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.

    Sharing E Umbrella, a new umbrella sharing company based in Shenzhen, China, recently announced that it had lost most of the 300,000 umbrellas since it set up.

    China's sharing economy has been growing rapidly, with companies offering anything from bicycles and basketballs to phone batteries for people to rent. Customers make a small deposit（押金）and get to use the thing for a daily cost, with a fine put in place for every day if they fail to return the product in time. It's a simple business model, and market data shows that people see sharing as a cheap and convenient way to cut down waste.

    Zhao Shuping founded the Sharing E Umbrella, an umbrella sharing service, in April. By the end of June, he had already started in 11 major Chinese cities, including Shanghai, Nanjing and Guangzhou. While picking up the umbrellas was simple, as they were made available（可得到的）at bus and subway stations, the return system turned out to be a different matter. “Umbrellas are different from bicycles,” Mr. Zhao told Chinese news site thepaper.cn. “Bikes can be parked anywhere, but with an umbrella you need something to hang it on.”

    So instead of bothering to return the umbrellas back to a station, a lot of people just took them home, and Sharing E Umbrella has reportedly lost track of most of the 300,000 umbrellas. Considering that borrowing umbrellas requires a 19 yuan deposit, with a fee of 0.50 yuan per half an hour usage, Zhao says that he suffers a loss of 60 yuan per lost umbrella, so the company is now in the red, but he is not ready to stop it just yet. Zhao announces that Sharing E Umbrella still plans to roll out（推出）30 million nationwide by the end of the year.

    One May morning, 10-year-old Khadab played in the ruins of a school near his home in northern Iraq. He saw something that looked interesting. It was yellow and plastic and looked like a ball. He reached for his new toy and, BANG!

    The last thing he remembered was a big noise. When Khadab awoke, he was in hospital. His parents stood sadly by his side. They told him he had picked up an unexploded bomb. When it exploded, Khadab lost an arm.

    He was just one of hundreds of Iraqi children who have been injured or killed by stepping on and picking up explosives left over from the war.

    These landmines (地雷) and bombs have injured and killed at least 15 people a day since Saddam Hussein's government fell on April 9. And children are the most affected.

    Iraq is among the worst landmine-affected countries in the world. Many villages in the war-torn areas are surrounded by minefields (雷区). These landmines lie on the ground between rocks, up in trees and on riverbeds.

    Even though the war in Iraq is over, many children have not returned to school. They can be seen walking the streets with the natural curiosity of young kids. Their new playgrounds are places where the fighting took place. Many boys can be seen playing with unexploded bombs. A new game is to throw the bombs and run away. Some of them get away, but too many are killed. They do this for fun, and don't realize the dangers until it's too late.

    UNICEF (联合国教科文组织) has warned children, through the TV, of the dangers of landmines and unexploded bombs in Iraq. They hope to make children aware of the dangers they face.

    “I can't imagine there's going to be a classroom in the north without scared children in it. It's so widespread,” said Sean Sutton of the British-based Mines Advisory Group (MAG).

    MAG is an organization working to clear unexploded bombs and landmines in war-torn areas.

    It is difficult to report the exact number of deaths. Sutton said MAG found 320 injuries in northern Iraq in the first month after April 9. But he said the real figure was probably much higher.

Dear Mom and Dad,

    I'm afraid I have some very bad news for you. I have been very naughty and the school master is very angry with me. She is going to write to you. You must come and take me away from here. She does not want me in the school any longer. The trouble started last night when I was smoking a cigarette in bed. As I was smoking, I heard footsteps coming towards the room .I did not want a teacher to catch me smoking, so I threw the cigarette away. Unfortunately, the cigarette fell into the waste--paper basket. It caught fire.

    There was a curtain near the waste --paper basket. It caught fire too. Soon the whole room was burning. The master phoned the fire brigade. The school is a long way from the town and before the fire brigade arrived, the whole school was on fire. The master said that the fire was all my fault and I must pay for the damage. She will send you a bill for about a million dollars.

    I'm very sorry for this.

    Much love

Sarah

    As scientists in the Netherlands tried to figure out how to build a super flying robot, they learned from one of nature s flyers: the humble fruit fly(果蝇).And by building this robot, they've gained new insights into how the fly carries out one of its dangerous tasks.

    The robot is called the DelFly Nimble Its wingspan(冀展)is about a foot wide. It has four wings that can beat at 17 times per second, which appear very delicate because they're made of the same material as space blankets.

    In the previous designs, they always had a tail, like a traditional airplane tail, said the robots main designer Matej Karasek. He's based at the Micro Air Vehicle Laboratory at Delft University of Technology in the Netherlands, and he and his colleagues published their findings on Thursday in Science

    “In the previous generations", he said, "flapping wings drove the robot forward while the tail helped to guide and stabilize it. But now the DelFly Nimble is completely controlled by the wings. The challenge then was actually combine the control into the wing movement, and that's what we achieved, Karasek said

    In the latest generation. the wings can each move individually or rotate(旋转)around the body of the robot in order to maximize the machine s agility(灵活 ) The robot can remain in one place in the air for about five minutes on a full battery or fly for more than a kilometer"， Karasek said, "And because the scientists are controlling all the movements, they can use the robot to learn more about how fruit flies actually carry out their dangerous tasks, which has caught the attention of biologists.”

Most of the 20th century has been a development on the Industrial Revolution taken to an extreme: people now own more products than ever before; there are enough unclear weapons to destroy the earth several times over; there is hardly any forest left and pollution has got to the point where we buy water. Within a few years I predict you will be able to buy air. (There once was a time when you didn't need to buy food or shelter either.)

Important developments in the last century are the breaking down of the class structures left over from the Industrial Revolution stage, bringing with it the empowerment of the "common man": the working day is set by law to only 8 hours a day; everyone has the vote; the media has less obvious government control; people have landed on the moon, sent spacecrafts to Mars and so on. Families have also shrunk drastically (强烈地); the nuclear family came about, and especially in the last half of the 20th century, one­parent families are becoming more common. This shrinking in the size of the family shows the increased independence of people — once upon a time people had to live in large groups to survive.

As humans have "become the gods", they have realized their individuality and independence and taken their control of the world to an extreme. In many countries the land is almost completely used in the production of food and as living space and they live in small cities which are entirely human constructed, made from materials which are also entirely human constructed (concrete bricks) with hardly any remains of nature. Weeds are poisoned because they are messy; even parks have trees grown in tidy lines; grass is mowed to keep it short and so on. I think the massive drug "problem" troubling people is a result of too much of this influence, humans needing to escape the stark world they have created by entering fantasy worlds.

Over the last 100 years, the 20th century consciousness has spread throughout the world; most of Asia has been thoroughly "Westernized", and most of the Third World is being overrun by Western ways of doing things and living.