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Newsreportsoftenfocusondisputesamongscientistsoverthevalidityofpreliminaryuntesteddatahypothesesandmodelswhichbydefinitionaretentative.Thisaspectofscience-1becauseithasnotbeenwidely2andaccepted-iscalledfrontierscience.Themedia3tofocusonfrontiersciencebecauseitsso-calledbreakthroughsmakegoodnewsstories.Justbecausesomethingisinthe4offrontierscience5doesnotmeanthatitisn’’tworthyofseriousconsideration;6suchmattersneedfurtherstudytodeterminetheir7. 8contrastconsensusscienceconsistsofdatamodelstheoriesandlawsthatarewidelyaccepted.Thisaspectofscienceisveryreliablebutis9considerednewsworthy.Thetroubleisthatthewordscienceisusedto10bothfrontierandconsensussciencewithout11Themediapreference12frontiersciencegivesthepublicthe13impressionthatfrontierscience14verycertainconclusionswhichmayormaynotbecorrect. However15somefrontierscienceislatershowntobeunreliablemembersofthepublicoftenfalsely16thatconsensusscienceisalsoquiteuncertain.Weneedtotakebothfrontierandconsensusscience17butrecognizetheirdifferences.Onewaytofindoutwhatscientistsgenerallyagree18istoseekoutreportsbyscientificbodiesthatattemptto19consensusin20areasofscienceandtechnology.
ItisnoteasytotalkabouttheroleofthemassmediainthisoverwhelminglysignificantphaseinEuropeanhistory.Historyandnewsbecomeconfusedandone’’simpressionstendtobeamixtureofskepticismandoptimism.46Televisionisoneofthemeansbywhichthesefeelingsarecreatedandconveyed--andperhapsneverbeforehasitservedsomuchtoconnectdifferentpeoplesandnationsasintherecenteventsinEurope.TheEuropethatisnowformingcannotbeanythingotherthanitspeoplestheirculturesandnationalidentifies.WiththisinmindwecanbegintoanalyzetheEuropeantelevisionscene.47InEurope.aselsewheremulti-mediagroupshavebeenincreasinglysuccessful:groupswhichbringtogethertelevisionradionewspapersmagazinesandpublishinghousesthatworkinrelationtooneanother.OneItalianexamplewouldbetheBerlusconigroupwhileabroadMaxwellandMurdochcometomind. Clearlyonlythebiggestandmostflexibletelevisioncompaniesaregoingtobeabletocompeteinsucharichandhotly-contestedmarket.48Thisalonedemonstratesthatthetelevisionbusinessisnotaneasyworldtosurvivein.afactunderlinedbystatisticsthatshowthatoutofeightyEuropeantelevisionnetworksnolessthan50%tookalossin1989. MoreovertheintegrationoftheEuropeancommunitywillobligetelevisioncompaniestocooperatemorecloselyintermsofbothproductionanddistribution. 49CreatingaEuropeanidentitythatrespectsthedifferentculturesandtraditionswhichgotomakeuptheconnectingfabricoftheOldContinentisnoeasytaskanddemandsastrategicchoice―thatofproducingprogramsinEuropeforEurope.ThisentailsreducingourdependenceontheNorthAmericanmarketwhoseprogramsrelatetoexperiencesandculturaltraditionswhicharedifferentfromourown Inordertoachievetheseobjectiveswemustconcentratemoreonco-productionstheexchangeofnewsdocumentaryservicesandtraining.ThisalsoinvolvestheagreementsbetweenEuropeancountriesforthecreationofaEuropeanbankforTelevisionProductionwhichonthemodeloftheEuropeanInvestmentsBankwillhandlethefinancesnecessaryforproductioncosts.50Indealingwithachallengeonsuchascaleitisnoexaggerationtosay.Unitedwestanddividedwefall―andifIhadtochooseasloganitwouldbeUnityinourdiversityAunityofobjectivesthatnonethelessrespectthevariedpeculiaritiesofeachcountry.
本题为选做题请在ⅠⅡ两道试题中选取其中一道作答若两题都回答只按第1道试题的成绩记入总分 选做题Ⅰ 阅读材料回答问题 材料1 自2007年6月开始美国的一些公司开始大规模召回中国生产的玩具8月2日美国最大的玩具制造商美泰公司宣布自愿召回约96.7万件中国生产的儿童玩具召回的主要原因是部分产品的油漆中金属铅超标8月14日关泰公司又因油漆铅超标问题和磁铁易被儿童吞食隐患召回近1900万件中国产玩具 针对此事商务部于8月23日作出回应表示大部分被召回玩具符合当时标准国家质检总局局长李长江也于8月27日表示此番共召回2020万件中国产玩具中85%的产品是属于按照美国设计要求按照美国进口商要求进行生产制造的因为铅标准含量不符合美国要求而被召回的中国玩具仅占15% 材料2 8月21日薄__会晤美国前国务卿奥尔布赖特时说1979-2006年两国贸易额从25亿美元增长到2600多亿美元增加了100多倍中国连续5年成为美国增长最快的出口市场目前已是美第四大出口市场这说明了中美经济的互补性双边经贸关系的发展具有强劲的内在动力薄__表示美国最近出现了不利于中美经贸关系的强烈信号如对钢铁等产品进行反倾销和反补贴合并调查在食品玩具质量问题上大做文章国会还提出多个涉华经贸议案贸易保护主义的倾向十分明显对于出口产品的质量和安全中国政府高度重视我们不仅对中国的消费者负责也对全球的消费者负责尽管任何一个国家都不可能做到产品百分之百的安全但哪怕是百分之一甚至千分之一的产品有问题我们也会认真对待 材料3 2007年9月6日__在澳大利亚悉尼会见前来出席亚太经济合作组织第十五次领导人非正式会议的美国总统布什__表示事实表明中美既是利益攸关方又是建设性合作者关于两国经贸合作__表示中美经贸合作发展势头强劲双边贸易额快速攀升中国继续是美国增长最快的出口市场两国经贸合作在快速发展过程中出现一些问题是正常的双方应该以建设性态度为解决这些问题作出努力__指出中国政府高度重视食品安全和产品质量问题并介绍了中国政府为此采取的一系列政策措施和取得的显著成效布什表示美方珍视美中经贸关系认为对华贸易对美有利两国如此强有力而广泛的经贸关系难免会出现一些问题美方赞赏中国政府在保障食品安全和产品质量方面所采江的积极措施美方反对贸易保护主义措施认为不应给两国贸易设置障碍 请回答 1美泰等公司召回中国产玩具的根本原因是什么 2结合材料23说明解决中美贸易争端在辩证法上的启示 3结合十七大报告精神请你谈谈如何拓展对外开放广度和深度提高开放型经济水平 选做题Ⅱ 材料1 世界是丰富多彩的各国文明的多样性是人类社会的基本特征也是人类文明进步的动力应尊重各国的历史文化社会制度和发展模式承认世界多样性的现实世界各种文明和社会制度应长期共存在竞争比较中取长补短在求同存异中共同发展我们将继续同各国人民一道为建设一个持久和平与普遍繁荣的世界而努力 ——摘自__在建党80周年的讲话 材料2 “文明的冲突将主宰全球政治文明之间的分界线将成为未来的战线人类在经历了君主冲突民族国家冲突和意识形态冲突之后将进入文明冲突的阶段”导致未来冲突的根本原因是“文明的差异和冲突”而不再是意识形态或经济因素亨廷顿认为西方与非西方冲突的根源在于军事经济社会制度的竞争和与基本价值观念及思想信仰有关的文化差异未来国际政治的核心因素将是西方与非西方的冲突非西方社会希望走一条现代化但却不西化的道路在可预见的未来冲突焦点将集中在不屑加入西方的rú jiāo 和yī sī lán jiāo 国家与西方阵营间爆发的纷争 ——摘自参考消息2003年3月 请回答 1运用哲学相关原理分析文化因素在世界政治中的重大影响 2分析说明材料1和材料2中的观点有什么不同其本质区别是什么
