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The Supreme Court’s decisions on physician-assisted suicide carry important implications for how medicine seeks to relieve dying patients of pain and suffering.Although it ruled that there is no constitutional right to physician-assisted suicide, the Court in effect supported the medical principle of "double effect", a centuries-old moral principle holding that an action having two effects--a good one that is intended and a harmful one that is foreseen--is permissible if the actor intends only the good effect.Doctors have used that principle in recent years to justify using high doses of morphine to control terminally ill patients’ pain, even though increasing dosages will eventually kill the patients.Nancy Dubler, director of Montefiore Medical Center, contends that the principle will shield doctors who "until now have very, very strongly insisted that they could not give patients sufficient mediation to control their pain if that might hasten death. "George Annas, chair of the health law department at Boston University, maintains that, as long as a doctor prescribes a drug for a legitimate medical purpose, the doctor has done nothing illegal even if the patient uses the drug to hasten death. "It’s like surgery," he says. "We don’t call those deaths homicides because the doctors didn’t intend to kill their patients, although they risked their death. If you’re a physician, you can risk your patients’ suicide as long as you don’t intend their suicide. "On another level, many in the medical community acknowledge that the assisted-suicide debate has been fueled in part by the despair of patients for whom modern medicine has prolonged the physical agony of dying.Just three weeks before the Court’s ruling on physician-assisted suicide, the National Academy of Science (NAS) released a two-volume report, Approaching Death: Improving Care at the End of Life. It identifies the under-treatment of pain and the aggressive use of "ineffectual and forced medical procedures that may prolong and even dishonor the period of dying" as the twin problems of end-of-life care. The profession is taking steps to require young doctors to train in hospices, to test knowledge of aggressive pain management therapies, to develop a Medicare billing code for hospital-based care, and to develop new standards for assessing and treating pain at the end of life.Annas says lawyers can play a key role in insisting that these well-meaning medical initiatives translate into better care. "Large numbers of physicians seem unconcerned with the pain their patients are needlessly and predictably suffering," to the extent that it constitutes "systematic patient abuse. " He says medical licensing boards "must make it clear.., that painful deaths are presumptively ones that are incompetently managed and should result in license suspension. \ Which of the following statements is true according to the text().
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The Supreme Court’s decisions on physician-assisted suicide carry important implications for how medicine seeks to relieve dying patients of pain and suffering.Although it ruled that there is no constitutional right to physician-assisted suicide, the Court in effect supported the medical principle of "double effect", a centuries-old moral principle holding that an action having two effects--a good one that is intended and a harmful one that is foreseen--is permissible if the actor intends only the good effect.Doctors have used that principle in recent years to justify using high doses of morphine to control terminally ill patients’ pain, even though increasing dosages will eventually kill the patients.Nancy Dubler, director of Montefiore Medical Center, contends that the principle will shield doctors who "until now have very, very strongly insisted that they could not give patients sufficient mediation to control their pain if that might hasten death. "George Annas, chair of the health law department at Boston University, maintains that, as long as a doctor prescribes a drug for a legitimate medical purpose, the doctor has done nothing illegal even if the patient uses the drug to hasten death. "It’s like surgery," he says. "We don’t call those deaths homicides because the doctors didn’t intend to kill their patients, although they risked their death. If you’re a physician, you can risk your patients’ suicide as long as you don’t intend their suicide. "On another level, many in the medical community acknowledge that the assisted-suicide debate has been fueled in part by the despair of patients for whom modern medicine has prolonged the physical agony of dying.Just three weeks before the Court’s ruling on physician-assisted suicide, the National Academy of Science (NAS) released a two-volume report, Approaching Death: Improving Care at the End of Life. It identifies the under-treatment of pain and the aggressive use of "ineffectual and forced medical procedures that may prolong and even dishonor the period of dying" as the twin problems of end-of-life care. The profession is taking steps to require young doctors to train in hospices, to test knowledge of aggressive pain management therapies, to develop a Medicare billing code for hospital-based care, and to develop new standards for assessing and treating pain at the end of life.Annas says lawyers can play a key role in insisting that these well-meaning medical initiatives translate into better care. "Large numbers of physicians seem unconcerned with the pain their patients are needlessly and predictably suffering," to the extent that it constitutes "systematic patient abuse. " He says medical licensing boards "must make it clear.., that painful deaths are presumptively ones that are incompetently managed and should result in license suspension. \ From the first three paragraphs, we learn that ().
