{"resolved":true,"match_type":"uuid","source_type":"original_book","book_id":"49cc214a-3654-479f-be70-75b4f7ae7556","title":"技术垄断：文化向技术投降","author":null,"edition":null,"publisher":null,"year":null,"isbn":"9787521700497","requested_by":"printed_page","book":{"source_type":"original_book","book_id":"49cc214a-3654-479f-be70-75b4f7ae7556","id":"49cc214a-3654-479f-be70-75b4f7ae7556","uuid":"49cc214a-3654-479f-be70-75b4f7ae7556","title":"技术垄断：文化向技术投降","normalized_title":"技术垄断文化向技术投降","author":null,"edition":null,"publisher":null,"year":null,"isbn":"9787521700497","isbns":["9787521700497"],"parsed":true,"ai_readable":true,"document_type":"book","page_count":309,"navigation_url":"https://workshop.closeclaw.top/ai/book/49cc214a-3654-479f-be70-75b4f7ae7556","title_url":"https://workshop.closeclaw.top/ai/title/%E6%8A%80%E6%9C%AF%E5%9E%84%E6%96%AD%EF%BC%9A%E6%96%87%E5%8C%96%E5%90%91%E6%8A%80%E6%9C%AF%E6%8A%95%E9%99%8D","fixed_page_url_template":"https://workshop.closeclaw.top/ai/book/49cc214a-3654-479f-be70-75b4f7ae7556/page/{printed_page}","path_api_url_template":"https://workshop.closeclaw.top/api/ai/book/49cc214a-3654-479f-be70-75b4f7ae7556/page/{printed_page}","read_url":"https://workshop.closeclaw.top/api/ai/read/49cc214a-3654-479f-be70-75b4f7ae7556","page_url":"https://workshop.closeclaw.top/api/ai/books/49cc214a-3654-479f-be70-75b4f7ae7556/page","search_url":"https://workshop.closeclaw.top/api/ai/books/49cc214a-3654-479f-be70-75b4f7ae7556/search"},"page":{"printed_page":"111 / 102","pdf_page":158,"physical_index":158,"physical_index_base":0,"printed_page_status":"recognized","page_sha256":"6bf69bcba41ce5aa77f98f749f2cdd0834b722b8578b8545b884c4594c62b7d2"},"chapter":"TECHNOPOLY The Surrender of Culture to Technology Neil Postman","content":"这一切的后果是，即使谨慎和选择性的医疗技术手段也难以实施，因为经济上无利可图，而且业务上可能会产生灾难性的后果。现行文化的组织方式注定要支持凭借技术手段的医疗工作，文化的各个要素都有这样的倾向，包括法院、官僚主义、保险体系、医生的培养、患者的期待，等等。治疗方法多样的局面不复存在，只剩下一种方法技术方法。如今，界定医疗能力的因素是用于治病的机器的数量和种类。\n\n已如上述，三个相互关联的因素合力造成了医务界技术垄断的局面。美国国民性偏向于咄咄逼人的进取性，很容易适应医疗技术，此其一；19世纪的技术统治论执着于发明，充斥着进步观念，完成了一连串令人惊叹的发明，此其二；美国文化完成了重新定向，使技术进取笃定成为医疗实践的基础，此其三。技术主导医学形成的观念可以这样来概括：大自然是难以驯服的敌人只能够用技术手段来征服；解决技术方法产生的问题（医生叫作“副作用”）只能进一步依靠技术（众所周知的一个笑话说，一种令人莞尔的新药不能治病，却有有趣的副作用)；医疗实践必须把重点放在疾病上，而不是患者身上(因此可以说手术或治疗是成功的，但患者死了)；来自患者的信息不能够像来自机器的信息那样去认真对待，自然就产生这样的结果：医生根据洞察力和经验做出的诊断价值不高，比不上医疗机械计算结果的价值。\n\n第六章 机器意识形态:医疗技术垄断\n\n111\n\n102","previous_page":157,"next_page":159}