Health Systems Stop Medicare Telehealth Appointments

B2 – Upper Intermediate

As of September 30, 2025, Medicare’s expanded telehealth coverage, introduced during the COVID-19 pandemic to make care more accessible, is set to expire unless Congress steps in.
This change could particularly impact older adults who depend on virtual visits due to mobility issues or chronic illnesses. Some telehealth services, like mental health, will continue under separate rules, but many others may not.

Read the article to know more about why smaller clinics may not be able to keep offering virtual visits without reimbursement, which could widen gaps in access to care, especially in rural or underserved communities.

https://abcnews.go.com/Health/hospitals-health-systems-stop-medicare-telehealth-appointments-amid/story?id=126300439

Vocabulary Questions:

  1. What does retroactive reimbursement in Medicare mean? “Most providers and hospital systems are taking calculated risks to continue care during this time, but long-term continuity depends on action by our telehealth champions in Washington to restore these flexibilities and ensure retroactive reimbursement. Use it in a sentence.
  2. What does “woefully” mean? “Our health care services are regressing, falling woefully short for millions of patients in need.” Use it in a sentence. Give a synonym.
  3. What does “advocacy arm” mean? “In a statement, ATA Action, the advocacy arm of the American Telemedicine Association, urged Congress to reinstate Medicare telehealth flexibilities.” Use it in a sentence.

Discussion Questions:

  1. Do you think telehealth should stay permanently covered by Medicare? Share your thoughts.
  2. Have you or someone you know tried a telehealth appointment before? How was the experience?
  3. What health concerns do you think are best handled online versus in person?
  4. How do you think rural communities will be affected if telehealth coverage ends?
  5. Would you personally feel comfortable relying on telehealth for most of your care? Why or why not?

Billions Lack Basic Services in Health Care Facilities

B2 – Upper Intermediate

A new report from WHO and UNICEF finds that although over 100 countries are working to upgrade basic services in health care facilities (like water, sanitation, hygiene, waste management, and reliable electricity), billions of people still receive care in facilities lacking these essentials.

Read the article to know why the authors warn that without adequate infrastructure, health workers struggle to prevent infections and deliver safe care.

https://www.who.int/news/item/24-09-2025-countries-making-unprecedented-efforts-but-billions-still-lack-basic-services-in-health-care-facilities—who-unicef-new-report-warns

Vocabulary Questions:

  1. What does “roadmap” mean here, “While there is progress in establishing standards, conducting baseline assessments, and developing national roadmaps, billions are still served by facilities without the basics.” Use it in a sentence.
  2. What does “baseline assessment” mean? “More than 80% of countries have implemented at least one national action, such as developing standards or conducting baseline assessments.” Use it in a sentence.
  3. What does “scale up” mean? “National action is scaling up.” Use it in a sentence. Give a synonym.

Discussion Questions:

  1. Why do you think some hospitals and clinics still don’t have clean water or electricity?
  2. How important is sanitation and hygiene in health care facilities?
  3. What could happen to patients if these basic services are missing?
  4. Who do you think should be responsible for improving health care facilities, governments, communities, or international groups?
  5. If you were a health worker, how would you feel working in a place without proper resources?

A New Drug Shows Promise for Hard-to-Treat High Blood Pressure

B2 – Upper Intermediate

The drug, called baxdrostat, was tested in people with treatment-resistant hypertension (high blood pressure that doesn’t respond well to existing medicines). In the trial, those taking baxdrostat plus standard medication had their systolic blood pressure fall about 9-10 mmHg more than people on placebo.

Read the article to know more about baxdrostat.

Vocabulary Questions:

  1. What does “resistant hypertension” mean? “The results of a large clinical trial, published August 30 in the New England Journal of Medicine, suggest that baxdrostat could offer an alternative for people with resistant hypertension.” Use it in a sentence.
  2. What does “hyperfiltration” mean? “Kidney effects were minor and may even be beneficial, he says, because they may reduce harmful hyperfiltration. Use it in a sentence.
  3. What does “withdrawal phase” mean in a clinical trial? “The trial also included an eight-week withdrawal phase.” Use it in a sentence.

Discussion Questions:

  1. What are the potential benefits of baxdrostat? How about the What are the concerns and side effects?
  2. Share your thoughts on this, “Hypertension, or high blood pressure, is a serious condition where blood pressure is consistently too high, affecting over 1.2 billion adults globally.
  3. Why do you think it is important to keep find new hypertension medicines?
  4. What are some ways people can lower their blood pressure without medicine?
  5. Do you know anyone who struggles with hypertension? How is it like for them?

Artificial Intelligence to Forecast Future Health

B2 – Upper Intermediate 

Another way experts is developing on how to utilize artificial intelligence is for it to be able to predict possible health issues years ahead of time.

Delphi-2M has been learning to spot patterns using anonymous medical records so it can foretell what comes next and when.

However, it won’t be able to say exactly when the date will be of a medical event like a heart attack or stroke. It estimates the probability of 1,231 diseases though.

Read the article about artificial intelligence’s ability to forecast people’s health issues.

https://www.bbc.com/news/articles/cx2pj502ev6o

Vocabulary Questions:

  1. What does “stack up” mean here, “The model was then tested to see if its predictions stacked up using data from other Biobank participants, and then with 1.9 million people’s medical records in Denmark.” Use the phrase in a sentence. Give a synonym or similar expression.
  2. What does “cut back” mean? “This could include medicines or specific lifestyle advice – such as people likely to develop some liver disorders benefitting from cutting back their alcohol intake more than the general population.” Use the phrase in a sentence. Give a synonym or similar expression.
  3. What does “scalable” mean? “This research looks to be a significant step towards scalable, interpretable, and – most importantly – ethically responsible form of predictive modelling in medicine.” Use the word in a sentence. Give a synonym or similar expression.

Discussion Questions:

  1. Share your thoughts on this technology. What do you think are its promises and pitfalls?
  2. Do you see this technology “following a similar path to the use of genomics in healthcare where it took a decade to go from scientists being confident in the technology to healthcare being able to use it routinely“? Why or why not?
  3. What can you say about this, “The technology has learned to spot patterns in people’s medical records to calculate their risk of more than 1,000 diseases.
  4. The researchers say it is like a weather forecast that anticipates a 70% chance of rain – but for human health.” Is this reliable enough? Share your opinion.
  5. Do you think this technology can be considered an “ethically responsible form of predictive modelling in medicine“? Share your insights.

NHS to Lose Out on New Drugs, Novartis Warns

B2 – Upper Intermediate 

According to the pharmaceutical giant Novartis, NHS patients will not have the opportunity to gain access to new cutting-edge drugs due to the steep, continuous increase in drug pricing.

Read the article about UK’s NHS losing access to new innovative treatments due to failed drug pricing deals with the pharmaceutical giant Novartis.

https://www.bbc.com/news/articles/c4gzk1p90q1o

Vocabulary Questions:

  1. What does “outlier” mean? “Mr Kahlstrom, managing director of Novartis’ UK and Ireland operations, told the BBC’s Today programme that the UK remains an outlier and patients still lose out and I think we have to be honest about that.” Use the word in a sentence. 
  2. What does “rebate rate” in healthcare mean? “However, the actual rebate rate has risen to 23.5%, which Novartis said was more than triple the 7% rate in Germany, for example.” Use the term in a sentence. 
  3. What does “Qaly” mean? “The National Institute for Health and Care Excellence (Nice) considers medicines costing between £20,000 and £30,000 per Qaly as good value for money.” Use the term in a sentence. 

