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Should doctors ever lie to benefit their patients—to speed recovery or to conceal the approach of death? In medicine as in law, government, and other lines of work, the requirements of honesty often seem dwarfed by greater needs: The need to shelter from brutal news or to uphold a promise of secrecy. {
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What should doctors say, for example, to a 46-year-old man coming in for a routine physical checkup who, though he feels in perfect health, is found to have a form of cancer? If he asks, should the doctor deny that he is ill, or minimize the gravity of the illness Doctors confront such choices often and urgently. At times, they see important reasons to lie for the patient’s own sake. In their eyes, such lies differ sharply from self-serving ones. ;m"R.Q9*
Studies show that most doctors sincerely believe that the seriously ill do not want to know the truth about their condition, and that informing them risks destroying their hope, so that they may recover more slowly, or deteriorate faster, perhaps even commit suicide. As one physician wrote: “Ours is a profession which traditionally has been guided by a precept that transcends the virtue of uttering the truth for truth’s sake, and that is, as far as possible ‘do no harm’.” Armed with such a precept a number of doctors may slip into deceptive practices that they assume will “do no harm” and may well help their patients. p[%B#(]9,
But the illusory nature of the benefits such deception is meant to produce is now coming to be documented. Studies show that, contrary to the belief of many physicians, an overwhelming majority of patients do want to be told the truth, even about grave illness, and feel betrayed when they learn that they have been misled. We are also learning that truthful information, humanely conveyed, helps patients cope with illness. #;\tgUQ
Not only do lies not provide the “help” hoped for by advocates of benevolent deception, they invade the autonomy of patients and render them unable to make informed choices concerning their own health.
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Lies also do harms to those who tell them: harm to their integrity and, in the long run, to their credibility. Lies hurt their colleagues as well. The suspicion of deceit undercuts the work of the many doctors who are scrupulously honest with their patients; it contributes to the spiral of lawsuits and of “defensive medicine”, and thus it injures, in turn, the entire medical profession. lrmz'M'
31. Who are most likely to lie for serving purposes? &ZJ$V
A. physicians B. surgeons U3p Mv|b
C. psychiatrists D. lawyers `jT1R!$3F
32. Doctors think that lying to their patients is _______. i+|/V[
A. a medical tradition B. to harm their own integrity nC\LDeKc
C. to defend medicine D. uttering the truth for truth’s sake fRt&-z('
33. Most patients think that being told the truth of their illness may ______. O*1la/~m
A. slow down recovery B. lead to suicide in some cases Gu%}B@ 4^
C. be too hard for them to accept D. help deal with illness rk `]]
34. Which of the following statements is NOT true according to the author? `7_s@4:
A. Doctors are often in a dilemma as to tell the patient his real condition of health. k&o1z'<C
B. Doctors’ reluctance to tell patient truth has no real support in reality. gal.<SVW
C. Doctors’ lies are different from that of lawyers and government officials. ~ym-Szo
D. Doctors and patients hold different views about telling truth. Es+BV+x[.c
35. What is the author’s attitude towards doctors? T]?QCf
A. sarcastic B. praising C. objective D. appreciative k5)e7Lb(
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China today is home to 13 billion people—nearly one quarter of the world’s population. The growth of china’s population is largely the result of modernization, which has brought with it more food, better medical care, less disease, and fewer epidemics and famines. The death rate in China has decreased, and more children survive. The higher survival rate in China means that more people are entering childbearing age. This population growth was threatening to destroy China’s chances to become a richer country: just providing food and basic necessities for everyone would consume all of its economic gains. ;%Zn)etu
To tame the explosive population growth, the Chinese government launched a drastic policy of allowing one child per family. To enforce this policy, the government has a variety of incentives for those who comply and punishment for those who do not. For example, couples who have only one child get a monthly pay until the child is fourteen, special consideration for scarce housing, free medical care, and extra pension benefits. The pressure to conform is powerful. Couples who ignore the state’s directive suffer social disgrace and economic penalties. 5OX5\#Ux
The family-planning policy, instituted in China in 1979, has been remarkably effective (though considerably more so in cities than in the countryside). Births to women of childbearing age have fallen dramatically—to about 2.5 children for every woman. B1 [O9 U:
China may eventually succeed in balancing its population growth, but in doing so, it is creating a new problem. The irony is that because of the very success of China’s population policy, the Chinese population is aging rapidly. In 1982, 5% of the population was over age 64. In 2010, about 9% will be over 64, and in 2050, 25% will be. At the family level, children without brothers or sisters will each have to care for two aging parents. At the national level, the great numbers of aging people will tax the society’s resources. China shares this problem—a rapidly aging population without a large enough following generation to support it—with many of the developed nations of the world. !S[7IBk%
