translate: 安宁疗护与临终关怀的时代意义

fix translation: compassion→care, making a living→survival-level, 生生增上 life-after-life, 因病返贫 remove 'back'

translate-files/安宁疗护/安宁疗护与临终关怀的时代意义/target.dj

@@ -39,7 +39,7 @@ This event focuses on two main areas: palliative care and end-of-life care. The
 
 ## 1. Palliative Care
 
-Palliative care originated in Britain. Its founder was Dr. Cicely Saunders. She began as a nurse and, while caring for cancer patients, discovered many problems. She felt deeply that conventional medicine lacked compassion for those at the end of life. Driven by this insight, she did everything in her power to relieve patients' suffering, and in 1967 she founded the world's first hospice dedicated to palliative care.
+Palliative care originated in Britain. Its founder was Dr. Cicely Saunders. She began as a nurse and, while caring for cancer patients, discovered many problems. She felt deeply that conventional medicine lacked care for those at the end of life. Driven by this insight, she did everything in her power to relieve patients' suffering, and in 1967 she founded the world's first hospice dedicated to palliative care.
 
 In recent decades, as the population has aged, the number of cancer patients in China has steadily risen. According to relevant statistics, there are currently about 30 million existing cancer patients, and roughly 3 million people die of cancer each year — an enormous number. Once an illness is detected, hospitals and family members tend to make cure the sole objective. But for certain late-stage or incurable conditions, medicine is not all-powerful. An obsessive pursuit of cure often leads to overtreatment. Even when life hangs by a thread and treatment has ceased to have any value, people still frantically attempt to save the patient — tubes inserted everywhere — just to prolong survival by a few days or even hours. The result is that patients endure terrible suffering, approaching death in despair, helplessness, and confusion.
 
@@ -47,7 +47,7 @@ What palliative care advocates is comprehensive care for patients, enabling them
 
 Pain is the greatest difficulty faced by many who are dying. It is constituted by physical, psychological, social, and spiritual dimensions — what Dr. Saunders called "total pain." There is the physical pain caused by disease, the psychological pain of not accepting one's condition, the spiritual pain of facing the loss of all social connections, and the ultimate pain of knowing nothing about one's future destination. To address these issues, palliative care must construct multi-faceted care from different angles. This requires a multidisciplinary, multi-professional team, including physicians, nurses, psychotherapists, chaplains, and volunteers.
 
-Palliative care fully embodies respect and compassion for human beings. Since its inception, it was quickly promoted by the United Nations worldwide. In 1988, Tianjin Medical College established China's first palliative care ward. In 2017, the National Health Commission officially issued the *Palliative Care Practice Guidelines (Trial)* and launched national pilot programs. Today, palliative care services cover 185 regions across China, but given the enormous population base, this is still a drop in the bucket. Faced with the needs of society at large, some charitable organizations and civil groups have also become actively involved. Here, I deeply rejoice in everyone's aspiration and altruistic spirit.
+Palliative care fully embodies respect and care for human beings. Since its inception, it was quickly promoted by the United Nations worldwide. In 1988, Tianjin Medical College established China's first palliative care ward. In 2017, the National Health Commission officially issued the *Palliative Care Practice Guidelines (Trial)* and launched national pilot programs. Today, palliative care services cover 185 regions across China, but given the enormous population base, this is still a drop in the bucket. Faced with the needs of society at large, some charitable organizations and civil groups have also become actively involved. Here, I deeply rejoice in everyone's aspiration and altruistic spirit.
 
 ## 2. Differences Between Palliative Care and End-of-Life Care
 
@@ -97,15 +97,15 @@ A professor working in palliative care cited this passage of mine in a paper and
 
 ## 1. Lack of Understanding About Death
 
-Our current education emphasizes knowledge and skills, mainly addressing the question of making a living, but lacks education on the level of life itself — life's meaning, where the heart finds its true home, and how to face death. In daily life, people tend to avoid the topic of death and are unwilling to face it; even mentioning the word "death" is considered unlucky. This leaves modern people neither understanding nor accepting death.
+Our current education emphasizes knowledge and skills, mainly addressing survival-level needs, but lacks education on the level of life itself — life's meaning, where the heart finds its true home, and how to face death. In daily life, people tend to avoid the topic of death and are unwilling to face it; even mentioning the word "death" is considered unlucky. This leaves modern people neither understanding nor accepting death.
 
