VOCABLE ANGLAIS n°907 - Page 4 - 907 Cours d’anglais de 3 à 17 ans Renforcez son anglais avec les experts mondiaux Cours en présentiel ou en distanciel Professeurs qualifiés et expérimentés Activités proposées pour les élèves et les parents Environnement inclusif et sécurisé Ecoles à Paris dans les : 6e, 7e, 8e, 12e, 14e, 16e et 17e arr. www.britishcouncil.fr/anglais Profit partout, santé nulle part Selon une analyse récente du Commonwealth Fund, les Américains sont ceux qui dépensent le plus en soins de santé parmi les pays développés, avec environ 4,9 milliards de dollars en 2023. Pourtant, paradoxalement, ils affichent les pires résultats dans ce domaine. En effet, les États-Unis sont le seul pays développé à ne pas offrir unecouvertureuniverselleàsescitoyens.La majoritédesAméricains(63%)sontcouverts par une assurance privée de santé, le plus souvent proposée par les employeurs. L’assassinat du PDG de UnitedHealthcare, Brian Thompson, en décembre dernier, a suscité une vague de colère de la part du public à l’égard de ce système qui semble de plus en plus inégalitaire. Tandis que les assureurs privés enregistrent des bénéfices colossaux chaque année, une grande partie de la population peine à naviguer dans un labyrinthe bureaucratique et financier pour obtenir des soins nécessaires. En conséquence, de nombreuses voix s’élèvent pour dénoncer un modèle qui privilégie la rentabilité des entreprises au détriment du bien-être des citoyens. Par ailleurs, les décisions politiques de DonaldTrumpdepuissonretouraupouvoir ne semblent rien présager de bon pour ce secteur déjà en crise. En effet, au-delà des politiques discriminantes liées à l’avortement et à l’accès au soin pour les personnes transgenres, mais aussi la nomination du militant anti-vaccin Robert F. Kennedy Jr. au poste de ministre de la santé, le retrait des États-Unis de l’Organisation mondiale de la Santé (OMS) pourrait avoir des conséquences désastreuses sur la recherche médicale et la préparation aux futures pandémies. Entre explosion des coûts, accès inégalitaire aux soins et décisions politiques inquiétantes, l’avenir de la santé du pays semble donc plus incertain que jamais… AMELIE TRESFELS rédactrice en chef Grand Angle ������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������� 5 A la une Focus ������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������ 6 B2-C1 ‘It didn’t used to be like this’: woeful US healthcare system exposed THE GUARDIAN ������������������������������������������������������������������������������������������������������������������������������������ 8 Un système de santé gangréné par le business des assurances maladie B2-C1 Trump withdraws U.S from World Health Organization THE NEW YORK TIMES ��������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������� 11 Que signifierait un retrait des Etats-Unis de l’OMS ? Société Sur le vif ��������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������� 13 C2 ‘Slay, serve, survive’: how gen Z is rewriting the rules of work THE GUARDIAN ����������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������� 14 Comment la génération Z redéfinit les normes en entreprise B2-C1 London’s pie-and-mash shops are disappearing THE ECONOMIST ������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������� 16 Une tradition culinaire qui tend à disparaître Enjeux B2-C1 How Justin Trudeau’s focus on social policy will be his legacy THE CONVERSATION ������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������ 20 Quel bilan pour Justin Trudeau ? B2-C1 Los Angeles has lost some of its trailblazing architecture THE ECONOMIST ������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������ 22 Comment recréer l’architecture unique de la ville après les incendies ? On parle d’eux ������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������ 