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It is said that in England death is pressing, in Canada inevitable and in California optional. Small wonder. Americans' life expectancy has nearly doubled over the past century. Failing hips can be replaced, clinical depression controlled, cataracts removed in a 30-minute surgical procedure. Such advances offer the aging population a quality of life that was unimaginable when I entered medicine 50 years ago. But not even a great health-care system can cure death — and our failure to confront that reality now threatens this greatness of ours. Death is normal; we are genetically programmed to disintegrate and perish, even under ideal conditions. We all understand that at some level, yet as medical consumers we treat death as a problem to be solved. Shielded by third-party payers from the cost of our care, we demand everything that can possibly be done for us, even if it's useless. The most obvious example is late-stage cancer care. Physicians — frustrated by their inability to cure the disease and fearing loss of hope in the patient — too often offer aggressive treatment far beyond what is scientifically justified. In 1950, the US spent $12.7 billion on health care. In 2002, the cost will be $1540 billion. Anyone can see this trend is unsustainable. Yet few seem willing to try to reverse it. Some scholars conclude that a government with finite resources should simply stop paying for medical care that sustains life beyond a certain age — say 83 or so. Former Colorado governor Richard Lamm has been quoted as saying that the old and infirm "have a duty to die and get out of the way", so that younger, healthier people can realize their potential. I would not go that far. Energetic people now routinely work through their 60s and beyond, and remain dazzlingly productive. At 78, Viacom chairman Sumner Redstone jokingly claims to be 53. Supreme Court Justice Sandra Day O'Connor is in her 70s, and former surgeon general C.Everett Koop chairs an Internet start-up in his 80s. These leaders are living proof that prevention works and that we can manage the health problems that come naturally with age. As a mere 68-year-old, I wish to age as productively as they have. Yet there are limits to what a society can spend in this pursuit. As a physician, I know the most costly and dramatic measures may be ineffective and painful. I also know that people in Japan and Sweden, countries that spend far less on medical care, have achieved longer, healthier lives than we have. As a nation, we may be overfunding the quest for unlikely cures while underfunding research on humbler therapies that could improve people's lives
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【简答题】按企业组织生产的特点,可以把加工装配式生产分成()生产与()生产两种。
【多选题】某企业生产的一批次食品发生了食品安全事故。该企业负责人召开董事会商议后,决定采取下列措施: 1.暂不向监督管理部门报告; 2.采取措施从销售商手上回收该批产品。 后该事故被媒体曝光,企业负责人指令工作人员将该批次产品的生产记录、销售记录予以销毁,并伪造了一份新的生产记录和销售记录。下列说法正确的是()
A.
企业未履行法律规定的发生食品安全事故后的报告义务
B.
企业主动召回义务履行不到位
C.
企业伪造生产记录和销售记录是违法的
D.
企业将被追究违法责任
E.
若该批产品危害不大,这样操作也是可以的
【单选题】手处于休息位时,腕背伸()度。
A.
10~15
B.
15~20
C.
20~25
D.
25~30
【单选题】确保批生产记录和批包装记录经过指定人员审核并送交质量管理部门的是( )
A.
企业负责人
B.
生产管理负责人
C.
质量管理负责人
D.
质量受权人
【单选题】批生产记录指:
A.
记录一个产品整个工艺生产、包装过程和帖签的记录
B.
记录多个产品整个工艺生产、包装过程和帖签的记录
C.
记录一个产品整个工艺生产和帖签的记录
D.
记录一个产品整个包装过程和帖签的记录
【简答题】按企业组织生产的特点,可以把加工装配式生产分成备货型生产与()生产两种
【判断题】按企业组织生产的特点,可以把加工装配式生产分成备货性生产与订货性生产两种。
A.
正确
B.
错误
【单选题】手处于休息位时,腕背伸角度为:
A.
10~15度
B.
15~20度
C.
20~25度
D.
25~30度
【判断题】DNA在细胞内的分布规律是科学家们通过化学定量分析的方法测定出来的。
A.
正确
B.
错误
【简答题】DNA在细胞内的分布规律是科学家们通过化学定量分析的方法测定出来的。
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