醫(yī)學英語教學課件：Unit 4 Meeting the Health Needs of the Community

OralInterpretation31Audio-visualExercises1ListeningComprehension2Unit4MeetingtheHealthNeedsoftheCommunity114LanguageFocus2PartConceptPart1Audio-visualExercisesTask1SHIFAClinicInterpretingforNon-EnglishSpeakingPatientsGlossaryReviewTask2MultipleChoiceTask4Short-AnswerQuestionsTask3BlankFillingTask5TrueorFalseStatementGetfamiliarwiththefollowingwordsandexpressionsandmatchthemwiththeirChineseequivalents.Unit4:Task1—GlossaryReview1.Muslim2.disquietude3.mosque4.kickoff5.jeopardy6.emergencyroom7.encompass8.billing9.swelling10.facilitate

11.advocate

12.wheeze5682107Unit4：Task1—GlossaryReview()A.危難;危險 ()B.急診室()C.結(jié)帳;收款 ()D.不安;憂慮 ()E.使容易;使順當()F.包含;包圍31912411Unit4：Task1—GlossaryReview()G.清真寺 ()H.穆斯林()I.腫脹;增大;腫瘤;隆起()J.喘息;呼哧地出聲()K.開始(某種活動)()L.擁護者;提倡者1.Muslim2.disquietude3.mosque4.kickoff5.jeopardy6.emergencyroom7.encompass8.billing9.swelling10.facilitate

11.advocate

12.wheezeWatchthefirstpartofthevideoclip“SHIFAClinic”andchoosethebestanswertoeachofthefollowingquestions.Unit4:Task2—MultipleChoiceSHIFAClinicScriptTaskIIUnit4:Task2—MultipleChoice1.Whatseemsoverwhelmingtonewimmigrantsis.A.healthinsuranceB.alanguagebarrierC.medicalcaresystemD.non-availablefreeclinics________SHIFAclinicprovidesfreehealthcareto.

A.newMuslimimmigrants B.Sacramento-areapopulation C.UCDavismedicalstudents

D.volunteersandrefugeesUnit4:Task2—MultipleChoice________3.NewimmigrantsinAmerica.

A.findthemselvescomfortable B.arefamiliarwithculturaltaboos C.areprovidedwithfreehealthcare

D.maybeinasituationofanxietyUnit4:Task2—MultipleChoice________4.SHIFAclinic.A.isrunbythelocalcommunityandtheuniversityB.istomeetthehealthconcernsofthoseinneedC.wasestablishedin1970bythemosqueD.isnotthenewestclinicinthecommunity

Unit4:Task2—MultipleChoice________5.Somepatientsarereluctanttobeseenbymedicalstudentsmainlybecause.A.thepatientshavetheirculturalandreligiousconcerns

B.themajorityofpatientsservedatSHIFAarewomenC.medicalstudentsarenottheirfuturedoctorsD.medicalstudentsarenotasexperiencedasstaffphysiciansUnit4:Task2—MultipleChoice________6.MedicalstudentsperformallofthefollowingactivitiesaSHIFAclinicEXCEPT.A.handlingreceptionB.donatingmedicalsuppliesC.takingmedicalhistoriesD.actingasinterpreters