24 PRATIC’ABLE������������������������������������������������������������������������������������������������������������������������������������������ 25-28 Vocabulaire du jardinage / Les marqueurs de temps / English Grammar in Use fête ses 40 ans A360 ��������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������� 29 A2-B1 How clothes swapping became huge in Ireland THE GUARDIAN ���������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������� 30 L’entreprise Change Clothes offre une seconde vie aux vêtements Abonnez-vous à la newsletter abonnés Podcasts, quiz, cadeaux ... bénéficiez de bonus et d’avantages exclusifs ! www.vocable.fr/newsletter édito sommaire Photo de couverture : (Istock) NIVEAUDEDIFFICULTÉETÉQUIVALENCECECRL (Cadre Européen Commun de Référence pour les langues) : facile A2-B1 moyen B2-C1 difficile C1-C2 Suivez-nous sur : Vocable vocable.mag Vocable_English L’article est repris sur le CD ou les MP3 de conversation : Des interviews en V.O. pour améliorer votre compréhension Tous les articles du magazine sont lus par des anglophones sur le CD (ou les MP3) de lecture Retrouvez le reportage vidéo lié à l’article sur vocable.fr BONUS Découverte B2-C1 Camel milk as healthier alternative to traditional dairy THE INDEPENDENT ���������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������� 33 Le lait de chamelle : nouvelle alternative au lait de vache ? B2-C1 Are we ready for another pandemic? THEGUARDIAN ������������������������������������������� 34 Sommes-nous prêts à affronter une nouvelle pandémie ? Culture C2 Wes Anderson is one of cinema’s great auteurs: discuss THE CONVERSATION ������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������� 36 Pourquoi Wes Anderson est-il un grand artiste ? B2-C1 The voice of South-Africa’s first post-apartheid generation THE NEW YORK TIMES �������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������� 38 ThandiswaMazwai,lavoixdelagénérationpostapartheidenAfriqueduSud Zoom ��������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������� 40 Echos ��������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������� 41 C2 How Douglas is cancelled tackles the ‘heated topic’ of ‘cancel culture’ with dark humour VARIETY �������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������� 44 Une nouvelle série britannique sur la « cancel culture » Les Sorties ���������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������� 48 Le Dessin ����������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������� 49 La recette en V.O. Le Corned beef de la Saint Patrick ����������������������������������������������������� 50 N°907/Du7marsau3avril2025 Prochainnuméro:le4avril Au coeur de l’Histoire Les procès des sorcières de Salem 18 Une plume à la loupe Virginia Woolf 42 Carnet de voyage Melbourne 46 SERVICEABONNÉS0327611011. www.vocable.fr Pour contacter votre correspondant, composez le 01.44. 37. 97.[...] suivi des 2 chiffres de son numéro DIRECTEURDELAPUBLICATION:C.Bourdery.RESPONSABLED’ÉDITION:A.Tresfels(atresfels@vocable.fr).EXPLICATIONS,TRADUCTIONSETCORRECTIONS:C.Martin,J.Marshall, C. Lambert, M. Perea Lopez, O. Allègre. PUBLICITÉ : [77]. DIRECTION COMMERCIALE : C.Libilbéhéty [79]. ABONNEMENTS ENTREPRISES : E. Jayme [86]. 