- 阅读理解A
题干：TheSupremeCourt’sdecisionsonphysician-assistedsuicidecarryimportantimplicationsforhowmedicineseekstorelievedyingpatientsofpainandsuffering.Althoughitruledthatthereisnoconstitutionalrighttophysician-assistedsuicide,theCourtineffectsupportedthemedicalprincipleof“doubleeffect,”acenturies-oldmoralprincipleholdingthatanactionhavingtwoeffects-agoodonethatisintendedandaharmfulonethatisforeseen-ispermissibleiftheactorintendsonlythegoodeffect.Doctorshaveusedthatprincipleinrecentyearstojustifyusinghighdosesofmorphinetocontrolterminallyillpatients'pain,eventhoughincreasingdosageswilleventuallykillthepatient.NancyDubler,directorofMontefioreMedicalCenter,contendsthattheprinciplewillshielddoctorswho“untilnowhavevery,verystronglyinsistedthattheycouldnotgivepatientssufficientmediationtocontroltheirpainifthatmighthastendeath.”GeorgeAnnas，chairofthehealthlawdepartmentatBostonUniversity，maintainsthat,aslongasadoctorprescribesadrugforalegitimatemedicalpurpose,thedoctorhasdonenothingillegalevenifthepatientusesthedrugtohastendeath.“It'slikesurgery,”hesays.“Wedon'tcallthosedeathshomicidesbecausethedoctorsdidn'tintendtokilltheirpatients，althoughtheyriskedtheirdeath.Ifyou'reaphysician,youcanriskyourpatient'ssuicideaslongasyoudon'tintendtheirsuicide.”Onanotherlevel,manyinthemedicalcommunityacknowledgethattheassisted-suicidedebatehasbeenfueledinpartbythedespairofpatientsforwhommodernmedicinehasprolongedthephysicalagonyofdying.JustthreeweeksbeforetheCourt'srulingonphysician-assistedsuicide，theNationalAcademyofScience(NAS)releasedatwo-volumereport，ApproachingDeath：ImprovingCareattheEndofLife.Itidentifiestheundertreatmentofpainandtheaggressiveuseof“ineffectualandforcedmedicalproceduresthatmayprolongandevendishonortheperiodofdying”asthetwinproblemsofend-of-lifecare.Theprofessionistakingstepstorequireyoungdoctorstotraininhospices,totestknowledgeofaggressivepainmanagementtherapies,todevelopaMedicarebillingcodeforhospital-basedcare,andtodevelopnewstandardsforassessingandtreatingpainattheendoflife.Annassayslawyerscanplayakeyroleininsistingthatthesewell-meaningmedicalinitiativestranslateintobettercare.“Largenumbersofphysiciansseemunconcernedwiththepaintheirpatientsareneedlesslyandpredictablysuffering，”totheextentthatitconstitutes“systematicpatientabuse.”Hesaysmedicallicensingboards“mustmakeitclear…thatpainfuldeathsarepresumptivelyonesthatareincompetentlymanagedandshouldresultinlicensesuspension.”
题目：According to the NAS's report, one of the problems in end-of-life care is_____. - A 、prolonged medical procedures
- B 、inadequate treatment of pain
- C 、systematic drug abuse
- D 、insufficient hospital care
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参考答案【正确答案：B】
细节题。第七段第二句提到，NAS发布的报告中确定了临终护理中存在的两大问题：一是对病人的病痛控制不够；二是大胆使用“无效而强制性的医疗过程”来延长死亡期, 从而让病人死得很没有尊严。B选项是提到的问题之-, 是正确选项。
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