36. The primary purpose of this passage is to _______. \"mLLnK?
A. predict the population problem in China. O\zGN/!
B. explain why the family-planning policy is adopted in China J/ ^|Y6
C. illustrate the result of family-planning policy Z sbE
D. demonstrate the cause and effect of the family-planning policy fAV=O%^
37. According to the passage, all of the following are the causes for the population explosion in China except ______. F anA~
A. better life B. decreased death rate xZ(VvINL'
C. better education D. better health x 0x/2re
38. According to the passage, China is in a population dilemma in the sense that ______. JheF}/Bx
A. it is difficult to carry out the family-planning policy |%-:qk4rG
B. Chinese population will continue to increase rapidly in the near future OcGHMGdn
C. birth-rate decreases but the percentage of old people increases ejC== Fkc
D. more old people survive in the society (eJYv:
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39. To punish those who violate the family-planning policy, the Chinese government does which of the following? &l NHNu[
A. Put them into prison. B. Fine those couples. oyY0!w,Y
C. Reduce their wages. D. Advise them to observe the rule. Yet!qmZ
40. All of the following can be inferred form the passage except that ______. aqAWaO
A. many developed nations suffer from the problem of a rapidly aging population (3+:/,{'$
B. the family-planning policy meets more difficulty in the countryside than in cities e6WKZ~
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C. the increasing number of aged people is a result of the reduced birth-rate M
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D. in the year of 2010 each child will have to look after one parent y #Xq@
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Americans had always been preoccupied with reforming their society; with “making it over,” and between the 1890s and the end of the First World War, the reform spirit intensified. More and more people tried to address the problem of their time directly, to impose order on a confusing world, and, especially, to create a conflict-free society. Their efforts, inspired by a complicated mixture of calculated self-interest and unselfish benevolence, helped what can be called the Progressive era. The urge for reform had many sources. Industrialization had brought unprecedented productivity, awesome technology, and plenty of consumer goods. But it had also included labor struggle, waste of natural resources, and abuse of corporate power. Rapidly growing cities facilitated the accumulation and distribution of goods, services, and cultural amenities but also magnified problems of poverty, disease, crime, and political corruption. Massive inflows of immigrants and the rise of a new class of managers and professionals shook the foundations of old social classes. And the depression that crippled the nation in the 1890s made many leading citizens realize what working people had known for some time: the central promise of American life was not being kept; equality of opportunity—whether economic, political, or social—was a myth. L(i*v5?
Progressives tried to resolve these problems by organizing ideas and actions around three basic themes. First, they sought to end abuses of power. Second, progressives aimed to replace corrupt power with the power of reformed institutions such as schools, charities, medical clinics, and the family. Third progressives wanted to apply principles of science and efficiency on a nationwide scale to all economic, social, and political institutions, to minimize social and economic disorder and to establish cooperation, especially between business and government, that would end wasteful competition and labor conflict. GP\Pk/E
Befitting their name, progressives had strong faith in the ability of humankind to create a better world. More than ever before, Americans looked to government as an agent of the people that could and should intervene in social and economic relations to protect the common good and substitute public interest for self-interest. RxVf:h'l
41. The passage is primarily concerned with . #7~M1/eH=t
A. the reasons for the Progressive Movement 0cm+:
B. the problems that American society faced between the 1890s and the end of World war I uM9[
C. the causes and contents of the Progressive reform RuHMD"
D. the belief that Americans possessed in their society Q}MS $[y
42. All of the following can be inferred from the passage about the American society before the 1890s except that . c~+;P(>
A. there was little equal opportunity for general Americans //}[(9b'\
B. industry developed very rapidly :}Tw+S5
C. thousands of people immigrated to the United States zi*2>
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D. economic depression did great harm to its development L27i_4E,
43. The author believed that the remedy for the social problems is . 'e4 ;,m
A. to stop the use of power =-c"~
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B. to establish more schools and medical clinics D$RQD{*
C. to depend on government to make reforms K~_[[)14b
D. to minimize the conflict between the labor and capital ,afh]#
44. It can be inferred from the passage that Progressives believed that . rI5)w_E?
A. the rate of industrial development should be reduced F-k3F80=
B. rapid growth of cities resulted mainly from the massive immigration /?jAG3"
C. human beings are able to do anything well &\$l%icuo
D. government tended to protect the businesses rather than the masses ~ (xIG
45. It can be concluded from the passage that the spirit of the progressive movement is the spirit hY.zwotH
. aD~3C/?aW
A. to end political corruption mlR*S<Z
B. to minimize social and economic disorder l("Dw8H
C. to promote free competition r`|/qP:T[
D. to reform all the social evils and problems PF-7AIxs"
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Ⅲ. Translation and Writing (55 points) r[zxb0YA
Part A Translation )~<8j
Translate the following into Chinese (30 points): T1pA
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1. Culture is the integrated pattern of human knowledge, belief, and behaviour. Culture thus defined consists of language, ideas, beliefs, customs, taboos, codes, institutions, tools, techniques, works of art, rituals, ceremonies, and other related components; and the development of culture depends upon man’s capacity to learn and to transmit knowledge to succeeding generations. Z,Z34:-
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Every human society has its own particular culture, or sociocultural system, which overlaps to some extent with other systems. Variation among sociocultural systems is attributable to physical habitats and resources; to the range of possibilities inherent in various areas of activity, such as language, rituals and customs, and the manufacture and use of tools; and to the degree of social development. Adaptation and change take place within and among cultures by means of ecological and environmental changes. +k'5W1e
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