阅读理解The Supreme Court'' s decisions on physician-assisted suicide carry important implications for how medicine seeks to relieve dying patients of pain and suffering.
Although it ruled that there is no constitutional right to physician-assisted suicide, the Court in effect supported the medical principle of "double effect," a centuries-old moral principle holding that an action having two effects―a good one that is intended and a harmful one that is foreseen―is permissible if the actor intends only the good effect.
Doctors have used that principle in recent years to justify using high doses of morphine to control terminally iii patients'' pain, even though increasing dosages will eventually kill the patient.
Nancy Dubler, director of Montefiore Medical Center, contends that the principle will shield doctors who" until now have very, very strongly insisted that they could not give patients sufficient medication to control their pain if that might hasten death."
George Annas, chair of the health law department at Boston University, maintains that, as long as a doctor prescribes a drug for a legitimate medical purpose, the doctor has done nothing illegal even if the patient uses the drug to hasten death. "It''s like surgery," he says." We don''t call those deaths homicides because the doctors didn''t intend to kill their patients, although they risked their death. If you''re a physician, you can risk your patients'' suicide as long as you don''t intend their suicide."
On another level, many in the medical community acknowledge that the assisted-suicide debate has been fueled in part by the despair of patients for whom modern medicine has prolonged the physical agony of dying.
Just three weeks before the Court''s ruling on physician-assisted suicide, the National Academy of Science (NAS) released a two-volume report, Approaching Death: Improving Care at the End of Life. It identifies the undertreatment of pain and the aggressive use of" ineffectual and forced medical procedures that may prolong and even dishonor the period of dying" as the twin problems of end-of-life care.
The profession is taking steps to require young doctors to train in hospices, to test knowledge of aggressive pain management therapies, to develop a Medicare billing code for hospital-based care, and to develop new standards for assessing and treating pain at the end of life.
Annas says lawyers can play a key role in insisting that these well-meaning medical initiatives translate into better care." Large numbers of physicians seem unconcerned with the pain their patients are needlessly and predictably suffering," to the extent that it constitutes" systematic patient abuse." He says medical licensing boards" must make it clear.., that painful deaths are presumptively ones that are incompetently managed and should result in license suspension."
阅读理解There are two basic ways to see growth: one as a product, the other as a process. People have generally viewed personal growth as an external result or product that can easily be identified and measured. The worker who gets a promotion, the student whose grades improve, the foreigner who learns a new language―all these are examples of people who have measurable results to show for their efforts.
By contrast, the process of personal growth is much more difficult to determine, since by definition it is a journey and not the specific signposts or landmarks along the way. The process is not the road itself, but rather the attitudes and feelings people have, their caution or courage, as they encounter new experiences and unexpected obstacles. In this process, the journey never really ends; there are always new ways to experience the world, new ideas to try, new challenges to accept.
In order to grow, to travel new roads ,people need to have a willingness to take risks, to confront the unknown, and to accept the possibility that they may "fail" at first. How we see ourselves as we try a new way of being is essential to our ability to grow. Do we perceive ourselves as quick and curious? If so, then we tend to take more chances and to be more open to unfamiliar experiences. Do we think we''re shy and indecisive? Then our sense of timidity can cause us to hesitate, to move slowly ,and not to take a step until we know the ground is safe. Do we think we''re slow to adapt to change or that we''re not smart enough to cope with a new challenge? Then we are likely to take a more passive role or not try at all.
These feelings of insecurity and self-doubt are both unavoidable and necessary if we are to change and grow. If we do not confront and overcome these internal fears and doubts, if we protect ourselves too much, then we cease to grow. We become trapped inside a shell of our own making.
阅读理解 This spring I was on a panel at the Woodstock Writers Festival. An audience asked a question: Why had the revolution dreamed up in the late 1960s mostly been won on the social and cultural fronts—women's rights, gay rights, black president, ecology, sex, drugs, rock and roll—but lost in the economic realm, with old-school free-market ideas gaining traction all the time? There was a long pause. People shrugged and sighed. I had an epiphany, which I offered, disappointing everybody in the room. What has happened politically, economically, culturally and socially since the sea change of the late 1960s isn't contradictory or disharmonious. It's all of a piece. For hippies and bohemians as for businesspeople and investors, extreme individualism has been triumphant. Selfishness won. From the beginning, the American idea embodied a tension between radical individualism and the demands of the commonweal. The document we're celebrating today says in its second line that axiomatic human rights include 'Life, Liberty and the pursuit of Happiness'—individualism in a nutshell. But the Declaration's author was not a greed-is-good guy: 'Self-love,' Jefferson wrote to a friend 38 years after the Declaration, 'is no part of morality. Indeed it is exactly its counterpart.' Periodically Americans have gone overboard indulging our propensities to self-gratification—during the 1840s, during the Gilded Age, and again in the Roaring Twenties. Yet each time, thanks to economic crises and reassertions of moral disapproval, a rough equilibrium between individualism and the civic good was restored. During the two decades after World War II, pressures of bourgeois social norms were powerful. To dress or speak or live life in unorthodox, extravagantly individualist ways required real gumption. Sex outside marriage was shameful, beards and divorce were outré—but so were boasting of one's wealth and blaming unfortunates for their hard luck. But then came the late 1960s, and over the next two decades American individualism was fully unleashed. Going forward, the youthful masses of every age would be permitted as never before to indulge their self-expressive and hedonistic impulses. 'Do your own thing' is not so different than 'every man for himself.' If it feels good, do it, whether that means smoking weed and watching porn and never wearing a necktie, retiring at 50 with a six-figure public pension and refusing modest gun regulation, or moving your factories overseas and letting commercial banks become financial speculators. Thanks to the 1960s, we are all shamelessly selfish. In that letter from 1814, Jefferson wrote that our tendencies toward selfishness where liberty and our pursuit of happiness lead us require 'correctives which are supplied by education' and by 'the moralist, the preacher, and legislator.' On this Independence Day, I'm doing my small preacherly bit.
阅读理解An invisible border divides those arguing for computers in the classroom on the behalf of students'' career prospects and those arguing for computers in the classroom for broader reasons of radical educational reform. Very few writers on the subject have explored this distinction--indeed, contradiction--which goes to the heart of what is wrong with the campaign to put computers in the classroom.
An education that aims at getting a student a certain kind of job is a technical education. Justified for reasons radically different from why education is universally required by law. It is not simply to raise everyone''s job prospects that all children are legally required to attend school into their teens. Rather,we have a certain conception of the American citizen, a character who is incomplete if he cannot competently assess how his livelihood and happiness are affected by things outside of himself. But this was not always the case, before it was legally required for all children to attend school until a certain age, it was widely accepted that some were just not equipped by nature to pursue this kind of education. With optimism characteristic of all industrialized countries, we came to accept that everyone is fit to be educated. Computer-education advocates forsake this optimistic notion for a pessimism that betrays their otherwise cheery outlook. Banking on the confusion between educational and vocational reasons for bringing computers into schools, computer-education advocates often emphasize the job prospects of graduates over their educational achievement.
There are some good arguments for a technical education given the fight kind of student. Many European schools introduce the concept of professional training early on in order to make sure children are properly equipped for the professions they want to join. It is, however, presumptuous to insist that there will only be so many jobs for so many scientists, so many businessmen, so many accountants. Besides, this is unlikely to produce the needed number of every kind of professional in a country as large as ours and where the economy is spread over so many states and involves so many international corporations.
But, for a small group of students, professional training might be the way to go since well- developed skills, all other factors being equal, can be the difference between having a job and not. Of course,the basics of using any computer these days are very simple. It does not take a lifelong acquaintance to pick up various software programs. If one wanted to become a computer engineer, that is, of course, and entirely different story. Basic computer skills take--at the very longest--a couple of months to learn. In any case, basic computer skills are only complementary to the host of real skillsthat are necessary to becoming any kind of professional. It should be observed, of course, that no school, vocational or not, is helped by a confusion over its purpose.
