Tag Archives: b1b2

Prepositions: Health Care Costs Push A Staggering Number Of People Into Extreme Poverty

In this article, we will practice identifying prepositions. Each blank will be filled with a preposition.

Health Care Costs Push A Staggering Number Of People Into Extreme Poverty

There’s new — and shocking — evidence about the toll that health care costs are taking on the world’s most vulnerable. A joint report pulished in the journal Lancet Global Health this week 1.______ the World Bank and the World Health Organization estimates that each year more than 100 million people are pushed into extreme poverty in order to pay 2._____ health services — meaning that after covering their health bills, their income amounts to less than $1.90 a day.

Another 800 million people are spending at least 10 percent of their household budget 3._____  health care. And 3.5 billion people — accounting for more than half of the world’s population — are simply forced to go without most essential services.

The kind of care they are missing out on is life-saving but also often extremely basic, says Tim Evans, senior director of health, nutrition and population at the World Bank Group.

Nearly 20 million infants don’t receive the immunizations they need to protect them from diphtheria, tetanus and pertussis,” he says. “These are very common childhood infections that can be completely prevented through low-cost vaccination.”

Similarly, he adds, “more than a billion people live with uncontrolled high blood pressure — meaning they have no access to treatment.”

The problem is particularly acute in sub-Saharan Africa and parts of South Asia. And Evans says that to a large extent it’s due 4. ______ the lack of health infrastructure, personnel and supply chains to serve remote regions where there’s high poverty.

But he says just as problematic is the lack of health spending by governments. Many contribute very little toward subsidizing care for low-income people. There’s also often no viable system of health insurance.

Left to pay for care out of their own pocket, “people either don’t go when they need to, or they go too late,” says Evans.

The consequences can be especially severe when there’s a health emergency — say, someone is 5. ______ a car accident, or a pregnant woman needs a caesarean section. A hospital might agree to treat them. But a separate report by the London-based think tank Chatham House, also released this month, suggests that in cases where the patient can’t afford to pay, it’s surprisingly common 6. _______ hospitals to detain them until their families can cough up the money.

“Some of the most vulnerable people you can imagine are being kept prisoner, basically,” says Robert Yates, the lead author of that report.

“They’re locked up in a sort of secure area with security guards. They are then often not given ongoing medical care that they need, and maybe not given sufficient food. … It’s really quite brutal.”

It’s also technically illegal. That makes it difficult to determine just how widespread the practice is. But after an exhaustive review of local reports and news accounts across a large number of countries, Yates estimates that hundreds of thousands of people are subjected to this kind of medical detention each year. And once again the problem is most prevalent in sub-Saharan Africa.

As depressing as this picture may appear, says the World Bank’s Evans, the situation is far from hopeless.

Over the last 15 years, he notes, governments of low-income countries and the international community invested heavily to ensure that the world’s poorest wouldn’t have to cover the cost of high-priority diseases such as HIV/AIDS and malaria. The result is that “we saw some really spectacular increases in access to, for example HIV treatments. … So there’s reason to suggest the trend is moving 7. ______ the right direction.”

But paradoxically the increasing availability of care in areas where it was previously less common has also increased demand 8._____ it — even as people’s ability to pay has not.

This has put a growing number of people in an impossible position: “People need and want more care,” says Evans. “But the financing system hasn’t kept up. … So people will go to extreme lengths to afford it.”

Welcome to your Prepositions-Health Care Costs Push A Staggering Number Of People Into Extreme Poverty


  1. ________

2. _____
3. ______
4. ______
5. _____
6. _____
7. _____
8. ____

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Merry Christmas!

I found this video on youtube that pretty accurately describes Christmas traditions in America. It’s about 10 minutes long but he’s very thorough so you’ll have a really good idea about the way we celebrate Christmas in America.

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Listening comprehension: Rudolph the Red Nosed Reindeer

Rudolph the Red Nosed Reindeer is one that has been played on national TV since my mother was a child. In this clip we see the elves at work in Santa’s workshop. Watch the clip then answer the questions below.

Welcome to your Elves at Santa's Workshop

What is another way of saying "getting ready"?
What is a 'nitwit'?
What does the expression "what's eaten' ya" mean?
Herbie doesn't want to be an elf, what does he want to be?

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Listening comprehension-The island of misfit toys (Rudolph the Red Nosed Reindeer)

Rudolph the Red Nosed Reindeer is one that has been played on national TV since my mother was a child. It is on every single year.

