英语课讨论内容

Income for doctors, too high, too low, or just ok? What problems do the current policy have? And what are the possible ways to respond to these problems? Are they effective?In United States, doctor is one of the most honorable and well-paid profession, for which being a doctor is an attractive and challenging choice for many college students. As far as our country is concerned, doctors’ income seems unequal to their deserved reward, at least for the rightful income. For young residency, their salary is usually less than 2000RMB, which is much less than other professional young university graduates, with being required long time and intensive work. To be a qualified doctor, they have received seven years or even more time of education and training and they had to pay higher tuition fee than many other majors. What’s worse, with wider and wider gap between doctors and patients, nowadays doctors suffer from more and more mental pressure. Compared with income of doctors in China, that of American doctors appears to be a little too high. Too expensive medical expenditure gives rise to extraordinary heavy economic burden, which troubles the government a lot. Besides, there are times doctors become the accomplice to shameful acts of medical insurance companies. As a sentence said, doctors should belong to middle class regardless the social property, too high or too low income for doctors both are abnormal.Investigate NCMS in your area and report your investigation. Summarize the strengths and weaknesses of NCMS.Possible ways to overcome the deficiencies.Strength of NCMS: Focus on inpatients services and catastrophic outpatients services to prevent the rural residents from being impoverished by catastrophic illness.Central and local governments impose many taxes and fees on this system, and the NCMS is guided, organized and conducted by the governments. As for the guideline , broad guidelines are issued by the central governmental, provincial and county governments retain considerable discretion over the details.V oluntary feature is adopted to overcome the public’s resistance of paying any money into a government-run insurance program.Weakness of NCMS:Financial resources is limited. As a result of limited financing, the coverage for inpatient care and catastrophic outpatients care is typically shallow: deductibles are high, reimbursement ceilings are low, and coinsurance rates are high. Participants are still obligated to pay a lot of money out-of pocket, which leave health care beyond the reach of many poor households.Participants are restricted to receive designed drugs and examinations, which may be not very appropriate or adequate to cure illnesses.Reimbursement rules are typically less generous for care delivered in higher facilities, with increasing deductible and increasing coinsurance from township health center to higher level hospitals.This medical system doesn’t take flowing residents into careful consideration. For migrant workers, it is unconvenient or unaccessible to deliver medical care in local hospitals.Solutions: Government should go on promote this policy and make citizens well acknowledged with it, to attract more and more households to participate this system .With enlarging risk pool, the union’s ability of answering potential risks will being enhanced.Government should take measures to expand the financial resources of NCMS, for instance, nationalized enterprises can donate a proportion of their profits to support the NCMS.In addition, guidelines for migrant workers should be modulated reasonablely, to guarantee that they can receive affordable and timely medical care.Three Days to LiveIf your life will be end in three days, what will you do? What is the true meaning of life? Do you have religious belief? Do you agree only your religious belief/faith can make your heart strong?这个应该比较好写呵呵，大家自由发挥吧，下面摘录了一些《假如给我三天光明》里的一些美句，写对人生的感悟时可以引用一二。

It would be an excellent rule to live each day as if we should die tomorrow.We should live each day with a gentleness, a vigor, and a keenness of appreciation which are often lost when time stretches before us in a constant panorama of more days and months and years to come.Only the deaf appreciate hearing, only the blind realize the manifold blessings that lie in sight.It is the same old story of not being grateful for what we have until we lose it, of not being conscious of health until we are ill.It is a great pity that in the world of light the gift of sight is used only as a mere convenience rather than as a means of adding fullness to life.Most of us, however, take life for granted. We know that one day we must die, but usually we picture that day as far in the future.Medical tourism (also called medical travel, health tourism or global healthcare) is a term initially coined by travel agencies and the mass media to describe the rapidly-growing practice of traveling across international borders to obtain health care. It also refers to the practice of healthcare providers traveling internationally to deliver healthcare.Why do people go to another country to receive health care instead ofobtaining domestic health service ?Based on the two video clips you have watched, try to investigate much more information related to medical travel and think about the potential impact to Chinese health care system. Next time, one of your groups have to deliver a 5-10 minutes presentation about what you have learned.关于这个当时做了个相关内容的ppt，有感兴趣的可以看看呵呵DiscussionChinese Medicine Vs. Western MedicineAdvantage & disadvantageWhich one do you prefer, and whyProtection & development of Chinese Medicinegovernment Vs. marketAdvantage of TCM: Traditional Chinese medicine attaches more i mportance to prevention than treatment. It can teach us how to kee p ourselves health, preventing dis-comfort and illness occurring. TCM comprehensively analyse the causes of disease, including our body, our action,our emotion and external environmental. It varies from person to person. Patients with similar symptoms may be del ivered different treatment, while the same treatment may be applie d to those patients who manifest differently. It is individual therap y.Disadvantage of TCM:TCM is subjective and empirical. Thousand years’ accumulation of experience form s it theoretical basis, whic h is controversial for it non-scientific nature. The functional comp onents of Chinese herbs are usually unknown and their potential si de-effects are also undiscovered.TCM is deemed too time-consuming and mild to cope with emerge ncy situations.Advantage of western medicine:Curative effects of Western medic ine are more evident and speedy.Drugs of western medicine are tested by precise preclinical trials to ensure the safety.There are many auxiliary examinations in western medicine to clarif y the causes of diseases, which are objective and convincing. Disadvantage of western medicine: It pays more attention to treat ment than prevention, which is similar to put the cart before the horse.Western medicine holds the thought of “what you see is what you get”, so it always focuses on partial anatomy and physiological co mpleteness too much, while ignores many other specific feelings and psychological endurance of patents, such as function and psych ology.