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因心神病变所致语言错乱包括
狂言
郑声
独语
呻吟
谵语
因心神病变所致语言错乱包括
狂言
郑声
独语
呻吟
谵语
因心神病变所致之病变语声有
狂言
独语
郑声
言謇
谵语
冈心神病变所致语言错乱包括
狂言
郑声
独语
呻吟
谵语
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蛔虫病腹痛不剧或腹不痛时可用何方治疗
ItissaidthatinEnglanddeathispressinginCanadainevitableandinCaliforniaoptional.Smallwonder.Americans’’lifeexpectancyhasnearlydoubledoverthepastcentury.Failinghipscanbereplacedclinicaldepressioncontrolledcataractsremovedina30-minutesurgicalprocedure.SuchadvancesoffertheagingpopulationaqualityoflifethatwasunimaginablewhenIenteredmedicine50yearsago.Butnotevenagreathealth-caresystemcancuredeath--andourfailuretoconfrontthatrealitynowthreatensthisgreatnessofours. Deathisnormal;wearegeneticallyprogrammedtodisintegrateandperishevenunderidealconditions.Weallunderstandthatatsomelevelyetasmedicalconsumerswetreatdeathasaproblemtobesolved.Shieldedbythird-partypayersfromthecostofourcarewedemandeyed’’thingthatcanpossiblybedoneforusevenifit’’suseless.Themostobviousexampleislate-stagecancercare.Physicians--frustratedbytheirinabilitytocurethediseaseandfearinglossofhopeinthepatient--toooftenofferaggressivetreatmentfarbeyondwhatisscientificallyjustified. In1950theU.S.spent$12.7billiononhealthcare.In2002thecostwillbe$I540billion.Anyonecanseethistrendisunsustainable.Yetfewseemwillingtotrytoreverseit.Somescholarsconcludethatagovernmentwithfiniteresourcesshouldsimplystoppayingformedicalcarethatsustainslifebeyondacertainage--say83orso.FormerColoradogovernorRichardLammhasbeenquotedassayingthattheoldandinfirmhaveadutytodieandgetoutofthewaysothatyoungerhealthierpeoplecanrealizetheirpotential. Iwouldnotgothatfar.Energeticpeoplenowroutinelyworkthroughtheir60sandbeyondandremaindazzlinglyproductive.At78ViacomchairmanSumnerRedstonejokinglyclaimstobe53.SupremeCourtJusticeSandraDayO’’Connorisinher7OsandformersurgeongeneralC.EverettKoopchairsanInternetstart-upinhis80s.Theseleadersarelivingproofthatpreventionworksandthatwecanmanagethehealthproblemsthatcomenaturallywithage.Asamere68-year-oldIwishtoageasproductivelyastheyhave. Yettherearelimitstowhatasocietycanspendinthispursuit.AsaphysicianIknowthemostcostlyamddramaticmeasuresmaybeineffectiveandpainful.IalsoknowthatpeopleinJapanandSwedencountriesthatspendfarlessonmedicalcarehaveachievedlongerhealthierlivesthanwehave.Asanationwemaybeoverfundingthequestforunlikelycureswhileunderfundingresearchonhumblertherapiesthatcouldimprovepeople’’slives. Thetextintendstoexpresstheideathat
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Americanstodaydon’’tplaceaveryhighvalueonintellect.Ourheroesareathletesentertainersandentrepreneursnotscholars.Evenourschoolsarewherewesendourchildrentogetapracticaleducation―nottopursueknowledgeforthesakeofknowledge.Symptomsofpervasiveanti-intellectualisminourschoolsaren’’tdifficulttofind. SchoolshavealwaysbeeninasocietywherepracticalismoreimportantthanintellectualsayseducationwriterDianeRavitch.Schoolscouldbeacounterbalance.Ravitch’’slatestbookLeftBack:ACenturyofFailedSchoolReformstracestherootsofanti-intellectualisminourschoolsconcludingtheyareanythingbutacounterbalancetotheAmericandistasteforintellectualpursuits. Buttheycouldandshouldbe.Encouragingkidstorejectthelifeofthemindleavesthemvulnerabletoexploitationandcontrol.Withouttheabilitytothinkcriticallytodefendtheirideasandunderstandtheideasofotherstheycannotfullyparticipateinourdemocracy.ContinuingalongthispathsayswriterEarlShorrisWewillbecomeasecond-ratecountry.Wewillhavealesscivilsociety. IntellectisresentedasaformofpowerorprivilegewriteshistorianandprofessorRichardHofstadterinAnti-IntellectualisminAmericanLifeaPulitzer-Prizewinningbookontherootsofanti-intellectualisminUSpoliticsreligionandeducation.FromthebeginningofourhistorysaysHofstadterourdemocraticandpopulisturgeshavedrivenustorejectanythingthatsmellsofelitism.Practicalitycommonsenseandnativeintelligencehavebeenconsideredmorenoblequalitiesthananythingyoucouldlearnfromabook. RalphWaldoEmersonandotherTranscendentalistphilosophersthoughtschoolingandrigorousbooklearningputunnaturalrestraintsonchildren:WeareshutupinschoolsandcollegerecitationroomsforI0or15yearsandcomeoutatlastwithabellyfulofwordsanddonotknowathing.MarkTwain’’sHuckleberryFinnexemplifiedAmericananti-intellectualism.Itsheroavoidsbeingcivilized―goingtoschoolandlearningtoread―sohecanpreservehisinnategoodness. IntellectaccordingtoHofstadterisdifferentfromnativeintelligenceaqualitywereluctantlyadmire.Intellectisthecriticalcreativeandcontemplativesideofthemind.Intelligenceseekstograspmanipulatere-orderandadjustwhileintellectexaminesponderswonderstheorizescriticizesandimagines. Schoolremainsaplacewhereintellectismistrusted.Hofstadtersaysourcountry’’seducationalsystemisinthegripsofpeoplewhojoyfullyandmilitantlyproclaimtheirhostilitytointellectandtheireagernesstoidentifywithchildrenwhoshowtheleastintellectualpromise. Emersonaccordingtothetextisprobably
独活寄生汤的组成中不包含的药物是
Itwas3:45inthemorningwhenthevotewasfinallytaken.Aftersixmonthsofarguingandfinal16hoursofhotparliamentarydebatesAustralia’’sNorthernTerritorybecamethefirstlegalauthorityintheworldtoallowdoctorstotakethelivesofincurablyiiipatientswhowishtodie.Themeasurepassedbytheconvincingvoteof15to10.AlmostimmediatelywordflashedontheInternetandwaspickeduphalfaworldawaybyJohnHofsessexecutivedirectoroftheRighttoDieSocietyofCanada.Hesentitonviathegroup’’son-lineserviceDeathNET.SaysHofsess:Wepostedbulletinsalldaylongbecauseofcoursethisisn’’tjustsomethingthathappenedinAustralia.It’’sworldhistory. Thefullimportmaytakeawhiletosinkin.TheNTRightsoftheTerminallyIlllawhasleftphysiciansandcitizensaliketryingtodealwithitsmoralandpracticalimplications.Somehavebreathedsighsofrelief;othersincludingchurchesright-w-lifegroupsandtheAustralianMedicalAssociationbitterlyattackedthebillandthehasteofitspassage.Butthefideisunlikelytoturnback.InAustralia―whereanagingpopulationlife-extendingtechnology’’andchangingcommunityattitudeshaveallplayedtheirpart―otherstatesaregoingtoconsidermakingasimilarlawtodealwitheuthanasia.IntheUSandCanadawheretheright-to-diemovementisgatheringstrengthobserversarewaitingforthedominoestostartfalling. UnderthenewNorthernTerritorylawanadultpatientcanrequestdeath―probablybyadeadlyinjectionorpill―toputanendtosuffering.Thepatientmustbediagnosedasterminallyillbytwodoctors.Afteracoolingoffperiodofsevendaysthepatientcansignacertificateofrequest.After48hoursthewishfordeathcanbemet.ForLloydNicksona54-year-oldDarwinresidentsufferingfromlungcancertheNTRightsofTerminallyIlllawmeanshecangetonwithlivingwithoutthehauntingfearofhissufferingaterrifyingdeathfromhisbreathingcondition.I’’mnotafraidofdyingfromaspiritualpointofviewbutwhatIwasafraidofwashowI’’dgobecauseI’’vewatchedpeopledieinthehospitalfightingforoxygenandclawingattheirmaskshesays. Theauthor’’sattitudetowardseuthanasiaseemstobethatof________.
