共用题干 第二篇Double EffectThe Supreme Court's decisions on physician-assisted suicide carry important implications for how medi- cine seeks to relieve dying patients of pain and suffering.Although it ruled that there is no constitutional right to physician-ass

题目
共用题干
第二篇

Double Effect

The Supreme Court's decisions on physician-assisted suicide carry important implications for how medi-
cine 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一a good one that is intended and a harmful one that is foreseen一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 termi-
nally ill 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 mediation to con-
trol 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 pa-
tient uses the drug to hasten death."It's like surgery,"he says."We don't call those deaths homicides be-
cause the doctors didn't intend to kill their patients,although they risked their death.If you're a physician,
you can risk your patient's 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 under-treatment 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 li-
censing boards"must make it clear…that painful deaths are presumptively ones that are incompetently man-
aged and should result in license suspension."

Which of the following statements is true according to the text?
A:Doctors will be held guilty if they risk their patients' death.
B:Modem medicine has assisted terminally ill patients in painless recovery.
C:The Court ruled that high-dosage pain-relieving medication should be prescribed.
D:A doctor's medication is no longer justified by his intentions.
如果没有搜索结果或未解决您的问题,请直接 联系老师 获取答案。
相似问题和答案

第1题:

根据下列材料,请回答 1~20 题:

The ethical judgments of the Supreme Court justices became an important issue recently. The court cannot_____ its legitimacy as guardian of the rule of law______ justices behave like politicians. Yet, in several instances, justices acted in ways that_____ the court’s reputation for being independent and impartial.

Justices Antonin Scalia and Samuel Alito Jr., for example, appeared at political events. That kind of activity makes it less likely that the court’s decisions will be____ as impartial judgments. Part of the problem is that the justices are not _____ by an ethics code. At the very least, the court should make itself_______ to the code of conduct that ______to the rest of the federal judiciary.

This and other cases ______the question of whether there is still a _____ between the court and politics.

The framers of the Constitution envisioned law____ having authority apart from politics. They gave justices permanent positions ____ they would be free to ____those in power and have no need to_____ political support. Our legal system was designed to set law apart from politics precisely because they are so closely _____.

Constitutional law is political because it results from choices rooted in fundamental social ______like liberty and property. When the court deals with social policy decisions, the law it _____is inescapably political — which is why decisions split along ideological lines are so easily _____ as unjust.

The justices must _____doubts about the court’s legitimacy by making themselves _____to the code of conduct. That would make their rulings more likely to be seen as separate from politics and, _____, convincing as law.

第 1 题 请在(1)处填上最佳答案。

A emphasize

B maintain

C modify

D recognize


正确答案:B

第2题:

Text 4 The Supreme Court's decisions on physician-assisted suicide canrry 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 ill 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 mediation 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 patient's 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 modem 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."

第56题:From the first three paragraphs, we learn that

A doctors used to increase drug dosages to control their patients'pain.

B it is still illegal for doctors to help the dying end their lives.

C the Supreme Court strongly opposes physician-assisted suicide.

D patients have no constitutional right to commit suicide.


正确答案:B

第3题:

It was in 1954 that the Supreme Court ruled that the practice of segregating blacks into separate schools was unconstitional.()

此题为判断题(对,错)。


正确答案:√

第4题:

共用题干
第二篇

Double Effect

The Supreme Court's decisions on physician-assisted suicide carry important implications for how medi-
cine 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一a good one that is intended and a harmful one that is foreseen一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 termi-
nally ill 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 mediation to con-
trol 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 pa-
tient uses the drug to hasten death."It's like surgery,"he says."We don't call those deaths homicides be-
cause the doctors didn't intend to kill their patients,although they risked their death.If you're a physician,
you can risk your patient's 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 under-treatment 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 li-
censing boards"must make it clear…that painful deaths are presumptively ones that are incompetently man-
aged and should result in license suspension."