Technicallyanysubstanceotherthanfoodthataltersourbodilyormentalfunctioningisadrug.Manypeoplemistakenlybelievethetermdrugrefersonlytosomesortofmedicineoranillegalchemicaltakenbydrugaddicts.Theydon’’trealizethatfamiliarsubstancessuchasalcoholandtobaccoarealsodrugs.Thisiswhythemoreneutraltermsubstanceisnowusedbymanyphysiciansandpsychologists.Thephrasesubstanceabuseisoftenusedinsteadofdrugabusetomakeclearthatsubstancessuchasalcoholandtobaccocanbejustasharmfullymisusedasheroinandcocaine. Weliveinasocietyinwhichthemedicinalandsocialuseofsubstancesdrugsispervasive:anaspirintoquietaheadachesomewinetobesociablecoffeetogetgoinginthemorningacigaretteforthenerves.WhendothesesociallyacceptableandapparentlyconstructiveusesofasubstancebecomemisusesFirstofallmostsubstancestakeninexcesswillproducenegativeeffectssuchaspoisoningorintenseperceptualdistortions.Repeateduseofasubstancecanalsoleadtophysicaladdictionorsubstancedependence.Dependenceismarkedfirstbyanincreasedtolerancewithmoreandmoreofthesubstancerequiredtoproducethedesiredeffectandthenbytheappearanceofunpleasantwithdrawalsymptomswhenthesubstanceisdiscontinued. Drugssubstancesthataffectthecentralnervoussystemandalterperceptionmoodandbehaviorareknownaspsychoactivesubstances.Psychoactivesubstancesarecommonlygroupedaccordingtowhethertheyarestimulantsdepressantsorhallucinogens.Stimulantsinitiallyspeeduporactivatethecentralnervoussystemwhereasdepressantsslowitdown.Hallucinogenshavetheirprimaryeffectonperceptiondistortingandalteringitinavarietyofwaysincludingproducinghallucinations.ThesearethesubstancesoftencalledpsychedelicfromtheGreekwordmeaningmind-manifestingbecausetheyseemedtoradicallyalterone’’sstateofconsciousness. SubstanceabuseLine5Paragraph1ispreferabletodrugabuseinthat___________.
ItisnoteasytotalkabouttheroleofthemassmediainthisoverwhelminglysignificantphaseinEuropeanhistory.Historyandnewsbecomeconfusedandone’’simpressionstendtobeamixtureofskepticismandoptimism.46Televisionisoneofthemeansbywhichthesefeelingsarecreatedandconveyed--andperhapsneverbeforehasitservedsomuchtoconnectdifferentpeoplesandnationsasintherecenteventsinEurope.TheEuropethatisnowformingcannotbeanythingotherthanitspeoplestheirculturesandnationalidentifies.WiththisinmindwecanbegintoanalyzetheEuropeantelevisionscene.47InEurope.aselsewheremulti-mediagroupshavebeenincreasinglysuccessful:groupswhichbringtogethertelevisionradionewspapersmagazinesandpublishinghousesthatworkinrelationtooneanother.OneItalianexamplewouldbetheBerlusconigroupwhileabroadMaxwellandMurdochcometomind. Clearlyonlythebiggestandmostflexibletelevisioncompaniesaregoingtobeabletocompeteinsucharichandhotly-contestedmarket.48Thisalonedemonstratesthatthetelevisionbusinessisnotaneasyworldtosurvivein.afactunderlinedbystatisticsthatshowthatoutofeightyEuropeantelevisionnetworksnolessthan50%tookalossin1989. MoreovertheintegrationoftheEuropeancommunitywillobligetelevisioncompaniestocooperatemorecloselyintermsofbothproductionanddistribution. 49CreatingaEuropeanidentitythatrespectsthedifferentculturesandtraditionswhichgotomakeuptheconnectingfabricoftheOldContinentisnoeasytaskanddemandsastrategicchoice―thatofproducingprogramsinEuropeforEurope.ThisentailsreducingourdependenceontheNorthAmericanmarketwhoseprogramsrelatetoexperiencesandculturaltraditionswhicharedifferentfromourown Inordertoachievetheseobjectiveswemustconcentratemoreonco-productionstheexchangeofnewsdocumentaryservicesandtraining.ThisalsoinvolvestheagreementsbetweenEuropeancountriesforthecreationofaEuropeanbankforTelevisionProductionwhichonthemodeloftheEuropeanInvestmentsBankwillhandlethefinancesnecessaryforproductioncosts.50Indealingwithachallengeonsuchascaleitisnoexaggerationtosay.Unitedwestanddividedwefall―andifIhadtochooseasloganitwouldbeUnityinourdiversityAunityofobjectivesthatnonethelessrespectthevariedpeculiaritiesofeachcountry.
