suffering from a variety of diseases. But we know that scientific n. gtti progress is not enough. We have seen that the dictates of /n.控制, 支配 economics,that“ dismal science;” limit the benefits of medical dismal//a.阴沉 science. I practiced surgery in the so-called“ golden age of的,淒凉的 medicine, a time when it seemed that each day medical science could do more for patients, and more and more Americans gained access to the health insurance that would provide need health care. But now, as daily an increasing number of Americans lose their health insurance(the United States has close to 50 million uninsured citizens ) and as most of those who are insured are covered through economically driven managed care plans, those who need health care the most are often the ones who get it the least i am concerned about the intrusion into medical education intrusion/ by these investor-controlled health care companies Some have A even bought medical schools, and at least one has subsequently filed for3 bankruptcy. I do not want the education of our next bankrupt generation of physicians to be held hostage 4 to bottom-line oriented35 managers who buy and sell hosp itals, medical人质,抵押品 practices, and medical schools as though they were pork futures. Americans are only slowly realizing how many med ical decisions have been taken out of the control of physicians and other health care personnel and placed on the desks of accountants and businessmen. Every American should companies to do their fair share/ in supporting medical education and medical research, especially clinical research The scientific commun ity must pla ense competition for health care dollars, doing what it can to ensure that the combination of public and private fund ing that has supported the greatest epoch of medical research in history epoch/ /n.时代 during the last generation is not lost in the scramble for scramble short-term profits 争夺 The baby boomer generation 8, although accustomed to immediate gratification in most areas of life has also benefited more than any other generation from the results of long-term scientific research. We need a refurbished partnership refurbish / vt between science and consumers to ensure that the best of 更新 partnership medical sc ience is available to future health care consumers-In合作关系 still prefer to call them patients I believe that it may take a decade or so to find a newsuffering from a variety of diseases. But we know that scientific progress is not enough. We have seen that the dictates of economics, that “dismal science,” limit the benefits of medical science. I practiced surgery in the so-called “golden age of medicine,” a time when it seemed that each day medical science could do more for patients, and more and more Americans gained access to the health insurance that would provide needed health care. But now, as daily an increasing number of Americans lose their health insurance (the United States has close to 50 million uninsured citizens), and as most of those who are insured are covered through economically driven managed care plans32 , those who need health care the most are often the ones who get it the least. I am concerned about the intrusion into medical education by these investor-controlled health care companies: Some have even bought medical schools, and at least one has subsequently filed for33 bankruptcy. I do not want the education of our next generation of physicians to be held hostage34 to bottom-line oriented35 managers who buy and sell hospitals, medical practices, and medical schools as though they were pork futures36 . Americans are only slowly realizing how many medical decisions have been taken out of the control of physicians and other health care personnel and placed on the desks of accountants and businessmen. Every American should be concerned about the unwillingness of managed care companies to do their fair share37 in supporting medical education and medical research, especially clinical research. The scientific community must play a central role in the intense competition for health care dollars, doing what it can to ensure that the combination of public and private funding that has supported the greatest epoch of medical research in history during the last generation is not lost in the scramble for short-term profits. The baby boomer generation38, although accustomed to immediate gratification39 in most areas of life, has also benefited more than any other generation from the results of long-term scientific research. We need a refurbished partnership between science and consumers to ensure that the best of medical science is available to future health care consumers—I still prefer to call them patients. I believe that it may take a decade or so to find a new n. 突破 dictate / / n. 控制， 支配 dismal / / a. 阴沉 的, 凄凉的 intrusion / / n. 闯 入 bankruptcy / / n. 破产 hostage / / n. 人质, 抵押品 epoch / / n. 时代 scramble / / n. 争夺 refurbish / / vt. 更新 partnership / / n. 合作关系