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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  62
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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答案尽管政府行政机构公告这些法规旨在尝试平衡消费者与医疗保健行业的需求，但医生和保险公司对此都颇有微词。
解析 本句为含有while引导的让步状语从句的主从复合句。句子的主体句式是：While the administration billed the rules...,neither doctors nor insurance companies were happy。其中要注意此处的while是连词，表示“尽管”，引导让步状语从句，用法如although；bill在此处为动词“宣布，公告：正式通告或描述；宣布”，bill也可以作名词，意思是“法令：递交立法机构批准的法律草案”；此外strike a balance between A and B意为“找到折中办法，妥协”，此处的strike意为“通过仔细的衡量或计算达到”。
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