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______.
Newsreportsoftenfocusondisputesamongscientistsoverthevalidityofpreliminaryuntesteddatahypothesesandmodelswhichbydefinitionaretentative.Thisaspectofscience-1becauseithasnotbeenwidely2andaccepted-iscalledfrontierscience.Themedia3tofocusonfrontiersciencebecauseitsso-calledbreakthroughsmakegoodnewsstories.Justbecausesomethingisinthe4offrontierscience5doesnotmeanthatitisn’’tworthyofseriousconsideration;6suchmattersneedfurtherstudytodeterminetheir7. 8contrastconsensusscienceconsistsofdatamodelstheoriesandlawsthatarewidelyaccepted.Thisaspectofscienceisveryreliablebutis9considerednewsworthy.Thetroubleisthatthewordscienceisusedto10bothfrontierandconsensussciencewithout11Themediapreference12frontiersciencegivesthepublicthe13impressionthatfrontierscience14verycertainconclusionswhichmayormaynotbecorrect. However15somefrontierscienceislatershowntobeunreliablemembersofthepublicoftenfalsely16thatconsensusscienceisalsoquiteuncertain.Weneedtotakebothfrontierandconsensusscience17butrecognizetheirdifferences.Onewaytofindoutwhatscientistsgenerallyagree18istoseekoutreportsbyscientificbodiesthatattemptto19consensusin20areasofscienceandtechnology.
Inthelasthalfofthenineteenthcenturycapitalandlabourwereenlargingandperfectingtheirrivalorganizationsonmodemlines.Manyanoldfirmwasreplacedbyalimitedliabilitycompanywithabureaucracyofsalariedmanagers.Thechangemetthetechnicalrequirementsofthenewagebyengagingalargeprofessionalelementandpreventedthedeclineinefficiencythatsocommonlyspoiledthefortunesoffamilyfirmsinthesecondandthirdgenerationaftertheenergeticfounders.Itwasmoreoverastepawayfromindividualinitiativetowardscollectivismandmunicipalandstate-ownedbusiness.Therailwaycompaniesthoughstillprivatebusinessmanagedforthebenefitofshareholderswereveryunlikeoldfamilybusiness.Atthesametimethegreatmunicipalitieswentintobusinesstosupplylightingtramsandotherservicestothetaxpayers. Thegrowthofthelimitedliabilitycompanyandmunicipalbusinesshadimportantconsequences.Suchlargeimpersonalmanipulationofcapitalandindustrygreatlyincreasedthenumbersandimportanceofshareholdersasaclassanelementinnationalliferepresentingirresponsiblewealthdetachedfromthelandandthedutiesofthelandowners;andalmostequallydetachedfromtheresponsiblemanagementofbusiness.AllthroughthenineteenthcenturyAmericaAfricaIndiaAustraliaandpartsofEuropewerebeingdevelopedbyBritishcapitalandBritishshareholderswerethusenrichedbytheworld’’smovementtowardsindustrialisation.TownslikeBournemouthandEastbournespranguptohouselargecomfortableclasseswhohadretiredontheirincomesandwhohadnorelationtotherestofthecommunityexceptthatofdrawingdividendsandoccasionallyattendingashareholders’’meetingtodictatetheirorderstothemanagement.OntheotherhandshareholdingmeantleisureandfreedomwhichwasusedbymanyofthelaterVictoriansforthehighestpurposeofagreatcivilization. Theshareholdersassuchhadnoknowledgeofthelivesthoughtsorneedsoftheworkmenemployedbythecompanyinwhichheheldsharesandhisinfluenceontherelationsofcapitalandlabourwasnotgood.Thepaidmanageractingforthecompanywasinmoredirectrelationwiththemenandtheirdemandsbutevenhehadseldomthatfamiliarpersonalknowledgeoftheworkmenwhichtheemployerhadoftenhadunderthemorepatriarchalsystemoftheoldfamilybusinessnowpassingaway.Indeedthemeresizeofoperationsandthenumbersofworkmeninvolvedrenderedsuchpersonalrelationsimpossible.Fortunatelyhowevertheincreasingpowerandorganizationofthetradeunionsatleastinallskilledtradesenabledtheworkmentomeetonequaltermsthemanagersofthecompanieswhoemployedthem.Thecrueldisciplineofthestrikeandlockouttaughtthetwopartiestorespecteachother’’sstrengthandunderstandthevalueoffairnegotiation. It’’strueoftheoldfamilyfirmsthat_________________.
Newsreportsoftenfocusondisputesamongscientistsoverthevalidityofpreliminaryuntesteddatahypothesesandmodelswhichbydefinitionaretentative.Thisaspectofscience-1becauseithasnotbeenwidely2andaccepted-iscalledfrontierscience.Themedia3tofocusonfrontiersciencebecauseitsso-calledbreakthroughsmakegoodnewsstories.Justbecausesomethingisinthe4offrontierscience5doesnotmeanthatitisn’’tworthyofseriousconsideration;6suchmattersneedfurtherstudytodeterminetheir7. 8contrastconsensusscienceconsistsofdatamodelstheoriesandlawsthatarewidelyaccepted.Thisaspectofscienceisveryreliablebutis9considerednewsworthy.Thetroubleisthatthewordscienceisusedto10bothfrontierandconsensussciencewithout11Themediapreference12frontiersciencegivesthepublicthe13impressionthatfrontierscience14verycertainconclusionswhichmayormaynotbecorrect. However15somefrontierscienceislatershowntobeunreliablemembersofthepublicoftenfalsely16thatconsensusscienceisalsoquiteuncertain.Weneedtotakebothfrontierandconsensusscience17butrecognizetheirdifferences.Onewaytofindoutwhatscientistsgenerallyagree18istoseekoutreportsbyscientificbodiesthatattemptto19consensusin20areasofscienceandtechnology.
Newsreportsoftenfocusondisputesamongscientistsoverthevalidityofpreliminaryuntesteddatahypothesesandmodelswhichbydefinitionaretentative.Thisaspectofscience-1becauseithasnotbeenwidely2andaccepted-iscalledfrontierscience.Themedia3tofocusonfrontiersciencebecauseitsso-calledbreakthroughsmakegoodnewsstories.Justbecausesomethingisinthe4offrontierscience5doesnotmeanthatitisn’’tworthyofseriousconsideration;6suchmattersneedfurtherstudytodeterminetheir7. 8contrastconsensusscienceconsistsofdatamodelstheoriesandlawsthatarewidelyaccepted.Thisaspectofscienceisveryreliablebutis9considerednewsworthy.Thetroubleisthatthewordscienceisusedto10bothfrontierandconsensussciencewithout11Themediapreference12frontiersciencegivesthepublicthe13impressionthatfrontierscience14verycertainconclusionswhichmayormaynotbecorrect. However15somefrontierscienceislatershowntobeunreliablemembersofthepublicoftenfalsely16thatconsensusscienceisalsoquiteuncertain.Weneedtotakebothfrontierandconsensusscience17butrecognizetheirdifferences.Onewaytofindoutwhatscientistsgenerallyagree18istoseekoutreportsbyscientificbodiesthatattemptto19consensusin20areasofscienceandtechnology.
TheSupremeCourt’’sdecisionsonphysician-assistedsuicidecarryimportantimplicationsforhowmedicineseekstorelievedyingpatientsofpainandsuffering. Althoughitruledthatthereisnoconstitutionalrighttophysician-assistedsuicidetheCourtineffectsupportedthemedicalprincipleofdoubleeffectacenturies-oldmoralprincipleholdingthatanactionhavingtwoeffects―agoodonethatisintendedandaharmfulonethatisforeseen―ispermissibleiftheactorintendsonlythegoodeffect. Doctorshaveusedthatprincipleinrecentyearstojustifyusinghighdosesofmorphinetocontrolterminallyiiipatients’’paineventhoughincreasingdosageswilleventuallykillthepatient. NancyDublerdirectorofMontefioreMedicalCentercontendsthattheprinciplewillshielddoctorswhountilnowhaveveryverystronglyinsistedthattheycouldnotgivepatientssufficientmedicationtocontroltheirpainifthatmighthastendeath. GeorgeAnnaschairofthehealthlawdepartmentatBostonUniversitymaintainsthataslongasadoctorprescribesadrugforalegitimatemedicalpurposethedoctorhasdonenothingillegalevenifthepatientusesthedrugtohastendeath.It’’slikesurgeryhesays.Wedon’’tcallthosedeathshomicidesbecausethedoctorsdidn’’tintendtokilltheirpatientsalthoughtheyriskedtheirdeath.Ifyou’’reaphysicianyoucanriskyourpatients’’suicideaslongasyoudon’’tintendtheirsuicide. Onanotherlevelmanyinthemedicalcommunityacknowledgethattheassisted-suicidedebatehasbeenfueledinpartbythedespairofpatientsforwhommodernmedicinehasprolongedthephysicalagonyofdying. JustthreeweeksbeforetheCourt’’srulingonphysician-assistedsuicidetheNationalAcademyofScienceNASreleasedatwo-volumereportApproachingDeath:ImprovingCareattheEndofLife.Itidentifiestheundertreatmentofpainandtheaggressiveuseofineffectualandforcedmedicalproceduresthatmayprolongandevendishonortheperiodofdyingasthetwinproblemsofend-of-lifecare. TheprofessionistakingstepstorequireyoungdoctorstotraininhospicestotestknowledgeofaggressivepainmanagementtherapiestodevelopaMedicarebillingcodeforhospital-basedcareandtodevelopnewstandardsforassessingandtreatingpainattheendoflife. Annassayslawyerscanplayakeyroleininsistingthatthesewell-meaningmedicalinitiativestranslateintobettercare.Largenumbersofphysiciansseemunconcernedwiththepaintheirpatientsareneedlesslyandpredictablysufferingtotheextentthatitconstitutessystematicpatientabuse.Hesaysmedicallicensingboardsmustmakeitclear..thatpainfuldeathsarepresumptivelyonesthatareincompetentlymanagedandshouldresultinlicensesuspension. AccordingtotheNAS’’sreportoneoftheproblemsinend-of-tirecareis
Newsreportsoftenfocusondisputesamongscientistsoverthevalidityofpreliminaryuntesteddatahypothesesandmodelswhichbydefinitionaretentative.Thisaspectofscience-1becauseithasnotbeenwidely2andaccepted-iscalledfrontierscience.Themedia3tofocusonfrontiersciencebecauseitsso-calledbreakthroughsmakegoodnewsstories.Justbecausesomethingisinthe4offrontierscience5doesnotmeanthatitisn’’tworthyofseriousconsideration;6suchmattersneedfurtherstudytodeterminetheir7. 8contrastconsensusscienceconsistsofdatamodelstheoriesandlawsthatarewidelyaccepted.Thisaspectofscienceisveryreliablebutis9considerednewsworthy.Thetroubleisthatthewordscienceisusedto10bothfrontierandconsensussciencewithout11Themediapreference12frontiersciencegivesthepublicthe13impressionthatfrontierscience14verycertainconclusionswhichmayormaynotbecorrect. However15somefrontierscienceislatershowntobeunreliablemembersofthepublicoftenfalsely16thatconsensusscienceisalsoquiteuncertain.Weneedtotakebothfrontierandconsensusscience17butrecognizetheirdifferences.Onewaytofindoutwhatscientistsgenerallyagree18istoseekoutreportsbyscientificbodiesthatattemptto19consensusin20areasofscienceandtechnology.
