这句话第2个not...but引导的句子是什么意思To air these predicaments is not anti-medical spleen---a churlish reprisal against medicine for its victories-but simply to face the growing reality of medical power not exactly withou responsibility but with dissolving goals.请翻译下这段话,特别是not exactly withou responsibility but with dissolving goals.怎么翻译,To air these predicaments is not anti-medical spleen---a churlish reprisal against medicine for its victories-but simply to face

这句话第2个not...but引导的句子是什么意思
To air these predicaments is not anti-medical spleen---a churlish reprisal against medicine for its victories-but simply to face the growing reality of medical power not exactly withou responsibility but with dissolving goals.
请翻译下这段话,特别是not exactly withou responsibility but with dissolving goals.怎么翻译,
To air these predicaments is not anti-medical spleen---a churlish reprisal against medicine for its victories-but simply to face the growing reality of medical power not exactly without responsibility but with dissolving goals.