Unit4:Task2—MultipleChoice________BethRuyak:Fornewimmigrantstothiscountry,ourmedicalcaresystemmayseemoverwhelming.Manyimmigrantsdon’thavehealthinsuranceandlanguageisoftenabarrier.Thereare,however,severalfreeclinicsinSacramentowherehelpisavailable.Host:SHIFAclinicisalivewithactivityeverySundaymorning.UCDavisMedicalstudents,undergraduatesandSacramento-areaphysiciansvolunteertheirtimeheretoprovidefreehealthcareforthesurroundingcommunity,mostofwhomareMuslimsnewlyarrivedtothiscountry.Dr.FaithFitzgerald,professorofmedicineatUCDavis,saystheclinicprovidesasaferefuge.Unit4:Task2—MultipleChoiceDr.Fitzgerald:OneofseveralclinicsthatarespecificallydesignedtomakecomfortablenewAmericanswhocomefromallovertheworldandwhofindthemselvessometimesintheterriblesituationofsicknessordisquietudeofsomesort,alanguagebarrierandculturaltaboos.Host:Sincetheearly1970s,studentsfromUCDavisSchoolofMedicinehaveoperatedfreeclinicstoreachcommunitiesandpeopleinneed.SHIFA—whichmeans“toheal”—isthenewestclinic.Nearlyadecadeinthemaking,theclinicevolvedtomeetthehealthconcernsofindividualsattendingthenearbyMosque.Dr.ShaguftaYasmeen,medicaldirectorforSHIFAclinic,spentmanymonthsnegotiatingwiththeMosque,theuniversityandmembersofthecommunityregardingtheclinic.Someindividualswerereluctanttobeseenbymedicalstudentswhomayormaynotunderstandtheirlanguageandtheirculturalconcerns.Dr.Yasmeen:Andslowly,slowlyIwasabletomakethemunderstandthatthestudentsreallyarethefutureofthisclinicandtheywillbeyourfuturedoctors,soyouhavetotrytounderstandandworkwiththem.Host:ThemajorityofpatientsservedatSHIFAclinicarewomen.Dr.YasmeenexplainsthatsensitivitytotheirconcernsisespeciallyimportantforthoseofaMuslimbackground.Dr.Yasmeen:Culturally,aswellasfortheirreligiousreasonsalso,theywouldn’twanttobeexaminedbyaman.Host:ManyofthemedicalstudentsandundergraduateswhovolunteeratSHIFAclinichavetiestothecommunitytheyserve.Someactasinterpreters,whileothershandlereceptionandintakeduties,ororganizesuppliesdonatedtotheclinic.Inaddition,themedicalstudentsaretrainedtotakemedicalhistories,andperformpreliminaryphysicalexamsbeforethepatientsareseenbyastaffphysician.Dr.Yasmeen:Thisisagreatresourceforthestudentstolearnandinteractwiththepatientsfromthedifferentculturesandtounderstandhowtheculturescaninfluencethedifferentdiseases.Watchthesecondpartofthevideoclipandcompletethefollowingquestionswiththeinformationfromthevideo.Unit4:Task3—BlankFillingSHIFAClinicTaskIIIScriptSHIFAclinickickedoffitsopeningontheeveningof__________________(1).Twodayslater—thefatefulSeptember11—alltheeffortintomakingtheclinicarealityappearedtobe,becausetherewasanatmosphereofdistrustand.Fortunately,thosefearswereunfounded.ThefollowingSundaywasexcepttheplaceissocrowdedSeptember9,2001injeopardytragedyanduncertainty___________(2),__________________(1)______________________(3).Unit4:Task3—BlankFillingwonderful_________(4)becauseshowedupatthesametime.manyvolunteersfourexamroomsUnit4:Task3—BlankFillingSHIFAclinicrecentlyaddedmorespacetoinclude.and.ButfacilityisoftencrowdedeachSundaymorning.EventhoughmostofthepatientsarefromtheMuslimcommunity,theclinicisopento__________________________(8).tworeceptionareaanyonewhoneedshealthcare_________________________(8).________________(5)________________(6)_________________(7)Host:SHIFAclinickickedoffitsgrandopeningwithaneveningoffoodandcelebration,theeveningofSeptember9,2001.Twodayslater—onthatfatefulSeptember11—alltheeffortintomakingtheclinicarealityappearedtobeinjeopardy.Dr.Fitzgerald:Andtherewasgreatconcernaboutthenextweek’sclinic,becauseinthisatmosphereofdistrustandtragedyanduncertainty,nowwehadtherumorsthatitmightbethecasethatitwouldnotbesafetohavetheclinic.Unit4:Task3—BlankFillingHost:Fortunately,thosefearswereunfounded.Dr.FitzgeraldcalledthefollowingSundaytoseehowthingsweregoing.Dr.Fitzgerald:Andtheanswerwas—it’swonderfulexcepttheplaceissocrowdedbecausewehavesomanyvolunteers,allshowingupatthesametime—theoutpouringwastremendous.Host:SHIFAclinicrecentlyaddedmorespacetoincludefourexamroomsandtworeceptionareas.ButDr.YasmeensaysthefacilityisoftencrowdedeachSundaymorningwhentheyseeanaverageof20to25patients.EventhoughmostofthepatientsarefromtheMuslimcommunity,theclinicisopentoanyonewhoneedshealthcare.BethRuyak:UCDavisalsosponsorsclinicstoservetheneedsofLatino,AsianAmericanandAfricanAmericanpopulations—allofthoseclinicsareopentoanyindividualinneedaswell.B

