II. Find Ukrainian equivalents:

1.	accelerate		1.	частина, частка
2.	sufficient		2.	протистояти
3.	benefit		3.	дорогий, цінний
4.	predict		4.	добробут
5.	fraction		5.	достатній
6.	confront		6.	законодавство
7.	costly		7.	пророкувати
8.	welfare		8.	користь
9.	transfer		9.	прискорювати

10. legislation

11. access

12. defeat

10. переносити

11. поразка

12. доступ, вхід

Text 2 the public health service and the nation's health care in the usa

The Public Health Service in the USA supplies knowledge, facilities and specialists to the health sector.

If one wants to improve a population's health, the quality of health care must be improved. This is achieved through the application of increased health resources.

The United States took actions to develop health resources in their efforts to improve the health of their population. In the ⁴50s, the United States accelerated the development of hospital resources with Hill-Burton Program. The country soon realized that health care resources were not sufficiently accessible to ensure people who needed health care. A second set of actions followed. Assuring financial and geographic access to health services became the chosen way to improve a population's health.

Gaps in access to and quality of care for large segments of the popu­lation remained a major weakness of the health care system.

With the introduction of Medicare and Medicaid in the '60s, the United States also took actions, although timidly, to improve access to health services. In the United States the work remains incomplete. A main aim of Clinton health care reform proposals was to create access to health care to all Americans, no matter their employment or health sta­tus. Unfortunately, his proposals failed due to resistance of the health care sector.

No matter the resources available, health care system has great diffi­culties adapting to emerging health problems such as AIDS, medical care of mental patients, and to the needs of growing segments of the popula­tion-the elderly, single parent families, and cultural, ethnic and racial minorities.

At least five major challenges confront health care system in the USA. The most fundamental is how to shift from providing health care to producing health. Housing, minimum decent income, food, education, good social and physical environment must reach all, including the most vulnerable groups of the population

.

The next challenge is to focus on providing cost-effective information systems, which can monitor the costs and the effectiveness of health ser­vices. The third is to control health care expenditures. The fourth is to cope with resistance to fundamental changes from within the health care sector. Recent examples, such as the defeat of Clinton's health proposals, illustrate how important reform frequently fails due to resistance from within. Finally, the United States are challenged to transfer the resources liberated from health care to other sectors that can contribute to health.

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