2. ENGLISH FOR SPECIAL PURPOSES (7) SHOULD WE RATION HEALTH CARE FOR OLDER PEOPLE? P. 195-P.197

3. OUTLINE (ACTIVITIES FOR TODAY) 1. reminders 2. supplementary/ extras 3. keywords and key concepts 4. Thematic analysis 5. Homework 2015/8/282011--Alice Y. Chang 2

4. REMINDERS 第八周上課聽演講 Kerr 柯昱全 4/15 (Wednesday) 18:00~19:30 滾出台灣 - 玩出國際觀 從化學系到休閒運動管理研究所，從春吶表 演到青年旅館的老闆， Kerr 的人生似乎從來 沒有極限。若你對海外工作、背包客旅行甚 至民宿經營感興趣，千萬不要錯過 Kerr 高手 在民間的經歷分享！歡迎想挑戰自我，尋找 人生定位的每一個你，到場感受 Kerr 的熱情 與活力，享受一場 360 度的多元講座！

5. REMINDER (2) 2015-04-21 ( 二 ) Three-minute speech Topic Should families provide their own senior health care?

6. REMINDER (3) ORAL REPORTS: 2015-05-19 TO 2015-06-16 Five groups More information: http://memo.cgu.edu.tw/yu- yen/2015-ESP.htm http://memo.cgu.edu.tw/yu- yen/2015-ESP.htm

7. REMINDER (4) 2015-05-05 ( 二 ) MID-TERM EXAM p.41-42 p.81-83 p.122-125 p.195-197 p.229-234 ____________ Word definition (20%); multiple choice (30%); reading comprehension (20%); a short essay (30%)

8. 2. WEEKLY QUOTES

9. 2. EXTRA (2): https://tw.voicetube.com/videos/ 22668?ref=music Let It Go

10. 3. KEY WORDS AND KEY CONCEPTS Ethics, bioethics, ethicists Rationing, allocation of scare resources, distributive justice Waste avoidance cost containment Fidelity, deliberate fraud Medical futility Professionalism

11. THIRD RAIL OF POLITICS The third rail of a nation's politics is a metaphor for any issue so controversial that it is "charged" and "untouchable"; any politician or public official who dares to broach the subject will invariably suffer politically.

12. 3. WORD BANK Primum non nocere: "first, do no harm." Whack away: to continue striking heavy blows Proverbial: famous Autologous : derived from the same individual Torpedo: undermine, destroy Last-chance treatment Pitched: agitated

13. 4. THEMATIC ANALYSIS (1) BRAIN-STORMING What’s wrong with the concept of ethics of rationing? (before reading) @P2  two consideration for rationing—finite recourse and avoidance of unfair rationing methods

14. 4. THEMATIC ANALYSIS (1) THE CONCEPT OF ETHICS OF RATIONING? @3  the physician have an absolute duty of fidelity @3  the quasi-objective measures such as quality-adjusted life years @4  the cost of deliberate fraud not the main problem @5  the interventions do not benefit the patients

15. 4. THEMATIC ANALYSIS (2) THE CONCERN SHIFTS TO WASTE AVOIDANCE What are the considerations for the problem of waste avoidance? @P6  redirecting even a fraction of that wasted money could expand coverage for useful therapy to all Americans…

16. 4. THEMATIC ANALYSIS (2) THE CONCERN SHIFTS TO WASTE AVOIDANCE @P7  medical futility @p8  we should not deprive any patient of useful medical services @p8  useless tests and treatments cause harm @p9  the boundary between wise and wasteful application will often be fuzzy. @p10  stepwise strategy/ evidence-based medicine

17. CONCLUSION @P11 AND @P12 @P11  the ethics of rationing and of waste avoidance are complementary, not competing. @P12  An ethical mandate to prioritize waste avoidance doesn’t address the political hurdles.

18. HOMEWORK Complete the weekly journal. Complete the weekly journal. Prepare the three-minute speech. Prepare the three-minute speech.