至于更喜欢哪一个，大家就仁者见仁智者见智吧，下面是从网上do wnload的两篇例文，大家可以参考下呵呵Comparision between Western Medicine and TCMSame symptom, same patient, but western medicine and TCM have very different ways of organizing information. Within each discipl ine, there is an enormous amount of time tested information that has its own logic and usefulness. Both Western and Chinese syste ms have their place. Some believe that the greatest strength of W estern Medicine is in it's trauma care and therapies for acute probl ems, while Chinese medicine excels in the areas of chronic proble ms and preventive medicine.That's the difference between Western medicine, and Chinese or Ori ental medicine. Diagnosing the same patient with tremors in her h ands, the Western doctor might perform tests to determine if there is a problem in the brain giving rise to Parkinson's disease. Perh aps they would look to the spinal column to explain the neuromus cular problem, a brain lesion might be sought out with an MRI. However, a practitioner of Chinese medicine would quickly know that the problem is that there is wind blowing around in the acupuncture channels. Then they would seek to determine the cause of the internal wind which could be a deficiency of Blood, body flu ids, Qi energy or perhaps a high fever. The practitioner of Chines e medicine would look to the color and shape of the tongue to de termine what are the deficiencies that giving rise to the wind, the y would feel the pulse on the wrist to determine a specific pulse quality that might lead one to a specific diagnosis that includes bo th the manifestations and cause.One concept that is central to Chinese medicine that the scientific world is still struggling to accept is an internal substance that the Chinese call "Qi". In the West they could describe this as bio-elec tric energy. You can't look at it under a microscope, you can't det ect it with any scientific instruments and you can't isolate it from a substrate. This isn't to say that one cannot feel it, or see it, bu t these are intuitive human qualities that practitioners of Chinese medicine develop over years of practice. Many westerners can also perceive this Qi energy. Martial artists sometimes feel it as heat in the palms of their hands, or warm liquid moving through the b ody. It is the invisible substance in mountain air that clears the m ind with just one deep breath.Acupuncture seeks to treat health on the level of Qi. There are pat hways in the human body wherein this Qi flows. They are called meridians, or channels. Needles inserted along these meridians infl uence the Qi that flows to internal organs. It can affect both the structure and function of these organs. Needles can also work on specific areas of pain that may not be associated with internal pro blems, sport injuries, for example. A needle inserted near the area of a pulled tendon or overstrained muscle will increase the flow of Qi to that area which removes pain and quickens the healing p rocess.What Western medicine tends to diagnose and treat is the effect th at the disease state has on the body itself. The Practitioner of Ori ental medicine diagnoses and acts upon the energy that creates the disease state.There are only some differences between western medicine and TC M we discussed here. They were created on the different backgrou nds. No matter what medicine, if it can cure disease, relieve our pain, useful to all mankind we should protect it and develop it to a higher level.Comparison between TCM and Modern MedicineWe all know the differences between TCM and modern medicine, but we seldom dare to answer the question of which is better. As a student studying in a university of traditional Chinese medicine in 21st century, I have no bias against modern medicine, but I alway s have my confidence and faith in TCM, and I always firmly belie ve that TCM has its visible advantages compared with modern med icine.Theoretically, TCM is deeply rooted in Chinese traditional culture. Based on the yin-yang and the five elements (wood, fire, earth , m etals, and wat er) theory, the core theory of TCM is that “nature an d human are combined together”. TCM focuses on the state of heal th of the whole body, and often treats the same disease with differ ent medications and prescribes the same medicine for different disea ses, all because of the differences in the nature of the bodies. As f or modern medicine, based on anatomy and morphology and holdin g the thought of “what you see is what you get”, it always focuses on partial anatomy and physiological completeness too much, whil e ignores many other specific feelings and psychological endurance of patents, such as function and psychology. So we can find in our life that those patients suffering from chronic diseases or difficult and strange diseases always choose TCM, because modern medicinealways mechanically refers to index and shows no care about the true feelings of any patient. While TCM is just the opposite.In practice of medical treatment, TCM has shown its great potential and influence though the traditional medicines including TCM have not won a real medicinal treatment position in many western coun tries and are only treated as complementary or alternative medicine. According to the DVD discs in the listening classes, we have wit nessed a lot of successful cases of TCM. For example, a patient su ffering from spinal cord compression looked for an operation first. After the operation, it seemed that no compression existed in the o perated place. But several months later, the pain came back again t o the patient. Then the patient had to seek TCM. With the help of associated treatments, such as acupuncture, massage, herbal medici ne, and body exercise, the patient soon completely recovered withou t costing too much money.The comparison above shows that TCM has its advantages over mo dern medicine. In our modern society, instead of falling into disuse, TCM will thrive in such a new historical period.1.医疗旅游（medical tourism）2.新农合（NCMS）3.医生的工资高还是低？现有医疗体系存在的问题？怎样解决？4.禽流感（H1N1）5.张悟本食疗这个大家看看课本上的资料吧P45-466 假如还有三天可活,7对人生的感悟8美国医改9中西医支持哪个10.SARS（具体记不清了11.中药药方12科室招聘启事。