Newsreportsoftenfocusondisputesamongscientistsoverthevalidityofpreliminaryuntesteddatahypothesesandmodelswhichbydefinitionaretentative.Thisaspectofscience-1becauseithasnotbeenwidely2andaccepted-iscalledfrontierscience.Themedia3tofocusonfrontiersciencebecauseitsso-calledbreakthroughsmakegoodnewsstories.Justbecausesomethingisinthe4offrontierscience5doesnotmeanthatitisn’’tworthyofseriousconsideration;6suchmattersneedfurtherstudytodeterminetheir7. 8contrastconsensusscienceconsistsofdatamodelstheoriesandlawsthatarewidelyaccepted.Thisaspectofscienceisveryreliablebutis9considerednewsworthy.Thetroubleisthatthewordscienceisusedto10bothfrontierandconsensussciencewithout11Themediapreference12frontiersciencegivesthepublicthe13impressionthatfrontierscience14verycertainconclusionswhichmayormaynotbecorrect. However15somefrontierscienceislatershowntobeunreliablemembersofthepublicoftenfalsely16thatconsensusscienceisalsoquiteuncertain.Weneedtotakebothfrontierandconsensusscience17butrecognizetheirdifferences.Onewaytofindoutwhatscientistsgenerallyagree18istoseekoutreportsbyscientificbodiesthatattemptto19consensusin20areasofscienceandtechnology.
Newsreportsoftenfocusondisputesamongscientistsoverthevalidityofpreliminaryuntesteddatahypothesesandmodelswhichbydefinitionaretentative.Thisaspectofscience-1becauseithasnotbeenwidely2andaccepted-iscalledfrontierscience.Themedia3tofocusonfrontiersciencebecauseitsso-calledbreakthroughsmakegoodnewsstories.Justbecausesomethingisinthe4offrontierscience5doesnotmeanthatitisn’’tworthyofseriousconsideration;6suchmattersneedfurtherstudytodeterminetheir7. 8contrastconsensusscienceconsistsofdatamodelstheoriesandlawsthatarewidelyaccepted.Thisaspectofscienceisveryreliablebutis9considerednewsworthy.Thetroubleisthatthewordscienceisusedto10bothfrontierandconsensussciencewithout11Themediapreference12frontiersciencegivesthepublicthe13impressionthatfrontierscience14verycertainconclusionswhichmayormaynotbecorrect. However15somefrontierscienceislatershowntobeunreliablemembersofthepublicoftenfalsely16thatconsensusscienceisalsoquiteuncertain.Weneedtotakebothfrontierandconsensusscience17butrecognizetheirdifferences.Onewaytofindoutwhatscientistsgenerallyagree18istoseekoutreportsbyscientificbodiesthatattemptto19consensusin20areasofscienceandtechnology.
TheSupremeCourt’’sdecisionsonphysician-assistedsuicidecarryimportantimplicationsforhowmedicineseekstorelievedyingpatientsofpainandsuffering. Althoughitruledthatthereisnoconstitutionalrighttophysician-assistedsuicidetheCourtineffectsupportedthemedicalprincipleofdoubleeffectacenturies-oldmoralprincipleholdingthatanactionhavingtwoeffects―agoodonethatisintendedandaharmfulonethatisforeseen―ispermissibleiftheactorintendsonlythegoodeffect. Doctorshaveusedthatprincipleinrecentyearstojustifyusinghighdosesofmorphinetocontrolterminallyiiipatients’’paineventhoughincreasingdosageswilleventuallykillthepatient. NancyDublerdirectorofMontefioreMedicalCentercontendsthattheprinciplewillshielddoctorswhountilnowhaveveryverystronglyinsistedthattheycouldnotgivepatientssufficientmedicationtocontroltheirpainifthatmighthastendeath. GeorgeAnnaschairofthehealthlawdepartmentatBostonUniversitymaintainsthataslongasadoctorprescribesadrugforalegitimatemedicalpurposethedoctorhasdonenothingillegalevenifthepatientusesthedrugtohastendeath.It’’slikesurgeryhesays.Wedon’’tcallthosedeathshomicidesbecausethedoctorsdidn’’tintendtokilltheirpatientsalthoughtheyriskedtheirdeath.Ifyou’’reaphysicianyoucanriskyourpatients’’suicideaslongasyoudon’’tintendtheirsuicide. Onanotherlevelmanyinthemedicalcommunityacknowledgethattheassisted-suicidedebatehasbeenfueledinpartbythedespairofpatientsforwhommodernmedicinehasprolongedthephysicalagonyofdying. JustthreeweeksbeforetheCourt’’srulingonphysician-assistedsuicidetheNationalAcademyofScienceNASreleasedatwo-volumereportApproachingDeath:ImprovingCareattheEndofLife.Itidentifiestheundertreatmentofpainandtheaggressiveuseofineffectualandforcedmedicalproceduresthatmayprolongandevendishonortheperiodofdyingasthetwinproblemsofend-of-lifecare. TheprofessionistakingstepstorequireyoungdoctorstotraininhospicestotestknowledgeofaggressivepainmanagementtherapiestodevelopaMedicarebillingcodeforhospital-basedcareandtodevelopnewstandardsforassessingandtreatingpainattheendoflife. Annassayslawyerscanplayakeyroleininsistingthatthesewell-meaningmedicalinitiativestranslateintobettercare.Largenumbersofphysiciansseemunconcernedwiththepaintheirpatientsareneedlesslyandpredictablysufferingtotheextentthatitconstitutessystematicpatientabuse.Hesaysmedicallicensingboardsmustmakeitclear..thatpainfuldeathsarepresumptivelyonesthatareincompetentlymanagedandshouldresultinlicensesuspension. Fromthefirstthreeparagraphswelearnthat
