrainhitsthesnow.Morerainisexpectedthisweek.(8)Sahloul,acriticalcarephysician,saysamongthepeoplehemetinrefugeecampswasagirl,Ahlam,whosaidshewas12,collectingbranchesthatherfamilywouldburntoheattheirtent.Another12-year-old,whosaidhernamewasAsma,toldhimshehadbeendisplacedseventimesandwaswalking2milestoschooleachway.“IwishIcouldwalknotinthemud,”AsmatoldSahloul.(9)ManyofthenewlydisplacedhavehadtomovetonewlocationsinIdlib.OthersareheadednorthtowardtheTurkishborder,thoughTurkeyisnotacceptingnewrefugees.(10)Aidorganisationsareontheground,butmanylocalaidworkers,andtheirfamilies,facethesameharshconditionsasthosetheyaretryingtohelp,saysChristyDelafield,spokeswomanforaidgroupMercyCorps.Liketherefugees,theyarelivingintentsorareonthemovebecauseofthefighting.(11)Inhisreport,Lowcocksaidthatequipmentandfacilitiesofaidworkerswerebeingdestroyedandthattheaidworkersthemselveswereamongthoseinjuredandkilled.(12)Addingtothedifficultyforaidorganisations,saysRobertFord,isthattheSyriangovernmenthastakenovertwomainhighwayssotheaidgroupsnowdependonslowerbackroadstodeliversupplies.(13)Thenumbersofdisplacedpeoplehavegrown—fromhundredsadaybeforeDecembertothousandsadaynow,accordingtoU.N.spokesmanFarhanHaq.41.HowmanypeopleinIdlibarerefugeesfromotherpartsofSyria?
Life’sallaboutmakingconnectionsReadthearticlebelowaboutsomenewnetworkinggroupsspecificallyforbusinesswomen.ChoosethebestwordA,BorCtofillthegaps1-10.Toyou,networkingmightmean(1)____aconferenceortradefaireventtomeetnewclientsorpartners.Oritcouldbethecoffeebreakatworkwhereyoushare(2)_____withcolleaguesinotherdepartments.Butnowadaysnetworkinghasbecomeaneventinitself.Forexample,PricewaterhouseCoopersofferitsfemalestaffaformalnetworking(3)_____calledPwCwomen.With900members,itorganizeseventsrangingfrominformaldrinkseveningstocoachingevents.TinaHallet,whois(4)_______forthegroup,saysthatshegotinvolved(5)________networkingBecause‘I’dgottoareasonablyseniorlevelandIwantedtohelpotherpeopletomaximizetheirpotential.’Youdon’thavetobeseniorto(6)_____anetworkthough.VickyWoodandSallyHopkinshadtheideafortheCityGirlsNetworkwhentheyfirstmovedintoLondon’scorporateworldandwonderedhowtogetto(7)______otherwomen.‘Wecouldn’tfindanythingforpeoplewithnoexperience.Sowethoughtwe’dstartourown.’Fromtwelvefriendsmeetingregularly,itrapidlygrewto250membersfrommanydifferentorganizations.It’sagreatwayto(8)_____usefulcontactsandbringinpotentialbusiness.FionaClutterbuckisco-chairofanetworkforthebankABNAMRO.‘Womentendtothinkofnetworkingas(9)_______andgiveitlowpriority.’butgiventhechance,womenwillnetwork–asthebank’slast‘speednetworking’eventdemonstrated.‘Withover100womenandmen,itwasagreat(10)_____.Itisamazinghowmanypeopleyougettomeetfromdifferentpartsoftheorganization.’Toyou,networkingmightmean(1)____aconferenceortradefaireventtomeetnewclientsorpartners.
Life’sallaboutmakingconnectionsReadthearticlebelowaboutsomenewnetworkinggroupsspecificallyforbusinesswomen.ChoosethebestwordA,BorCtofillthegaps1-10.Toyou,networkingmightmean(1)____aconferenceortradefaireventtomeetnewclientsorpartners.Oritcouldbethecoffeebreakatworkwhereyoushare(2)_____withcolleaguesinotherdepartments.Butnowadaysnetworkinghasbecomeaneventinitself.Forexample,PricewaterhouseCoopersofferitsfemalestaffaformalnetworking(3)_____calledPwCwomen.With900members,itorganizeseventsrangingfrominformaldrinkseveningstocoachingevents.TinaHallet,whois(4)_______forthegroup,saysthatshegotinvolved(5)________networkingBecause‘I’dgottoareasonablyseniorlevelandIwantedtohelpotherpeopletomaximizetheirpotential.’Youdon’thavetobeseniorto(6)_____anetworkthough.VickyWoodandSallyHopkinshadtheideafortheCityGirlsNetworkwhentheyfirstmovedintoLondon’scorporateworldandwonderedhowtogetto(7)______otherwomen.‘Wecouldn’tfindanythingforpeoplewithnoexperience.Sowethoughtwe’dstartourown.’Fromtwelvefriendsmeetingregularly,itrapidlygrewto250membersfrommanydifferentorganizations.It’sagreatwayto(8)_____usefulcontactsandbringinpotentialbusiness.FionaClutterbuckisco-chairofanetworkforthebankABNAMRO.‘Womentendtothinkofnetworkingas(9)_______andgiveitlowpriority.’butgiventhechance,womenwillnetwork–asthebank’slast‘speednetworking’eventdemonstrated.‘Withover100womenandmen,itwasagreat(10)_____.Itisamazinghowmanypeopleyougettomeetfromdifferentpartsoftheorganization.’FionaClutterbuckisco-chairofanetworkforthebankABNAMRO.‘Womentendtothinkofnetworkingas(9)_______andgiveitlowpriority.’butgiventhechance,womenwillnetwork–asthebank’slast‘speednetworking’eventdemonstrated.