Discussion Questions:

  1. Share your insights regarding this, “A body assesses whether a new drug is value for money before approving it for use on the NHS, but Novartis said its methods were outdated and made it harder for innovative drugs to be approved and launched.” Is it the same process in your country?
  2. Share your opinion on these statements from Novartis boss and UK Health Secretary, “Norvartis’ [sic] UK boss Johan Kahlstrom said costs meant the UK was “largely uninvestable”, but Streeting has vowed he will not allow firms to “rip off” taxpayers.
  3. Novartis was not considering the UK for major new investments in manufacturing, research, or advanced technology because of systemic barriers.” What might be the effect of this to the UK’s healthcare system?
  4. Another drug company, Gilead Sciences, would not submit its breast cancer drug for assessment by Nice, blaming the UK for undervaluing medicines.” Do you believe the UK is indeed undervaluing medicines? Share your thoughts.
  5. What do you make of this, “The UK was under invested on medicines with “only 9% of the healthcare budget in the NHS” being spent on drugs compared to about 14% in France and 15% in Germany.”?

Energy Drinks to be Banned for Under-16s in England

B2 – Upper Intermediate

Across schools, parks, and shops in England, energy drinks have become a common part of teen life. But health experts and teachers are worried. These drinks are packed with caffeine and sugar, and studies show they can cause sleep problems, anxiety, and trouble focusing in class.

The government is stepping in to protect young people from the impact of overconsumption of these power beverages on these youngsters’ health, concentration, and learning.

Read the article about the prohibition of energy drinks children under the age of 16 in the UK.

https://www.bbc.com/news/articles/c707074qdnko

Vocabulary Questions:

  1. Explain what idiom “the social currency of the playground” mean. “It’s no wonder energy drinks have become the social currency of the playground.” Use it in a sentence.
  2. What does “to bounce off the walls” mean? “TV chef Jamie Oliver has repeatedly warned of the dangers and disruption energy drinks can cause, with kids coming into school bouncing off the walls having had energy drinks for breakfast.” Use it in your own sentence. Give a similar expression.
  3. What is the meaning of “to be called upon“? “The government had been called upon to act by parents, teachers and children“. Use it in a sentence.

Discussion Questions:

  1. Cite the health effects of energy drinks.
  2. How do you feel about England’s decision to stop selling energy drinks to kids under 16? Do you think it should be done everywhere? Explain.
  3. How do you think teens will respond to the new restrictions on energy drink sales?
  4. How common is it for kids and teens in your area to choose energy drinks over other beverages?
  5. Share your thoughts on this, “Manufacturers are clever by working with influencers, using fun packaging and creating enticing flavours aimed at young people.
  6. How do you recharge when you’re feeling tired or low on energy?

Intermittent Fasting Affects Heart Health

B2 – Upper Intermediate 

Intermittent fasting is a diet trend that has become so popular these days. 

Scientific studies have backed overnight fast it having some health benefits. However, a new study found that people who only eat less than eight hours a day are more likely to be at a much higher risk of suffering or in worst case, dying from cardiovascular diseases such as heart attack or stroke.

Read the article about how intermittent fasting affects heart health.

https://www.bbc.com/news/articles/c0l6ye6xe12o

Vocabulary Questions:

  1. What does “without the drudgery of something” mean? “It promises to hack biology without the drudgery of counting calories or cutting carbs: simply change when you eat, not necessarily what you eat.” Use the expression in a sentence. Give a synonym or similar expression.
  2. What does “run counter to something” mean? “That runs counter to the popular belief – supported by short-term studies lasting only a few months to a year – that time-restricted eating improves heart and metabolic health.” Use the phrase in a sentence. Give a synonym or similar expression.
  3. What does “frailty” mean? “For older adults or those with chronic conditions, prolonged fasting may worsen frailty or accelerate muscle loss.” Use the term in a sentence. Give a synonym or similar expression.

Discussion Questions:

  1. What are the promise and pitfalls of intermittent fasting?
  2. What are your thoughts about this diet? Is it a helpful practice or health risk?
  3. Share your opinion on this, “The study doesn’t prove cause and effect. But the signal is striking enough to challenge the narrative of fasting as a risk-free path to better health.
  4. Share your insights on this advice, “Until the evidence is clearer, the safest bet may be to focus less on the clock and more on the plate.
  5. Talk about another diet that you know of. How is it done and what are its known benefits and negative effects?

