单选题
On 26 March, the Italian Senate approved a bill that
would give physicians in the country the right to {{U}}override{{/U}} the living
wills of people who are in a persistent vegetative state, and to try to keep the
patients alive through artificial nutrition. The measure has
caused intense controversy. Many countries have laws, or established codes of
medical practice, that protect the expressed wishes of an individual to decline
treatment if they become severely incapacitated and incapable of communicating.
In most US states, for example, a doctor must negotiate with relatives via an
ethics committee if he or she believes that a patient incapacitated in this way
could benefit from additional treatment. The Italian bill, however, explicitly
allows physicians to overrule such living wills. It also declares that
artificial nutrition is not a clinical intervention. Curiously,
the proposed law applies only to patients in the type of prolonged, deep coma
known as a persistent vegetative state, and not to those with other, similarly
incapacitating illnesses. This is because the bill has been prompted by the
recent and much-publicized death of Eluana Englaro, who spent 17 years in a
vegetative state after a car accident at the age of 21. Her father, argtfing
that his daughter had voiced a desire to be allowed to die if incapacitated, had
pressed her reluctant doctors to cease artificial feeding. He eventually took
legal action, winning in one court after the next in fighting off all the
doctors' appeals. In February, he finally had her moved to a hospital that was
prepared to remove the feeding tube. Prime Minister Silvio Berlusconi issued an
emergency decree to block the process, but the Italian president refused to sign
it. The constitutional crisis was averted when Englaro died on 9
February. Surveys have indicated that a large majority of
Italians do not support the idea that living wills could be ignored But most
relevant scientific societies have been quiet. The Federation of Italian
Physicians published only a mild statement, after the Senate vote, suggesting
that it should have been consulted. As tragic as Englaro's
situation was, media-fuelled emotion is not a good basis for lawmaking. The
Italian constitution says that no one can be forced to undergo medical treatment
without his or her approval. The Italian parliament must now ensure that the
bill is imbued with a suitable level of scientific and legal sophistication, and
that it meets this constitutional provision. Discussion needs to embrace the
requested wider consultation with the medical community and provisions should be
made for care-givers' conscientious objection. But a physician whose conscience
precludes his or her personally removing a feeding tube should not have the last
say in the life or death of a patient whose wishes are clearly stated.
单选题
The word "override" (Line 2, Paragraph 1) most probably means
A. protect.
B. scorn.
C. ignore.
D. respect.
【正确答案】
C
【答案解析】
单选题
In Paragraph 2, US states are cited as an example to show that
A. the expressed wishes of an individual are protected by laws or codes of
medical practice.
B. a doctor must discuss with relatives of the patient when providing
additional treatment.
C. a doctor has the right to let the patient who declines treatment continue
to be treated medically.
D. intense controversy about the living will of the patient has been
caused.
【正确答案】
A
【答案解析】
单选题
It can be inferred from the third paragraph that
A. Eluana Englaro died because a hospital removed her feeding tube.
B. the bill could be applied to patients with all kinds of incapacitating
illnesses.
C. the Senate passed the bill in honor of Eluana Englaro.
D. the bill could be applied to patients suffering deep coma.
【正确答案】
D
【答案解析】
单选题
A physician does not have the right to decide the life or death of a
patient if
A. there is no suitable level of scientific and legal sophistication.
B. the patient expresses his own living will in a clear way.
C. the physician does not have clear conscience.
D. there is no wider consultation with the medical community.
【正确答案】
B
【答案解析】
单选题
Which of the following is the best title for this text?