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    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:George Annas would probably agree that doctors should be punished if they_____.
  • A 、manage their patients incompetently
  • B 、give patients more medicine than needed
  • C 、reduce drug dosages for their patients
  • D 、prolong the needless suffering of the patients

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【正确答案:D】

细节题。最后一段提到,Annas对大量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予以吊销行医执照。因此D选项正确。

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