ɍɫɥɨɜɢɹ ɢ ɩɪɚɜɢɥɚ ɩɪɟɞɨɫɬɚɜɥɟɧɢɹ ɮɢɧɚɧɫɨɜɨɣ ɩɨɦɨɳɢ ɑɚɫɬɨ ɡɚɞɚɜɚɟɦɵɟ ɜɨɩɪɨɫɵ Ɇɟɞɢɰɢɧɫɤɢɣ ɰɟɧɬɪ St. Mary Medical Center ɫ ɪɚɞɨɫɬɶɸ ɫɨɨɛɳɚɟɬ ɫɜɨɢɦ ɩɚɰɢɟɧɬɚɦ ɨ ɞɨɫɬɭɩɧɵɯ ɩɪɨɝɪɚɦɦɚɯ ɮɢɧɚɧɫɨɜɨɣ ɩɨɦɨɳɢ. ɇɟɨɛɯɨɞɢɦɵɟ ɫ ɦɟɞɢɰɢɧɫɤɨɣ ɬɨɱɤɢ ɡɪɟɧɢɹ ɭɫɥɭɝɢ ɛɭɞɭɬ ɩɪɟɞɨɫɬɚɜɥɹɬɶɫɹ ɛɟɫɩɥɚɬɧɨ ɢɥɢ ɩɨ ɫɧɢɠɟɧɧɵɦ ɬɚɪɢɮɚɦ ɥɢɰɚɦ, ɭɞɨɜɥɟɬɜɨɪɹɸɳɢɦ ɬɪɟɛɨɜɚɧɢɹɦ ɢ ɤɨɬɨɪɵɟ ɧɟ ɜ ɫɨɫɬɨɹɧɢɢ ɨɩɥɚɱɢɜɚɬɶ ɩɨɥɧɨɫɬɶɸ ɢɥɢ ɱɚɫɬɢɱɧɨ ɨɛɫɥɭɠɢɜɚɧɢɟ ɜ ɦɟɞɢɰɢɧɫɤɨɦ ɰɟɧɬɪɟ St. Mary Medical Center. Ɇɨɝɭ ɥɢ ɹ ɩɪɟɬɟɧɞɨɜɚɬɶ ɧɚ ɭɱɚɫɬɢɟ ɜ ɩɪɨɝɪɚɦɦɟ ɮɢɧɚɧɫɨɜɨɣ ɩɨɦɨɳɢ, ɟɫɥɢ ɭ ɦɟɧɹ ɟɫɬɶ ɫɬɪɚɯɨɜɤɚ? Ⱦɚ, ɞɨ ɬɟɯ ɩɨɪ, ɩɨɤɚ ɜɚɲ ɫɟɦɟɣɧɵɣ ɞɨɯɨɞ ɫɨɨɬɜɟɬɫɬɜɭɟɬ ɭɫɬɚɧɨɜɥɟɧɧɨɦɭ ɮɟɞɟɪɚɥɶɧɨɦɭ ɭɪɨɜɧɸ ɛɟɞɧɨɫɬɢ (ɫɦ. ɬɚɛɥɢɰɭ ɧɚ ɨɛɨɪɨɬɟ), ɜɵ ɭɞɨɜɥɟɬɜɨɪɹɟɬɟ ɤɪɢɬɟɪɢɹɦ ɭɱɚɫɬɢɹ ɜ ɩɪɨɝɪɚɦɦɟ. Ʉɚɤɢɟ ɪɚɫɯɨɞɵ ɩɨɤɪɵɜɚɸɬɫɹ ɩɪɨɝɪɚɦɦɨɣ ɮɢɧɚɧɫɨɜɨɣ ɩɨɦɨɳɢ? ȼɫɟ ɪɚɫɯɨɞɵ ɧɚ ɥɟɱɟɧɢɟ ɜ ɛɨɥɶɧɢɰɟ ɩɪɢ ɦɟɞɢɰɢɧɫɤɨɦ ɰɟɧɬɪɟ St. Mary Medical Center, ɡɚ ɢɫɤɥɸɱɟɧɢɟɦ ɤɨɫɦɟɬɢɱɟɫɤɨɣ ɯɢɪɭɪɝɢɢ ɢ ɭɫɥɭɝ, ɤɨɬɨɪɵɟ ɧɟ ɹɜɥɹɸɬɫɹ ɧɟɨɛɯɨɞɢɦɵɦɢ ɫ ɦɟɞɢɰɢɧɫɤɨɣ ɬɨɱɤɢ ɡɪɟɧɢɹ. ɉɪɢɦɟɱɚɧɢɟ: ɤɨɫɦɟɬɢɱɟɫɤɢɟ ɭɫɥɭɝɢ ɢ ɭɫɥɭɝɢ, ɤɨɬɨɪɵɟ ɧɟ ɹɜɥɹɸɬɫɹ ɧɟɨɛɯɨɞɢɦɵɦɢ ɫ ɦɟɞɢɰɢɧɫɤɨɣ ɬɨɱɤɢ ɡɪɟɧɢɹ, ɧɟ ɜɤɥɸɱɟɧɵ ɜ ɩɪɨɝɪɚɦɦɭ. ɗɬɢ ɭɫɥɭɝɢ ɨɰɟɧɢɜɚɸɬɫɹ ɩɨ ɫɬɚɜɤɟ, ɩɪɟɞɭɫɦɨɬɪɟɧɧɨɣ ɞɥɹ ɩɚɤɟɬɚ ɭɫɥɭɝ, ɛɟɡ ɞɨɩɨɥɧɢɬɟɥɶɧɵɯ ɫɤɢɞɨɤ. Ɉɩɥɚɱɢɜɚɬɶ ɷɬɢ ɭɫɥɭɝɢ ɧɟɨɛɯɨɞɢɦɨ ɧɚ ɦɨɦɟɧɬ ɢɯ ɩɪɟɞɨɫɬɚɜɥɟɧɢɹ. ȿɫɥɢ ɜɚɲ ɜɪɚɱ ɪɚɛɨɬɚɟɬ ɜ Langhorne Physician Service, ɦɨɠɧɨ ɩɨɫɟɳɚɬɶ ɨɮɢɫ ɜɪɚɱɚ ɞɥɹ ɩɨɥɭɱɟɧɢɹ ɭɫɥɭɝ, ɩɪɟɞɭɫɦɨɬɪɟɧɧɵɯ ɜ ɪɚɦɤɚɯ ɩɪɨɝɪɚɦɦɵ, ɤɪɨɦɟ ɫɜɹɡɚɧɧɵɯ ɤɨɫɦɟɬɢɱɟɫɤɢɯ ɭɫɥɭɝ. ɉɪɨɝɪɚɦɦɚ ɬɚɤɠɟ ɜɤɥɸɱɚɟɬ ɩɨɤɪɵɬɢɟ ɪɚɫɯɨɞɨɜ ɧɚ ɩɨɤɭɩɤɭ ɪɟɰɟɩɬɭɪɧɵɯ ɩɪɟɩɚɪɚɬɨɜ ɜ ɚɩɬɟɱɧɨɣ ɫɥɭɠɛɟ St. Clare Pharmacy. ɉɨ ɤɚɤɢɦ ɩɪɢɱɢɧɚɦ ɦɧɟ ɦɨɠɟɬ ɛɵɬɶ ɨɬɤɚɡɚɧɨ ɜ ɭɱɚɫɬɢɢ ɜ ɩɪɨɝɪɚɦɦɟ ɮɢɧɚɧɫɨɜɨɣ ɩɨɦɨɳɢ? x ȿɫɥɢ ɝɨɞɨɜɨɣ ɞɨɯɨɞ ɧɚ ɪɚɡɦɟɪ ɫɟɦɟɣɧɨɝɨ ɜɥɚɞɟɧɢɹ ɩɪɟɜɵɲɚɟɬ ɭɫɬɚɧɨɜɥɟɧɧɵɣ ɮɟɞɟɪɚɥɶɧɵɦ ɡɚɤɨɧɨɦ ɭɪɨɜɟɧɶ ɛɟɞɧɨɫɬɢ. x ȿɫɥɢ ɮɢɡɢɱɟɫɤɨɟ ɥɢɰɨ ɫɨɨɬɜɟɬɫɬɜɭɟɬ ɤɪɢɬɟɪɢɹɦ ɭɱɚɫɬɢɹ ɜ ɩɪɨɝɪɚɦɦɟ Health Insurance Exchange ɢɥɢ Medicaid ɢ ɨɬɤɚɡɵɜɚɟɬɫɹ ɢɥɢ ɧɟ ɠɟɥɚɟɬ ɩɨɞɚɜɚɬɶ ɡɚɹɜɤɭ ɧɚ ɷɬɢ ɭɫɥɭɝɢ. x ȿɫɥɢ ɜɵ ɧɟ ɡɚɩɨɥɧɢɥɢ ɡɚɹɜɤɭ ɢɥɢ ɧɟ ɩɪɟɞɨɫɬɚɜɢɥɢ ɧɟɨɛɯɨɞɢɦɵɟ ɞɨɤɭɦɟɧɬɵ, ɬɪɟɛɭɟɦɵɟ ɞɥɹ ɪɚɫɫɦɨɬɪɟɧɢɹ ɡɚɹɜɤɢ. Ⱦɨɥɠɟɧ ɥɢ ɹ ɩɨɥɶɡɨɜɚɬɶɫɹ ɫɜɨɟɣ ɫɬɪɚɯɨɜɨɣ ɤɚɪɬɨɱɤɨɣ, ɟɫɥɢ ɦɧɟ ɪɚɡɪɟɲɢɥɢ ɭɱɚɫɬɜɨɜɚɬɶ ɜ ɩɪɨɝɪɚɦɦɟ ɮɢɧɚɧɫɨɜɨɣ ɩɨɦɨɳɢ? Ⱦɚ. ɉɪɨɝɪɚɦɦɚ ɮɢɧɚɧɫɨɜɨɣ ɩɨɦɨɳɢ ɦɟɞɢɰɢɧɫɤɨɝɨ ɰɟɧɬɪɚ St. Mary Medical Center ɧɟ ɹɜɥɹɟɬɫɹ ɡɚɦɟɧɨɣ ɦɟɞɢɰɢɧɫɤɨɝɨ ɫɬɪɚɯɨɜɚɧɢɹ. ȿɫɥɢ ɜ ɧɚɫɬɨɹɳɟɟ ɜɪɟɦɹ ɱɟɥɨɜɟɤ ɢɦɟɟɬ ɦɟɞɢɰɢɧɫɤɭɸ ɫɬɪɚɯɨɜɤɭ, ɨɧɚ ɧɟ ɦɨɠɟɬ ɛɵɬɶ ɨɬɦɟɧɟɧɚ. ə ɭɠɟ ɩɨɥɭɱɢɥ(-ɚ) ɫɱɟɬ ɡɚ ɦɟɞɢɰɢɧɫɤɨɟ ɨɛɫɥɭɠɢɜɚɧɢɟ. Ɇɨɝɭ ɥɢ ɹ ɜɫɟ ɟɳɟ ɩɨɞɚɬɶ ɡɚɹɜɥɟɧɢɟ ɧɚ ɭɱɚɫɬɢɟ ɜ ɩɪɨɝɪɚɦɦɟ ɮɢɧɚɧɫɨɜɨɣ ɩɨɦɨɳɢ? Ⱦɚ. ɉɚɰɢɟɧɬɚɦ ɧɚɫɬɨɹɬɟɥɶɧɨ ɪɟɤɨɦɟɧɞɭɟɬɫɹ ɨɛɪɚɳɚɬɶɫɹ ɡɚ ɮɢɧɚɧɫɨɜɨɣ ɩɨɦɨɳɶɸ ɞɨ ɬɨɝɨ, ɤɚɤ ɨɧɢ ɨɛɪɚɳɚɸɬɫɹ ɡɚ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɶɸ; ɬɟɦ ɧɟ ɦɟɧɟɟ ɜɵ ɫɦɨɠɟɬɟ ɩɨɞɚɬɶ ɡɚɹɜɥɟɧɢɟ ɨ ɩɪɟɞɨɫɬɚɜɥɟɧɢɢ ɮɢɧɚɧɫɨɜɨɣ ɩɨɦɨɳɢ ɞɚɠɟ ɩɨɫɥɟ ɜɵɫɬɚɜɥɟɧɢɹ ɫɱɟɬɚ ɤ ɨɩɥɚɬɟ. Ʉɨɝɞɚ ɹ ɭɡɧɚɸ, ɢɦɟɸ ɥɢ ɹ ɩɪɚɜɨ ɧɚ ɩɨɥɭɱɟɧɢɟ ɮɢɧɚɧɫɨɜɨɣ ɩɨɦɨɳɢ? ɋɭɦɦɚ ɮɢɧɚɧɫɨɜɨɣ ɩɨɦɨɳɢ ɛɭɞɟɬ ɨɩɪɟɞɟɥɹɬɶɫɹ ɜ ɬɟɱɟɧɢɟ 10 ɪɚɛɨɱɢɯ ɞɧɟɣ ɫ ɦɨɦɟɧɬɚ ɩɨɞɚɱɢ ɡɚɩɨɥɧɟɧɧɨɝɨ ɡɚɹɜɥɟɧɢɹ ɫɨ ɜɫɟɣ ɧɟɨɛɯɨɞɢɦɨɣ ɞɨɤɭɦɟɧɬɚɰɢɟɣ. Ʉɨɝɞɚ ɩɪɨɜɟɪɤɚ ɛɭɞɟɬ ɡɚɜɟɪɲɟɧɚ, ɜɵ ɩɨɥɭɱɢɬɟ ɩɢɫɶɦɨ ɫ ɪɟɲɟɧɢɟɦ. ȼɫɟ ɧɟɨɛɯɨɞɢɦɨɟ ɩɨ ɦɟɞɢɰɢɧɫɤɢɦ ɩɨɤɚɡɚɧɢɹɦ ɢ ɨɛɳɟɞɨɫɬɭɩɧɨɟ ɨɛɫɥɭɠɢɜɚɧɢɟ ɩɪɟɞɨɫɬɚɜɥɹɟɬɫɹ ɫɜɨɟɜɪɟɦɟɧɧɨ, ɧɟɡɚɜɢɫɢɦɨ ɨɬ ɩɥɚɬɟɠɟɫɩɨɫɨɛɧɨɫɬɢ ɥɢɰɚ, ɤɨɬɨɪɨɦɭ ɨɤɚɡɵɜɚɸɬɫɹ ɭɫɥɭɝɢ. 1 Date of Translation: April 2016 ʿ̨̨̖̬̖̭̥̯̬̖̦:̨̡̯̬́̍̽2015̐. Ɇɧɟ ɧɭɠɧɨ ɛɭɞɟɬ ɡɚ ɱɬɨ-ɬɨ ɩɥɚɬɢɬɶ? ȿɫɥɢ ɜɵ ɢɦɟɟɬɟ ɩɪɚɜɨ ɧɚ ɩɨɥɭɱɟɧɢɟ ɱɚɫɬɢɱɧɨɣ ɮɢɧɚɧɫɨɜɨɣ ɩɨɦɨɳɢ, ɜɚɦ ɩɪɟɞɥɨɠɚɬ ɨɩɥɚɬɢɬɶ ɨɛɫɥɭɠɢɜɚɧɢɟ ɩɨ ɥɶɝɨɬɧɵɦ ɬɚɪɢɮɚɦ, ɨɫɧɨɜɚɧɧɵɦ ɧɚ ɬɟɤɭɳɢɯ ɫɬɚɜɤɚɯ ɜ ɪɚɦɤɚɯ ɩɪɨɝɪɚɦɦɵ Medicare, ɢ ɫɨɨɛɳɚɬ ɩɪɨɰɟɧɬ ɭɬɜɟɪɠɞɟɧɧɨɣ ɞɥɹ ɜɚɫ ɫɤɢɞɤɢ. ȿɫɥɢ ɜɵ ɫɨɨɬɜɟɬɫɬɜɭɟɬɟ ɤɪɢɬɟɪɢɹɦ ɩɨɥɭɱɟɧɢɹ ɩɨɥɧɨɣ ɮɢɧɚɧɫɨɜɨɣ ɩɨɦɨɳɢ, ɜɚɦ ɧɟ ɩɪɢɞɟɬɫɹ ɧɢɱɟɝɨ ɩɥɚɬɢɬɶ. ȿɫɬɶ ɥɢ ɫɪɨɤ ɞɟɣɫɬɜɢɹ ɪɚɡɪɟɲɟɧɢɹ ɧɚ ɩɪɟɞɨɫɬɚɜɥɟɧɢɟ ɦɧɟ ɮɢɧɚɧɫɨɜɨɣ ɩɨɦɨɳɢ? Ʉɚɤ ɹ ɭɡɧɚɸ, ɱɬɨ ɩɪɢɲɥɨ ɜɪɟɦɹ ɫɧɨɜɚ ɩɨɞɚɜɚɬɶ ɡɚɹɜɥɟɧɢɟ ɧɚ ɩɪɟɞɨɫɬɚɜɥɟɧɢɟ ɮɢɧɚɧɫɨɜɨɣ ɩɨɦɨɳɢ? Ⱦɚ. ɋɪɨɤ ɩɪɟɞɨɫɬɚɜɥɟɧɢɹ ɮɢɧɚɧɫɨɜɨɣ ɩɨɦɨɳɢ ɦɨɠɟɬ ɢɫɬɟɱɶ. ɇɚ ɜɚɲɟɣ ɢɧɞɢɜɢɞɭɚɥɶɧɨɣ ɢɞɟɧɬɢɮɢɤɚɰɢɨɧɧɨɣ ɤɚɪɬɨɱɤɟ ɞɥɹ ɩɨɥɭɱɟɧɢɹ ɮɢɧɚɧɫɨɜɨɣ ɩɨɦɨɳɢ ɜ ɥɟɜɨɦ ɧɢɠɧɟɦ ɭɝɥɭ ɛɭɞɟɬ ɭɤɚɡɚɧɚ ɞɚɬɚ ɨɤɨɧɱɚɧɢɹ ɫɪɨɤɚ ɩɪɟɞɨɫɬɚɜɥɟɧɢɹ. Ɂɚ ɨɞɢɧ ɦɟɫɹɰ ɞɨ ɢɫɬɟɱɟɧɢɹ ɫɪɨɤɚ, ɭɤɚɡɚɧɧɨɝɨ ɧɚ ɜɚɲɟɣ ɢɞɟɧɬɢɮɢɤɚɰɢɨɧɧɨɣ ɤɚɪɬɨɱɤɟ, ɜɵ ɞɨɥɠɧɵ ɛɭɞɟɬɟ ɫɧɨɜɚ ɩɨɞɚɬɶ ɡɚɹɜɤɭ, ɡɚɩɨɥɧɢɜ ɫɨɨɬɜɟɬɫɬɜɭɸɳɢɣ ɛɥɚɧɤ ɡɚɹɜɤɢ ɢ ɩɪɟɞɨɫɬɚɜɢɜ ɜɫɸ ɧɟɨɛɯɨɞɢɦɭɸ ɞɨɤɭɦɟɧɬɚɰɢɸ, ɭɤɚɡɚɧɧɭɸ ɜ ɧɟɦ. ɗɬɨ ɩɨɡɜɨɥɢɬ ɧɚɲɢɦ ɫɩɟɰɢɚɥɢɫɬɚɦ ɢɡ ɨɬɞɟɥɚ ɨɛɫɥɭɠɢɜɚɧɢɹ ɤɥɢɟɧɬɨɜ ɪɚɫɫɦɨɬɪɟɬɶ ɢ ɩɨɞɝɨɬɨɜɢɬɶ ɡɚɹɜɤɭ ɧɚ ɭɬɜɟɪɠɞɟɧɢɟ. Ʉɪɢɬɟɪɢɢ ɫɨɨɬɜɟɬɫɬɜɢɹ 100 % ɬɥɣɟɥɣ Ɍɩɬɭɛɝ ɬɠɧɷɣ 75 % ɬɥɣɟɥɣ 50 % ɬɥɣɟɥɣ 250 % ɩɭ 300 % ɩɭ 350 % ɩɭ ɮɬɭɛɨɩɝɦɠɨɨɩɞɩ ɮɬɭɛɨɩɝɦɠɨɨɩɞɩ ɮɬɭɛɨɩɝɦɠɨɨɩɞɩ ɯɠɟɠɫɛɦɷɨɶɧ ɯɠɟɠɫɛɦɷɨɶɧ ɯɠɟɠɫɛɦɷɨɶɧ ɢɛɥɩɨɩɧ ɮɫɩɝɨɺ ɢɛɥɩɨɩɧ ɮɫɩɝɨɺ ɢɛɥɩɨɩɧ ɮɫɩɝɨɺ Ɋɠɫɣɩɟ ɜɠɟɨɩɬɭɣ ɜɠɟɨɩɬɭɣ ɜɠɟɨɩɬɭɣ 25 % ɬɥɣɟɥɣ 400 % ɩɭ ɮɬɭɛɨɩɝɦɠɨɨɩɞɩ ɯɠɟɠɫɛɦɷɨɶɧ ɢɛɥɩɨɩɧ ɮɫɩɝɨɺ ɜɠɟɨɩɬɭɣ ɏɠɟɠɫɛɦɷɨɶɤ ɮɫɩɝɠɨɷ ɜɠɟɨɩɬɭɣ ɨɛ 2015 ɞ. 1 Ɂɚ ɝɨɞ 29 425 ɞɨɥɥ. ɋɒȺ 35 310 ɞɨɥɥ. ɋɒȺ 41 195 ɞɨɥɥ. ɋɒȺ 47 080 ɞɨɥɥ. ɋɒȺ 11 770 ɞɨɥɥ. ɋɒȺ 2 Ɂɚ ɝɨɞ 39 825 ɞɨɥɥ. ɋɒȺ 47 790 ɞɨɥɥ. ɋɒȺ 55 755 ɞɨɥɥ. ɋɒȺ 63 720 ɞɨɥɥ. ɋɒȺ 15 930 ɞɨɥɥ. ɋɒȺ 3 Ɂɚ ɝɨɞ 50 225 ɞɨɥɥ. ɋɒȺ 60 270 ɞɨɥɥ. ɋɒȺ 70 315 ɞɨɥɥ. ɋɒȺ 80 360 ɞɨɥɥ. ɋɒȺ 20 090 ɞɨɥɥ. ɋɒȺ 4 Ɂɚ ɝɨɞ 60 625 ɞɨɥɥ. ɋɒȺ 72 750 ɞɨɥɥ. ɋɒȺ 84 875 ɞɨɥɥ. ɋɒȺ 97 000 ɞɨɥɥ. ɋɒȺ 24 250 ɞɨɥɥ. ɋɒȺ 5 Ɂɚ ɝɨɞ 71 025 ɞɨɥɥ. ɋɒȺ 85 230 ɞɨɥɥ. ɋɒȺ 99 435 ɞɨɥɥ. ɋɒȺ 113 640 ɞɨɥɥ. ɋɒȺ 28 410 ɞɨɥɥ. ɋɒȺ 6 Ɂɚ ɝɨɞ 81 425 ɞɨɥɥ. ɋɒȺ 97 710 ɞɨɥɥ. ɋɒȺ 113 995 ɞɨɥɥ. ɋɒȺ 130 280 ɞɨɥɥ. ɋɒȺ 32 570 ɞɨɥɥ. ɋɒȺ 7 Ɂɚ ɝɨɞ 91 825 ɞɨɥɥ. ɋɒȺ 110 190 ɞɨɥɥ. ɋɒȺ 128 555 ɞɨɥɥ. ɋɒȺ 146 920 ɞɨɥɥ. ɋɒȺ 36 730 ɞɨɥɥ. ɋɒȺ 8 Ɂɚ ɝɨɞ 102 225 ɞɨɥɥ. ɋɒȺ 