— BethRuyakH

—

HostF—

Dr.FitzgeraldY—

Dr.Yasmeen

SHIFAClinicUnit4:

Part

1—

Video

Script(I)B:

Fornewimmigrantstothiscountry,ourmedicalcaresystemmayseemoverwhelming.Manyimmigrantsdon’thavehealthinsuranceandlanguageisoftenabarrier.Thereare,however,severalfreeclinicsinSacramentowherehelpisavailable.H:SHIFAclinicisalivewithactivity

everySundaymorning.UCDavis

Medicalstudents,undergraduatesandSacramento-areaphysiciansvolunteertheirtimeheretoprovidefreehealthcareforthesurroundingcommunity,mostofwhomareMuslimsnewlyarrivedtothiscountry.Dr.FaithFitzgerald,professorofmedicineatUCDavis,

saystheclinicprovidesasaferefuge.F: OneofseveralclinicsthatarespecificallydesignedtomakecomfortablenewAmericanswhocomefromallovertheworldandwhofindthemselvessometimesintheterriblesituationofsicknessordisquietudeofsomesort,a

languagebarrierandculturaltaboos.H: Sincetheearly1970s,students

fromUCDavisSchoolofMedicinehaveoperatedfreeclinicstoreachcommunitiesandpeopleinneed.SHIFA—whichmeans“toheal”—isthenewestclinic.Nearlyadecadeinthemaking,theclinicevolvedtomeetthehealth

concernsofindividualsattending

thenearbyMosque.Dr.ShaguftaYasmeen,medicaldirectorfor

SHIFAclinic,spentmanymonthsnegotiatingwiththeMosque,theuniversityandmembersofthecommunityregardingtheclinic.Someindividualswerereluctanttobeseenbymedicalstudentswho

mayormaynotunderstandtheir

languageandtheirculturalconcerns.Y:Andslowly,slowlyIwasableto

makethemunderstandthatthestudentsreallyarethefutureofthisclinicandtheywillbeyourfuturedoctors,soyouhavetotrytounderstandandworkwiththem.H: Themajorityofpatientsservedat

SHIFAclinicarewomen.Dr.YasmeenexplainsthatsensitivitytotheirconcernsisespeciallyimportantforthoseofaMuslim

background.D:Culturally,aswellasfortheirreligiousreasonsalso,theywouldn’twanttobeexaminedbyaman.

H:ManyofthemedicalstudentsandundergraduateswhovolunteeratSHIFAclinichavetiestothecommunitytheyserve.Someactasinterpreters,whileothershandle

receptionandintakeduties,ororganizesuppliesdonatedtotheclinic.Inaddition,themedicalstudentsaretrainedtotake

medicalhistories,andperformpreliminaryphysicalexamsbeforethepatientsareseenbyastaffphysician.Y:Thisisagreatresourceforthestudentstolearnandinteractwith

thepatientsfromthedifferentculturesandtounderstandhowtheculturescaninfluencethedifferentdiseases.H:

SHIFAclinickickedoffitsgrandopeningwithaneveningoffoodandcelebration,theeveningofSeptember9,2001.Twodayslater—onthatfatefulSeptember11—alltheeffortintomakingtheclinicarealityappearedtobeinjeopardy.F:

Andtherewasgreatconcernabout

thenextweek’sclinic,becauseinthisatmosphereofdistrustandtragedyanduncertainty,nowwehadtherumorsthatitmightbethecasethatitwouldnotbesafetohavetheclinic.H:

Fortunately,thosefearswereunfounded.Dr.FitzgeraldcalledthefollowingSundaytoseehow

thingsweregoing.F: Andtheanswerwas—it’swonderfulexcepttheplaceissocrowdedbecausewehavesomanyvolunteers,allshowingupatthesametime—theoutpouringwastremendous.H:SHIFAclinicrecentlyaddedmorespacetoincludefourexamrooms

andtworeceptionareas.ButDr.YasmeensaysthefacilityisoftencrowdedeachSundaymorningwhentheyseeanaverageof20to25patients.EventhoughmostofthepatientsarefromtheMuslimcommunity,theclinicisopentoanyonewhoneedshealthcare.B: UCDavisalsosponsorsclinicsto

servetheneedsofLatino,AsianAmericanandAfricanAmericanpopulations—allofthoseclinicsareopentoanyindividualinneedaswell.Watchthefirstpartofthevideoclip“InterpretingforNon-Englishpatients”andgiveashortanswertoeachofthefollowingquestions.Unit4:Task4—Short-AnswerQuestionsInterpretingforNon-EnglishSpeakingPatientsScriptTaskIVWhatchallengedohealthcareprofessionalsinSacramentoencounter?

Whohelpsmedicalprofessionalstomeetthechallenge?

Whatisthetotalnumberofinterpretersonregularschedulestoprovideservices?Interpreters42ForeignlanguageUnit4:Task4—Short-AnswerQuestions___________________________________________.____________________________________________.___________________________________________.4. Howmanylanguagesdoesthehospitalprovideinterpretingservicesfor?

5.Whatifthelanguageapatientspeaksisnotcoveredbythestaffmembers?6.Whatcannon-Englishspeakingpatientsdoiftheyneedtoscheduleadoctors’appointment?HewillbeconnectedwithanationalphoneserviceContacttheinterpretingoffice18Unit4:Task4—Short-AnswerQuestions___________________________________________.____________________________________________.___________________________________________.7.Whatisthesolutioniftheinterpretingofficecan’tprovideliveinterpreting?