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VOCABLE ÉDITIONANGLAISE VOCABLE Mars2025• 5 PanamaprotestsTrump’sthreatsto controlthecanal LesPanaméensserévoltentcontrelesmenacesdeTrump deprendrelecontrôleducanal Lastmonth,U.S.Secretaryof State Marco Rubio met withPanama’s President JoséRaúlMulino asprotestseruptedover DonaldTrump’sdemandtoreclaim controlof the Panama Canal.Rubio warnedthat China’sinfluenceposed a threatandurgedimmediate action.After their meeting,Panama announced it wouldnot renewitsmembershipof China’sinfrastructure-buildingprogramme, knownastheBeltandRoadInitiative.Around 200demonstratorsinPanama Citywere shouting“Marco Rubiooutof Panama,”“Longlivenationalsovereignty”and“One territory,one flag”while the meetingwasgoingon.Someburned abannerwithimagesofTrumpandRubioafter beingstoppednear the presidentialpalace byriot police. protestmanifestation, mouvement de protestation / to eruptéclater (fig.) / demand exigence, revendication / toreclaimreconquérir, récupérer, retrouver / to warn avertir, mettre en garde, prévenir / threat menace, danger / tourgeexhorter / membershipadhésion / demonstratormanifestant / toshouthurler, crier / flag drapeau / togo,went,goneonse poursuivre / bannerbanderole / riotpolicepolice antiémeute. PANAMA (AP Photo/Matias Delacroix) Panama City L’actualité enimages Grand angle Àlaune Focus 6• VOCABLE Mars2025 Understanding theU.S. healthcare system Programmespublics,assurancesprivées, évolution,chiffres-clé…Découvrezcomment fonctionnelesystèmedesantéaméricainetquels ensontlesenjeuxactuels. I Santé I ETATS-UNIS QuickFacts Total Spending: ~$4.5trillion(2022) Per Capita Cost: ~$13,000perperson Uninsured Americans: ~27million(~8%) Largest Health Insurer: UnitedHealthGroup ($324B revenue, 2023) Major Public Programs: Medicare,Medicaid,VAHealthcare spending dépenses, budget / trillionmille milliards / percapitapar habitant / uninsured sans assurance (médicale) / insurer assureur, compagnie d’assurances / revenuerecettes, chiffre d’affaires. LyndonB.Johnson Created Medicare& Medicaid in 1965. BarackObama Signed the Affordable CareAct(Obamacare) in 2010. BernieSanders Leading advocate for MedicareforAll. ElizabethWarren Supports a public option to compete with private insurers. affordableabordable (financièrement) / act loi, décret / leadingprincipal, de premier plan / advocate défenseur, partisan / tosupportsoutenir, défendre / tocompetewithconcurrencer. Historicalcontext The U.S. employer-based health insurance system emerged in the 1920s and expanded during World War II when companies offered health benefits toattractworkersunderwagecontrols. By the 1950s, tax exemptions solidified this model, covering half of Americans. However, it left out many, leading to MedicareandMedicaid(1965) and later reforms like CHIP(1990s)and theACA(2010). Unlike other nations that built universal systems post-war, the U.S. relied on patchworkreforms, leaving millions uninsured or underinsured. employer-basedici, financé par l’employeur / toexpandse développer / benefitavantage (social) / wage salaire / tosolidifyconsolider / toleave,left,leftoutexclure / tolead,led,ledtoconduire, aboutir à / CHIP=Children’sHealthInsuranceProgramprogramme d’assurance maladie conçu pour couvrir les enfants non assurés issus de familles aux revenus modestes mais trop élevés pour être admissibles à Medicaid / ACA=PatientProtectionandAffordableCareAct / unlike contrairement à / torelyonse reposer sur (fig.) / patchworkméli-mélo, ensemble disparate. Keynames (3LH-B&W/SUPERSTOCK/SIPA) (AP Photo/Erin Hooley) (ZUMA Press Wire/Shutterstock) (AP Photo/Jacquelyn Martin) (IStock) (IStock) (IStock) VOCABLE Mars2025• 7 Améliorezvotreprononciationenécoutanttouslesarticlessurlesupplémentaudiodelecture Obamacare TheAffordableCareAct (ACA), or Obamacare, was signed in 2010 to expand coverage, reduce costs, and improve care. It was the biggest healthcare reform since Medicare and Medicaid. Many conservatives saw it as ‘socialised medicine’ and tried to repeal it multiple times. to expand développer, élargir / to improve améliorer / care soin(s), (prise en) charge / conservative conservateur / socialised ici, créé par les socialistes, socialo / medicine remède / to repeal annuler, abroger. Acomplexsystem The U.S. healthcare system is notoriously complex, withmultiplepayers,various insuranceplans,andopaquepricing. Patients