Question

Difficulty: MediumTechnological Advances and Limitations: Disease

"While we celebrate the eradication of smallpox and the development of sophisticated therapies for heart disease, my country still loses thousands of children annually to dehydration from diarrheal diseases. The technology to save them is inexpensive and simple, but our clinics lack clean water and refrigeration. The modern world has conquered the microbe in theory, but in practice, poverty remains the ultimate disease vector."
—Representative of a West African nation to the World Health Assembly, 1995

Which of the following developments in the late twentieth century most directly contributed to the disparity described in the passage?

  1. A
    The disruption of local health systems by commercial networks established during the Columbian Exchange of manufactured goods
  2. B
    The complete homogenization of global culture, which eliminated regional differences in how healthcare is practiced and understood
  3. The unequal global distribution of medical technologies and basic infrastructure despite overall increases in global wealthAnswer
  4. D
    The rise of the Green Revolution as a global movement dedicated to ecological restoration and organic agricultural practices

Answer

The unequal global distribution of medical technologies and basic infrastructure despite overall increases in global wealth
The correct option is correct because the representative's speech highlights the gap between theoretical medical capabilities (which can prevent diarrheal deaths) and actual practice (where lack of clean water and refrigeration prevents treatment). This underscores how late twentieth-century globalization led to increased disparities, as wealthier nations developed treatments for diseases of longevity while developing nations still struggled with diseases of poverty due to inadequate infrastructure and resources.

Step-by-Step Solution

1
Analyze the stimulus passage.
The representative highlights a contrast between the eradication of smallpox and the treatment of heart disease (advances associated with wealthier regions and longevity) and the ongoing deaths from preventable diarrheal diseases due to lack of clean water and refrigeration (diseases of poverty).
Understanding the core argument of the source is necessary to identify the historical context it represents.
2
Connect the source's argument to twentieth-century globalization trends.
The disparity points to the limitations of technological distribution, where global scientific advances exist but fail to reach impoverished populations due to infrastructure deficits.
This links the specific evidence in the text to the broader learning objective regarding the technological limitations in disease control.
3
Evaluate the choices to find the one that best explains the described disparity.
The option concerning the unequal distribution of medical technologies and infrastructure correctly identifies that while global wealth and medical capability increased, access remained highly unequal.
This matches the historical reality of the late twentieth century where public health improvements were geographically and economically polarized.

Key Concept

Technological Advances and Limitations: Disease
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