122 670 ɞɨɥɥ. ɋɒȺ 143 115 ɞɨɥɥ. ɋɒȺ 163 560 ɞɨɥɥ. ɋɒȺ 40 890 ɞɨɥɥ. ɋɒȺ ɇɚ ɤɚɠɞɨɝɨ ɞɨɩɨɥɧɢɬɟɥɶɧɨɝɨ ɱɥɟɧɚ ɫɟɦɶɢ Ɂɚ ɝɨɞ 2 Date of Translation: April 2016 4160 ɞɨɥɥ. ɋɒȺ ʿ̨̨̖̬̖̭̥̯̬̖̦:̨̡̯̬́̍̽2015̐. ȿɫɥɢ ɭ ɦɟɧɹ ɜɨɡɧɢɤɧɭɬ ɞɨɩɨɥɧɢɬɟɥɶɧɵɟ ɜɨɩɪɨɫɵ, ɤɨɦɭ ɹ ɦɨɝɭ ɩɨɡɜɨɧɢɬɶ? ɋɩɟɰɢɚɥɢɫɬɵ ɢɡ ɨɬɞɟɥɚ ɨɛɫɥɭɠɢɜɚɧɢɹ ɤɥɢɟɧɬɨɜ ɝɨɬɨɜɵ ɨɬɜɟɬɢɬɶ ɧɚ ɥɸɛɵɟ ɜɨɩɪɨɫɵ ɫ ɩɨɧɟɞɟɥɶɧɢɤɚ ɩɨ ɩɹɬɧɢɰɭ ɫ 8:00 ɞɨ 16:00 ɩɨ ɬɟɥɟɮɨɧɭ (215) 710-65-00. Ɋɟɫɭɪɫɵ St. Mary Community Ministries ɞɥɹ ɧɟɡɚɫɬɪɚɯɨɜɚɧɧɵɯ ɩɚɰɢɟɧɬɨɜ ɢ ɩɚɰɢɟɧɬɨɜ ɫ ɧɟɩɨɥɧɵɦ ɫɬɪɚɯɨɜɚɧɢɟɦ ɉɟɪɢɧɚɬɚɥɶɧɵɣ ɰɟɧɬɪ Mother Bachmann Maternity Center ɐɟɧɬɪ ɨɯɪɚɧɵ ɡɞɨɪɨɜɶɹ ɞɟɬɟɣ St. Mary Children’s Health Center ɍɱɟɛɧɨ-ɦɟɬɨɞɢɱɟɫɤɢɣ ɰɟɧɬɪ St. Mary Family Resource Center Ɇɟɞɢɰɢɧɫɤɚɹ ɤɥɢɧɢɤɚ ɞɥɹ ɜɡɪɨɫɥɵɯ ɧɚ ɨɫɧɨɜɟ ɨɡɞɨɪɨɜɢɬɟɥɶɧɨɝɨ ɤɨɦɩɥɟɤɫɚ ɨɤɪɭɝɚ Ȼɚɤɫ 3 Date of Translation: April 2016 (215) 245-43-34 (215) 245-88-73 (215) 245-85-63 (215) 633-86-52 ʿ̨̨̖̬̖̭̥̯̬̖̦:̨̡̯̬́̍̽2015̐.