ItisnoteasytotalkabouttheroleofthemassmediainthisoverwhelminglysignificantphaseinEuropeanhistory.Historyandnewsbecomeconfusedandone’’simpressionstendtobeamixtureofskepticismandoptimism.46Televisionisoneofthemeansbywhichthesefeelingsarecreatedandconveyed--andperhapsneverbeforehasitservedsomuchtoconnectdifferentpeoplesandnationsasintherecenteventsinEurope.TheEuropethatisnowformingcannotbeanythingotherthanitspeoplestheirculturesandnationalidentifies.WiththisinmindwecanbegintoanalyzetheEuropeantelevisionscene.47InEurope.aselsewheremulti-mediagroupshavebeenincreasinglysuccessful:groupswhichbringtogethertelevisionradionewspapersmagazinesandpublishinghousesthatworkinrelationtooneanother.OneItalianexamplewouldbetheBerlusconigroupwhileabroadMaxwellandMurdochcometomind. Clearlyonlythebiggestandmostflexibletelevisioncompaniesaregoingtobeabletocompeteinsucharichandhotly-contestedmarket.48Thisalonedemonstratesthatthetelevisionbusinessisnotaneasyworldtosurvivein.afactunderlinedbystatisticsthatshowthatoutofeightyEuropeantelevisionnetworksnolessthan50%tookalossin1989. MoreovertheintegrationoftheEuropeancommunitywillobligetelevisioncompaniestocooperatemorecloselyintermsofbothproductionanddistribution. 49CreatingaEuropeanidentitythatrespectsthedifferentculturesandtraditionswhichgotomakeuptheconnectingfabricoftheOldContinentisnoeasytaskanddemandsastrategicchoice―thatofproducingprogramsinEuropeforEurope.ThisentailsreducingourdependenceontheNorthAmericanmarketwhoseprogramsrelatetoexperiencesandculturaltraditionswhicharedifferentfromourown Inordertoachievetheseobjectiveswemustconcentratemoreonco-productionstheexchangeofnewsdocumentaryservicesandtraining.ThisalsoinvolvestheagreementsbetweenEuropeancountriesforthecreationofaEuropeanbankforTelevisionProductionwhichonthemodeloftheEuropeanInvestmentsBankwillhandlethefinancesnecessaryforproductioncosts.50Indealingwithachallengeonsuchascaleitisnoexaggerationtosay.Unitedwestanddividedwefall―andifIhadtochooseasloganitwouldbeUnityinourdiversityAunityofobjectivesthatnonethelessrespectthevariedpeculiaritiesofeachcountry. ItisnoteasytotalkabouttheroleofthemassmediainthisoverwhelminglysignificantphaseinEuropeanhistory.Historyandnewsbecomeconfusedandone’’simpressionstendtobeamixtureofskepticismandoptimism.46Televisionisoneofthemeansbywhichthesefeelingsarecreatedandconveyed--andperhapsneverbeforehasitservedsomuchtoconnectdifferentpeoplesandnationsasintherecenteventsinEurope.TheEuropethatisnowformingcannotbeanythingotherthanitspeoplestheirculturesandnationalidentifies.WiththisinmindwecanbegintoanalyzetheEuropeantelevisionscene.47InEurope.aselsewheremulti-mediagroupshavebeenincreasinglysuccessful:groupswhichbringtogethertelevisionradionewspapersmagazinesandpublishinghousesthatworkinrelationtooneanother.OneItalianexamplewouldbetheBerlusconigroupwhileabroadMaxwellandMurdochcometomind. Clearlyonlythebiggestandmostflexibletelevisioncompaniesaregoingtobeabletocompeteinsucharichandhotly-contestedmarket.48Thisalonedemonstratesthatthetelevisionbusinessisnotaneasyworldtosurvivein.afactunderlinedbystatisticsthatshowthatoutofeightyEuropeantelevisionnetworksnolessthan50%tookalossin1989. MoreovertheintegrationoftheEuropeancommunitywillobligetelevisioncompaniestocooperatemorecloselyintermsofbothproductionanddistribution. 49CreatingaEuropeanidentitythatrespectsthedifferentculturesandtraditionswhichgotomakeuptheconnectingfabricoftheOldContinentisnoeasytaskanddemandsastrategicchoice―thatofproducingprogramsinEuropeforEurope.ThisentailsreducingourdependenceontheNorthAmericanmarketwhoseprogramsrelatetoexperiencesandculturaltraditionswhicharedifferentfromourown Inordertoachievetheseobjectiveswemustconcentratemoreonco-productionstheexchangeofnewsdocumentaryservicesandtraining.ThisalsoinvolvestheagreementsbetweenEuropeancountriesforthecreationofaEuropeanbankforTelevisionProductionwhichonthemodeloftheEuropeanInvestmentsBankwillhandlethefinancesnecessaryforproductioncosts.50Indealingwithachallengeonsuchascaleitisnoexaggerationtosay.Unitedwestanddividedwefall―andifIhadtochooseasloganitwouldbeUnityinourdiversityAunityofobjectivesthatnonethelessrespectthevariedpeculiaritiesofeachcountry.
