ENG 204 Final, Spring 2002
American University of Beirut · Advanced Academic English · 5 pages
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ENGLISH 204 c ts - a
FINAL EXAMINATION se
SPRING 2001-2002
Time Allowed: 2 % hours
Directions: Passages A and B both focus on the issue of aging. Use the information in
passage B to write a coherent, well-developed critique of passage A in 5-7 paragraphs.
Try to include general knowledge and/or any other ideas you may have on the topic.
Passage A:
Keep The Young Alive-but Let The Old Die in Peace
by
Angela Lambert
I have implored my children not to let me degenerate into a spoon-fed, geriatric foetus.
1. The urgent question posed by the pitiful news photographs of Natasha and
Courtney Smith, the latest conjoined twins, is: are we in the affluent, scientifically
advanced West morally obliged at the start of the 21* century to maintain all life
at all costs, whenever we can? The approved answer, even in an increasingly
irreligious society, seems to be yes. This may reflect the terror of death rather than
the perpetual sanctity of life, but now that most people doubt the existence of a
life hereafter, perpetual death holds more terrors.
Even if we concede that the answer is yes, we don’t do all we can to preserve life.
We inflict death deliberately and daily, and which particular slaughter you object
to will depend on whether you are a pacifist, a vegetarian or a Jain. But in the
medical field the current belief, judging by public opinion and the decisions of the
law courts, would also seem to be that life should be preserved at almost any cost.
Whether it is that of a tragically malformed infant (and judging by their
photograph, little Natasha and Courtney are not malformed, just conjoined) or a
very old person most of whose faculties are not longer working, the spark of life
must be kept glowing.
4. My own moral stand is frankly inconsistent. I believe the life of the very young
deserves more nurture and cherishing—yes, and more medical support—than that
of the old. First, because the parents of new-born babies often have the most
miraculous capacity to love their damaged infant; they will dedicate themselves to
its care and suffer terribly if their child dies. Those who are just starting life
demand special protection; and who knows what discoveries may come along to
improve their condition?
5. If we are able to separate conjoined twins, by all means let us do so; and if that
means the inevitable death of one-—looking at the Smith sisters, who can say they
were ever really two? Until three or four decades ago, babies who would never be
able to lead an ordinary human life—‘“not viable”, as the jargon had it—were
quietly snuffed out. The doctor might tell the parents their baby was born dead, or
explain why the decision seemed inevitable.
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Once, when I was a television reporter, 1 was expressing big-mouthed disapproval
of this practice. The hospital consultant [ had come to interview went to a filing
cabinet, pulled open a drawer and spread a handful of transparencies across the
table. “Look at those,” he said, “and tell me if you think those lives should have
been preserved?” Such were the monstrosities displayed, { could not argue that
they should. They weren’t then, and | suspect they would not be now. There are
horrors on whom no doctor could be so cruel as to inflict life.
The “thin end of the wedge” argument is valid here. Amen, the new film by
Costas-Gavros, includes a vivid scene showing a coachload of handicapped
people, many smiling confidently, being driven off to die in an early,
experimental gas-chamber. Pleasant, ordinary passers-by stand and watch,
grinning, grimacing or turning away from their helpless, hideous simplicity. Once
the nutters and the wonks are done away with who is next? Gypsies,
homosexuals, drug addicts, alcoholics? Me? You? Now I contradict myself. I
don’t believe the same absolute protection should be extended to the very old. A
few decades ago, the family doctor, relatives and even vicar often colluded in the
humane decision that a long, well-lived life should not be prolonged far beyond
its natural span to the final comatose breath. Frail, ill old people with no hope of
an independent or contented, let alone pain-free, future were allowed to slip away
without aggressive medial intervention. Not any more.
I believe this change started in the United States. It was fostered by the medical
profession’s dread of being sued for millions if a “loved one”—the ghastly
euphemism for a geriatric relative—were not kept alive with every tool that
medical technology offered. There was another unspoken, deeper and perhaps
more powerful reason: the fear of death.
Americans worship youth and beauty. The opposite of youth is old age and the
extremity of old age is death. Hence cryogenics; hence cosmetic surgery and its
many offshoots: hence medical intrusion until the last possible moment.
Nowadays, if you are an American millionaire, with luck and attentive doctors
you may survive for 30 years beyond your Biblical three-score and 10. In Britain,
too, as in any secular society, timor mortis conturbat me—‘the fear of death
surrounds us”.
. [have been in hospital during the small hours, when death most often happens,
and seen very old ladies dragged back from the very edge of their own peaceful
dying with emergency measures and swift injections. Usually they died a few
days later in a deep, stertorous coma, rather than calmly, with dignity.
. Very old people—by which I mean, I suppose, those over 80—have their hips
done, their hearts done, are pumped with antibiotics to prevent then being carried
off by pneumonia (“the old man’s friend’s”, it used to be called). For many it’s
worthwhile; reinvigorated, they enjoy a new lease of life. But others—long past
the time when they can walk, let alone run; talk, let alone laugh; see, let alone
appreciate; or recognize, let alone converse—are threaded with tubes and filled
with pills so that their pathetic travesty of life may be prolonged for years. I
know; I watched it happen to my mother, who died two weeks ago at the age of
90. I have made a “living will” and implored my own children not to let me
degenerate into a spoon-fed, tube-fed, geriatric foetus. My mother, had she
known, would have hated it too.