Comparisons were drawn between the development of television in the 20th century and the diffusion of printing in the 15th and 16th centuries. Yet much had happened (21) . As was discussed before, it was not (22) the 19th century that the newspaper became the dominant pre-electronic (23) , following in the wake of the pamphlet and the book and in the (24) of the periodical. It was during the same time that the communications revolution (25) up, beginning with transport, the railway, and leading (26) through the telegraph, the telephone, radio, and motion pictures (27) the 20th-century world of the motor car and the air plane. Not everyone sees that process in (28) . It is important to do so.It is generally recognized, (29) , that the introduction of the computer in the early 20th century, (30) by the invention of the integrated circuit during the 1960s, radically changed the process, (31) its impact on the media was not immediately (32) . As time went by, computers became smaller and more powerful, and they became "personal" too, as well as (33) , with display becoming sharper and storage (34) increasing. They were thought of, like people, (35) generations, with the distance between generations much (36) .It was within the computer age that the term "information society" began to be widely used to describe the (37) within which we now live. The communications revolution has (38) both work and leisure and how we think and feel both about place and time, but there have been (39) view about its economic, political, social and cultural implications. "Benefits" have been weighed (40) "harmful" outcomes. And generalizations have proved difficult. 25().
If you intend using humor in your talk to make people smile, you must know how to identify shared experiences and problems. Your humor must be relevant to the audience and should help to show them that you are one of them or that you understand their situation and are in sympathy with their point of view. Depending on whom you are addressing, the problems will be different. If you are talking to a group of managers, you may refer to the disorganized methods of their secretaries; alternatively if you are addressing secretaries, you may want to comment on their disorganized bosses.Here is an example, which I heard at a nurses’ convention, of a story which works well because the audience all shared the same view of doctors. A man arrives in heaven and is being shown around by St. Peter. He sees wonderful accommodations, beautiful gardens, sunny weather, and so on. Everyone is very peaceful, polite and friendly until, waiting in a line for lunch, the new arrival is suddenly pushed aside by a man in a white coat, who rushes to the head of the line, grabs his food and stomps over to a table himself. "Who is that" the new arrival asked St. Peter. "Oh, that’s God, "came the reply, "but sometimes he thinks he’s a doctor. "If you are part of the group which you are addressing, you will be in a position to know the experiences and problems which are common to all of you and it’ll be appropriate for you to make a passing remark about the inedible canteen food or the chairman’s notorious bad taste in ties. With other audiences you mustn’t attempt to cut in with humor as they will resent an outsider making disparaging remarks about their canteen of their chairman. You will be on safer ground if you stick to scapegoats like the Post Office or the telephone system.If you feel awkward being humorous, you must practice so that it becomes more natural. Include a few casual and apparently off-the-cuff remarks which you can deliver in a relaxed and unforced manner. Often it’s the delivery which causes the audience to smile, so speak slowly and remember that a raised eyebrow or an unbelieving look may help to show that you are making a light hearted remark.Look for the humor. It often comes from the unexpected. A twist on a familiar quote "If at first you don’t succeed, give up" or a play on words or on a situation. Search for exaggeration and understatements. Look at your talk and pick out a few words or sentences which you can turn about and inject with humor. The joke about doctors implies that, in the eyes of nurses, they are().
阅读下面这篇短文，短文后有2项测试任务：(1)第23～26题要求从所给的6个选项中为第2～5段每段选择1个正确的小标题；(2)第27～30题要求从所给的6个选项中选择4个正确选项，分别完成每个句子。 Estee Lauder Died1 The child of Central European immigrants who created an international cosmetics (化妆品) empire and became one of the most influential women in US, has died on Saturday. Estee Lauder died at her home in Manhattan, New York City, a company spokeswoman said. She was 97.2 Born in Queens, New York in 1908, Lauder was the daughter of a Hungarian mother and a Czech father.3 Lauder began her business career by selling skincare products developed by her uncle John Schotz, a chemist; to beauty salons (美容院) and hotels. In 1930, she married Joseph Lauder who became her* partner. The company, which became known as Estee Lauder, took off after World War II.4 In 1953, the company introduced its first perfume (香水), Youth Dew, the first of a range of fragrances that has now grown to more than 70. They include: Aramis, a line of products for men, launched in 1964; and Clinique, a range of odourless (无嗅的) cosmetics, which followed in 1968.5 By the time she retired in 1995, Lauder was presiding over a multibillion-dollar enterprise, which now ranks number 349 in the Fortune 500 list of largest US companies. In 1998, she was the only woman to feature in Time magazine’s selection of the 20 most important business geniuses of the last century. There were two secrets to her success: her gift for selling things and her tireless energy and determination never to accept second best.6 Even after her retirement at the age of 89, Lauder remained closely involved. Beauty, Lauder believed, was the most important thing in life.7 She wrote in her 1985 autobiography, "Estee, a Success Story": "In a perfect world, we’d all be judged on the sweetness of our souls. But in our less than perfect world, the woman who-looks pretty has a distinct advantage and, usually, the last word." After retirement, she continued to show interest______
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