Teacher introduces the topic by showing a picture of the poster for the film “Sicko” and a photo of Michael Moore. Do students know who this is? Have they seen this film? (If not, teacher briefly explains that he is a controversial filmmaker who compared the US healthcare system to the Canadian system and concluded that the US needs massive reforms and that people are becoming poor because they cannot pay for health care). “Health care needs reforms in America – what about Turkey?” Teacher pre-teaches vocabulary for speaking activity using examples, situation, and concept checking questions – elicits responses from students. Vocabulary: Private/state hospitals, health insurance, taxes, local doctors, dentist Teacher then writes the vocabulary words on the board, and asks students to discuss in groups of three about the healthcare system in their country, using the words to guide them. Whole class feedback – teacher asks a couple groups to tell the class what they primarily discussed.

Teacher elicits the idea of podcasts, asking the whole group who listens to them, or if they know of any famous ones. Explain the type of podcast that is done by the International Medi-Aid. Teacher gives students handout: “International Medi-Aid: Podcast Results” (with words whited out and a vocabulary box on the same handout). Students work in pairs to fill in the gaps with the correct vocabulary word, relying on their partner’s knowledge of the word, or trying to guess the meaning of unknown words if they don’t know them. Vocabulary: Nurses, treated, surgeon, treatment, malnutrition, clinic, funding Students check their answers with another group when finished. Teacher does whole class feedback by having one student read one result with the answer, and then concept checking to make sure everyone has understood.

Teacher pre-teaches words not in the first text by first giving examples and using concept checking questions, then writing them on the board. Vocabulary: medicine, disease, operation, injury Students individually listen to the recording once and try to quickly match the four extracts to the podcasts they looked at earlier. Check in pairs, whole class feedback.

Teacher hands out the questions and gives students one minute to read them over. Students listen to the recording a second time and must answer the questions. Teacher plays recording a second time, if necessary. When most students are finished, they check their answer with the person next to them. Teacher does whole class feedback, making sure to ask student for justification from the recording for their answers.

In groups of three, students discuss a specific time when they (or a friend or family) had either a really good experience with a hospital or doctor in Turkey, or a really bad one. For feedback, teacher asks several students to briefly describe their experience.

Teacher asks students to write a short paragraph (in 6 or 7 minutes) describing a specific time when they had a good or bad experience with healthcare in Turkey (see previous stage). When finished, students then get into groups of four and read each other’s work, discuss each student's experience, and choosing the student with the best (or worst experience).