In this clip, we hear the story of the Island of Misfit toys. It’s 3:19. Watch the clip then answer the questions below.

Welcome to your Island of Misfit Toys

What happened to the boat?
What does 'misfit' mean?
What is the name of the Jack in the box?
Where are they?

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Listening comprehension: Interview with a novelist

This audio clip is from the book Cambridge English Grammar and Vocabulary for Advanced. In this clip you will hear an interview with a novelist. It is 3:50 long.

Welcome to your listening comprehension-interview with novelist

What is the author's first name?
What country is the author from?
What was his other job?
The interviewer asked, "Do you regret leaving your previous job?" What does 'regret' mean?
What time does the novelist wake up?
Where does the novelist write in his house?
Where does he do his research?
True (T) or False (F): The character, Elsa, is based on his mother. (Enter T or F)
What is a "last resort"?

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Listening comprehension-Rudolph the Red nosed Reindeer clip

This movie is one that has been played on national TV since my mother was a child. It is on every single year. Watch the video clip (it’s only 1 minute) and then take the short 2 question quiz after.

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Welcome to your rudolph the red nosed reindeer

At the beginning of the clip, Rudolph says "she said I'm cute!". What does that mean?

 
What does the expression "for crying out loud" mean?

 

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Listening comprehension: Running

In this audio you will hear 3 speakers discuss their experiences with running. It lasts 3:50. You can take notes.

Here’s a quiz to see how well you understood the audio clip. Good luck! 🙂

Welcome to your listening comprehension-running

1) Speaker 1 took up running a few years ago. What does "to take up" mean?
2) What is a fun run?
3) What did speaker 2 do before she started running?
4) Which speaker had 3 older brothers?
5) True (T) or False (F): Speaker 1 no longer runs. (Enter T or F)
6) Which speaker started running at age 10? (Enter: Speaker 1,2, or 3)
7) Who runs in a running club?


 

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What am I?

Go to the link below to my quizlet page. Read the clues and try to figure out what it is!

What am I flashcards

Be sure to subscribe to my youtube channel for even more English lessons. 4minuteswithkristy

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Finish the sentence #1…

  1. If I would have known it was going to rain ____  _________  _________  _______ ________ _________.
  2. If Artie knew he had no money with him, _____ _______ _______ _______ ________.

Click here for the answers!

Be sure to subscribe to my youtube channel for even more English lessons. 4minuteswithkristy

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Too, very, really and so. What’s the difference? 

Too, very and really are similar but they are used differently. The best way to understand them is to see examples. You can see that the different words increase in severity.

For example, you can say both of these sentences:

  • This coffee is really hot-this means that it’s hot but you can drink it with no risk of hurting yourself.
  • This coffee is very hot-this means that although it’s very hot, you can still drink it but with a risk of hurting yourself if you drink too fast. (So, this coffee you would sip, not drink)
  • This coffee is so hot-this has a similar meaning to too.
  • This coffee is too hot-this means it is so hot that you will burn your mouth if you drink it.

Here’s another example:

  • I’m really excited for Christmas! On a scale of 1-10 you are a 8
  • I’m very excited for Christmas! On a scale of 1-10 you are a 9
  • I’m so excited for Christmas! On a scale of 1-10 you are a 10.
  • I’m too excited for Christmas! This sentence could be said but it sounds awkward.

 

  • Kevin is really kind. +
  • Kevin is very kind. ++
  • Kevin is so kind. +++
  • Kevin is too kind. This sentence can have too meanings. I could say that Kevin is too kind and it has a negative meaning. For example, Kevin gave every homeless person he saw $20 and now he has no money left for himself. He is too kind.
    • It has a positive meaning when you are thanking someone. You can say, thank you so much, you are too kind. It is a formal way of showing appreciation.

 

  • That house is big.
  • big house 1.jpeg
  • That house is really big.
  • really big house.jpeg
  • That house is very big.
  • big house.jpeg
  • That house is so big.
  • huge house
  • That house is too big.
  • huge house 1.jpeg

 

So, you’ll notice that we use all of these words before adjectives and after a verb.

That house (noun) is (verb) too big (adjective).

If you found this post helpful, please consider a donation so that I can continue to provide you with content! I appreciate it! Thanks! paypal.me/kristywinfrey 

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