The health-care economy is filled with unusual and even unique economic relationships. One of the least understood involves the peculiar roles of producer or “provider” and purchaser or “consumer” in the typical doctor-patient relationship. In most sectors of the economy, it is the seller who attempts to attract a potential buyer with various appealing factors of price, quality, and use, and it is the buyer who makes the decision. Such condition, however, is not common in most of the health-care industry.

    In the health-care industry, the doctor-patient relationship is the mirror image of the ordinary relationship between producer and consumer. Once an individual has chosen to see a physician — and even then there may be no real choice — it is the physician who usually makes all significant purchasing decisions: whether the patient should return “next Wednesday”, whether X-rays are needed, whether drugs should be prescribed, etc. It is rare that a patient will challenge such professional decisions or raise in advance questions about price, especially when the disease is regarded as serious.

    This is particularly significant in relation to hospital care. The physician must certify the need for hospitalization, determine what procedures will be performed, and announce when the patient may be discharged. The patient may be consulted about some of the decisions, but in general it is the doctor's judgments that are final. Little wonder then that in the eye of the hospital it is the physician who is the real “consumer”. As a consequence, the medical staff represents the “power center” in hospital policy and decision-making, not the administration.

    Although usually there are in this situation four identifiable participants— the physician, the hospital, the patient, and the payer (generally an insurance carrier or government)— the physician makes the essential decisions for all of them. The hospital becomes an extension of the physician; the payer generally meets most of the bills generated by the physician/hospital, and for the most part the patient plays a passive role. We estimate that about 75-80 percent of health-care choices are determined by physicians, not patients. For this reason, the economy directed at patients or the general is relatively ineffective.

    Below is a selection about Guinness（吉尼斯） World Records.

    Top 6 Unusual Guinness World Records

    ♦ Fastest 100 m running on all fours

    The 2008 Guinness World Records Day was, according to CWR, their biggest day of record-breaking ever, I- h more than 290.000 people taking put in record attempts in 15 different countries. Kenichi Ito's record attempt was port of this special day. He is just another example of Japanese with "super powers". His "super power" is to run with great speed on all fours. Kenichi Ito ran 100 m on all fours in 18.58 seconds. The Japanese set this record at Setagaya Kuritsu Sogo Undojyo, Tokyo, in 2008.

    ♦ Most people inside a soap bubble

    The Discovery Science Center in Santa Ana, Califomia celebrated this year the 15th anniversary of the Bubble (泡泡) Festival. A bubble's math principles and science were presented and demonstrated at the three-week-long exhibition. The intriguing Bubble Show was also part of the program. Fan Yang and Deni Yang impressed the audience with their awesome skills for bubble making. The Yang family cooperated with the Discovery Science Center to set a new Guinness World Record for mow people inside a scup bubble and they succeeded.

    The family that has been working with soap bubbles for 27 years created a huge soap bubble and got 118 people inside it. The record was set or. April 4, 2011.

    ♦ Longest ears on a dog

       A bloodhound from Illinois has the longest ears ever measured a dog. The right ear is 13.75 inches long and the left one 13.5 inches. The dog named Tigger earned this title in 2004 and is owned by Christina and Bryan Flessner.

Mr. Jeffries is the previous record holder of this title. Each of his ears measured approximately 11. 5 inches long. His grandfather used to hold this amazing world record, but when he died Mr.Jeffries look over.

    ♦ Most living generations

    Did you ever wonder what is the Guinness World Record for most living generation in one family? Seven is the answer.

    The ultimate authority on record-breaking mentions on the website that the youngest great-great- great-great grandparent of this family was Augusta Bung "aged 109 years 97 days, followed by her daughter aged 89, her granddaughter aged 70, her great grand-daughter aged 52, her great-great grand-daughter aged 33 and her great-great-great granddaughter aged 15 on the birth of her great-great-great-great grandson on January 21, 1989".

    ♦ Most T shirts worn at once

Believe it or not, there is a record also for this category. Krunoslav Budiseli set a new world record on May 22, 2010 for wearing 245 T-shirts at the same time. The nun from Croatia was officially recognized as the new record bolder by Guinness World Records after he managed to put on 245 different T-shirts in 1ess than two hours. . The T-shirts weighted 68 KG and Budiseli said he began struggling around T-shirt No. 120. He dethroned the Swedish Guinness record holder who wore 238 T-shirts.

    ♦Heaviest pumpkin

    Guinness World Records confirmed on October 9. 2010 that a gigantic pumpkin （南瓜） grown in Wisconcin was officially the world's heaviest. It weighed 1,810 pounds 8 ounces and was unveiled by Chris Stevens at the Stillwater Harvest Festival in Minnesota. Stevens' pumpkin was 85 pounds Javier than the previous re I, another huge pumpkin grown in Ohio. The proud farmer said his secret is a precise of rain, cow mature, good soil, sea grass and fish emulsion. Some of the world's heaviest pumpkins, including the record bolder, were on public display at the Bronx Botanical Gardens in New Yost for a dozen days.

