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Well, I debated between A and C and ended up choosing C as it can be the assumption that the ethicist's argument can directly depend on.

Now, I can see B might also be the assumption, but it is beyond my current ability to tackle questions of this level. :(
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Conclusion: administering placebos is nonetheless ethically questionable.

Notice that the conclusion discusses "administering" while the premise is about "prescribing." Perhaps the answer―a
necessary assumption―will address this gap. However, there is a larger gap in this argument. What topic is mentioned in the conclusion that is not discussed in the premise? Ethics! We must assume something about what is and is not ethically questionable vis-a-vis prescribing drugs. It would be a waste of our time to try to predict the answer beyond this, since assumptions can be rather unpredictable. Negation of option B breaks down the above conclusion.

The motivation for administering a placebo can NOT be relevant to the ethical justification for doing so - the argument falls apart. The premise supporting the conclusion is the motivation behind prescribing the medicine. So, B is correct.
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Ethicist: Studies have documented the capacity of placebos to reduce pain in patients who believe that they are receiving beneficial drugs. Some doctors say that they administer placebos because medically effective treatment reinforced by the placebo effect sometimes helps patients recover faster than good treatment alone. But administering placebos is nonetheless ethically questionable, for even if a placebo benefits a patient, a doctor might, for example, have prescribed it just to give the patient satisfaction that something was being done.

The ethicist's argument depends on which one of the following assumptions?

A. A patient's psychological satisfaction is not a consideration in administering medical treatment.
B. The motivation for administering a placebo can be relevant to the ethical justification for doing so.
C. Medical treatment that relies on the placebo effect alone is ethically indefensible.
D. The pain relief produced by the placebo effect justifies the deception involved in administering a placebo.
E. Administering a placebo is not ethically justified if that treatment is not prescribed by a doctor.

Option B provides the link between the placebo being ethically questionable and the motivations for the placebo possibly being bad. If we negate option B, then the argument collapses.

Option B is the correct answer.
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Hello from the GMAT Club VerbalBot!

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