Lesson 10-11.Health Care in USA,GB


3. HEALTH SERVICE IN GREAT BRITAIN AND THE USA
СИСТЕМА ОХОРОНИ ЗДОРОВ’Я У ВЕЛИКОБРИТАНІЇ ТА США
PART I
HEALTH SERVICE IN GREAT BRITAIN
Exercise 1. Topic Vocabulary
To be passed through the Parliament - бути прийнятим Парламентом
Royal Assent- королівське схвалення
Nursing homes- приватні лікарні
Well-off people- забезпечені люди
Governing body- керівний орган
Unqualified- некваліфікований
Besides- окрім
At the disposal- у розпорядженні
By appointment only - тільки за попереднім записом

Exercise 2. Learn the following abbreviations, their explanation and translation
NHS- the National Health Service (Державна служба охорони здоров’я)
GPS- the General Practitioner Services (Служба лікарів загальної практики)
FDS- the Family Doctor Service (Служба сімейних лікарів)
DS- the Dental Service ( Стоматологічна допомога)
PhS- the Pharmaceutical Service (Фармацевтична служба)
GMC- the General Medical Council (Генеральна Медична Рада)
GP- General Practitioner (практикуючий лікар)
Exercise 3. Translate into Ukrainian
Free medical treatment, emergency medical treatment, a visitor from abroad, a range of home and clinical services, private hospitals, Family Doctor Service, unqualified persons, to prefer to be private patients, at the disposal both of hospital and family doctors, primary medical care, to provide consultant services in surgery, a definite time to attend a specialist
Exercise 4. Use the appropriate article where it is necessary. Explain your choice
The health service in … USA is different from that in … Ukraine.
They are … practicing psychologists.
Sarah can play … guitar.
I live in … apartment. … apartment is new.
… price of gas keeps rising.
I have never heard about … Kingdom of Toledo.
They did not study … Literature.
India is the second most populous country in … world.
 Please wait for … hour for the test results.
They went to the park … last night.
Exercise 5. Read the following statements. Agree or contradict them. Compare your opinion with the information of the text below.
Most of the hospitals in Great Britain are private.
Health service in Britain is free for everybody, even foreigners.
Foreigners can’t receive any free medical service.
Family doctors cannot use the resources of health centers.
The doctor is the most important person in the health center.
Exercise 6. Read the text and be ready to discuss it
HEALTH SERVICE IN GREAT BRITAIN
The National Health Service Act was passed through the Parliament in 1946. After two years of discussion the Act received the Royal Assent on July 5, 1948 and was introduced into practice. Similar services operate in England, Wales, Scotland, and Northern Ireland.
Most medical treatment in Great Britain is free but charges are made for drugs, spectacles, and dental care. Free emergency medical treatment is given to any visitor from abroad who becomes ill while staying in the country. But those who come to the UK especially for treatment must pay for it.
NHS provides free medical treatment both in hospitals and outside. It consists of three main parts: the general practitioner (including dental) services (GPS); the hospital and specialist service; local health authorities services comprising a range of home and clinical services for prevention, treatment or care.
People are free to choose any medical service or any doctor. In big towns there are some private hospitals called “nursing homes”. Many well-off people prefer to be private patients. In fact, 97% of the population uses NHS. The practitioner services consist of the Family Doctor Service (FDS), the Dental Service (DS), and the Pharmaceutical Service (PhS). All these services provide the patient with individual medical care that he needs.
The General Medical Council (GMC) is the governing body of the medical profession. It sees to it that no unqualified persons practice medicine.
Besides numerous hospitals there are more than 150 health centers in the UK. They contain all the special diagnostic and therapeutic services which doctors need, such as electrocardiography, X-ray, physiotherapy, good administrative and medical records system. The resources of health centers are at the disposal both of hospital and family doctors. Health centers are the basis of primary care.
There are centers which provide consultant services in general medicine and surgery, ear-nose-throat diseases, obstetrics and gynecology, ophthalmology, psychiatry and orthopedics. All consultations in the center are by appointment only. The patient is given a definite time to attend. Each doctor decides for himself how many patients he can examine for an hour. The patient is the most important person in the health center and all the efforts of doctors are directed to help him as much as possible.
