passage4注解:标题为红色,翻译为蓝色,分析为绿色。?????????it is said that in england death is pressing难以忘却的,紧急的(本文意思), in canada inevitable and in california optional. small wonder【small wonder这不足为奇】. americans life expectancy【life expectancy预期寿命】 has nearly doubled over the past century. failing坏了的 hips髋骨?can be replaced, clinical临床的(本文意思),冷淡的?depression抑郁症 controlled, cataracts白内障 removed in a 30-minute surgical procedure. such advances offer the aging population【aging population老龄化人口】 a quality of life that was unimaginable when i entered medicine【entered medicine从医】 50 years ago. but not even a great health-care system can cure death-and our failure to【failure to未能去】?confront that reality now threatens this greatness of ours.
????????death is normal; we are genetically在基因上地?programmed按照特定的方式行事?to disintegrate瓦解 and perish消灭,毁灭, even under ideal conditions. we all understand that at some level, yet as medical consumers we treat death as a problem to be solved. shielded保护 by third-party payers【third-party payers第三方支付】 from the cost of our care, we demand everything that can possibly be done for us, even if its useless. the most obvious example is late-stage晚期的 cancer care治疗. physicians-frustrated by their inability to cure the disease and fearing loss of hope in the patient-too often offer aggressive大胆的 treatment far beyond what is scientifically justified.
????????in 1950, the us spent $12.7 billion on health care. in 2002, the cost will be $1,540 billion. anyone can see this trend趋势 is unsustainable. yet few seem willing to try to reverse扭转?it. some scholars conclude that a government with finite有限的?resources should simply stop paying for medical care that sustains life beyond a certain age-say 83 or so. former colorado governor richard lamm has been quoted as saying that the old and infirm体弱的 have a duty义务 to die and get out of the way【get out of the way让位】, so that younger, healthier people can realize their potential潜能.
????????i would not go that far【go that far极端】. energetic精力充沛的?people now routinely work through their 60s and beyond, and remain dazzlingly非常地(本文意思),耀眼地?productive. at 78, viacom chairman sumner redstonejokingly claims to be 53. supreme court justice sandra day o connor is in her 70s, and former surgeon general c. everett koop chairs担任主席?an internet start-up新兴公司?in his 80s. these leaders are living proof【living proof活生生的例子】 that prevention预防 works有效 and that we can manage the health problems that come naturally with age. as a mere 68-year-old,i wish to age as productively as they have.
????????yet there are limits to what a society can spend(资金)花费?in this pursuit. as a physician, i know the most costly and dramatic measures may be ineffective and painful.i also know that people in japan and sweden瑞典,?countries that spend far less on medical care, have achieved longer, healthier lives than we have. as a nation, we may be overfunding the quest for unlikely cures while underfunding research on humbler不起眼的 therapies疗法,治疗 that could improve peoples lives.
36.what is implied in the first sentence?
[a]americans are better prepared for death than other people.
[b]americans enjoy a higher life quality than ever before.
[c]americans are over-confident of their medical technology.
[d]americans take a vain pride in their long life expectancy.
37.the author uses the example of caner patients to show that.
[a]medical resources are often wasted
[b] docto
2003年考研英语阅读真题及解析【第四篇】 – 哔哩哔哩(2003年考研英语阅读答案)插图
rs are helpless against fatal diseases
[c]some treatments are too aggressive
[d] medical costs are becoming unaffordable
38. the authors remark is one of.
[a] strong disapproval
[b] reserved consent
[c] slight contempt
[d] enthusiastic support
39. in contras to the us, japan and sweden are funding their medical care.
[a] more flexibly
[b] more extravagantly
[c] more cautiously
[d] more reasonably
40. the text intends to express the idea that.
[a] medicine will further prolong peoples lives
[b] life beyond a certain limit is not worth living
[c] death should be accepted as a fact of life
[d] excessive demands increase the cost of health care
(1)life expectancy=expectation of life 预期寿命
如:failing health 健康衰弱,failing kidneys肾衰退,a failing business生意失败
三、阅读答案:c a b d c


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