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.” 36.Fromthefirstthreeparagraphs,welearnthat
【答案】 B 【考点】 事实细节题。 【分析】 本题针对第一到第三段的所有内容进行了测试，选项[A]的相关信息可以定位到第三段，但是文中说“近几年医生才用这个原则为自己的行为辩护”。文中无法得出“过去常常”的说法。选项[B]可以定位到第...
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.”37.Whichofthefollowingstatementsitstrueaccordingtothetext?
【答案】 C 【考点】 事实细节题。 【分析】 由于本题属于事实细节判断题，所以只有对每一个选项都进行辨析。选项[A]可以定位到第五段“Annas”的话。话中提到“只要医生不是想杀死病人，那么他们的死亡就不能被称为谋杀”。因此可以判定[...
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.”38.AccordingtotheNAS'sreport,oneoftheproblemsinend-of-lifecareis
【答案】 B 【考点】 事实细节题。 【分析】 本题可以定位到第七段的第二句话中的“the under treatment of pain”以及“the aggressive use of ineffectual and forced ...
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...
Passage2(1)Ifyou’veeverwitnessedthemajestyofaCanadiangooseflockflyingintotheclouds,youknowthatthesenoblebirdsareaforcetobereckonedwith.Eachflockiscomprisedofcoupleswhomateforlife,aswellastheirgoslings.Together,theyareonelargefamily.Apart,theyareindividualswithquirksandpersonalities,justlikeus.Nooneknowsthismorethanmyfamily,whoraisedasillylittlegoosewenamedPeeperafterhewasabandonedasababy.(2)In2000,whenIwasaroundsevenyearsold,myparents,sister,brother,andIwerecomingbackfromaT-ballgame.Thatwasourusualweekendadventure,butunlikeeveryotherweekend,asurprisewaswaitingforusinourdriveway.There,wespottedtwoadultgeeseandasmallgosling.Theadultswerestartledbyourreturnandflewaway,buttheirbabywasstilltooyoungtoflyandcouldn’tfollow.Wearenostrangerstothewaysofwildlife,soweknewtoavoidphysicalcontactwiththeyounggoslingoutoffearthatitwouldimprintuponusandbelosttoitsfamilyforever.(3)Hourspassed,andnightfell.Withitcameadeepchillandafearofwatchfulpredators.Thetinylittlethingwaswanderingaroundouryard,unawareofwhatcouldhappen,anditwasclearthatthegoslingneededprotection,warmth,andsustenancetomakeittothemorning.Atthatpoint,weknewwehadtointervene,andwebroughthimontoourbackporch.(4)Weallprettymuchsleptwithoneeyeopentillmorningcame.Andthenanothermorning.Andstillanother.Eachmorning,wewouldtrytoscurrythegooseovertohisparents,whokeptcomingbacktoouryard.Hewouldn’tgotothem,though,andtheywouldn’tcomecloseenoughtoclaimhim.Wekeptthisupforfivedays,butnoluck.Bythen,theyounggoosehadclearlydecidedwewerehisnewfamily,sowehadtogivehimaname.MysisterJoannacalledthelittleguyPeeper,becausehewouldfollowusaroundtheyardmakingapeepingnoise,nonstop.WealsodecidedthatPeeperwasaboy.Idon’tknowwhy;itjustfeltright.(5)Daysturnedintoweeks,andweeksturnedintomonthsuntilalmostayearpassed.Wesettledintoaroutinefilledwithfeatheryhugsandcamaraderie.Peepersleptonourbackporcheachnightand,intypicalgoosefashion,useditasalatrine.Mydadwouldsprayoffallthegoosedroppingsdailywithahose.PartofthisritualincludedDadthrowingPeeperupintotheairsohecouldflyalooparoundthehouse,comingbackagainoncetheporchwasclean.(6)Oneevening,myunclewasover,andmydadwantedtoshowhimPeeper’sloop.Hethrewhimupintheair,butthistime,Peeperjustflewoff.Everyonewasvery,verysad.Itwasdark,andwewereworried.Welookedforhimfordays,callinghisname,buthedidn’tcomeback.Wehopedhefoundaflockandwentoffonhisnaturalway.(7)Again,daysturnedintoweeksandweeksturnedintomonths,thenyears.Imissedmylittlebuddy,andIwouldcallforhimeverytimeIsawaflockofCanadiangeeseflybyinV-formation.Twentyyearspassed,andPeeperbecameafondmemoryformyfamily.(8)Geeselivetobearound25yearsold,areveryloyal,andneverforgettheirfirsthome.Evenso,itcameasatotalshocktomewhen,in2019,anageingadultgoosemadehiswaybacktomyfamilyhome.Geeselovehouseswithlarge,greenlawnstoeaton;theflatterrainalsomakesiteasyforthemtoscoutforpredators.So,atfirst,Iassumeditwasjustanothergoose.Andyet,somethingaboutthelonemaleseemedoddlyfamiliartome.(9)Aftertwoweeksofthegoosecomingbackrepeatedly,itbecamecleartomethatthiswasn’tarandomgoose.HedidallofthesamethingsPeeperusedto,liketryingtocomeinthroughthefrontdoorandsleepinginourenclosedpoolarea.InadditiontomimickingPeeper’soldways,thisgoosealsorespondedtothenamePeeper.Muchtomyamazement,myoldbestfriendhadreturned,20yearslater.(10)WhydidPeeperreturn?It’shardtosay.Perhapshismatedied,leavinghimlonely.It’salsopossiblethatheisapproachinghistwilightyearsandknowsit,makinghimcravehisearlyhome.Thisbehaviouristypicalofgeese.Whateverthereason,Peepercontinuestolivewithme.It’sagoodthingIstayedinmychildhoodhome.(11)Hedoesn’tcomehomeeverysinglenightthewayhedidasababy.Somenightshemayseekoutthecomfortofhisownkindatthelakenearby.Geeseinthewildtypicallysleeponwater.Buthe’sherealot,makinghispresenceknownandgivingmejoy.(12)Thisexperiencehasbeenasmeaningfultomeasanythinginmylife.Ihopethatmychildren,someday,havetheopportunitytoconnectwithnatureandawildbeinginthissameway.Peoplecraveconnectionwiththenaturalworld.ThroughPeeper,Ihavelearnedsomuchaboutmyselfandaboutthenatureoflove.46.Theword“spotted”(Para.2)means____.