阅读理解Text 2
Over the past decade, thousands of patents have been granted for what are called business methods. Amazon.com received one for its “one-click” online payment system. Merrill Lynch got legal protection for an asset allocation strategy. One inventor patented a technique for lifting a box.
Now the nation’s top patent court appears completely ready to scale back on business-method patents, which have been controversial ever since they were first authorized 10 years ago. In a move that has intellectual-property lawyers abuzz the U.S. court of Appeals for the federal circuit said it would use a particular case to conduct a broad review of business-method patents. In re Bilski , as the case is known , is “a very big deal”, says Dennis’D. Crouch of the University of Missouri School of law. It “has the potential to eliminate an entire class of patents.”
Curbs on business-method claims would be a dramatic about-face, because it was the federal circuit itself that introduced such patents with is 1998 decision in the so-called state Street Bank case, approving a patent on a way of pooling mutual-fund assets. That ruling produced an explosion in business-method patent filings, initially by emerging internet companies trying to stake out exclusive pinhts to specific types of online transactions. Later, move established companies raced to add such patents to their files, if only as a defensive move against rivals that might beat them to the punch. In 2005, IBM noted in a court filing that it had been issued more than 300 business-method patents despite the fact that it questioned the legal basis for granting them. Similarly, some Wall Street investment films armed themselves with patents for financial products, even as they took positions in court cases opposing the practice.
The Bilski case involves a claimed patent on a method for hedging risk in the energy market. The Federal circuit issued an unusual order stating that the case would be heard by all 12 of the court’s judges, rather than a typical panel of three, and that one issue it wants to evaluate is whether it should” reconsider” its state street Bank ruling.
The Federal Circuit’s action comes in the wake of a series of recent decisions by the supreme Count that has narrowed the scope of protections for patent holders. Last April, for example the justices signaled that too many patents were being upheld for “inventions” that are obvious. The judges on the Federal circuit are “reacting to the anti_ patent trend at the supreme court” ,says Harole C.wegner, a partend attorney and professor at aeorge Washington University Law School.
阅读理解John Donahue’s attitude towards the public-sector system is one of
阅读理解The author believed that the new awards are
阅读理解 Gene therapy and gene based drugs are two ways we could benefit from our growing mastery of genetic science. But there will be others as well. Here is one of the remarkable therapies on the cutting edge of genetic research that could make their way into mainstream medicine in the coming years. While it's true that just about every cell in the body has the instructions to make a complete human, most of those instructions are inactivated, and with good reason: the last thing you want for your brain cells is to start churning out stomach acid or your nose to turn into a kidney. The only time cells truly have the potential to turn into any and all body parts is very early in a pregnancy, when so called stem cells haven't begun to specialize. Yet this untapped potential could be a terrific boon to medicine. Most diseases involve the death of healthy cells—brain cells in Alzheimer's, cardiac cells in heart disease, pancreatic cells in diabetes, to name a few; if doctors could isolate stem cells, then direct their growth, they might be able to furnish patients with healthy replacement tissue. It was incredibly difficult, but last fall scientists at the University of Wisconsin managed to isolate stem cells and get them to grow into neural, gut, muscle and bone cells. The process still can't be controlled, and may have unforeseen limitations; but if efforts to understand and master stem cell development prove successful, doctors will have a therapeutic tool of incredible power. The same applies to cloning, which is really just the other side of the coin. True cloning, as first shown with the sheep Dolly two years ago, involves taking a developed cell and reactivating the genome within, resetting its developmental instructions to a pristine state. Once that happens, the rejuvenated cell can develop into a full-fledged animal, genetically identical to its parent. For agriculture, in which purely physical characteristics like milk production in a cow or low fat in a hog have real market value, biological carbon copies could become routine within a few years. This past year scientists have done for mice and cows what Ian Wilmut did for Dolly, and other creatures are bound to join the cloned menagerie in the coming year. Human cloning, on the other hand, may be technically feasible but legally and emotionally more difficult. Still, one day it will happen. The ability to reset body cells to a pristine, undeveloped state could give doctors exactly the same advantages they would get from stem cells: the potential to make healthy body tissues of all sorts, and thus to cure disease. That could prove to be a true 'miracle cure'.
