Most unintentional shootings of children happen in homes where guns are legally owned, but not stored safely, and 70 percent of them could have been prevented if the gun had been stored safely. In its call last year to consider gun violence "a public health imperative," the American Academy of Pediatrics noted that among people younger than 24 "Gun injuries cause twice as many deaths as cancer, five times as many deaths as heart disease, and 15 times as many deaths as infections. The United States has the highest rate of firearm-related deaths among high-income countries."
    This is precisely where the health-care system can play a role in curbing gun deaths. Research shows that counseling by doctors can help promote safe gun storage—which is why most medical groups recommend that doctors ask patients whether they have guns, and if so, how they're stored.
    A new survey of 3,914 Americans, published in the Annals of Internal Medicine, found that two-thirds said it was at least sometimes appropriate for providers to have this kind of discussion with patients. Among firearm owners, about half said these conversations were sometimes appropriate.
    Despite the seeming openness on the part of patients, few doctors counsel people about gun safety. Their own apprehension and a confusing legal landscape keep them from asking patients about guns just like they would about seat-belts, poison control, or nutrition.
    Asking about guns seems to make some doctors uncomfortable. Most doctors don't own guns themselves, and laws like those in Florida and elsewhere may prompt fears that they're doing something illegal. (For example, the Affordable Care Act prohibits medical professionals from recording information about the presence of firearms in a patient's home, as the Trace's Kate Masters points out, but not from asking about firearm ownership).
    Patient resistance might be a factor, too: In the Annals of Internal Medicine study, a third of people said it was "never appropriate" for doctors to ask about guns. Doctors, already short on face time, might worry about needlessly offending their patients.
    "At times, clinicians may feel uncomfortable or uninformed when discussing certain subjects, and may disagree with a patient's choices or beliefs," they write. "However, this discomfort or disagreement cannot justify either offensive condescension or silent inaction."  It can be inferred from the first paragraph that ______.
 
【正确答案】 D
【答案解析】 事实细节题。根据定位词可以定位在第一段。第一段最后一句“在高收入国家中,美国的枪支相关死亡人数比率是最高的”,即原文the highest rate of firearm-related deaths被替换成了D项中的most gun-related deaths; high-income countries被替换成了developed countries,所以选D项。
   根据第一段第一句,儿童是受到枪击意外事件的受害者,并没有说孩子持有枪支是不合法的事情,所以A项理解错误;第一段第二句指出“去年呼吁将枪支暴力纳入‘公共卫生的必要考虑事件’”,但这并不是说引起公众关注,而是说动用公共卫生组织来控制枪支事件,所以B项也理解错误;第一段倒数第二句的确有说到枪支导致的伤害和死亡数比很多致命疾病还要多,但该数据的前提是24岁以下的年轻人。所以C项也不正确。