ItissaidthatinEnglanddeathispressinginCanadainevitableandinCaliforniaoptional.Smallwonder.Americans’’lifeexpectancyhasnearlydoubledoverthepastcentury.Failinghipscanbereplacedclinicaldepressioncontrolledcataractsremovedina30-minutesurgicalprocedure.SuchadvancesoffertheagingpopulationaqualityoflifethatwasunimaginablewhenIenteredmedicine50yearsago.Butnotevenagreathealth-caresystemcancuredeath--andourfailuretoconfrontthatrealitynowthreatensthisgreatnessofours. Deathisnormal;wearegeneticallyprogrammedtodisintegrateandperishevenunderidealconditions.Weallunderstandthatatsomelevelyetasmedicalconsumerswetreatdeathasaproblemtobesolved.Shieldedbythird-partypayersfromthecostofourcarewedemandeyed’’thingthatcanpossiblybedoneforusevenifit’’suseless.Themostobviousexampleislate-stagecancercare.Physicians--frustratedbytheirinabilitytocurethediseaseandfearinglossofhopeinthepatient--toooftenofferaggressivetreatmentfarbeyondwhatisscientificallyjustified. In1950theU.S.spent$12.7billiononhealthcare.In2002thecostwillbe$I540billion.Anyonecanseethistrendisunsustainable.Yetfewseemwillingtotrytoreverseit.Somescholarsconcludethatagovernmentwithfiniteresourcesshouldsimplystoppayingformedicalcarethatsustainslifebeyondacertainage--say83orso.FormerColoradogovernorRichardLammhasbeenquotedassayingthattheoldandinfirmhaveadutytodieandgetoutofthewaysothatyoungerhealthierpeoplecanrealizetheirpotential. Iwouldnotgothatfar.Energeticpeoplenowroutinelyworkthroughtheir60sandbeyondandremaindazzlinglyproductive.At78ViacomchairmanSumnerRedstonejokinglyclaimstobe53.SupremeCourtJusticeSandraDayO’’Connorisinher7OsandformersurgeongeneralC.EverettKoopchairsanInternetstart-upinhis80s.Theseleadersarelivingproofthatpreventionworksandthatwecanmanagethehealthproblemsthatcomenaturallywithage.Asamere68-year-oldIwishtoageasproductivelyastheyhave. Yettherearelimitstowhatasocietycanspendinthispursuit.AsaphysicianIknowthemostcostlyamddramaticmeasuresmaybeineffectiveandpainful.IalsoknowthatpeopleinJapanandSwedencountriesthatspendfarlessonmedicalcarehaveachievedlongerhealthierlivesthanwehave.Asanationwemaybeoverfundingthequestforunlikelycureswhileunderfundingresearchonhumblertherapiesthatcouldimprovepeople’’slives. Whatisimpliedinthefirstsentence
从舌象上观察邪正虚实最灵敏的指标是
对肺胃出血有止血和促进病灶愈合作用的药是
Atthestartofthe20thcenturyimmigrantlaborandinnovationhelpedturntheU.S.intoapowerfulmanufacturingnation.Todayforeign-bornengineersjamthecorridorsofSiliconValleyhelpingAmerica’’sinformation-technologyboom.Andasthe21stcenturydawnsyetanotherwaveofimmigrantswillonceagainhelptransformtheeconomy. 46DuringthenextdecadeexceptingachangeingovernmentpolicynearlyamillionimmigrantsareexpectedtoarriveintheU.S.everyyearmostofwhombothlegalandillegalwillcontinuetocomefromLatinAmericaandSoutheastAsiabuteveryforeignlandwillberepresented. Asdomesticbirthratesstagnateonlyforeign-bornworkerwillkeepthelaborpoolgrowing.By2006infactimmigrantswillaccountforhalfofallnewU.S.workers;overthenext30yearstheirsharewillriseto60%. 47EvenatcurrentlevelsofimmigrationaccordingtotheLaborDept.thenumberofpeopleavailabletoworkwillincreasebyamere0.8%peryearbetween1996and2006-halftherateofthepreviousdecade.WithoutimmigrantsaccordingtoanewstudytheU.S.workforcewouldactuallybegintoshrinkby2015. 