vastly better than unmanaged and squandered care a future in squander which we affirm that managed care is a way of effectively affi /v.断 treating illness, not only a way of managing costs 言,确认 emotionalism In this future, reason and evidence will prevail against and accepted that overtreatment may be just as bad as bstantialty /n.感情 emotionalism or unsubstantiated claims. It will be understood = EX /a.无确 undertreatment 实根据的 In this future health care sy stem, the compassionate heart of our a富于同情心的 community has come to recognize that unneeded or diminished ineffective care given to one person creates a diminished a减少了的 opportunity for another in need they are necessary and effective, not just because they will be envision I envision a future where medical services are prov ided because /vt憧憬 a system and a people that acknowledge that the presence of a want does not equate with the existence of a need a system that tends to the sick but does not pander to the frivolous //a t frivolous, nor enrich the greedy; A system that acknowledges futility but does not abandon hope, futility n.无 and that recognizes the dignity of the human condition 益,无用 A system in which limited tangible resources are augmented tangible//etpe 切 with limitless compassion augment 加强 We will have a system that recognizes the magic within the compassion/ therapeutic relationship, but does not waste valuable n. fi resources on the whimsical, the fashionable. or the therapeutic a.治疗的 fraudulent 古怪的 We must have a system in which a patient can disclose his or fraudulent her most intimate secrets without fear that those will be used a.欺骗的 against his or her interests. or for personal profit of disclose 泻露 another 隐私的,亲密的 In our system, those given the privilege of serving the sick are lobby permitted to do so by virtue ofo the good they can do, not by(政治)活动集团 the strength of their lobbies, nor the sophistication of their sophistication marketing i do not think we will have to look far or wait long for this future. It exists already in our better collective senses. It is what we would have for our children, for our parents, and for ourselves. Let us therefore gauge proposed reforms against gauge Ivastly better than unmanaged and squandered care; a future in which we affirm that managed care is a way of effectively treating illness, not only a way of managing costs. In this future, reason and evidence will prevail against emotionalism or unsubstantiated claims. It will be understood and accepted that overtreatment may be just as bad as undertreatment. In this future health care system, the compassionate heart of our community has come to recognize that unneeded or ineffective care given to one person creates a diminished opportunity for another in need. I envision a future where medical services are provided because they are necessary and effective, not just because they will be paid for; A system and a people that acknowledge that the presence of a want does not equate with6 the existence of a need7 ; A system that tends to8 the sick but does not pander to8 the frivolous, nor enrich the greedy; A system that acknowledges futility but does not abandon hope, and that recognizes the dignity of the human condition; A system in which limited tangible resources are augmented with limitless compassion. We will have a system that recognizes the magic within the therapeutic relationship, but does not waste valuable resources on the whimsical, the fashionable, or the fraudulent. We must have a system in which a patient can disclose his or her most intimate secrets without fear that those will be used against his or her interests, or for the personal profit of another. In our system, those given the privilege of serving the sick are permitted to do so by virtue of10 the good they can do, not by the strength of their lobbies, nor the sophistication of their marketing. I do not think we will have to look far or wait long for this future. It exists already in our better collective senses11. It is what we would have for our children, for our parents, and for ourselves. Let us therefore gauge proposed reforms against squander / / vt. 浪费 affirm / / vt. 断 言, 确认 emotionalism / / n. 感情 主义 unsubstantiated / / a. 无确 实根据的 compassionate / / a. 富于同情心的 diminished / / a. 减少了的 envision / / vt. 憧憬 frivolous / / a. 轻 佻的 futility / / n. 无 益, 无用 dignity / / n. 尊严 tangible / / a. 切 实的 augment / / vt. 加强 compassion / / n. 同情 therapeutic / / a. 治疗的 whimsical / / a. 古怪的 fraudulent / / a. 欺骗的 disclose / / vt. 泻露 intimate / / a. 隐私的, 亲密的 lobby / / n. (政治)活动集团 sophistication / / n. 强词夺理, 诡辩 gauge / / vt