face high deductibles, copays, and prior authorisation requirements, making access to care difficult. The lackofpricetransparency andcomplicatedbilling further add to inefficiencies, making the system harder to navigate and more expensive. notoriouslyréputé/pricingtarification/tofacese heurterà/deductiblefranchise(contratd’assurance)/ copayticketmodérateur/priorauthorization requirementdemanded’autorisationpréalable/to addfurthertoaccroître/tonavigateici,appréhender. Highcosts The high cost of U.S. healthcare is driven by administrativeexpenses,highdrugprices, andafor-profitsystem. Around 25%of spending goes to billing, paperwork, and insurers, making it one of the most bureaucratic systems in the world. Prescriptiondrugscost 2-3timesmore than in other countries due to limited price regulations. Additionally, unlike CanadaortheUK, many hospitalsandinsurers operateforprofit, prioritising revenue over affordability. tobedrivenbyici, être dû à/provoqué par / expenses dépenses / drugmédicament, produit pharmaceutique / for-profità visée commerciale, à but lucratif / billingfacturation / paperwork paperasse, formalités / prescription (délivré sur) ordonnance / regulationréglementation / to operatefonctionner, être géré / to prioritiseaccorder la priorité à / affordability accessibilité, caractère abordable/raisonnable. Risinganger 100millionAmericansowe$220billionin medicaldebt, fuelling frustration over high costs, denied care, and complex bureaucracy. Many believe insurers prioritise profits over patients, sparking debates on stronger regulations,governmentintervention,ora universalhealthcaresystem. risingcroissant, grandissant / anger colère / toowe devoir / billionmilliard / tofuelalimenter, attiser / to deny ici, priver de / tosparkdéclencher, provoquer / debatedifférends, désaccords. Whataretheresults? According to the Commonwealth Fund’s health survey in 2023, the United States has “thelowestlifeexpectancyatbirth,the highestdeathratesforavoidableor treatableconditions,thehighestmaternal andinfantmortality,andamongthe highestsuiciderates.” surveyétude,enquête/lifeexpectancyespérance devie/deathratetauxdemortalité/avoidable évitable/treatablefacileàtraiter/condition maladie/infantenfantenbasâge,nourrisson. Glossary Out-of-PocketCosts: Expenses individuals pay themselves, including deductibles, copays, and coinsurance, before insurance covers the rest. Network(In-Networkvs.Out-of-Network): A group of doctors and hospitals that have agreed to lower rates with an insurance company. PriorAuthorisation: When an insurer requires approval before covering a procedure or medication, which often delays patient care. PublicOption: A government-run insurance plan that competes with private insurers but does not replace them. MedicalBankruptcy: When individuals go into debt due to high medical bills, even if they have insurance. out-of-pocket de sa poche, payé par ses propres moyens, supporté par les patients / toagreetoaccepter / rate tarif / torequiredemander / approvalapprobation / procedure ici, intervention (chirurgicale) / medicationmédicament(s) / todelayretarder, différer / government-run géré par l’Etat, d’Etat / to replace remplacer / bankruptcyici, insolvabilité / togo,went,goneintodebts’endetter. PublicVSprivate PrivateHealthcare TheU.S.istheonly developedcountry withoutasystemof universalhealthcare.Most Americans receive health insurance through private companies,often provided by employers. This means many lose insurance if they change or lose their jobs. Private insurers, such as BlueCrossBlueShield, UnitedHealthcare,and Aetna, dominate the market. toprovidefournir / shield bouclier, protection. PublicHealthcare(GovernmentPrograms): Medicare: Federal program for people 65+ and certain younger individuals with disabilities. Medicaid: Joint federal and state program providing coverage to low-income individuals. CHIP(Children’sHealthInsuranceProgram): Covers children in low-income families who don’t qualify for Medicaid. VA(VeteransAffairs)andTRICARE: Covers military personnel, veterans, and their families. disabilityhandicap / jointconjoint / coverage couverture (de santé) / low-income à faible revenu / to qualifyfor remplir les conditions requises/satisfaire aux critères pour (avoir droit à). (IStock) (IStock) (IStock) (IStock) 8• VOCABLE Mars2025 facile A2-B1 / moyen B2-C1 / difficile C1-C2 Àlaune I Santé I ETATS-UNIS I B2-C1 THEGUARDIAN JEDIDAJAH OTTE The rate of refusals by medical insurance companies to cover medical procedures has risen sharply in recent years. (Istock) UnitedHealthGroup, parent company of UnitedHealthcare, is the fourth-largestfirmintheU.S.byrevenues behind Walmart, Amazon, and Apple. ‘Itdidn’tusetobelikethis’: woefulUShealthcare systemexposed "Cen'étaitpascommeçaavant":ledésastreuxsystèmedesantéaméricain montrédudoigt Depuisl’assassinatendécembredernierduPDGdeUnitedHealth,laplusgrandecompagnied’assuranceaumonde,lesdébatssurle systèmedesantéaméricainontrefaitsurface,révélantunecolèrecroissantecontresonfonctionnementinégalitaire.Desmilliers d'Américainscontinuentdefairepartdeleursdifficultésàobtenirlapriseenchargedeleurssoinsdesanté.Ilsracontentlesrefusde traitement,lesfraisdissimulésetlespratiquestrompeusesdesassurances,accuséesdenégligerlespatientspourmaximiserlesprofits. Since the fatal shooting of the UnitedHealthcare CEO, Brian Thompson, polarised discussions about the US health insurancesystemhavenotabated,withthousandsofAmericanscontinuingtosharetheir struggles in having their healthcare covered. 1.shootingici,assasinat/CEO=ChiefExecutive Officer(président-)directeurgénéral/healthinsurance assurancemaladie(healthsanté)/toabates'apaiser, secalmer/tosharepartager/struggledifficulté,peine. 2. Hundreds of people from across the US shared their frustrations with the Guardian, too,explaininghowtheirliveshadbeenshaped bytheirexperiencesoftryingtoaccesshealthcare in the US. 3. Peoplefromallstates,agesandbackgrounds shared how coverage for prescribed, often 2.toshapefaçonner,marquer. 3.backgroundorigine,milieusocial/coveragecouverture/ critical treatments had been denied, or only beenapprovedafterlengthydelaysandmonths oryearsofarguingwiththeinsurer,andoften only with the help of legal counsel. 4. Scores of people reported that their insurer had sent them automated rejections, ignored criticalindispensable/todenyrefuser/lengthylong, fastidieux/delayretard,délai/toargueargumenter, contester/legalcounselconseillerjuridique. 4.scoresofunemultitudede(scorevingtaine)/ VOCABLE Mars2025• 9 correspondence for months, or changed the rules for coverage arbitrarily and frequently, movestheyperceivedaseffortstoevadepaying out for claims. 5. “The exploitation of our system has been so consistent and universal that most of us have longagosettledintoakindoflearnedhelplessness,”saidLiz,43,aphysicianfromMinnesota. “Iworkinhealthcareandhave‘good’insurance – we pay $10,000 per year in premiums. We barely use it, so it’s been a pretty good deal for my insurance company. Still, they didn’t hesitate to charge me $600 extra when my son broke his arm last month.” 