Newsreportsoftenfocusondisputesamongscientistsoverthevalidityofpreliminaryuntesteddatahypothesesandmodelswhichbydefinitionaretentative.Thisaspectofscience-1becauseithasnotbeenwidely2andaccepted-iscalledfrontierscience.Themedia3tofocusonfrontiersciencebecauseitsso-calledbreakthroughsmakegoodnewsstories.Justbecausesomethingisinthe4offrontierscience5doesnotmeanthatitisn’’tworthyofseriousconsideration;6suchmattersneedfurtherstudytodeterminetheir7. 8contrastconsensusscienceconsistsofdatamodelstheoriesandlawsthatarewidelyaccepted.Thisaspectofscienceisveryreliablebutis9considerednewsworthy.Thetroubleisthatthewordscienceisusedto10bothfrontierandconsensussciencewithout11Themediapreference12frontiersciencegivesthepublicthe13impressionthatfrontierscience14verycertainconclusionswhichmayormaynotbecorrect. However15somefrontierscienceislatershowntobeunreliablemembersofthepublicoftenfalsely16thatconsensusscienceisalsoquiteuncertain.Weneedtotakebothfrontierandconsensusscience17butrecognizetheirdifferences.Onewaytofindoutwhatscientistsgenerallyagree18istoseekoutreportsbyscientificbodiesthatattemptto19consensusin20areasofscienceandtechnology.
Newsreportsoftenfocusondisputesamongscientistsoverthevalidityofpreliminaryuntesteddatahypothesesandmodelswhichbydefinitionaretentative.Thisaspectofscience-1becauseithasnotbeenwidely2andaccepted-iscalledfrontierscience.Themedia3tofocusonfrontiersciencebecauseitsso-calledbreakthroughsmakegoodnewsstories.Justbecausesomethingisinthe4offrontierscience5doesnotmeanthatitisn’’tworthyofseriousconsideration;6suchmattersneedfurtherstudytodeterminetheir7. 8contrastconsensusscienceconsistsofdatamodelstheoriesandlawsthatarewidelyaccepted.Thisaspectofscienceisveryreliablebutis9considerednewsworthy.Thetroubleisthatthewordscienceisusedto10bothfrontierandconsensussciencewithout11Themediapreference12frontiersciencegivesthepublicthe13impressionthatfrontierscience14verycertainconclusionswhichmayormaynotbecorrect. However15somefrontierscienceislatershowntobeunreliablemembersofthepublicoftenfalsely16thatconsensusscienceisalsoquiteuncertain.Weneedtotakebothfrontierandconsensusscience17butrecognizetheirdifferences.Onewaytofindoutwhatscientistsgenerallyagree18istoseekoutreportsbyscientificbodiesthatattemptto19consensusin20areasofscienceandtechnology.
Inthelasthalfofthenineteenthcenturycapitalandlabourwereenlargingandperfectingtheirrivalorganizationsonmodemlines.Manyanoldfirmwasreplacedbyalimitedliabilitycompanywithabureaucracyofsalariedmanagers.Thechangemetthetechnicalrequirementsofthenewagebyengagingalargeprofessionalelementandpreventedthedeclineinefficiencythatsocommonlyspoiledthefortunesoffamilyfirmsinthesecondandthirdgenerationaftertheenergeticfounders.Itwasmoreoverastepawayfromindividualinitiativetowardscollectivismandmunicipalandstate-ownedbusiness.Therailwaycompaniesthoughstillprivatebusinessmanagedforthebenefitofshareholderswereveryunlikeoldfamilybusiness.Atthesametimethegreatmunicipalitieswentintobusinesstosupplylightingtramsandotherservicestothetaxpayers. Thegrowthofthelimitedliabilitycompanyandmunicipalbusinesshadimportantconsequences.Suchlargeimpersonalmanipulationofcapitalandindustrygreatlyincreasedthenumbersandimportanceofshareholdersasaclassanelementinnationalliferepresentingirresponsiblewealthdetachedfromthelandandthedutiesofthelandowners;andalmostequallydetachedfromtheresponsiblemanagementofbusiness.AllthroughthenineteenthcenturyAmericaAfricaIndiaAustraliaandpartsofEuropewerebeingdevelopedbyBritishcapitalandBritishshareholderswerethusenrichedbytheworld’’smovementtowardsindustrialisation.TownslikeBournemouthandEastbournespranguptohouselargecomfortableclasseswhohadretiredontheirincomesandwhohadnorelationtotherestofthecommunityexceptthatofdrawingdividendsandoccasionallyattendingashareholders’’meetingtodictatetheirorderstothemanagement.OntheotherhandshareholdingmeantleisureandfreedomwhichwasusedbymanyofthelaterVictoriansforthehighestpurposeofagreatcivilization. Theshareholdersassuchhadnoknowledgeofthelivesthoughtsorneedsoftheworkmenemployedbythecompanyinwhichheheldsharesandhisinfluenceontherelationsofcapitalandlabourwasnotgood.Thepaidmanageractingforthecompanywasinmoredirectrelationwiththemenandtheirdemandsbutevenhehadseldomthatfamiliarpersonalknowledgeoftheworkmenwhichtheemployerhadoftenhadunderthemorepatriarchalsystemoftheoldfamilybusinessnowpassingaway.Indeedthemeresizeofoperationsandthenumbersofworkmeninvolvedrenderedsuchpersonalrelationsimpossible.Fortunatelyhowevertheincreasingpowerandorganizationofthetradeunionsatleastinallskilledtradesenabledtheworkmentomeetonequaltermsthemanagersofthecompanieswhoemployedthem.Thecrueldisciplineofthestrikeandlockouttaughtthetwopartiestorespecteachother’’sstrengthandunderstandthevalueoffairnegotiation. AccordingtothepassageallofthefollowingaretrueEXCEPTthat_________________.