48It’’snotallaboutsheernumbersofcourse:ToliftproductivityandspurgrowthimmigrantsmustprovidecreativityentrepreneurialenergyorsimpleinitiativethatAmericacouldn’’tfindotherwise.IfallyoudidwasbringinpeoplewhoareexactlythesameasthosewehaveheretherewouldbenoeconomicbenefitsaysRandCorp.economistJamesP.SmithYou’’djusthavemorepeople. Justascrucialthearrayofeducationandskillsimmigrantsbringcouldfitneatlywiththesupplyofjobsoverthenextdecade.AccordingtoLindaLevineattheCongressionalResearchService60%ofthejobscreatedthrough2005willrequiresomepost-secondaryeducation.Butsheaddslow-skilljobswillstillrepresentabouthalfoftotalemployment.49Yetimmigrantsalsoare50%morelikelythanAmericanstohaveagraduatedegreeandanunbelievable23%ofU.S.residentsholdingPhDsinscienceandengineeringareforeign-bornaccordingtotheNationalScienceFoundation. Indeedforeign-bornworkershaveshownanextraordinaryabilitytoassimilateandflourish.Certainlysomelessskilledworkerswillremainatthebottomeconomicrungalltheirlives.50Yetotherswillcatchupquicklyandwithinadecadeoftheirarrivalthewell-educatedwillgofrommakingbarelyhalfthatofnative-bornAmericansincomparableworktonearly90%accordingtoarecentstudy. Thatofcoursewillraiseimmigrants’’livingstandards.Moreimportantitwillhelpdriveinnovationandentrepreneurshipkeyenginesofthe21stCenturyEconomy. Atthestartofthe20thcenturyimmigrantlaborandinnovationhelpedturntheU.S.intoapowerfulmanufacturingnation.Todayforeign-bornengineersjamthecorridorsofSiliconValleyhelpingAmerica’’sinformation-technologyboom.Andasthe21stcenturydawnsyetanotherwaveofimmigrantswillonceagainhelptransformtheeconomy. 46DuringthenextdecadeexceptingachangeingovernmentpolicynearlyamillionimmigrantsareexpectedtoarriveintheU.S.everyyearmostofwhombothlegalandillegalwillcontinuetocomefromLatinAmericaandSoutheastAsiabuteveryforeignlandwillberepresented. Asdomesticbirthratesstagnateonlyforeign-bornworkerwillkeepthelaborpoolgrowing.By2006infactimmigrantswillaccountforhalfofallnewU.S.workers;overthenext30yearstheirsharewillriseto60%. 47EvenatcurrentlevelsofimmigrationaccordingtotheLaborDept.thenumberofpeopleavailabletoworkwillincreasebyamere0.8%peryearbetween1996and2006-halftherateofthepreviousdecade.WithoutimmigrantsaccordingtoanewstudytheU.S.workforcewouldactuallybegintoshrinkby2015. 48It’’snotallaboutsheernumbersofcourse:ToliftproductivityandspurgrowthimmigrantsmustprovidecreativityentrepreneurialenergyorsimpleinitiativethatAmericacouldn’’tfindotherwise.IfallyoudidwasbringinpeoplewhoareexactlythesameasthosewehaveheretherewouldbenoeconomicbenefitsaysRandCorp.economistJamesP.SmithYou’’djusthavemorepeople. Justascrucialthearrayofeducationandskillsimmigrantsbringcouldfitneatlywiththesupplyofjobsoverthenextdecade.AccordingtoLindaLevineattheCongressionalResearchService60%ofthejobscreatedthrough2005willrequiresomepost-secondaryeducation.Butsheaddslow-skilljobswillstillrepresentabouthalfoftotalemployment.49Yetimmigrantsalsoare50%morelikelythanAmericanstohaveagraduatedegreeandanunbelievable23%ofU.S.residentsholdingPhDsinscienceandengineeringareforeign-bornaccordingtotheNationalScienceFoundation. Indeedforeign-bornworkershaveshownanextraordinaryabilitytoassimilateandflourish.Certainlysomelessskilledworkerswillremainatthebottomeconomicrungalltheirlives.50Yetotherswillcatchupquicklyandwithinadecadeoftheirarrivalthewell-educatedwillgofrommakingbarelyhalfthatofnative-bornAmericansincomparableworktonearly90%accordingtoarecentstudy. Thatofcoursewillraiseimmigrants’’livingstandards.Moreimportantitwillhelpdriveinnovationandentrepreneurshipkeyenginesofthe21stCenturyEconomy.
