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本帖最后由 rodgood 于 2010-2-7 11:26 编辑
TOPIC: ARGUMENT203 - The following appeared in a newspaper feature story.
"At the small, nonprofit hospital in the town of Saluda, the average length of a patient's stay is two days; at the large, for-profit hospital in the nearby city of Megaville, the average patient stay is six days. Also, the cure rate among patients in the Saluda hospital is about twice that of the Megaville hospital. The Saluda hospital has more employees per patient than the hospital in Megaville, and there are few complaints about service at the local hospital. Such data indicate that treatment in smaller, nonprofit hospitals is more economical and of better quality than treatment in larger, for-profit hospitals."
In this article, the writer compares two hospitals, which are Saluda(S), a small, nonprofit one in the town and Megaville(M), a large, for-profit one in the nearby city, in some of details about their treatment, concluding that treatment is more economical and better in small, nonprofit hospitals than in larger, for-profit ones. With careful scrutiny on the data and other evidence, I find them unpersuasive and the reasoning illogical, so the conclusion is out of support.
Firstly, the arguer mentions in the story that the time for patients staying in S is two days, while in M is six days, wishing to obtain a view of better quality in S. However, since the data merely provides the time of staying without any results, many possibilities of which exist behind the fact of time. Maybe patients in S just take a light ill that only needs two days to recover. Or, patients with serious sickness are transferred to larger hospitals in two days for poor medical quality or condition in S. On the other hand, in M the patients may suffer a more serious illness that always require more days for treatment. Thereby, with different conditions, the comparison of time in two hospitals is unconvincing.
Secondly, the higher cure rate in S than in M does not contribute to a conclusion of better medical care, either. As mentioned above, M always faces patients with more severe injuries or disease than that of S, some of which may be difficult, or even impossible to cure; while patients that visit S probably only take a ailment like a cold or so. So, there would be more uncovered patients in M than in S. Moreover, the number of patients in M is much larger for its size, position and reputation. Therefore, it would be normal for M to have a lower cure rate; but it cannot prove the M's supposed poorer medical quality.
Thirdly, more employees per patient have nothing to do the treatment quality without considering the level of their medical care and attitude towards the patient, which are not presented in the story, unfortunately. So, this evidence is useless. In addition, for its free service, S may not undertake any expectation from people; so even offering poor service, S will not receive many complaints. Things are much different in M, where medical services are for charge. Patients keep their watchful eyes on M and are more reliable on it; so any errors may bring serious complaints. As a consequence, with such two pieces of information, it is hasty to maintain that M's service is worse than that of S.
Furthermore, even though the treatment is worse and cost is higher in M than in S, the author cannot make a conclusion that conditions are the same in other hospitals without any investigation and analysis. The absolute opinion cannot be got unless more evidence is able to bolster it.
In sum, with the unreliable evidence presented in the feature story, the arguer had better not make the statement of the two hospitals. And, most importantly, only when more information of other hospitals is obtained would the final viewpoint be made. |
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