更何 meaning in Chinese

and besides,

Just like when someone is so sick already , he doesn t even recognize doctors , least of all even being graceful to them
就像有人病得太厉害，连医生都不认得了，更何
Marked changes have taken place in their economic status ; some of them have become the victim of reform with their lives seriously and negatively affected . under this circumstance , it would be absurd to talk about the role of master or responsibility
而国有企业多年的改革，职工仅是改革的被动体，改革并未使他们的经济地位发生显著变化，甚至生活受到一定影响，成为改革的牺牲品，更何谈发挥主人翁精神和责任感。