大便秘结兼见胸满喘咳是哪一对脏腑功能失调
在虚劳的治疗中重视阴阳互根提出阴中求阳阳中求阴的医家是
Agreatdealofattentionisbeingpaidtodaytotheso-calleddigitaldivide--thedivisionoftheworldintotheinfoinformationrichandtheinfopoor.Andthatdividedoesexisttoday.MywifeandIlecturedaboutthisloomingdangertwentyyearsago.Whatwaslessvisiblethenhoweverwerethenewpositiveforcesthatworkagainstthedigitaldivide.Therearereasonstobeoptimistic. Therearetechnologicalreasonstohopethedigitaldividewillnarrow.AstheInternetbecomesmoreandmorecommercializeditisintheinterestofbusinesstouniversalizeaccess--afterallthemorepeopleonlinethemorepotentialcustomersthereare.MoreandmoregovernmentsafraidtheircountrieswillbeleftbehindwanttospreadInternetaccess.Withinthenextdecadeortwoonetotwobillionpeopleontheplanetwillbenettedtogether.AsaresultInowbelievethedigitaldividewillnarrowratherthanwidenintheyearsahead.AndthatisverygoodnewsbecausetheInternetmaywellbethemostpowerfultoolforcombatingworldpovertythatwe’’veeverhad. OfcoursetheuseoftheInternetisn’’ttheonlywaytodefeatpoverty.AndtheInternetisnottheonlytoolwehave.Butithasenormouspotential. Totakeadvantageofthistoolsomeimpoverishedcountrieswillhavetogetovertheiroutdatedanti-colonialprejudiceswithrespecttoforeigninvestment.CountriesthatstillthinkforeigninvestmentisaninvasionoftheirsovereigntymightwellstudythehistoryofinfrastructurethebasicstructuralfoundationsofasocietyintheUnitedStates.WhentheUnitedStatesbuiltitsindustrialinfrastructureitdidn’’thavethecapitaltodoso.AndthatiswhyAmerica’’sSecondWaveinfrastructure―includingroadsharborshighwaysportsandsoon--werebuiltwithforeigninvestment.TheEnglishtheGermanstheDutchandtheFrenchwereinvestinginBritain’’sformercolony.Theyfinancedthem.ImmigrantAmericansbuiltthem.GuesswhoownsthemnowTheAmericans.IbelievethesamethingwouldbetrueinplaceslikeBraziloranywhereelseforthatmatter.ThemoreforeigncapitalyouhavehelpingyoubuildyourThirdWaveinfrastructurewhichtodayisanelectronicinfrastructurethebetteroffyou’’regoingtobe.Thatdoesn’’tmeanlyingdownandbecomingfooledorlettingforeigncorporationsrununcontrolled.ButitdoesmeanrecognizinghowimportanttheycanbeinbuildingtheenergyandtelecominfrastructuresneededtotakefulladvantageoftheInternet. Digitaldivideissomething______.
