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(1) Interpret the following pictures. (2) Predict the tendency of tobacco consumption and give ...
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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.
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______.
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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
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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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