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  3. The problem of how health-care resources should be allocated or apportioned, so that they are distributed in both the most just

The problem of how health-care resources should be allocated or apportioned, so that they are distributed in both the most just

admin2015-01-31  91
问题     The problem of how health-care resources should be allocated or apportioned, so that they are distributed in both the most just and most efficient way, is not a new one. Every health system in an economically developed society is faced with the need to decide(either formally or informally)what proportion of the community’s total resources should be spent on health-care; how resources are to be apportioned; what diseases and disabilities and which forms of treatment are to be given priority; which members of the community are to be given special consideration in respect of their health needs; and which forms of treatment are the most cost-effective.
    What is new is that, from the 1950s onwards, there have been certain general changes in outlook about the finitude of resources as a whole and of health-care resources in particular, as well as more specific changes regarding the clientele of health-care resources and the cost to the community of those resources. Thus, in the 1950s and 1960s, there emerged awareness in Western societies that resources for the provision of fossil fuel energy were finite and exhaustible and that the capacity of nature or the environment to sustain economic development and population was also finite. In other words, we became aware of the obvious fact that there were "limits to growth". The new consciousness that there were also severe limits to health-care resources was part of this general revelation of the obvious. Looking back, it now seems quite incredible that in the national health systems that emerged in many countries in the years immediately after the 1939-1945 World War, it was assumed without question that all the basic health needs of any community could be satisfied, at least in principle; the "invisible hand" of economic progress would provide.
    However, at exactly the same time as this new realization of the finite character of health-care resources was sinking in, an awareness of a contrary kind was developing in Western societies: that people have a basic right to health-care as a necessary condition of a proper human life. Like education, political and legal processes and institutions, public order, communication, transport and money supply, health-care came to be seen as one of the fundamental social facilities necessary for people to exercise their other rights as autonomous human beings. People are not in a position to exercise personal liberty and to be self-determining if they are poverty-stricken, or deprived of basic education, or do not live within a context of law and order. In the same way, basic health-care is a condition of the exercise of autonomy.
A person is considered as autonomous and independent when he / she is______.
选项 A、poverty-stricken
B、deprived of basic education
C、not living within a context of law and order
D、entitled to the rights of health-care resources
答案D
解析 推断题。根据文章最后一段People are not in a position to exercise personalliberty and to be self-determining if they are poverty—stricken，or deprived of basiceducation，or do not live within a context of law and order．In the same way．basichealth—care is a condition of the exercise of autonomy．“如果为贫穷而苦恼，或者被剥夺了基础教育，或者没有生活在法律法规的框架下，那么人们就不能拥有个人自由，自主行事。同样，基础卫生保健也是人实现自由的一个条件。”可推断一个自由独立的人需要卫生保健的权利。所以正确答案为D。
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