in case, government-financed hospitals, intensive сате unit, health insurance, place of employment, maternal and child health care, retirement benefits
Упражнение З. Прочтите следующий ряд слов. Выпишите слова, относящиеся к теме «Медицинское обслуживание».
medical, health, need, patient, gradually, hospital, program, illness, disease, week, nausea, importance, death, chief, forget, disability, pregnancy, arthritis, cancer, opinion, emphysema, chronic bronchitis
Упражнение 4. Прочтите и переведите текст. [ 1 ■■'' ^
Health Care System in the USA
The second meeting of Dr. Nelson and his colleagues with the Professors and students of the Medical Faculty of the Moscow Medical Academy was devoted to problems of medical service in the USA.
Health Care in the USA ^ 255
Dr. Nelson: Dear colleagues, it is a great pleasure for all of us to meet you again,- Today we'll speak about medical service in our country.
As for the health care system in my country, it exists on three levels: the level of the family doctor, the medical institution or hospital and the United States Public Health Service.
Dr. Kruglov: Do many Americans seek medical help from private doctors?
Dr. Haddow: Not many, I should say. A private doctor, we call him a family doctor, gives his patients regular examinations and inoculations. In case professional care is needed, the family doctor arranges for the patient to see a specialist or to go to a hospital. The family doctor receives pay directly from the patient. Most physicians have private practices. They make use of the hospital's facilities whenever necessary. > A family doctor either has his own private office or works with several other doctors in a so-called group practice.
Sasha Nikiforov: Dr. Haddow, what is characteristic of American hospitals? Do all patients pay for their treatment at hospitals?
Dr. Haddow. I should like to point out first that many Americans have no family doctor and they come directly to the hospital for all their medical needs. The hospital provides health care to the sick and injured. We have government-financed and private hospitals. The patients are admitted to hospitals or clinics staffed by consulting physicians, residents, interns and highly skilled nurses. The nursing staff is very important. Nurses and patients are in close contact throughout the patients' stay in the hospital. Social services are available to the patients and families regarding personal, emotional, and financial problems that may arise from continued illness or disabilities.
Most hospitals have at least the following major departments or units: surgery, obstetrics and gynaecology, pediatrics and general medicine. They may also have trauma and intensive care units, neurosuigical and renal care units, and a psychiatric unit. The Emergency Room (unit) is a very special area in the hospital. The emergency patients receive immediate attention.
Dr. Nelson: Let's not forget about the high cost of medical care in our country. Two thirds of the population have private health insurance. Some people have health insurance, life insurance (financial assistance for the relatives in case of death), disability insurance and retirement benefits at their place of employment. fcMost employees and their families now pay more than 50 per cent of the costs of health insurance. The great cost of medical care in the country and the great number of people who could not pay for it forced the federal government to devel-
256 ♦ Learning To Discuss Medicine
op two health insurance programs - Medicaid and Medicare. Medic-aid, started in 1966, is a federal program providing free medical care for low-income people, the aged, the blind and for dependent children.
bean of the Faculty: Dr. Kendall, I've read that Medicare is a health insurance program for the elderly and disabled. What age group does the Medicare program provide for?4
Dr. Kendall: Medicare, started in 1967, is a federal program providing free medical care foraged Americans over 65, for those who in the past had the greatest medical expenses.
Dr. Kruglov: Dr. Nelson, what are the scientific problems facing American medicine?_
Dr.Nelson: Well, in my opinion, the chief scientific problems facing American medicine are the same as those facing Russian medicine, they are heart disease and cancer. The chief causes of suffering and death today are cancer and cardiovascular diseases, including hypertension, jstroke and atherosclerosis. JAlso much medical research is done on /illnesses of aging, disabilities caused^ by arthritis, mental illness, drug addiction, and genetic problems.
The Dean of the Faculty: Dear colleagues, you've given us a clear
picture of the American health care system. We all want to thank you
and wish you the best of luck in your wofjc.
\ Active Words and Word Combinations
private doctorчастный врач to inoculateделать прививку inoculationпрививка consulting physicianврач-
инвалидность the disabledинвалиды retirement benefitsпенсионные
выплаты emergency unitотделение
неотложной помощи the injuredпострадавшие,
раненые the blindнезрячие, слепые Medicareправительственная
частичную оплату [
медицинского обслуживания I престарелым за счет страхования, остальную часть — за счет государства
Medicaidсоциальная правительственная программа, обеспечивающая бесплатное медицинское обслуживание беднякам и инвалидам