According to the NAS's report,one of the problems in end-of-life care is________.
A:prolonged medical procedures
B:inadequate treatment of pain
C:systematic drug abuse
D:insufficient hospital care

答案:B
解析:
文章第一段说:最高法院对于医生协助病人自杀的裁决对如何使用药物来减轻病人的 痛苦有着重大的意义。第二段说:尽管宪法没有赋予医生去帮助病人自杀的权力,法院实际支 持率医疗界的“双效”原则。第三段说:医生们正是借用这个原则,为大剂量地给晚期(termi- nally ill)病人注射吗啡提供正当的理由,尽管增加剂量将最终致使病人于死亡。由此从第二段 可推断出,B项:医生们帮助病人自杀仍是非法的,为正确答案。A项:医生过去常用增加剂量 的方法来控制病人的痛苦,与第三段内容不符。C项:最高法院强烈反对医生帮助病人自杀, 和D项:宪法没有赋予病人自杀的权力,都与文章内容不符。故选B。
文章第二段第一句说:法庭实际上认可了医疗界的“双效”原则。第三段又说,医疗界 正是借用这个原则,为大剂量地给晚期病人注射吗啡提供正当的理由,尽管增加剂量将最终致 使病人于死地。由此可知,法庭实际上同意给病人开大剂量的止痛药。这与C项意思相符。 A项:如果医生冒使病人致死的危险,将被认定有罪,与文章内容不符。B项:现代医学已经帮 助晚期病人无痛康复,文中未提。D项:医生用药再也不会因为他的用药意图而被认为合理正 当了,与文章内容不符。故选C。
由第七段中提到的“NAS的报告指出了医生临终护理存在着两个问题:一是治痛不力 (under-treatment of pain),二是对无效且有强制性的医疗程序的大胆使用(the aggressive use of ineffectual and forced medical procedures)",可知B项:对病痛治疗不力正确。
aggressive的意思有“咄咄逼人的,好斗的;攻击性的,侵略的;有闯劲的,大胆的”,根据 上下文,aggressive在这里应为“大胆的”,所以选A。
在文章最后一段中,Annas指出:许多医生对病人所受的不必要的痛苦漠不关心,甚至 到了“系统地虐待病人”的程度,并指出病人痛苦地死亡如果被认为是医生护理不力的后果, 那就应吊销他们的行医执照。D项:延长病人不必要的痛苦为正确答案,因为Annas认为吊销 医生执照的前提是病人痛苦地死亡。.

第5题:

The word “euthanasia” in the second paragraph most probably means ________.

[A] doctors’ sympathy to dying patients

[B] doctors’ aggressive medical measures to dying patients

[C] doctors’ mercy killing to reduce sufferings of dying patients

[D] doctors’ well-meaning treatment to save dying patients


正确答案:C
58. [C]意为:医师为帮助生命垂危病人摆脱痛苦而采取的致死措施。 本题是一道词义题,但是解题更多的需要涉及到文章中心词,本文第一段从澳大利亚通过的一个关于安乐死法案的新闻入手,下文全部在讨论各界对该法案的反应,同时在文章最后作者以实例表明了自己对安乐死的观点,由此我们可以确定文章的中心是关于安乐死的。而考研文章的任何一道阅读题目的命制都是和文章中心紧密相连的。据此我们可以推断出答案为C。
A意为:医师对垂危病人的同情。
B 医师对垂死病人采取的过激医疗手段。
D 医师为挽救垂危病人的生命而采取的善意的治疗。 另外“euthanasia” 所在句和下面的 In the US and Canada, where the right to die movement is gathering strength, observers are waiting for the dominoes to start falling.处于平衡位置,由此我们可以判断“euthanasia”和下句的 the right to die 大意相同,答案可
以锁定 C,四个选项中只有该选项与死亡相关。

第6题:

The most important thing to handle pain is ______.

A) how we look at pain

B) to feel pain as much as possible

C) to show an interest in pain

D) to accept the pain reluctantly


正确答案:A
答案:A
[试题分析]事实了解题。
[详细解答]根据最后一段的开头The big thing in withstanding pain is our attitude toward it.一句,显然忍受疼痛更重要的问题是对待它的态度,选项A与之相符,应为正确答案。

第7题:

Which of the following statements is true according to the text?

A Doctors will be held guilty if they risk their patients'death.

B Modern medicine has assisted terminally ill patients in painless recovery.

C The Court ruled that high-dosage pain-relieving medication can be prescribed.

D A doctor's medication is no longer justified by his intentions.


正确答案:C

第8题:

In the case of Brown versus Board of Education, the Supreme Court ruled that _____.