. For a few days after she had died, I read the obituary columns more attentively
than usual. I noticed how many of those listed were over 85; at least a dozen
every day were over 90. Some 90-year olds remain in full possession of their
faculties. One friend of mine lived in her own house, gardened, read, wrote letters
and even had people to stay until a few months before her death, aged 90. Another
friend of 95, when I rang to ask when I could visit her, said, “I’ll have to look in
my diary: I’m frightfully busy at the moment. There’s this Russian pianist—
tremendously talented chap—coming from Moscow to see me...” It is possible to
be engaged with life until almost the very last minute; but few are so lucky.
. I see friends of my own generation looking after aged parents—not usually under
their own roof, but even in residential care an old person needs to be visited,
entertained, shopped for, telephoned, cheered up, perhaps several times a week.
This is fine for those who had a loving and harmonious relationship with their
parents: but what of those who didn’t? They can find themselves enslaved by the
querulous demands of an increasingly angry, bitter or frightened person. Two or
three decades may be spent ministering to someone who was, perhaps, a
destructive and unloving parent when it was their turn to do the caring. But try
telling the visiting doctor that you don’t want mummy or daddy kept alive and
would rather he didn’t prescribe antibiotics or perform another hip operation, let
alone the latest miracle, life-prolonging treatment.
. By all means do whatever is possible to prolong the lives of babies born with a
condition that can be improved and maybe, in the long term, cured. But please,
can’t we let the very old die in peace?
Taken from: The Independent (Mav 3, 2002)
Passage B:
Elderly Are Treasure, Not a Burden, U.N. Is Told
Agency Preparing for Assembly on Aging
In rich nations, the elderly are often neglected, something that is not common in
poor countries, the Vatican’s permanent observer at the United Nations said
tecently.
“Who are these older persons?” Archbishop Renato Martino asked during the
meeting of the Preparatory Committee for the second World Assembly on Aging.
“Are older persons those who have reached 60, or 70, or 80 years? Maybe it
depends upon the direction from which the age is viewed.”
The Vatican representative wondered why the elderly in the developed world
must end their days “abandoned or forgotten in a care center or nursing home,
while so many in the developing world view old age with reverence, and older
persons are respected and valued as a treasure of wisdom, tradition and heritage?”
Archbishop Martino added that it “is horrible to think that just as the world begins
to make great advances in prolonging the fives of individuals, a reverence and
respect for life has been lost. It seems impossible to believe that the taking of life
has become, in some places, an acceptable alternative.”
Referring directly to euthanasia, Archbishop Martino said that for “many older
persons, such changes in legislation or medical practice, or the threat of those
changes, have become a new source of fear and anxiety, and can indeed weaken
the fundamental relationship of unconditional trust that they have a right to place
in those whose mission is to care for them.”
To live longer should not be regarded as exceptional, or as “a burden or
challenge,” but rather as “the blessing that it is. Older persons enrich society,” he
stressed during the Feb. 26 meeting.
Therefore, the “United Nations must ensure that the world is prepared to
recognize and respect the human dignity of older persons and enable them to be
full participants in society, rather than viewing them as a challenge to the
community,” the permanent observer concluded.
The U.N. General Assembly has decided to convene a second World Assembly on
Aging sometime in 2002, in part to adopt a revised plan of action and a long-term
strategy on aging.
Taken from: Zenit News Agency
(March 13, 2001)
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How To Write Critiques
Introduction: Introduce both the passage under analysis and the author.
State the author’s main argument and the point(s) you intend to make about it.
Provide background material to help your readers understand the relevance or
appeal of the passage. This background material might include one or more of the
following: an explanation of why the subject is of current interest; a reference to a
possible controversy surrounding the subject of the passage or the passage itself;
biographical information about the author; an account of the circumstances under
which the passage was written, or a reference to intended audience of the passage.
Summary: Summarize the author’s main points, making sure to state the author’s
purpose for writing.
Analysis of the presentation: Evaluate the validity of the author’s presentation,
as distinct from your points of agreement or disagreement. Comment on the
author’s success in achieving his or her purpose by reviewing three or four
specific points. You might base your review on one (or more) of the following
criteria:
Is the information accurate?
Is the information significant?
Has the author defined terms clearly?
Has the author used and interpreted information fairly?
Has the author argued logically?
Your response to the presentation: Now it is your turn to respond to the
author’s views. With which views do you agree? With which do you disagree?
Discuss your reasons for agreement and disagreement, when possible tying these
reasons to assumptions- both the author’s and your own.
Conclusion: State your conclusions about the overall validity of the piece- your
assessment of the author’s success at achieving his or her aims and your reactions
to the author’s views. Remind the reader of the weaknesses and strengths of the
passage.