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1、学术英语 医学Health Care SystemUnit 10Health Care System The United States is one of the wealthiest countries in the world and its medical expenditure is also among the highest, but still many American citizens are inadequately insured or not insured at all. What is the root of this problem? This unit loo
2、ks into the problems with the American medical system and suggests ways and strategies to change the situation. Unit ContentsLead-in Text AText BText CListeningSpeakingWritingUnit 10 Health Care System Lead-inIssues to be covered Suggested answers Unit 10 Health Care System Lead-inIssues to be cover
3、ed 1. the status quo of American healthcare system 2. the problems existing in the American healthcare system and strategies to be taken to address those problems 3. the consequences incurred by long waits in emergency department 4. the four basic models of health care system 5. embolic stroke in te
4、rms of its signs and symptoms, causes, treatment and preventionUnit 10 Health Care System Lead-in Suggested answersTask : Listen to a talk about American health care system and answer the following questions.1. What is the annual expenditure of the US on health care?2. What are the researchers findi
5、ngs about the health care performance of the US?3. What is the major cause of the problem discussed in the talk?Unit 10 Health Care System the rising number of uninsured citizens in AmericaThe US has poorer performance in preventable deaths than other industrialized nations.$ 2.1 trillionText A Crit
6、ical reading and thinking Topics for presentation Useful expressions Difficult sentences Language building-up Medical terminology Signpost language Formal English Vocabulary testSuggested answersUnit 10 Health Care System Text A Critical reading and thinkingTopics for presentation1 Give a brief expl
7、anation of Medicare and Medicaid. p Medicare for people age 65 or older people under age 65 with certain disabilities people of all ages with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant)p Medicaid available only to certain low-income individuals and fa
8、milies who fit into an eligibility group that is recognized by federal and state lawUnit 10 Health Care System 2 Compare the American model and the European model. Topics for presentationText A Critical reading and thinkingUnit 10 Health Care System American modelEuropean modelFatter Under more stre
9、ss Less activeMore vacations Fewer possessionsText A Topics for presentation3 What are the problems with the fragmented American health care system? Critical reading and thinkingComplicated rules: it needs a genius to know the rules for treating or taking care of each patient without getting questio
10、ned by the insurance companies or others Involvement of private and public bureaucracies in deciding which patient can get what treatment Unhappiness of Americans about health care system Need to cover all Need to get more value for the money spent currently on health careUnit 10 Health Care System
11、Text A Topics for presentation3 What are the problems with the fragmented American health care system? Critical reading and thinkingMoney is also part of the problem. The governments inability to subsidize the covered Americans unwillingness to pay more taxes and pour more money into the broken heal
12、thcare systemUnit 10 Health Care System Text A Useful expressionsThe American medical system is highly fragmented. Americans are more comfortable with fragmentation than other nationalities. Even Americans who are covered think the U.S. medical system is broken. The majority of them want to tear it
13、up and start over. As a nation, we are suspicious about a “single” anything like a single-payer system for health insurance. Critical reading and thinkingUnit 10 Health Care System Text A Topics for presentation4 Why is “rationalizing the medical system” the key to the present problem? Critical read
14、ing and thinkingBenefits to gain by rationalizing the system Saving money Delivering better care to more people Blanket allocation of care being never a good ideaUnit 10 Health Care System Text A Useful expressionsAmericans are not very excited about paying more taxes and pouring more money into a h
15、ealthcare system they rightly feel is broken in the first place. The answer hinges on what we economists call rationalizing the healthcare system.Critical reading and thinkingUnit 10 Health Care System Text A Topics for presentationCritical reading and thinking5 Briefly summarize the four strategies
16、. 1 Wire up the medical system by adopting IT. 2 Undertake a sustained study of comparative effectivenessby tracking effectiveness of care over time. 3 Do a better job of managing chronic diseases, especiallythe prevention of them. 4 Change the incentives in medicine by paying doctors forwhat they do well and make insurance companies focusmore on taking care of the sick.Unit