 But not understanding and not accepting does not mean one can avoid it. In fact, death is the inevitable conclusion for every person — an indispensable and essential subject in life. Only by understanding it can one walk toward the end with clarity and composure. Only by accepting it can one prepare before the day arrives, rather than panicking, not knowing how to respond.
 
-Through studying the Buddhadharma, we come to know that death is merely the period at the end of one phase of life; it is not a complete end. Life continues on and on, unceasing. And *how* we die is the critical factor that determines where we will be reborn in the next life. This requires, through study and practice, understanding the principles of rebirth, seeing clearly the truth of life and death, and gaining the ability to transcend them. Only then can we be at ease in life and without regret in death. For both life and death are processes in the flow of existence. By living each present day well, we can continuously elevate our life. This shifts us from passively awaiting death to actively taking hold of our destiny and transcending birth and death.
+Through studying the Buddhadharma, we come to know that death is merely the period at the end of one phase of life; it is not a complete end. Life continues on and on, unceasing. And *how* we die is the critical factor that determines where we will be reborn in the next life. This requires, through study and practice, understanding the principles of rebirth, seeing clearly the truth of life and death, and gaining the ability to transcend them. Only then can we be at ease in life and without regret in death. For both life and death are processes in the flow of existence. By living each present day well, we can continuously elevate our life, life after life. This shifts us from passively awaiting death to actively taking hold of our destiny and transcending birth and death.
 
 ## 2. Overemphasis on Physical Cure
 
-According to relevant surveys, one-third of the medical costs for many illnesses occur in the final month of life. At this point, the patient and the family are often filled with fear. Even if there is only a glimmer of hope, they will follow whatever the doctor says, staking everything on one throw. If the hospital places particular value on financial profit, it may overtreat for gain — even continuing aggressive interventions when it is already clear there is no hope. For the patient, this only adds physical and mental suffering; for the family, it imposes a crushing financial burden, driving many families back into poverty because of illness.
+According to relevant surveys, one-third of the medical costs for many illnesses occur in the final month of life. At this point, the patient and the family are often filled with fear. Even if there is only a glimmer of hope, they will follow whatever the doctor says, staking everything on one throw. If the hospital places particular value on financial profit, it may overtreat for gain — even continuing aggressive interventions when it is already clear there is no hope. For the patient, this only adds physical and mental suffering; for the family, it imposes a crushing financial burden, driving many families into poverty because of illness.
 
 To what extent should treatment go? As patients and family members, on the one hand, we must understand the illness itself, the medical resources available, the treatment's effectiveness, and the probability of cure. On the other hand, we must recognize that with birth, death is inevitable. Only by facing this squarely can we make an objective assessment and a reasonable decision for ourselves — neither giving up lightly nor indulging in wishful thinking.
 
@@ -133,7 +133,7 @@ In short, death makes us see the brevity of this life, and thus cherish this rar
 
 ## 2. Establishing a Correct Approach to Treatment
 
-Beyond the view of life and death, we must also, on the basis of understanding, respect, and compassion for patients, help them establish a correct approach to treatment. Many people's care for patients is mainly on the physical level. But in reality, when a person faces illness and death, not only the body needs care — the mind also needs care, including the soothing of emotions and guidance on the spiritual level. That is why palliative care teams must be composed of professionals from multiple disciplines.
+Beyond the view of life and death, we must also, on the basis of understanding, respect, and care for patients, help them establish a correct approach to treatment. Many people's care for patients is mainly on the physical level. But in reality, when a person faces illness and death, not only the body needs care — the mind also needs care, including the soothing of emotions and guidance on the spiritual level. That is why palliative care teams must be composed of professionals from multiple disciplines.
 
 In Western countries, working in palliative care requires specific training and qualifications. In the future, we must likewise have a cohort of people who receive professional training. On that foundation, by infusing the content of the Buddhadharma and integrating mindfulness practice, we can create a life care that reaches the heights of Eastern wisdom, offering a new perspective and a new exploration for palliative care.