阅读理解 Imagine a world where your doctor could help you avoid sickness, using knowledge of your genes as well as how you live your life. Or where he would prescribe drugs he knew would work and not have debilitating side-effects. Such a future is arriving faster than most realise: genetic tests are already widely used to identify patients who will be helped or harmed by certain drugs. And three years ago, in the face of a torrent of new scientific data, a number of new companies set themselves up to interpret this information for customers. Through shop fronts on the internet, anyone could order a testing kit, spit into a tube and send off their DNA—with results downloaded privately at home. Already customers can find out their response to many common medications, such as antivirals and blood-thinning agents. They can also explore their genetic likelihood of developing deep-vein thrombosis, skin cancer or glaucoma. The industry has been subject to conflicting criticisms. On the one hand, it stands accused of offering information too dangerous to trust to consumers; on the other it is charged with peddling irrelevant, misleading nonsense. For some rare disorders, such as Huntington's and Tay-Sachs, genetic information is a diagnosis. But most diseases are more complicated and involve several genes, or an environmental component, or both. Someone's chance of getting skin cancer, for example, will depend on whether he worships the sun as well as on his genes. America's Government Accountability Office (GAO) report also revealed what the industry has openly admitted for years: that results of disease-prediction tests from different companies sometimes conflict with one another, because there is no industry-wide agreement on standard lifetime risks. Governments hate this sort of anarchy and America's, in particular, is considering regulation. But three things argue against wholesale regulation. First, the level of interference needs to be based on the level of risk a test represents. The government does not need to be involved if someone decides to trace his ancestry or discover what type of earwax he has. Second, the laws on fraud should be sufficient to deal with the snake-oil salesmen who promise to predict, say, whether a child might be a sporting champion. And third, science is changing very fast. Fairly soon, a customer's whole genome will be sequenced, not merely the parts thought to be medically relevant that the testing companies now concentrate on, and he will then be able to crank the results through open-source interpretation software downloadable from anywhere on the planet. That will create problems, but the only way to stop that happening would be to make it illegal for someone to have his genome sequenced— and nobody is seriously suggesting that illiberal restriction. Instead, then, of reacting in a hostile fashion to the trend for people to take genetic tests, governments should be asking themselves how they can make best use of this new source of information. Restricting access to tests that inform people about bad reactions to drugs could do harm. The real question is not who controls access, but how to minimise the risks and maximise the rewards of a useful revolution.
阅读理解If you intend using humor in your talk to make people smile, you must know how to identify shared experiences and problems. Your humor must be relevant to the audience and should help to show them that you are one of them or that you understand their situation and are in sympathy with their point of view. Depending on whom you are addressing, the problems will be different. If you are talking to a group of managers, you may refer to the disorganized methods of their secretaries; alternatively if you are addressing secretaries, you may want to comment on their disorganized bosses.
Here is an example, which I heard at a nurses'' convention, of a story which works well because the audience all shared the same view of doctors. A man arrives in heaven and is being shown around by St. Peter. He sees wonderful accommodations, beautiful gardens, sunny weather, and so on. Everyone is very peaceful, polite and friendly until, waiting in a line for lunch, the new arrival is suddenly pushed aside by a man in a white coat, who rushes to the head of the line, grabs his food and stomps over to a table by himself. "Who is that?" the new arrival asked St. Peter. "Oh, that''s God,"came the reply,"but sometimes he thinks he''s a doctor."