Exercise 7. Answer the questions
When was the modern health service system introduced in Great Britain?
What medical services operate in Great Britain?
How can people choose the medical service and a doctor in Great Britain?
What do the practitioner services consist of?
What body is responsible for medical profession?
What is the role of health centers in the health service system in Great Britain?
What services do health services provide?
How can the patients receive a consultation of a specialist?
Exercise 8. Translate into English
Державна служба охорони здоров’я, безкоштовне лікування, безкоштовна невідкладна медична допомога, служба лікарів загальної практики, практикуючий лікар, стоматологічна допомога, забезпечені люди, основа первинної медичної допомоги, захворювання вухо-горло-ніс, консультація спеціаліста тільки за попереднім записом, кожен лікар вирішує сам…
Exercise 9. Substitute the words and phrases in bold type by close in their meanings from the text
The National Health Service Act was put into practice in 1948.
England, Wales, Scotland, and Northern Ireland provide identical health services.
People pay for medicines, glasses, and stomatological service in Great Britain.
Foreigners are given free urgent care if necessary.
Some rich people prefer the private health services.
Health centers give possibility for hospital doctors and general practitioners to use their facilities.
Local health authority service provides not only therapy but prophylaxis as well.
Exercise 10. Put questions to the underlined words
They get a good experience of work in a small rural hospital.
There are more than 150 health centers in the UK.
In big towns there are some private hospitals called “nursing homes”.
These substances are highly intoxicating for people.
Each doctor decides for himself how many patients he can examine for an hour.
These five patients need cataract operations.
The National Health Service Act was introduced into practice in 1948.
He decided to become a surgeon at the age of twenty-four.
I lost my keys somewhere in the park yesterday.
Free emergency medical treatment is given to any visitor from abroad.
Exercise 11. Open the brackets. Translate
Many dangerous diseases (to cause) by viruses.
This 80-year-old lady (to have) a very serious car crash to weeks ago.
I think the patient (to examine) by the neurologist tomorrow.
General practitioners (to provide) the primary medical service in Great Britain.
Penicillin (to discover) in 1928 by Alexander Fleming.
The centre of British commerce and finance, legal system and press (to be) London, the capital.
She (to carry out) laboratory studies with her assistants in the scientific research institute.
The patients who (to suffer) from headache (to be) very nervous.
Exercise 12. Prepare a report on the health care system in Great Britain
PART II
MEDICAL SERVICE IN THE USA
Exercise 1. Topic Vocabulary
Inoculation- щеплення
To arrange- домовитися, організувати (напр., зустріч)
Staffed by- укомплектований
Resident- ординатор
Highly skilled - висококваліфікований
Intensive care unit- відділення інтенсивної терапії
Disability- інвалідність
Retirement benefits- пенсійна допомога (пенсионное пособие)
Place of employment – місце роботи
To force- змусити
Blind- сліпий, незрячий
Dependent children - діти-утриманці (дети, находящиеся на иждивении)
At the expense- за рахунок коштів
Exercise 2. Translate into Ukrainian
the medical institution, US Public Health Service, to receive pay directly from the patient, government-financed hospitals, consulting physicians, and highly skilled nurses, the nursing stuff, emergency units, the cost of medical care, health insurance, life insurance, disability protection and retirement benefits, to develop the medical care programs, free medical care for the poor, disabled and dependent children, partially free medical care for the elderly people, at the expense of health insurance and the government
Exercise 3. Match the words with their definitions
intern a medical specialist in the care of women during pregnancy and childbirth
resident a young doctor who is completing his training in a hospital acting as an assistant physician
obstetrician a professional who practices medicine 
nurse a young doctor undergoing specialization
physician a person educated and trained to care for the sick or disabled
Exercise 4. Translate the sentences in Passive and Active Simple. Make up the sentences interrogative
Dental service is paid by the patients both in Great Britain and the USA.
They will be shown a new laboratory on Wednesday
The patients are admitted to hospitals or clinics staffed by highly qualified specialists.
When professional consultation is needed the family doctor arranges for the specialist.
The experiment was carried out in time and its results were discussed by the scientists.
Each type of diseases should be treated by specially trained specialists.