Newsreportsoftenfocusondisputesamongscientistsoverthevalidityofpreliminaryuntesteddatahypothesesandmodelswhichbydefinitionaretentative.Thisaspectofscience-1becauseithasnotbeenwidely2andaccepted-iscalledfrontierscience.Themedia3tofocusonfrontiersciencebecauseitsso-calledbreakthroughsmakegoodnewsstories.Justbecausesomethingisinthe4offrontierscience5doesnotmeanthatitisn’’tworthyofseriousconsideration;6suchmattersneedfurtherstudytodeterminetheir7. 8contrastconsensusscienceconsistsofdatamodelstheoriesandlawsthatarewidelyaccepted.Thisaspectofscienceisveryreliablebutis9considerednewsworthy.Thetroubleisthatthewordscienceisusedto10bothfrontierandconsensussciencewithout11Themediapreference12frontiersciencegivesthepublicthe13impressionthatfrontierscience14verycertainconclusionswhichmayormaynotbecorrect. However15somefrontierscienceislatershowntobeunreliablemembersofthepublicoftenfalsely16thatconsensusscienceisalsoquiteuncertain.Weneedtotakebothfrontierandconsensusscience17butrecognizetheirdifferences.Onewaytofindoutwhatscientistsgenerallyagree18istoseekoutreportsbyscientificbodiesthatattemptto19consensusin20areasofscienceandtechnology.
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______.
Technicallyanysubstanceotherthanfoodthataltersourbodilyormentalfunctioningisadrug.Manypeoplemistakenlybelievethetermdrugrefersonlytosomesortofmedicineoranillegalchemicaltakenbydrugaddicts.Theydon’’trealizethatfamiliarsubstancessuchasalcoholandtobaccoarealsodrugs.Thisiswhythemoreneutraltermsubstanceisnowusedbymanyphysiciansandpsychologists.Thephrasesubstanceabuseisoftenusedinsteadofdrugabusetomakeclearthatsubstancessuchasalcoholandtobaccocanbejustasharmfullymisusedasheroinandcocaine. Weliveinasocietyinwhichthemedicinalandsocialuseofsubstancesdrugsispervasive:anaspirintoquietaheadachesomewinetobesociablecoffeetogetgoinginthemorningacigaretteforthenerves.WhendothesesociallyacceptableandapparentlyconstructiveusesofasubstancebecomemisusesFirstofallmostsubstancestakeninexcesswillproducenegativeeffectssuchaspoisoningorintenseperceptualdistortions.Repeateduseofasubstancecanalsoleadtophysicaladdictionorsubstancedependence.Dependenceismarkedfirstbyanincreasedtolerancewithmoreandmoreofthesubstancerequiredtoproducethedesiredeffectandthenbytheappearanceofunpleasantwithdrawalsymptomswhenthesubstanceisdiscontinued. Drugssubstancesthataffectthecentralnervoussystemandalterperceptionmoodandbehaviorareknownaspsychoactivesubstances.Psychoactivesubstancesarecommonlygroupedaccordingtowhethertheyarestimulantsdepressantsorhallucinogens.Stimulantsinitiallyspeeduporactivatethecentralnervoussystemwhereasdepressantsslowitdown.Hallucinogenshavetheirprimaryeffectonperceptiondistortingandalteringitinavarietyofwaysincludingproducinghallucinations.ThesearethesubstancesoftencalledpsychedelicfromtheGreekwordmeaningmind-manifestingbecausetheyseemedtoradicallyalterone’’sstateofconsciousness. Physicaldependenceoncertainsubstancesresultsfrom___________.
TheSupremeCourt’’sdecisionsonphysician-assistedsuicidecarryimportantimplicationsforhowmedicineseekstorelievedyingpatientsofpainandsuffering. Althoughitruledthatthereisnoconstitutionalrighttophysician-assistedsuicidetheCourtineffectsupportedthemedicalprincipleofdoubleeffectacenturies-oldmoralprincipleholdingthatanactionhavingtwoeffects―agoodonethatisintendedandaharmfulonethatisforeseen―ispermissibleiftheactorintendsonlythegoodeffect. Doctorshaveusedthatprincipleinrecentyearstojustifyusinghighdosesofmorphinetocontrolterminallyiiipatients’’paineventhoughincreasingdosageswilleventuallykillthepatient. NancyDublerdirectorofMontefioreMedicalCentercontendsthattheprinciplewillshielddoctorswhountilnowhaveveryverystronglyinsistedthattheycouldnotgivepatientssufficientmedicationtocontroltheirpainifthatmighthastendeath. GeorgeAnnaschairofthehealthlawdepartmentatBostonUniversitymaintainsthataslongasadoctorprescribesadrugforalegitimatemedicalpurposethedoctorhasdonenothingillegalevenifthepatientusesthedrugtohastendeath.It’’slikesurgeryhesays.Wedon’’tcallthosedeathshomicidesbecausethedoctorsdidn’’tintendtokilltheirpatientsalthoughtheyriskedtheirdeath.Ifyou’’reaphysicianyoucanriskyourpatients’’suicideaslongasyoudon’’tintendtheirsuicide. Onanotherlevelmanyinthemedicalcommunityacknowledgethattheassisted-suicidedebatehasbeenfueledinpartbythedespairofpatientsforwhommodernmedicinehasprolongedthephysicalagonyofdying. JustthreeweeksbeforetheCourt’’srulingonphysician-assistedsuicidetheNationalAcademyofScienceNASreleasedatwo-volumereportApproachingDeath:ImprovingCareattheEndofLife.Itidentifiestheundertreatmentofpainandtheaggressiveuseofineffectualandforcedmedicalproceduresthatmayprolongandevendishonortheperiodofdyingasthetwinproblemsofend-of-lifecare. TheprofessionistakingstepstorequireyoungdoctorstotraininhospicestotestknowledgeofaggressivepainmanagementtherapiestodevelopaMedicarebillingcodeforhospital-basedcareandtodevelopnewstandardsforassessingandtreatingpainattheendoflife. Annassayslawyerscanplayakeyroleininsistingthatthesewell-meaningmedicalinitiativestranslateintobettercare.Largenumbersofphysiciansseemunconcernedwiththepaintheirpatientsareneedlesslyandpredictablysufferingtotheextentthatitconstitutessystematicpatientabuse.Hesaysmedicallicensingboardsmustmakeitclear..thatpainfuldeathsarepresumptivelyonesthatareincompetentlymanagedandshouldresultinlicensesuspension. GeorgeAnnaswouldprobablyagreethatdoctorsshouldbepunishedifthey
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