Atthestartofthe20thcenturyimmigrantlaborandinnovationhelpedturntheU.S.intoapowerfulmanufacturingnation.Todayforeign-bornengineersjamthecorridorsofSiliconValleyhelpingAmerica’’sinformation-technologyboom.Andasthe21stcenturydawnsyetanotherwaveofimmigrantswillonceagainhelptransformtheeconomy. 46DuringthenextdecadeexceptingachangeingovernmentpolicynearlyamillionimmigrantsareexpectedtoarriveintheU.S.everyyearmostofwhombothlegalandillegalwillcontinuetocomefromLatinAmericaandSoutheastAsiabuteveryforeignlandwillberepresented. Asdomesticbirthratesstagnateonlyforeign-bornworkerwillkeepthelaborpoolgrowing.By2006infactimmigrantswillaccountforhalfofallnewU.S.workers;overthenext30yearstheirsharewillriseto60%. 47EvenatcurrentlevelsofimmigrationaccordingtotheLaborDept.thenumberofpeopleavailabletoworkwillincreasebyamere0.8%peryearbetween1996and2006-halftherateofthepreviousdecade.WithoutimmigrantsaccordingtoanewstudytheU.S.workforcewouldactuallybegintoshrinkby2015. 48It’’snotallaboutsheernumbersofcourse:ToliftproductivityandspurgrowthimmigrantsmustprovidecreativityentrepreneurialenergyorsimpleinitiativethatAmericacouldn’’tfindotherwise.IfallyoudidwasbringinpeoplewhoareexactlythesameasthosewehaveheretherewouldbenoeconomicbenefitsaysRandCorp.economistJamesP.SmithYou’’djusthavemorepeople. Justascrucialthearrayofeducationandskillsimmigrantsbringcouldfitneatlywiththesupplyofjobsoverthenextdecade.AccordingtoLindaLevineattheCongressionalResearchService60%ofthejobscreatedthrough2005willrequiresomepost-secondaryeducation.Butsheaddslow-skilljobswillstillrepresentabouthalfoftotalemployment.49Yetimmigrantsalsoare50%morelikelythanAmericanstohaveagraduatedegreeandanunbelievable23%ofU.S.residentsholdingPhDsinscienceandengineeringareforeign-bornaccordingtotheNationalScienceFoundation. Indeedforeign-bornworkershaveshownanextraordinaryabilitytoassimilateandflourish.Certainlysomelessskilledworkerswillremainatthebottomeconomicrungalltheirlives.50Yetotherswillcatchupquicklyandwithinadecadeoftheirarrivalthewell-educatedwillgofrommakingbarelyhalfthatofnative-bornAmericansincomparableworktonearly90%accordingtoarecentstudy. Thatofcoursewillraiseimmigrants’’livingstandards.Moreimportantitwillhelpdriveinnovationandentrepreneurshipkeyenginesofthe21stCenturyEconomy.
心肾不交虚阳上扰之不寐治疗时宜以何方为主
Itwas3:45inthemorningwhenthevotewasfinallytaken.Aftersixmonthsofarguingandfinal16hoursofhotparliamentarydebatesAustralia’’sNorthernTerritorybecamethefirstlegalauthorityintheworldtoallowdoctorstotakethelivesofincurablyiiipatientswhowishtodie.Themeasurepassedbytheconvincingvoteof15to10.AlmostimmediatelywordflashedontheInternetandwaspickeduphalfaworldawaybyJohnHofsessexecutivedirectoroftheRighttoDieSocietyofCanada.Hesentitonviathegroup’’son-lineserviceDeathNET.SaysHofsess:Wepostedbulletinsalldaylongbecauseofcoursethisisn’’tjustsomethingthathappenedinAustralia.It’’sworldhistory. Thefullimportmaytakeawhiletosinkin.TheNTRightsoftheTerminallyIlllawhasleftphysiciansandcitizensaliketryingtodealwithitsmoralandpracticalimplications.Somehavebreathedsighsofrelief;othersincludingchurchesright-w-lifegroupsandtheAustralianMedicalAssociationbitterlyattackedthebillandthehasteofitspassage.Butthefideisunlikelytoturnback.InAustralia―whereanagingpopulationlife-extendingtechnology’’andchangingcommunityattitudeshaveallplayedtheirpart―otherstatesaregoingtoconsidermakingasimilarlawtodealwitheuthanasia.IntheUSandCanadawheretheright-to-diemovementisgatheringstrengthobserversarewaitingforthedominoestostartfalling. UnderthenewNorthernTerritorylawanadultpatientcanrequestdeath―probablybyadeadlyinjectionorpill―toputanendtosuffering.Thepatientmustbediagnosedasterminallyillbytwodoctors.Afteracoolingoffperiodofsevendaysthepatientcansignacertificateofrequest.After48hoursthewishfordeathcanbemet.ForLloydNicksona54-year-oldDarwinresidentsufferingfromlungcancertheNTRightsofTerminallyIlllawmeanshecangetonwithlivingwithoutthehauntingfearofhissufferingaterrifyingdeathfromhisbreathingcondition.I’’mnotafraidofdyingfromaspiritualpointofviewbutwhatIwasafraidofwashowI’’dgobecauseI’’vewatchedpeopledieinthehospitalfightingforoxygenandclawingattheirmaskshesays. Whentheauthorsaysthatobserversarewaitingforthedominoestostartfallinghemeans________.