Americans feel almost religious respect for their Constitution.
Some hospitals in the USA are financed by the federal government.
The American congress consists of the Senate and the House of Representatives.
In 1776, the thirteen weak British colonies in America came together.
Exercise 5. Read the text and be ready to discuss it.
MEDICAL SERVICE IN THE USA
The Health Care System in the USA is organized in three levels: family doctor, the medical institution or hospital and the US Public Health Service.
A family or private doctor gives his patients regular examinations and inoculations. In case when professional service and care is needed the family doctor arranges for the specialist or a hospital for his patients. The family doctor receives pay directly from the patient. Most physicians have private practice. A family doctor either has his own private office or works with several other doctors in the so-called group practice.
But many Americans have no family doctor and they come directly to the hospitals for their medical needs. There are 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 stuff is very important. Nurses are in close contact with patients as long as they are in hospital.
Most hospitals have at least the following major medical departments or units: surgery, obstetrics and gynecology, pediatrics and general medicine. They may also have trauma and intensive care unit, neurosurgical and others. Emergency units are very special in the hospitals. Emergency patients acquire immediate attention.
The cost of medical care in the USA is very high. Most of the population (75%) have their health insurance, life insurance, disability protection and retirement benefits at their place of employment.
The great cost of medical care in the country and a great number of people who couldn’t pay for it had forced the federal government to develop two programs – Medicaid and Medicare. Medicaid is a federal-state program providing free medical care for the poor, the blind, disabled and dependent children. Medicare is a federal program providing partially free medical care for the elderly people over 65 at the expense of health insurance and the government.
Exercise 6. Answer the questions
How is the American Health Care System organized?
How does a family doctor work?
How is the work of family doctors paid?
What kinds of hospitals are there in the USA?
What major medical departments do most American hospitals have?
What is the cost of medical care in the USA?
Why do American government work out two programs of medical service?
What medical program provides free medical care for the poor?
Exercise 7. Translate into English
Система охорони здоров’я в США, приватні медичні заклади, отримувати платню безпосередньо від пацієнта, фінансовані урядом лікарні, сімейні лікарі, консультуючі лікарі, ординатори та інтерни, висококваліфіковані медсестри, відділення інтенсивної терапії, вартість медичного обслуговування, медичне страхування та страхування життя, незрячі та інваліди, частково безкоштовна медична допомога, за рахунок коштів медичного страхування та уряду
Exercise 8. Substitute the words and phrases in bold type by close in their meanings from the text
Urgent patients get care without delay.
A family gives his patients regular inspection and vaccination.
The price of medical care in the USA is very expensive.
The hospitals are stuffed by very experienced nurses.
Special medical care programs provide free medical service for the handicapped.
Exercise 9. Put questions to the underlined words
In case when professional service and care is needed the family doctor arranges for the specialist or a hospital for his patients.
Emergency patients acquire immediate attention.
All citizens must be provided with effective health services.
Washington has been the capital of the USA since 1800.
Nurses are in close contact with patients as long as they are in hospital.
Influenza viruses can be inactivated by sunlight, disinfectants and detergents.
Life style and personal habits of people have a great negative effect.
These pandemics were caused by new viruses in humans.
Exercise 10. Compare the American and the British health care system
USA Great Britain
Are the most of health services private or state? Is the basic health care free for citizens? Are people free to choose their doctor? Which system ensures greater social protection? Підготовка до диференційованого заліку
Перекладіть словосполучення
Державна служба охорони здоров’я
безкоштовна невідкладна медична допомога
Служба лікарів загальної практики
Служба сімейних лікарів
консультація спеціаліста за попереднім записом
приватні медичні заклади
фінансовані урядом лікарні
медичне страхування
вартість медичного обслуговування
консультуючі лікарі, ординатори та інтерни
Дайте відповіді на питання
When was the modern health service system introduced in Great Britain?
What do the practitioner services consist of?
What is the role of health centers in the health service system in Great Britain?
How is the American Health Care System organized?
What kinds of hospitals are there in the USA?
What is the cost of medical care in the USA?
Поясніть терміни
General Practitioner Service
General practitioner
Family doctor
Medicaid and Medicare

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