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Bunuel
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Bunuel
Each of two drugs, S and T, greatly reduces the effects of potentially fatal heart attacks if given as soon as possible after the attack begins, but a trial has shown that use of drug T instead of drug S would prevent death in one additional case out of 120. Drug T, however, costs $2,000 more per treatment than drug S. Therefore society is presented with a stark policy decision: whether or not to pay the $240,000 it would cost to use drug T in order to save one additional patient.

Which one of the following is an assumption on which the argument relies?

(A) Drug S has certain side effects not shared by drug T.

(B) Drug T is much newer than drug S, and had far higher development costs.

(C) After a heart attack, drug T remains relatively effective if given at a time at which drug S is no longer effective.

(D) There is no quick, practical, and relatively inexpensive way of telling for any individual case whether drug S will be as effective as drug T.

(E) Drug T works significantly faster than drug S.

Argument
Both T and S are almost equally effective. Just that S saves only one extra life per 120 patient and costs $2000 more. Is it worth it to use S?

Question type
Find Assumption

(A) Drug S has certain side effects not shared by drug T. --> Side effect is not an issue, cost is. --> Incorrect

(B) Drug T is much newer than drug S, and had far higher development costs. --> Novelty is not an issue, cost is --> Incorrect

(C) After a heart attack, drug T remains relatively effective if given at a time at which drug S is no longer effective. --> How does this help. First we give S and then give T. Then cost would increase further. Efficacy of drug with time does not give a clue. --> Incorrect

(D) There is no quick, practical, and relatively inexpensive way of telling for any individual case whether drug S will be as effective as drug T. --> Oh yes. If this is the case then the decision to give S will be a tough one. ---> CORRECT

(E) Drug T works significantly faster than drug S.--> speed is not an issue, cost is --> Incorrect
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The conclusion presented in a tricky manner

Underlying assumption needed: that we cannot predict in advance which patients would benefit more from T vs S (otherwise we wouldn’t need to pay $240,000 across 120 cases to save one additional life — we could just selectively give T).

As a repercussion after reading the options no doubt about option D
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