8.Inwhatotherareasarevideomonitorscurrentlyavailable?ThefamilypracticeandpediatricclinicsVideointerpretingUnit4:Task4—Short-AnswerQuestions___________________________________________.___________________________________________.BethRuyak:TimemagazinerecentlynamedSacramento,Californiathe“mostdiversecity”inthenation.However,thatdiversityposessomechallengesforhealth-careprofessionalstryingtocommunicatewithpeoplewhospeakotherlanguages.Now,thankstotechnology,it’seasiertodothaneverbefore.Host:AnotherdayintheE-RJaminaVelasquezisnotadoctor;she’snotanurse,butsheisanintegralpartofwhatgoesonhere.Doctor:YourBPisnormalandyourheartisgood.Unit4:Task4—Short-AnswerQuestionsHost:Jaminaisaninterpreter—oneofthemanyonstaffheretohelpmedicalprofessionalscommunicatewiththeirdiversepatientload.Sala:Wehaveatotalof42interpretersandofthe42,wehave23thatareactuallyherecareerandhaveregularschedulestocoverformostpartfivedaysaweek,8to5,andthenontheweekends.Host:Duringthosetimes,ifapatientdoesn’tspeakEnglish,butspeaksSpanish,Cantonese,Russianoranyoftheother18languagesthehospitalprovides,aninterpreterisonlyaphonecallaway.Interpreter:Hello.MedicalInterpretingServices,thisisSteven.HowcanIhelpyou?Sala:Thenurse’sstationwillcontactus.Nursestations,doctors,residentsrequestustogothereandtospeakwithapatient.Host:Ifarequestismadeforalanguagethatisnotcoveredbystaffmembers,thepersonwillbeconnectedwithanationalphoneservicethatwillfindsomeonewhocaninterpretoverthephone.Sala:Ifyouweretoencompassthatservicewithourservice,that’satotalofabout150languagesthatwe’reabletocover.Host:Fornon-Englishspeakingpatients,theinterpretingofficeisthepointofcontactforcommunicatingwiththehealthcaresystem.Peoplecancalltheofficeiftheyhavebillingquestions,needaprescriptionfilledorjustneedtoscheduleadoctors’appointment.Sala:Wehavetheliveinterpreters,iftheyknowaheadoftime.Thereareappointmentsscheduledatthetimethepatientmakestheappointment.Theyusuallyidentifiedthatthey’regoingtoneedacertainlanguage.Weknowthatday,wereviewitandkindofseewhatourworkloadisgoingtolooklike,andthenwewaituntilthepatientshowsup.Nurse:Areyouhavinganybleeding?Host:CarenStringer,anAmericansignlanguageinterpreter,was“scheduled”forthisappointment.Butsomedaystheinterpretingofficejustsimplycan’tmeettheneed,soasolutionwasdevisedthatseemstobeworking—it’scalledvideointerpreting.

Sala:Andit’sbasicallyamonitorwherewe’resittinghere.Wedon’thavetotravel;wedon’thavetowait.Host:Theinterpretersitsinfrontofamonitorequippedwithacamera.Amini-monitorintheclinicishungonanI-Vpoleandrolledintothepatient’sroom.Thepatientcanseetheinterpreter,andtheinterpretercanseethepatient.

Sala:Whenthey’rereadyandthedoctorisready,wecalluptheunitfromourendandwestartinterpreting.It’smuchbetterthanthephonebecausealotoftimescommunicationisn’tjustwhatyouhear,it’salsowhatyousee.

Host:Thistechnologyallowsmoreofarelationshiptooccurbetweenthedoctorandthepatientinsteadoftheinterpreterandthepatient.Sala:Theinterpretershouldreallybeinvisible,butwhenyouhavesomeoneelseintheroomandyou’redirectingittothem,youhaveatendencytomaketheeyecontactwiththemversustheotherindividual.Whenyouhaveamonitorthere,whatthey’redoingislookingateachother.Host:Currently,thevideomonitorsareavailableinthefamilypracticeandpediatricclinics.Forallotherareas,a“l(fā)ive”interpreterisused.WatchthesecondpartofthevideoclipanddecidewhetherthefollowinginformationisTrue(T)orFalse(F).Unit4:Task5—TorFStatementScriptTaskVInterpretingforNon-EnglishSpeakingPatientsPatientstendtowanttheinterpretertoadvocateforthem.Themainjobforaninterpreteristoadvocateforpatients.Theinterpretershouldensureclearcommunicationbetweenthepatientandthedoctor.Unit4:Task5—TorFStatement_______________Sometimestheinterpreterismoreabletoassessthepatientthanhealthcareprofessionals.5.Interpretershelpbridgetheculturalgapsbetweenpatientsandhealthcareproviders.Unit4:Task5—TorFStatement__________Nurse:Anyswellinginyourface,handsandfeet?Host:Andalthoughtheinterpreter“should”beinvisible,oftentimesthepatientseesthatpersonasan“advocate”.Sala:Theyhaveatendencytoembracethatpersonandthenstarttalkingtothemaboutalltheirproblemsandalltheirissuesandreallywantthatinterpretertoadvocateforthem.Host:However,eachinterpreteristrainedtobeimpartialandnottoactonbehalfofthepatient.Sala:ThemainportionoftheirjobsistoabsolutelybeUnit4:Task5—TorFStatementinterpretingandensuringclearcommunicationbetweenthepatientandtheprovider.Host:Sometimestheinterpreterisabletofindoutadditionalinformationthathelpsthehealthcareprofessionalassessthepatient.Dr.MarkGordon:Ourinterpretermanagedtoaskamorethoroughhistoryaboutthewheezingathomeaswellasintheemergencydepartment,whichIwasunabletogetmyself.Anditturnsoutthatthispatientishavingasthmaattacksatnight.