If you are part of the group which you are addressing, you will be in a position to know the experiences and problems which are common to all of you and it'' 11 be appropriate for you to make a passing remark about the inedible canteen food or the chairman'' s notorious bad taste in ties. With other audiences you mustn'' t attempt to cut in with humor as they will resent an outsider making disparaging remarks about their canteen or their chairman. You will be on safer ground if you stick to scapegoats like the Post Office or the telephone system.
If you feel awkward being humorous, you must practice so that it becomes more natural. Include a few casual and apparently off-the-cuff remarks which you can deliver in a relaxed and unforced manner. Often it'' s the delivery which causes the audience to smile, so speak slowly and remember that a raised eyebrow or an unbelieving look may help to show that you are making a light-hearted remark.
Look for the humor. It often comes from the unexpected. A twist on a familiar quote "If at first you don''t succeed, give up" or a play on words or on a situation.Search for exaggeration and understatements. Look at your talk and pick out a few words or sentences which you can turn about and inject with humor.
阅读理解 Sunday nights in Paris are busy on the northern tip of the Canal Saint-Martin. On either side of the water, two groups form long ordered queues, albeit for different reasons. One queue is for those hoping to buy something to eat from a new gourmet hamburger truck (hour-long waits are normal). The other queue, almost all young North African men, is for those hoping to find a seat on a bus to a homeless shelter on the outskirts of the city. Paris is no stranger to such contrasts. Luxury and penury have always coexisted there in uneasy tension. But now a growing number of homeless are stretching the limits of the city's generosity. Nobody knows how many homeless there are in Paris. Data collection is meagre and infrequent. The last meaningful estimate by INSEE, France's national statistics office, dates from the mid 2000s and pegged the number, including those sleeping rough or in emergency shelters on any given night at around 12,000. Anecdotal evidence suggests that the number is considerably higher today. Despite a big expansion in shelter capacity since 2004, demand still outstrips supply. Calls to an emergency number run by Samusocial de Paris, a government-funded charity that allocates beds in emergency shelters, doubled between 2009 and 2010. 'Our problem is too much bureaucracy and centralisation,' explains Mr. Damon. Dealing with homelessness, he argues, should be the exclusive responsibility of the Paris city council. Instead, at least 12 different government bodies are charged with caring for the homeless in Paris. Overlapping responsibility means duplication. Paris has three separate publicly funded groups that transport homeless people to shelters. Some complain about being woken up over the course of an evening by different homeless services. Philippe Redom, a 56-year-old rough sleeper and former chef, prefers to remain in his niche outside an office block. The shelters are 'too big and there is no privacy'. Yet the most useful fix would be for rough sleepers to go closer to the top of the queue for permanent public housing, as happens in London with good results. The problem is not just that there are not enough houses, but also that the wrong people tend to get them. However welcoming the streets of Paris, the homeless would do better with a roof over their heads.
作文题Directions:
A foreign friend of yours has recently graduated from college and intends to find a job in China
作文题The Student Union of your university has assigned you to inform theinternational students an upcoming singi ng contest
作文题 Directions:
The Student Union of your university has assigned you to inform the international students about an upcoming singing contest. Write a notice in about 100 words.
Write your answer on the ANSWER SHEET.
Do not use your own name in the notice.
作文题Directions:Writeanessayof160-200wordsbasedonthepicturesbelow.Inyouressay,youshould1)describethepicturebriefly,2)interprettheimpliedmeaning,and3)giveyourcomments.WriteyouranswerontheANSWERSHEET.
作文题Directions:
Write an essay of 160-200 words based on the picture below
作文题Directions:
Write an essay of 160-200 words based on the picture below. In your essay, you should:
1) Describe the picture briefly;
2) Interpret the implied meaning, and
3) give your comments.
Write your answer on the ANSWER SHEET.
单选题What does the writer wants to illustrate with "a Muslim attack on Hindus on a train in Gujarat"?
单选题Governments_______
单选题In the first sentence of the second paragraph, the word "skyrocketed" most probably means ______.
