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首先，第一题，请你把原文放上来。
最后一句，He says  //medical licensing boards“must make it clear... //that painful deaths are presumptively ones (that引导真正的宾语部分)//that are incompetently managed and should result in license suspension”.  
he says 为主句；
medical licensing boards... ... 为宾语从句，做say的宾语；
其中，it为形式宾语，真正的宾语为that painful deaths are presumptively ones；
that are incompetently managed and should result in license suspension为定语从句， 修饰ones;
这句话的意思：他说，行医执照颁发委员会“必须明确表明……病人痛苦的死亡可以推定为医生治疗不力，应当吊销其行医执照。”