Host:Sointerpreterstranslatelanguage,buttheyalsohelp“bridge”theculturalgapsthatexist.Inessence,theyhelpfacilitatetheentirehealthcareexperienceforboththeproviderandthepatient.BethRuyak:Thevideointerpretingsystemisalsousedfortelemedicineappointments—whenspecialistsatthemedicalcentertalktopatientsindistantruralcommunitiesthroughtelecommunications.B—BethRuyakH

—HostD—

DoctorS

—Sala

I—Interpreter N—NurseM—Dr.MarkGordonInterpretingforNon-EnglishSpeakingPatientsB:

TimemagazinerecentlynamedSacramento,Californiathe“mostdiversecity”inthenation.However,thatdiversityposessomechallengesforhealth-careprofessionalstryingtocommunicatewithpeoplewhospeakotherlanguages.Now,thankstotechnology,it’seasiertodothaneverbefore.Unit4:

Part

1—

Video

Script(II)H:AnotherdayintheE-RJaminaVelasquezisnotadoctor;she’snotanurse,butsheisanintegralpartofwhatgoesonhere.D:YourBPisnormalandyourheartisgood.H:Jaminaisaninterpreter—oneofthemanyonstaffheretohelpmedicalprofessionals

communicatewiththeirdiversepatientload.S:Wehaveatotalof42interpretersandofthe42,wehave23thatareactuallyherecareerandhaveregularschedulestocoverformostpartfivedaysaweek,8to5,andthenontheweekends.H:Duringthosetimes,ifapatient

doesn’tspeakEnglish,butspeaksSpanish,Cantonese,Russianoranyoftheother18languagesthehospitalprovides,aninterpreterisonlyaphonecallaway.I: Hello.MedicalInterpretingSer-vices,thisisSteven.HowcanIhelpyou?S:Thenurse’sstationwillcontactus.

Nursestations,doctors,residentsrequestustogothereandtospeakwithapatient.H:Ifarequestismadeforalanguagethatisnotcoveredbystaffmembers,thepersonwillbeconnectedwithanationalphoneservicethatwillfindsomeonewhocaninterpretoverthephone.S:Ifyouweretoencompassthat

servicewithourservice,that’satotalofabout150languagesthatwe’reabletocover.H:Fornon-Englishspeakingpatients,theinterpretingofficeisthepointofcontactforcommunicatingwiththehealthcaresystem.Peoplecancalltheofficeiftheyhavebillingquestions,needaprescription

filledorjustneedtoscheduleadoctors’appointment.S:Wehavetheliveinterpreters,iftheyknowaheadoftime.Thereareappointmentsscheduledatthetimethepatientmakestheappointment.Theyusuallyidentifiedthatthey’regoingtoneed

acertainlanguage.Weknowthat

day,wereviewitandkindofseewhatourworkloadisgoingtolooklike,andthenwewaituntilthepatientshowsup.N:Areyouhavinganybleeding?H:CarenStringer,anAmericansignlanguageinterpreter,was“scheduled”forthisappointment.Butsomedaystheinterpreting

officejustsimplycan’tmeettheneed,soasolutionwasdevisedthatseemstobeworking—it’scalledvideointerpreting.S:Andit’sbasicallyamonitorwherewe’resittinghere.Wedon’thavetotravel;wedon’thavetowait.H:Theinterpretersitsinfrontofamonitorequippedwithacamera.A

