W: And what is the primary goal of American health-care system?
M: The primary goal is to make money. In the US, medical care is regarded as a private business,based on the principle that the kind of care you receive depends on how much money you are willing or able to spend。
W: Are there any special medical programs in the United States then?
M: Yes. There are Blue Cross, Blue Shield as well as Medicare and Medicaid programs in the US。
W: I have only heard of Red Cross. What does Blue Cross mean? And what are Blue Shield and...?
M: Blue Cross is a not-for-profit insurance program that pays patients hospital bills. Blue Shield is also a not-for-profit insurance program that covers doctors fees for medical and surgical expenses inside the hospitals. But the primary purpose of the Blues is not to save money by keeping bills down; rather, it is to ensure that hospital bills, however high they may be, get paid. Medicare is a program designed to cover some of the medical expenses of people over the age of sixty-five while Medicaid is designed to cover the medical expenses of people with very low income。
W: So the American poor and old can share some of the profits after all。
M: Yes. You are right。
W: Thanks a lot for your help, Professor Li。
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