Japanese Walking Helps to Live Longer

B1 – Intermediate 

As we all know, Japan is one of the countries with the longest life expectancy among its people. It could be because not only do they have a very healthy diet, but they also love walking.

“Japanese Walking” has become a fitness trend on Tiktok. Basically, you walk quickly for three minutes then gradually slow down for three minutes and then repeat it five times.

Read this article about the health benefits of Japanese walking.

Be ready to answer the questions that follow.

https://breakingnewsenglish.com/2508/250807-japanese-walking.html

Vocabulary Questions:

  1. Define “life expectancy”. “Japan is often reported as having the longest life expectancy.” Use this phrase in a sentence. Give a synonym. 
  2. What does “to come up (with something)” mean? “Researchers at Shinshu University in Matsumoto, Japan came up with the name in 2007.” Use this phrase in a sentence. Give a synonym. 
  3. What does “jargon” mean? “He said he wanted “to make fitness advice and scientific jargon a lot more accessible.” Use this word in a sentence. Give a synonym. 

Discussion Questions:

  1. What are your thoughts on Japanese Walking?
  2. Do you and people in your country enjoy walking? Why or why not? How is walking beneficial for you?
  3. Talk about a fitness trend that is very popular in your country.
  4. Describe your fitness routine.
  5. Do you follow and listen to fitness experts on social media? Why or why not?
  6. What are other things we should do to increase our life span?

Wearable Devices to Measure Workers’ Temperature

B2 – Upper Intermediate 

We have been experiencing the highest temperatures ever recorded. This causes employers to try using wearable technologies such as sensors and armbands to ensure that their employees’ wellbeing is in check.

These devices can be used to collect body temperatures so the employers can warn the workers if are getting too hot and let them go on a break.

Listen to this audio and read the transcript about wearable devices that can measure worker’s body temperatures to prevent heat-related health issues.

https://learningenglish.voanews.com/a/employers-use-wearable-devices-to-measure-workers-temperature-/7758808.html

Vocabulary Questions:

  1. What does “raise concerns” mean? “He said the idea that companies could keep years of medical information on employees raises privacy concerns. Use this phrase in a sentence. Give a synonym.
  2. What does “withhold” mean? “He said the information could be used to withhold health plans or dismiss workers.” Use this word in a sentence. Give a synonym.
  3. What does “hurt” mean in this context, “Schwartz said, ‘The device could hurt…because you could raise your hand and say, ‘I need a break,’ and the boss could say, ‘No, your heart rate is not elevated, go back to work.’” Use this term in a sentence in the same context. Give a synonym.

Discussion Questions:

  1. What are the advantages and disadvantages of using wearable devices to track workers’ temperatures/heat stress?
  2. Considering its advantages and disadvantages, what do you think about using wearable technologies in the workplace to detect heat stress among workers?
  3. Share your thoughts on this, “Some groups worry that employers will use the technology to punish people for taking needed breaks.”.
  4. What is your opinion on this, “Companies could keep years of medical information on employees raises privacy concerns. He said the information could be used to withhold health plans or dismiss workers.”?
  5. In your country, how do companies protect workers from heat stress?

Drugs and Medication

B1 – Intermediate 

It is normal for people to get sick at times. And when that happens, we need to find something to help us feel better as soon as possible.

Listen to this audio and read the transcript about drugs and medication. 

Vocabulary Questions:

  1. What does “in no time” mean, “You’ll be up and dancing around in no time.” Use this idiom in a sentence. Give a synonym.
  2. What does “to stay off one’s feet” mean? “He also told me to stay off my feet for a day or so, but I’m so busy these days.” Use this phrase in a sentence. Give a synonym.
  3. What does “to get rid of” mean? “I have just the thing to get rid of bad colds.” Use this phrase in a sentence. Give a synonym.

Discussion Questions:

  1. What is Steve’s problem? What is Carla’s suggestion?
  2. If you were Steve, would you take Carla’s advice? Why or why not?
  3. Have you ever tried taking herbal medicines? How was it? If not yet, would you try it?
  4. When was the last time you got sick? What did you do to feel better?