mini-monitorintheclinicishungonanI-Vpoleandrolledintothepatient’sroom.Thepatientcanseetheinterpreter,andtheinterpretercanseethepatient.S:Whenthey’rereadyandthedoctorisready,wecalluptheunitfromourendandwestartinterpreting.It’smuchbetterthan

thephonebecausealotoftimescommunicationisn’tjustwhatyouhear,it’salsowhatyousee.H: Thistechnologyallowsmoreofarelationshiptooccurbetweenthedoctorandthepatientinsteadoftheinterpreterandthepatient.S:Theinterpretershouldreallybeinvisible,butwhenyouhave

someoneelseintheroomandyou’redirectingittothem,youhaveatendencytomaketheeyecontactwiththemversustheotherindividual.Whenyouhaveamonitorthere,whatthey’redoingislookingateachother.H: Currently,thevideomonitorsareavailableinthefamilypracticeand

pediatricclinics.Forallotherareas,a“l(fā)ive”interpreterisused.N:Anyswellinginyourface,handsandfeet?H:Andalthoughtheinterpreter“should”beinvisible,oftentimesthepatientseesthatpersonasan“advocate”.S:Theyhaveatendencytoembrace

thatpersonandthenstarttalkingtothemaboutalltheirproblemsandalltheirissuesandreallywantthatinterpretertoadvocateforthem.H:However,eachinterpreteristrainedtobeimpartialandnottoactonbehalfofthepatient.S:Themainportionoftheirjobsistoabsolutelybeinterpretingand

ensuringclearcommunicationbetweenthepatientandtheprovider.H:Sometimestheinterpreterisabletofindoutadditionalinformationthathelpsthehealthcareprofessionalassessthepatient.M:Ourinterpretermanagedtoaskamorethoroughhistoryaboutthe

wheezingathomeaswellasintheemergencydepartment,whichIwasunabletogetmyself.Anditturnsoutthatthispatientishavingasthmaattacksatnight.H:Sointerpreterstranslatelanguage,buttheyalsohelp“bridge”theculturalgapsthatexist.Inessence,theyhelpfacilitatetheentire

healthcareexperienceforboththeproviderandthepatient.B:Thevideointerpretingsystemisalsousedfortelemedicineappointments—whenspecialistsatthemedicalcentertalktopatientsindistantruralcommu-nitiesthroughtelecommunications.2PartConceptPart2ListeningComprehensionListentoapassage“TheHealthcareSystemintheU.S.”andcompletethefollowingguidedsummary.Task6SummaryScriptTaskVIUnit4:Task6—SummaryWhatWhoMedicalsciencetodaysavesmanymorelives.Butthiscanalsomean

Governmentprogramsprovide_______________(2)

tothepoorandelderly.Othersdependon_______________(.

Companiesguaranteetopay__________________________(4).

Butthemorethepolicycovers,thehighertheprice.

Around60percentof_________________(5)havehealthinsurancethroughtheirjobs._______________(6)usuallypayatleastpartofthecost.majordebtprivateinsurancehealthinsurancepartorallofthecostsofcareworkingAmericansTheiremployers___________(1).

_______________(2)_______________(3)__________________________(4)._________________(5)_______________(6)Unit4:Task6—SummaryWhoWhatGettinginsurancecanbedifficultfor__________________________(7).

Thesameistruefor_________________________(8).

_______________________(9)

getmedicalhelpthroughgovernmentpublicprogramscalledMedicaid.

Medicareisthegovernmentinsuranceprogramfor_____________________________(10).Italsohelpspayfor___________________________________(11).TheMedicarereformactwilltakeeffectatdifferenttimes.40millionelderlyordisabledpeoplewillreceivehelpto______thosewhoworkonlyparttimepeoplewhoarealreadysickThelargestnumberofpoorpeopleagedsixty-fiveandoldersomeyoungerpeoplewhoaredisabledbuy__________________________(7)._________________________(8)._______________________(9)__________