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发表于 2010-5-20 15:55:15
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In this article, the author made a comparison between the small, nonprofit hospital in the town of Saluda and the large, for-profit hospital in the nearby city of Megaville. From the data listed, the author concluded that treatment in smaller, nonprofit hospitals is more economical and of better quality than treatment in larger, for-profit hospitals. The analogy seems reasonable at first glance, but through further analysis we can find the comparison suffered from several fallacies.
Firstly, the writer compared the average length of a patient’s stay and the cure rate among patients between the two hospitals and easily believed that the shorter average length of patient’s stay and the larger cure rate means the better treatment. Actually, the details of the medical case of illness in these hospitals are not given in the story, on which the author’s conclusion should be based. It is highly likely that since the Megaville hospital is bigger and equipped by more medical instruments, people with severe illness tend to choose the Megeville other than the smaller one. This may lead to the shorter stay of patients and the lager cure rate because the less serious ailment is more easy to be healed. Without the basic information, the evidence obviously lacks persuasion.
Secondly, one argument that the Saluda hospital has more employees per patient than the hospital in Megaville couldn’t demonstrate that the Saluda is of high quality. The quality of a hospital is not based on the number of the employees per patient, but the overall condition of the service of the medical caring, the number of good medical instrument, the treatment offered by the doctors etc. With the more employees per patient, the non-profit system in Saluda hospital may leads to less wage per staff, which may bring about the bad attitude toward the patients. And, the concrete condition about the medical caring and the serving attitude of the two hospitals are not given in the article, so it failed to prove that the hospital in Megaville is of worse quality.
Thirdly, the writer also cited that there are few complaints about service at the local hospital. Considering the local one is a non-profit hospital, while the Megeville one is a for-profit one, the patients wants the better service and treatment more eagerly in the for-profit one because they pay for that. Moreover, as mentioned in the first paragraph, the bigger hospital is more likely to accept more severe medical cases, as the big case calls for more time and effort, the more complaints is inevitable.
In summary, without the further investigation and proof, the author couldn’t easily make the two hospitals as the typical samples of the smaller, nonprofit hospitals and the bigger, for-profit ones and came to the conclusion on all hospitals of these two kinds.
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