6. Sevenyearsago,Liz’shusbandwasdenieda cervicalspinedecompressionsurgerybecause he was not in pain, she recalled. “I appealed twicethroughthestandardappealprocessand was denied twice more. Eventually, I got the surgery approved after calling and crying on the phone. A humiliating process, clearly built to wear us down until we give up, while we and our loved ones suffer.” Treatment and care denial 7. Although some people felt their healthcare was decent, usually thanks to generous workplace health insurance, the vast majority of respondents said getting coverage and accessingtreatmentwasperpetuallydifficult.Dozens ofpeoplesaidtheyhadhadtofootcostlymedicalbillsdespitehavinginsurance,amongthem StephanieMaughan,68,fromBoston,whosaid she had been saddled with thousands in debt afterherinsurerdeniedcoveringmedicalcosts of about $20,000 last year. 8. “It’s been a nightmare,” Maughan said. “I broke my finger and needed some occupational therapy. My husband needed hearing aids. It was all ‘that’s not covered’, ‘you’re out ofnetwork’and‘youhavetomeetyour$2,500 deductible’. It adds up, we had to take out a loan. We’re not poor, but as far as I’m concerned, we have no health insurance, despite paying about $400 a month for a premium policy.Itdidn’tusedtobelikethis.Thiscountry is in big trouble.” 9. Scores of respondents who have been navigating the US healthcare system for many years felt that corporate greed had progressively made the system less accessible, less safe, more exhausting due to mounting bureaucratic hurdles and more expensive over the past few decades. 10. “More and more hospitals are run by corporationstoday,”said64-year-oldThesia,from Houston. “There was profit before, now they want bigger profits, continual growth. It’s a bit like the story about the frog in the water, andsomeoneslowlybringingupthetemperature while the frog doesn’t notice.” Nearly a quarter of US hospitals are now run by forprofit entities, and by 2021, 5,779 physician A ÉCOUTER SUR LE COMPLÉMENT SONORESÉQUENCE CONVERSATION Le système de santé américain n’a jamais été réputé pour son inclusivité, mais comment se compare-t-il au système français ? Écoutez l’expérience de notre invitée, la comédienne américaine Sharon Mann, installée à Paris, concernant un événement qui a changé sa vie. CD audio ou téléchargement MP3 (sur abonnement) practices were owned by private equity, up from 816 in 2012. 11. Many reported that they struggled finding a doctor after their previous one had dropped outoftheirinsurer’snetworkduetountenable new terms imposed on them by the insurer, with various people saying their insurer had asked them to travel for an hour or longer to see a doctor they would cover. 12. Severalpeoplesaidtheyhadbeenunableto findadoctorwhowasacceptingnewpatients, and many said unexpected costs now made them avoid seeking medical help. Marta, a rulerègle,réglementation/moveici,décision,initiative/ toevadeéviter/claimici,sinistre. 5.consistentsystématique/tosettles'installerdans, serésoudreà/kindsorte/physicianmédecin/ premiumprime(d’assurance)/barelyàpeine/pretty ici,plutôt/dealcontrat/stillici,pourtant/tocharge facturer,demander,fairepayer. 6.spinecolonnevertébrale(ici,cervicale)/surgery opération,intervention/tobeinpainsouffrir/torecall serappeler/toappealfaireappel/eventually finalement/towear,wore,worndownavoiràl'usure/ togive,gave,givenupabandonner,renoncer. 7.workplaceici,professionnel/tofootici,payer,régler/ tosaddlewithaccabler. 8.occupationaltherapyergothérapie/network réseau,circuit,système/deductiblefranchise/loan prêt/asfarasI’mconcernedpourmoi. 9.corporatedesentreprises/greedcupidité/safe fiable/exhaustingépuisant/mountingdeplusenplus nombreux/hurdleobstacle/decadedécennie. 10.torun,ran,rundiriger,gérer/corporation entreprise/growthcroissance/froggrenouille/to noticeremarquer/for-profitàbutlucratif/ practicecabinet(médical)/toownposséder/equity fondsd'investissement. 11.previousprécédent,ancien/todropoutofquitter/ untenableimpossible,intenable/termsconditions, modalités. 