[单选题]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
[单选题]Forhundredsofyears,thecriminallaw(刑法)hasbeenbuiltaroundtheideathatwrongdoersmustbepunishedfortheircrimes.Themostbasicargumentforpunishmentisthatitpreserveslawandorderandrespectsforauthority.Fromthispointofview，punishmentdoestwothings.Itupholdsthelaw，anditpreventsothersfromthinkingtheycangetawaywithdoingthesamethingwithoutpunishment.Punishmentisbasedontheideathatmanypeoplehaveabarelycontrolleddesiretoactinforbiddenways.Oneofthebestwaystoreducecrimeistoreformorrehabilitate(改造)habitualcriminals.Themainproblemisnotthefirstoffenderorthepettythiefbuttherepeatedoffenderwhocommitsincreasinglyseriouscrimes.Accordingtocriminologists，crimewoulddecreasegreatlyifallsuchoffenderscouldbeturnedawayfromwrongdoing.ButU.S.prisonshavehadlittlesuccessinrehabilitatinginmates.Abouttwo-thirdsofthepeoplearrestedinanyyearhaveapreviouscriminalrecord.Rehabilitation(改造)ofcriminalscouldprobablybeimprovedgreatlyifexpertscouldprovidetherightkindofprogramfordifferenttypesofoffenders.Criminalsvarywidelyinthekindsofcrimestheycommit，theiremotionalproblems，andtheirsocialandeconomicbackgrounds.Notalloffenderscanbehelpedbythesametreatment.Manyrequiretheaidofphysicians,psychiatrists,orpsychologists.Othersrespondwelltoeducationalorvocationaltraining.Intheearly1990s,therewereabout1,300,000criminalsinU.S.city,county,state,andfederalcorrectionalinstitutions，andabout500,000morewereoutonparole.Societyspentmorethan$15billiontooperateprisonsandrelatedinstitutionsyearly,butonlyasmallpartofthissumwenttoprovidetreatment.Nearlyallthefundswereusedtofeedandclotheprisonersandtokeepthemundercontrol.Sincethe1ate1970s,however,therehasbeenatrendtowardpunishmentratherthanrehabilitationofoffenders.Prisonsentences(徒刑)arelonger.CapitalpunishmentshavebeenusedmorefrequentlysincetheU.S.SupremeCourtliftedadeathpenaltybanin1976.Nevertheless,crimepreventionshouldaimtopreventpeoplefrombecomingcriminalsinthefirstplace.Suchagoalprobablywouldbenefitfromreformprogramsinurbanslums.Theseprogramswouldincludeimprovedhousing,schools,andrecreationprogramsandincreasedjobopportunities.Therearemanyotherwaystoreducecrime.Peoplecanbeeducatedorpersuadedtotakegreaterprecautionsagainstcrime.Theycanbetaught,forexample,howtoprotecttheirhomesfromburglary.Automobiletheftswoulddropsharplyifdriversremovedtheirkeysandlockedtheircarswhenleavingthem.Betterlightinghelpsdiscouragepurse-snatchingsandotherrobberiesoncitystreetsandinparks.Manyexpertsbelievethatstrictgun-licensinglawswouldgreatlyreducecrime.12.Inthesecondparagraphtheauthorimplies____.
[单选题]Exerciseisoneofthefewfactorswithapositiveroleinlong-termmaintenanceofbodyweight.Unfortunately,thatmessagehasnotgottenthroughtotheaverageAmerican,whowouldrathertryswitchingto“light”beerandlow-caloriebreadthanincreasephysicalexertion.TheCentersforDiseaseControl,forexample,foundthatfewerthanone-fourthofoverweightadultswhoweretryingtoshedpoundssaidtheywerecombiningexercisewiththeirdiet.Inrejectingexercise,somepeoplemaybediscouragedtoomuchbycaloric-expenditurecharts:forexample,onewouldhavetobrisklywalkthreemilesjusttoworkoffthe275caloriesinonedeliciousDanishpastry.Evenexerciseprofessionalsconcedehalfapointhere.“Exercisebyitselfisaverytoughwaytoloseweight,”saysYorkOnnen,programdirectorofthePresident’sCouncilonPhysicalFitnessandSports.Still,exercise’ssupportingroleinweightreductionisvital.AstudyattheBostonUniversityMedicalCenterofoverweightpoliceofficersandotherpublicemployeesconfirmedthatthosewhodietedwithoutexerciseregainedalmostalltheiroldweight,whilethosewhoworkedexerciseintotheirdailyroutinemaintainedtheirnewweight.Ifyouhavebeensedentaryanddecidetostartwalkingonemileaday,theaddedexercisecouldburnanextra100caloriesdaily.Inayear’stime,assumingnoincreaseinfoodintake,youcouldlosetenpounds.Byincreasingthedistanceofyourwalksgraduallyandmakingotherdietaryadjustments,youmayloseevenmoreweight. 9.WhatwasconfirmedbytheBostonUniversityMedicalCenter’sstudy?