ItissaidthatinEnglanddeathispressinginCanadainevitableandinCaliforniaoptional.Smallwonder.Americans’’lifeexpectancyhasnearlydoubledoverthepastcentury.Failinghipscanbereplacedclinicaldepressioncontrolledcataractsremovedina30-minutesurgicalprocedure.SuchadvancesoffertheagingpopulationaqualityoflifethatwasunimaginablewhenIenteredmedicine50yearsago.Butnotevenagreathealth-caresystemcancuredeath--andourfailuretoconfrontthatrealitynowthreatensthisgreatnessofours. Deathisnormal;wearegeneticallyprogrammedtodisintegrateandperishevenunderidealconditions.Weallunderstandthatatsomelevelyetasmedicalconsumerswetreatdeathasaproblemtobesolved.Shieldedbythird-partypayersfromthecostofourcarewedemandeyed’’thingthatcanpossiblybedoneforusevenifit’’suseless.Themostobviousexampleislate-stagecancercare.Physicians--frustratedbytheirinabilitytocurethediseaseandfearinglossofhopeinthepatient--toooftenofferaggressivetreatmentfarbeyondwhatisscientificallyjustified. In1950theU.S.spent$12.7billiononhealthcare.In2002thecostwillbe$I540billion.Anyonecanseethistrendisunsustainable.Yetfewseemwillingtotrytoreverseit.Somescholarsconcludethatagovernmentwithfiniteresourcesshouldsimplystoppayingformedicalcarethatsustainslifebeyondacertainage--say83orso.FormerColoradogovernorRichardLammhasbeenquotedassayingthattheoldandinfirmhaveadutytodieandgetoutofthewaysothatyoungerhealthierpeoplecanrealizetheirpotential. Iwouldnotgothatfar.Energeticpeoplenowroutinelyworkthroughtheir60sandbeyondandremaindazzlinglyproductive.At78ViacomchairmanSumnerRedstonejokinglyclaimstobe53.SupremeCourtJusticeSandraDayO’’Connorisinher7OsandformersurgeongeneralC.EverettKoopchairsanInternetstart-upinhis80s.Theseleadersarelivingproofthatpreventionworksandthatwecanmanagethehealthproblemsthatcomenaturallywithage.Asamere68-year-oldIwishtoageasproductivelyastheyhave. Yettherearelimitstowhatasocietycanspendinthispursuit.AsaphysicianIknowthemostcostlyamddramaticmeasuresmaybeineffectiveandpainful.IalsoknowthatpeopleinJapanandSwedencountriesthatspendfarlessonmedicalcarehaveachievedlongerhealthierlivesthanwehave.Asanationwemaybeoverfundingthequestforunlikelycureswhileunderfundingresearchonhumblertherapiesthatcouldimprovepeople’’slives. Theauthor’’sattitudetowardRichardLamm’’sremarkisoneof
Agreatdealofattentionisbeingpaidtodaytotheso-calleddigitaldivide--thedivisionoftheworldintotheinfoinformationrichandtheinfopoor.Andthatdividedoesexisttoday.MywifeandIlecturedaboutthisloomingdangertwentyyearsago.Whatwaslessvisiblethenhoweverwerethenewpositiveforcesthatworkagainstthedigitaldivide.Therearereasonstobeoptimistic. Therearetechnologicalreasonstohopethedigitaldividewillnarrow.AstheInternetbecomesmoreandmorecommercializeditisintheinterestofbusinesstouniversalizeaccess--afterallthemorepeopleonlinethemorepotentialcustomersthereare.MoreandmoregovernmentsafraidtheircountrieswillbeleftbehindwanttospreadInternetaccess.Withinthenextdecadeortwoonetotwobillionpeopleontheplanetwillbenettedtogether.AsaresultInowbelievethedigitaldividewillnarrowratherthanwidenintheyearsahead.AndthatisverygoodnewsbecausetheInternetmaywellbethemostpowerfultoolforcombatingworldpovertythatwe’’veeverhad. OfcoursetheuseoftheInternetisn’’ttheonlywaytodefeatpoverty.AndtheInternetisnottheonlytoolwehave.Butithasenormouspotential. Totakeadvantageofthistoolsomeimpoverishedcountrieswillhavetogetovertheiroutdatedanti-colonialprejudiceswithrespecttoforeigninvestment.CountriesthatstillthinkforeigninvestmentisaninvasionoftheirsovereigntymightwellstudythehistoryofinfrastructurethebasicstructuralfoundationsofasocietyintheUnitedStates.WhentheUnitedStatesbuiltitsindustrialinfrastructureitdidn’’thavethecapitaltodoso.AndthatiswhyAmerica’’sSecondWaveinfrastructure―includingroadsharborshighwaysportsandsoon--werebuiltwithforeigninvestment.TheEnglishtheGermanstheDutchandtheFrenchwereinvestinginBritain’’sformercolony.Theyfinancedthem.ImmigrantAmericansbuiltthem.GuesswhoownsthemnowTheAmericans.IbelievethesamethingwouldbetrueinplaceslikeBraziloranywhereelseforthatmatter.ThemoreforeigncapitalyouhavehelpingyoubuildyourThirdWaveinfrastructurewhichtodayisanelectronicinfrastructurethebetteroffyou’’regoingtobe.Thatdoesn’’tmeanlyingdownandbecomingfooledorlettingforeigncorporationsrununcontrolled.ButitdoesmeanrecognizinghowimportanttheycanbeinbuildingtheenergyandtelecominfrastructuresneededtotakefulladvantageoftheInternet. ThewritermentionedthecaseoftheUnitedStatestojustifythepolicyof______.
Atthestartofthe20thcenturyimmigrantlaborandinnovationhelpedturntheU.S.intoapowerfulmanufacturingnation.Todayforeign-bornengineersjamthecorridorsofSiliconValleyhelpingAmerica’’sinformation-technologyboom.Andasthe21stcenturydawnsyetanotherwaveofimmigrantswillonceagainhelptransformtheeconomy. 46DuringthenextdecadeexceptingachangeingovernmentpolicynearlyamillionimmigrantsareexpectedtoarriveintheU.S.everyyearmostofwhombothlegalandillegalwillcontinuetocomefromLatinAmericaandSoutheastAsiabuteveryforeignlandwillberepresented. Asdomesticbirthratesstagnateonlyforeign-bornworkerwillkeepthelaborpoolgrowing.By2006infactimmigrantswillaccountforhalfofallnewU.S.workers;overthenext30yearstheirsharewillriseto60%. 47EvenatcurrentlevelsofimmigrationaccordingtotheLaborDept.thenumberofpeopleavailabletoworkwillincreasebyamere0.8%peryearbetween1996and2006-halftherateofthepreviousdecade.WithoutimmigrantsaccordingtoanewstudytheU.S.workforcewouldactuallybegintoshrinkby2015. 48It’’snotallaboutsheernumbersofcourse:ToliftproductivityandspurgrowthimmigrantsmustprovidecreativityentrepreneurialenergyorsimpleinitiativethatAmericacouldn’’tfindotherwise.IfallyoudidwasbringinpeoplewhoareexactlythesameasthosewehaveheretherewouldbenoeconomicbenefitsaysRandCorp.economistJamesP.SmithYou’’djusthavemorepeople. Justascrucialthearrayofeducationandskillsimmigrantsbringcouldfitneatlywiththesupplyofjobsoverthenextdecade.AccordingtoLindaLevineattheCongressionalResearchService60%ofthejobscreatedthrough2005willrequiresomepost-secondaryeducation.Butsheaddslow-skilljobswillstillrepresentabouthalfoftotalemployment.49Yetimmigrantsalsoare50%morelikelythanAmericanstohaveagraduatedegreeandanunbelievable23%ofU.S.residentsholdingPhDsinscienceandengineeringareforeign-bornaccordingtotheNationalScienceFoundation. Indeedforeign-bornworkershaveshownanextraordinaryabilitytoassimilateandflourish.Certainlysomelessskilledworkerswillremainatthebottomeconomicrungalltheirlives.50Yetotherswillcatchupquicklyandwithinadecadeoftheirarrivalthewell-educatedwillgofrommakingbarelyhalfthatofnative-bornAmericansincomparableworktonearly90%accordingtoarecentstudy. Thatofcoursewillraiseimmigrants’’livingstandards.Moreimportantitwillhelpdriveinnovationandentrepreneurshipkeyenginesofthe21stCenturyEconomy.
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