12.unabledansl’impossibilitéde/unexpected inattendu,nonprévu/toavoidéviter/toseek,sought, soughtchercher/ Ce que l'on fait rarement ... we barely use it (§ 5) we rarely use it we hardly ever use it we use it once in a blue moon (tous les trente-six du mois) SURLEBOUTDELALANGUE Delay, deny, defend Thewords"delay,""deny,"and"depose"werefoundwrittenonthe casingsofthebulletsusedbyLuigiMangioneinthekillingofthe UnitedHealthcareCEOBrianThompsononDecember4,2024.Theyecho thephrase“delay,deny,defend”—thewaysomeattorneysdescribehow insurersdenyservicesandpayment,andthetitleofa2010bookthatwas highlycriticaloftheindustry.Afterthekilling,JayFeiman'sbookquickly soldoutonAmazonandAbeBooks,andbidswentashighas$315on eBay.Thekillingbecameasymbolofaresurgentwidespreadanger towardstheAmericanhealthinsuranceindustry. todeposedestituer, renverser (todeposefromthethrone détrôner) / casingdouille / bulletballe (arme) / killingmeurtre, assassinat / toechofaire écho à, reprendre / phrase expression / attorney avocat / tosell,sold,soldoutse vendre en totalité, s’écouler / bidenchère, offre / resurgent recrudescent / widespreadgénéralisé / angercolère. Retrouvezplusd’infosdanslanewsletterVocablewww.vocable.fr/newsletter >>> 10• VOCABLE Mars2025 facile A2-B1 / moyen B2-C1 / difficile C1-C2 Àlaune 31-year-oldfromNorthCarolina,wasamonga numberofpeoplewhocriticallycomparedthe USsystemwiththeirexperienceofhealthcare and insurance abroad. “In Germany we were paying way more as a family for insurance, because of our high income,” she said. “Here, as a relatively healthy family, we actually end up paying less, even with each visit costing about $200.” Consequences of hidden costs 13. Lisa Markey, a Briton living in New York, described her experience of using the UK’s NHS recently as “a disaster”. In the UK, she said, she could not access treatment for her retinopathy and nearly lost her eyesight as a result. It was fixed swiftly, she said, upon her return to the US, where she experienced “extraordinarycoverage”whileshehadcorporate insurance through her employer. 14. The lack of upfront pricing information in theUS,however,comparedunfavourablywith experiences of healthcare abroad. “The first time I went to a doctor here, I thought, ‘Great, Ionlypaymycopay,’”Martasaid.“Twomonths laterIgotabillfor$400.It’sagamble.I’mgrateful that we’re well off enough not to have to worry about the cost when going to a doctor, but if I was earning less, I’d think five times before getting medical help.” 15. SethPolansky,52,asolicitorfromWashington DC who has a take-home annual salary of about $80,000 and currently pays approximately $800 monthly for his health plan, said hehadbeenwithhisinsurer,oneofthelargest in the country and considered to be one of the cheapest, for years. 16. “They get worse every year,” he said. “Until 2018, I’d been on the same dosage of my medication for two decades. Then they decidedIcouldonlyhavetwopillsadayinstead of three – no matter what my doctor argued. This year, they completely removed my medication from coverage.” 17. Two of his long-term doctors, Polansky said, had recently moved out of his insurer’s network, because the insurer had changed its contract terms. “I already have to pay deductible fees of $8,000 per year on top of my premiums just to be able to use my insurance, but I went out of pocket to see my old doctor who knows me. I’m probably going to delay my retirement because of these expenses. Last year, [UnitedHealth Group]hadover $20bn in profits. How much is enough?” l abroadàl’étranger/waybien(plus)/incomerevenu/ healthyenbonnesanté/actuallyenfait,enréalité. 13.BritonBritannique/NHS=NationalHealth ServiceSécuritésociale/eyesightvue/tofixrésoudre /swiftlyrapidement. 14.lackmanque, absence/upfrontclair,explicite/ copayquote-part/gamblepari;ici,laloterie/grateful heureux/welloffaisé/toearngagner(argent). 15.solicitoravocat/take-homeici,net/currently actuellement. 16.worsepire/pillcachet/nomatterpeuimporte/to argueici,préconiser/ toremovesupprimer. 17.feesfrais/ontopofenplusde/retirementretraite /bn=billionmilliard. Avez-vous bien compris l’article ? Cochez la bonne réponse. 