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4.23. Work with a partner. Make up dialogues using the hints below.

1. At the Doctor's

a) A patient enters the room and tells the doctor what he/ she is suffering from.

b) The doctor asks the patient to strip to the waist and then examines him/ her.

c) The patient asks the doctor what’s wrong with him/ her. He/ she seems to be worried.

d) The doctor tries to comfort the patient and writes out a prescription.

2. At the Dentist's

a) A patient complains of a bad toothache.

b) The dentist asks him/ her to sit down and examines his/ her mouth. One of his / her teeth should be pulled out.

c) The patient is afraid. He/ she feels sick and giddy.

d) The dentist pulls out his/ her tooth and shows it to the patient who brightens up and looks happy.

3. At the Bedside

a) A boy complains of a sore throat.

b) His mother is worried. She takes his temperature, it’s normal. His throat is all right.

c) Then the boy pretends to have a stomach-ache and a headache, to be sick and giddy.

d) His mother understands he is feigning illness and orders him to go to school.

4.24. A) Skim the text to pick up its main idea.

b) Answer the questions below.

c) Compare the quality of healthcare in the US and in Russia?

The Quality of Healthcare in the United States

Healthcare in the United States is modern and scientific. Physicians, clinics, and pharmaceutical companies seek the newest and most advanced treatments. Patients expect their doctors to use the most modern methods of diagnosis and treatment so that their symptoms can be identified and their illnesses treated quickly and effectively. Technology plays an important role in specialty care and in the diagnosis and treatment of illness.

The philosophy of U.S. healthcare emphasizes identifying physical symptoms, finding their causes, and treating them. Medical care in the United States is based on the idea that illness is a physiological condition. Historically, U.S. healthcare providers have not been trained to consider the relationships among mind, body, and spirit; healthcare in this country has, instead, focused on isolating problems and finding treatments for specific physical conditions. More recently, medical and nursing schools have begun to provide limited training on holistic health care. Some physicians, nurses, and other healthcare professionals now consider possible emotional causes for certain physical symptoms. The type of holistic approach to medicine often found in other parts of the world is not commonly available in the United States.

Hospital emergency rooms are reserved for critical medical emergencies. They are prepared to provide treatment for life-threatening and critical situations, such as uncontrolled bleeding, broken bones, high fevers, dehydration, unconsciousness, and seizures. If you seek care in a hospital emergency room for minor problems, you will probably have a long wait, impersonal care, and a large bill.

U.S. healthcare is very expensive. Healthcare costs, including hospital and clinic charges and doctors’ fees, are determined by market economics. Treatment is provided on a “fee for service” basis. Payment is often due when the service is rendered, using personal funds or previously-purchased medical insurance.

Medical insurance is essential in the United States. There is no universal national healthcare insurance plan in the country. Americans must arrange for their own medical insurance; most do so through their employers, or by purchasing private policies for themselves and their families.

No insurance plan covers every expense. Some types of treatment will be excluded from coverage (for instance, dental services, plastic surgery, eye prescriptions, etc.) and, even for expenses that are included, you will be expected to share the cost by paying a portion of the bill.

Questions:

1. What is the idea of holistic healthcare? Do you know any countries where this approach is adopted? What is your attitude to this approach?

2. Why could you be unsatisfied with the service provided at hospital emergency room if you seek help for minor health problems? Is the situation similar or different to that of Russia?

3. What healthcare expenses is a person to meet himself/ herself? Why do Americans need medical insurance? Does it cover all medical expenditures of a person?

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