A. separate educational facilities had been illegal

B. educational facilities had been separate but equal

C. educational facilities had been equal

D. separate educational facilities were inherently unequal


正确答案:D

第9题:

The ethical judgments of the Supreme Court justices have become an important issue recently.The court cannot_1_its legitimacy as guardian of the rule of law_2_justices behave like politicians.Yet,in several instances,justices acted in ways that_3_the court’s reputation for being independent and impartial.Justice Antonin Scalia,for example,appeared at political events.That kind of activity makes it less likely that the court’s decisions will be_4_as impartial judgments.Part of the problem is that the justices are not_5_by an ethics code.At the very least,the court should make itself_6_to the code of conduct that_7_to the rest of the federal judiciary.This and other similar cases_8_the question of whether there is still a_9_between the court and politics.The framers of the Constitution envisioned law_10_having authority apart from politics.They gave justices permanent positions_11_they would be free to_12_those in power and have no need to_13_political support.Our legal system was designed to set law apart from politics precisely because they are so closely_14_.Constitutional law is political because it results from choices rooted in fundamental social_15_like liberty and property.When the court deals with social policy decisions,the law it_16_is inescapably political-which is why decisions split along ideological lines are so easily_17_as unjust.The justices must_18_doubts about the court’s legitimacy by making themselves_19_to the code of conduct.That would make rulings more likely to be seen as separate from politics and,_20_,convincing as law.

A.dismissed
B.released
C.ranked
D.distorted

答案:A
解析:
本句句意是:这也就是为什么不同意识形态的裁决容易被认为是不公正的而_____。be dismissed as…含义是“被认为……而不予考虑,”放入具体的语境中的意思是“被认为是不公正的而不予考虑”。符合上下文的表达,选项[A]为正确答案。

第10题:

共用题干
第二篇

Double Effect

The Supreme Court's decisions on physician-assisted suicide carry important implications for how medi-
cine 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一a good one that is intended and a harmful one that is foreseen一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 termi-
nally ill 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 mediation to con-
trol 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 pa-
tient uses the drug to hasten death."It's like surgery,"he says."We don't call those deaths homicides be-
cause the doctors didn't intend to kill their patients,although they risked their death.If you're a physician,
you can risk your patient's 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 under-treatment 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 li-
censing boards"must make it clear…that painful deaths are presumptively ones that are incompetently man-
aged and should result in license suspension."

Which of the following best defines the word"aggressive"(line 3,paragraph 7)?
A:Bold.
B:Harmful.
C:Careless.
D:Desperate.

答案:A
解析:
文章第一段说:最高法院对于医生协助病人自杀的裁决对如何使用药物来减轻病人的 痛苦有着重大的意义。第二段说:尽管宪法没有赋予医生去帮助病人自杀的权力,法院实际支 持率医疗界的“双效”原则。第三段说:医生们正是借用这个原则,为大剂量地给晚期(termi- nally ill)病人注射吗啡提供正当的理由,尽管增加剂量将最终致使病人于死亡。由此从第二段 可推断出,B项:医生们帮助病人自杀仍是非法的,为正确答案。A项:医生过去常用增加剂量 的方法来控制病人的痛苦,与第三段内容不符。C项:最高法院强烈反对医生帮助病人自杀, 和D项:宪法没有赋予病人自杀的权力,都与文章内容不符。故选B。
文章第二段第一句说:法庭实际上认可了医疗界的“双效”原则。第三段又说,医疗界 正是借用这个原则,为大剂量地给晚期病人注射吗啡提供正当的理由,尽管增加剂量将最终致 使病人于死地。由此可知,法庭实际上同意给病人开大剂量的止痛药。这与C项意思相符。 A项:如果医生冒使病人致死的危险,将被认定有罪,与文章内容不符。B项:现代医学已经帮 助晚期病人无痛康复,文中未提。D项:医生用药再也不会因为他的用药意图而被认为合理正 当了,与文章内容不符。故选C。
由第七段中提到的“NAS的报告指出了医生临终护理存在着两个问题:一是治痛不力 (under-treatment of pain),二是对无效且有强制性的医疗程序的大胆使用(the aggressive use of ineffectual and forced medical procedures)",可知B项:对病痛治疗不力正确。
aggressive的意思有“咄咄逼人的,好斗的;攻击性的,侵略的;有闯劲的,大胆的”,根据 上下文,aggressive在这里应为“大胆的”,所以选A。
在文章最后一段中,Annas指出:许多医生对病人所受的不必要的痛苦漠不关心,甚至 到了“系统地虐待病人”的程度,并指出病人痛苦地死亡如果被认为是医生护理不力的后果, 那就应吊销他们的行医执照。D项:延长病人不必要的痛苦为正确答案,因为Annas认为吊销 医生执照的前提是病人痛苦地死亡。.

更多相关问题