1. WhyisLizfromMinnesotanothappy withherhealthcareinsurance? a.The company often refuse to pay for treatment. b.She only gets reimbursed months after the treatment. c.She can't afford the premium. 2. WhatdoesLisaMarkeyfeelabouther experienceoftreatmentintheUS? a.It was a disaster. b.It was much better than treatment in the UK. c.It was cheaper than health cover in the UK 3. Whichexpressioninthearticlemeans 'topaythebill'? a.to hand the bill b.to foot the bill c.to toe the bill 4. Whyaresomepatientsfindingit difficulttoconsultadoctor? a.Their insurance company only reimburses certain doctors on their network. b.Doctors are closing their practices in many areas. c.There are less students taking up the medical profession. SOLUTIONS :1. a ; 2. b ; 3. b ; 4. a Testez-vous I Santé I ETATS-UNIS I B2-C1 >>> U.S. healthcare spending rose 7.5%tonearly $5trillionin2023. (Carlos Chiossone/ZUMA Press Wire/Shutterstock) The way insurance companies operate, as subcontractors to public programs, and their pursuit of profit on the backs of policyholders is fuelling frustration. (Edna Leshowitz/ZUMA Press Wire/Shutterstock) VOCABLE Mars2025• 11 Àlaune I Politique I ETATS-UNIS I B2-C1 TrumpwithdrawsU.S.from WorldHealthOrganization TrumpordonneleretraitdesÉtats-Unisdel'OrganisationmondialedelaSanté AlorsquelesEtats-Unisrestentàcejourlepremiercontributeurdel’OrganisationMondialedelaSanté,avec958,5millionsde dollarspourlapériode2024-2025,DonaldTrumpaannoncéencedébutd’annéeleretraitdupaysdel’organisationinternationale. Lesexpertsensantépubliqueestimentquecettedécisionnuiraàlapositiondupaysentantqueleadermondialdelasantéet rendraplusdifficilelaluttecontrelaprochainepandémie. President Trump moved quickly to withdrawtheUnitedStatesfromthe World Health Organization, a move that public health experts say will undermine the nation’sstandingasaglobalhealthleaderand make it harder to fight the next pandemic. 2. In an executive order issued about eight hours after he took the oath of office, Mr. Trump cited a string of reasons for the withdrawal, including the W.H.O.’s “mishandling of the COVID-19 pandemic,” and the “failure to adopt urgently needed reforms.” He said the agency demands “unfairly onerous payments” from the United States, and complained that China pays less. 3. The move was not unexpected. Mr. Trump has been railing against the W.H.O. since THENEWYORKTIMES SHERYL GAY STOLBERG WHO and its many partners regularly deploy mobile clinics and medical teams to reach people cut off from access to health services. (Safin HAMID / AFP) The US withdrawal will not officially happen until January2026. 2020, when he attacked the agency over its approach to the coronavirus pandemic and threatenedtowithholdUnitedStatesfunding from it. In July 2020, Mr. Trump took formal steps to withdraw from the agency. But after he lost the 2020 election, the threat did not materialize. On his first day in office, Jan. 20, 2021, former President Joseph R. Biden Jr. blocked it from going into effect. 1.tomoveici,agir/towithdraw,drew,drawnretirer, sortir/movedécision,initiative/tounderminefragiliser, compromettre/standingposition/globalmondial. 2.executiveorder décret (présidentiel) / totake, took,takenanoath prêter serment / office poste, fonction; ici, présidence / tociteévoquer/stringkyrielle/mishandlingmauvaise gestion/failureici,incapacité/todemandexiger, réclamer/unfairlyinjustement/tocomplainseplaindre. 3.unexpected inattendu, surprenant / torail against fustiger, critiquer violemment / tothreaten menacer (de) / towithhold,held,held retenir, ne pas payer / funding financement / formal officiel / totake,took,takenstepsto prendre des mesures pour / tomaterialize se concrétiser / former ancien(-ne) / togo,went,goneintoeffect s'appliquer, entrer en vigueur. >>>
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