    Metal-organic frameworks(MOFs) are compounds that are set to solve some tough challenges: producing water in the desert, removing greenhouse gases from the air and storing dangerous gases more safely.

    The Arizona desert is really dry. Anyone stuck in it without water would die from dehydration (脱水) within three days. Unless, that is, they had one of Omar Yaghi's next-generation water harvesters. Although daytime humidity(湿度)is only about 10 per cent, this rises to 40 per cent at night, which means there's enough water in the atmosphere to support life — if it can be transformed into liquid form.

    That's exactly what Yaghi's device does. It's a box about the size of a small microwave oven designed to suck the humidity from the air at night and turn it into drinking water the next day using only the heat of the sun as its power source. What makes it work is a special material called a metal-organic framework (MOF), which at normal temperatures attracts water molecules (分子) onto its surface of its internal pores(细孔). Warm it up and the water is released, each harvest producing one-third of a cup of pure drinking water.

    "With further improvements, a device, the size of a washing machine, could produce enough water for the basic needs of a household," says Yaghi, a chemist at the University of California. One-third of the world's population lacks safe drinking water; for them such a device could be a lifesaver.

    These crystalline cluster(结晶群)of metals, such as aluminum or magnesium, linked by organic molecules can be made into materials with an extremely high absorption ability, attracting specific molecules to their surface. In this way, MOFs cling to a variety of liquids and gases.

MOFs work thanks to their unique structure—large quantities of nanometer-sized internal spaces. In fact one MOF has so many pores that they would cover an area as large as six football fields. MOFs are also extremely stable light and have many different uses: their molecular structure can be varied to attract specific molecules, such as water, and their pores can be designed to best store them. Adding a small amount of heat or pressure causes the MOF to release what it is holding. More than 70,000 different MOFs have been produced to date for various applications.

    The saying, "Don't judge a book by its cover, means you should not guess the worth or value of something based on how it looks. That message was clear at a recent event called the Human Library Project. The event took place at the Northern Virginia, or NoVa, Community College, outside of Washington. D. C.

    The Human Library began 19 years ago in Denmark. It grew from a youth organization called "Stop the Violence". Today, it is a worldwide movement. At the NoVa event, students got the chance to learn from a person—a "human book"—instead of a library book.

    Patricia Cooper organized the event. She said that human books celebrate variety by telling their life stories in an easy-going setting. "The goal of the human library is to talk to people in your community who you may otherwise not speak to because you have your own prejudices (偏见) and hopefully to break down some of these barriers."

    This is the third year that NoVa has held such an event. The collection of human books included a civil rights activist, a scientist from the American space agency NASA, and an opera singer.

    Artist Brian Dailey was a human book. He spoke about his travels to 113 countries in seven years. Dailey said that, during his travels, he asked people whom he took pictures of for a one-word answer to a series of other words—such as love, freedom and war. He discovered that people in different countries often had very different reactions to the same word.

    When Dailey asked people in Africa about the word "war" they used words like justice, liberation and peace. When he asked the same question to people in Syrian refugee camps, the answer was: "tears, hunger, fear, destruction".

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Is forgiveness against our human nature? To answer our question, we need to ask a further question: What is the essence of our humanity? For the sake of simplicity, people consider two distinctly different views of humanity. The first view involves dominance and power. In an early paper on the psychology of forgiveness, Droll （1984） made the interesting claim that humans' essential nature is more aggressive than forgiving allows. Those who forgive are against their basic nature, much to their harm. In his opinion, forgivers are compromising their well-being as they offer mercy to others, who might then take advantage of them. 

The second view involves the theme of cooperation, mutual respect, and even love as the basis of who we are as humans. Researchers find that to fully grow as human beings, we need both to receive love from and offer love to others. Without love, our connections with a wide range of individuals in our lives can fall apart. Even common sense strongly suggests that the will to power over others does not make for harmonious interactions. For example, how well has slavery （奴隶制） worked as a mode of social harmony?

From this second viewpoint of who we are as humans, forgiveness plays a key role in the biological and psychological integrity of both individuals and communities because one of the outcomes of forgiveness, shown through scientific studies, is the decreasing of hatred and the restoration of harmony. Forgiveness can break the cycle of anger. At least to the extent the people from whom you are estranged （不和的） 'accept your love and forgiveness and are prepared to make the required adjustments. Forgiveness can heal relationships and reconnect people. 

As an important note, when we take a Classical philosophical perspective, that of Aristotle, we see the distinction between potentiality and actuality. We are not necessarily born with the capacity to forgive, but instead with the potential to learn about it and to grow in our ability to forgive. The actuality of forgiving, its actual appropriation in conflict situations, develops with practice.