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【61】 Behind the forthcoming war over protecting patients’ records in an age of Health Maintenance Organizations and online medic

admin2010-06-30  86
问题       【61】 Behind the forthcoming war over protecting patients’ records in an age of Health Maintenance Organizations and online medicine, technology, is a two-edged sword, which rarely is as clear as in the health care realm. Technology allows doctors to test their patients for genetic defects--and then to turn around and spread the results throughout the world via the Internet. For someone in need of treatment, that’s good news. But for someone in search of a job or an insurance policy, the tidings can be all bad.
     Last week President Bill Clinton proposed a proposition to the patients’ bill of rights now before Congress: a right to medical privacy. 【62】 Beginning in 2002, under rules set to become law in February, patients would be able to specify the conditions under which their personal medical data could be exposed. They would be able to examine their records and make corrections. They could learn who else had seen the information. Improper use of records by a caregiver or insurer could result in both civil and criminal penalties. The plan was, said Clinton, "an unprecedented step toward putting Americans back in control of their own medical records."
     【63】 While the administration billed the rules as an attempt to strike a balance between the needs of consumers and those of the health-care industry, neither doctors nor insurance companies were happy. That, physicians said, was a loophole through which Health Maintenance Organizations and other insurers could peep into the doctor-patient relationship, in the name of assessing the quality of care. Meanwhile, the insurers protested that the rules would make them sensitive to lawsuits. They were especially disturbed by a provision holding them liable for privacy breaches by "business part hers’ such as lawyers and accountants. 【64】 The doctors said the rules could actually erode privacy, pointing to a provision allowing managed-care plans to use personal information without consent if the purpose was" health-care operations". Both groups agreed that privacy protections would drive up the cost of health care by at least an additional 5;3.8 billion, and maybe much more, over the next five years. They also complained about the increased level of federal close observation required by the new rules’ enforcement provisions.
     【65】 One aim of the rules is to reassure patients about confidentiality, thereby encouraging them to be open with their doctors. Today various cancers and sexually transmitted diseases can go untreated because patients are afraid of embarrassment or of losing insurance coverage. The fear is real: Clinton aides noted that a January poll by Princeton Survey Research Associates found that one m six U.S. adults had at some time done something unusual to conceal medical information, such as paying cash for services.
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选项
答案在医疗保健机构和在线医疗的时代，在即将发起的一场保护病人病历的战争背后，技术是一把双刃剑，这一点在医疗保健领域尤为明显。
解析 本句为复合句，含有一个非限制性定语从句。此句的主体句式是：...technology is．．．which rarely is．．。其中which引导的非限制性定语从句修饰前面说明的情况，即前面整个句子；此外，这个定语从句是个省略句，完整句子应该是which rarely is as clear as it is in the health care realm ,it 和which指代的是同一事物，被省略了。forthcoming有名词词义“来临”，也可用作形容词表示“即将来临的”，后面接over“关于，涉及”。
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