You've probably heard about sports coaches, fitness coaches, voice and music teachers, career counselors（咨询） psychiatrists (精神科医师) and other specialists who teach skills and help us cope with daily life.

    But there's a rapidly growing kind of professionals who do a little bit of everything. She or he is called a “ life coach”. People who are at the crossroads in their life, and corporations that want to give certain employees a career boost , are turning to them for help.

    The idea that one person's success story can change other people's life for the better goes back at least to the 1930s. Dale Carneigie's famous self-improvement program “ How to Win Friends and Influence People” came along soon thereafter.

    But this new style of life coaches includes more than enthusiastic speakers or writers. They use their own experiences in business, sports, military service, or psychotherapy (心理疗法) to help others make critical life decisions. They often give their approaches a slogan, such as “energy coaching” or “fearless living” or “working yourself happy”.

    Dave Lakhani in Boise, Idaho, for instance, works with salespeople to develop what he calls a “road map”. He says an ongoing relationship with a coach is like having a personal fitness trainer for one's career and life outside work.

Lakhani's Bold Approach coaching firm also donates some of its time to help people who are anything but successful—including battered (殴打) women and struggling single mothers.

    But others in the so-called “helping professions” are not thrilled about the life-coaching movement. They say that anyone, trained or untrained, can call himself or herself a life coach, and that slick(华而不实的) promoters who mess with people's lives can do more harm than good.

    Kids undergo a large amount of pressure and stress during their school exams, which can often become quite overwhelming (to much) for them. It may be the first experience of stress, at this level, they have ever experienced and therefore quite frightening. Yes, you may say that it's all a part of growing up and therefore good lessons for them to learn, and to an extent I agree with you. However, it's important to learn how to prepare for life's challenges so that they aren't overwhelming or scary and so that we are able to manage them the best we can.

    Here are some tips you can use during your kids exam time.

    Break their revision plan down into small parts. Doing this will help transform what once seemed like a huge impossible task into a more manageable one.

    Help them arrange properly so that the subjects they like the least (perhaps ones that require more time and effort) are worked on first; once they are out of the way, it will help reduce the worry.

    Plan week on week to make sure they are on track. Ticking items of a list each week will help them to feel good about themselves and their progress.

    Create rewards for all the ticks - a favourite TV programme, a delicious snack, an hour's surfing the Internet, computer games or whatever it was that they enjoy the most. This will encourage them to carry on and make them feel good.

    Think of strategies on how to deal with exams calmly so their anxieties don't get the better of them.

    Talk about times in their lives when they had been successful at something and look at the qualities they used to get them there - determination, persistence, hard work, patience, positivity, dedication - discuss how they can apply these skills to their exams.

    Acknowledge that if they do their best that is good enough.

    Ensure they realize that this period in their lives will pass and that exams are only a temporary time in their lives; nothing can and does last forever.

    Ensure they keep their eye on the prize: enjoying their long summer holiday when the exams are finished; giving them something to look forward to will help to motivate them and provide a positive end in sight.

    Many years ago, when we first went to Canada, we were driving through Montana to Colorado with our two children. We thought we would find a motel（汽车旅馆）on the way and had not made a booking. As it was getting late, we started looking for a motel, only to find that all were booked.

    Finally, around 9 p.m., we stopped at a gas station to fill up on gas. My husband asked for a phone book and told the woman at the counter that we were trying to find a motel. He tried for 15 minutes. When he was unsuccessful, the woman, Linda, said she and her family lived nearby and would be happy if we spent the night at her home.

    My husband was stunned at her offer. She called her son to direct us, since she had to stay at the gas station till midnight.

    When we reached their home, her husband greeted us. He took out two sleeping bags for the children. He invited us to have coffee and chat while we waited for his wife. When she came back, we asked if we could slip away in the morning so as not to disturb them. They said we were now guests and we would have to have breakfast with them.

    We woke up to a table set for breakfast. They'd made a mountain of pancakes and bacon. We ate breakfast, and when we were leaving, my husband asked if he could offer some payment.

    They insisted we were their guests. We left moved by their spirit of hospitality(好客). We were amazed that they would take in a family of total strangers from a different country. We kept in touch for many years. Over the years, we lost touch, but have never forgotten their kindness.

    On the way to my company, I was driving behind a small truck. I was a few minutes late and watching the two men ahead of me talking in that slow truck made me angry.

    The light turned green, but the truck was still moving very slowly. I became impatient, so I turned right to go past it. Suddenly, a new blue Chevy Silverado was rushing by. I tried to stop, but my car hit the side of the Chevy.

    "Pow!" I heard a big noise and then I realized that an accident happened. For a moment, just a moment... I asked if I was OK, and honestly, I was waiting for people to come over and help me. Those thoughts didn't last long, as the answer came into my mind that the air bag had saved me. Luckily, I was still alive.

    Slowly I opened the door. The warm, bright morning sunlight hit my face and I felt better. I saw the Chevy Silverado and I ran over to check if the driver in it was injured. "Are you OK？"I shouted loudly through the window. His head was down, eyes closed, and he didn't answer me.

    At that moment, I thought I was looking at a dead man. Full of fear, I shouted again, and knocked at the window heavily once more. His eyes started to open, and he slowly shook his head, "Yes."

    Once again, I said to myself, "How lucky I am!"

Unhealthy health care bills, long emergency-room waits and inability to find a primary care physician just scratch the surface of the problems that patients face daily.

Primary care should be the backbone of any health care system. Countries with appropriate primary care resources score highly when it comes to health outcomes and costs. The U.S. takes the opposite approach by emphasizing the specialists rather than the primary care physician.

A recent study analyzed the providers who treat Medicare Beneficiaries(老年医保受惠人). The startling finding was that the average Medicare patient saw a total of seven doctors — two primary care physicians and five specialists — in a given year. Contrary to popular belief, the more physicians taking care of you don't guarantee better care. Actually increasing breakup of care results in a corresponding rise in costs and medical errors.

How did we let primary care slip so far? The key is how doctors are paid. Most physicians are paid whenever they perform a medical service. The more a physician does, regardless of quality or outcome, the better he's reimbursed (返还费用). Moreover, the amount of a physician receives leans heavily toward medical or surgical procedures. A specialist who performs a procedure in a 30-minute visit can be paid three times more than a primary care physician using that same 30 minutes to discuss a patient's disease. Combine this fact with annual government threats to indiscriminately cut reimbursements, physicians are faced with no choice but to increase quantity to boost income.

Primary care physicians who refuse to compromise quality are either driven out of business or to cash-only practices, further contributing to the decline of primary care.

Medical students are not blind to this scenario. They see how heavily the reimbursement deck is stacked against primary care. The recent numbers show that since 1997, newly graduated U.S. medical students who choose primary care as a career have declined by 50%. This trend results in emergency rooms being overwhelmed with patients without regular doctors.

How do we fix this problem?

It starts with reforming the physician reimbursement system. Remove the pressure for primary care physicians to squeeze in more patients per hour, and reward them for optimally managing their diseases and practicing evidence-based medicine. Make primary care more attractive food to medical students by forgiving students loans for those who choose primary care as a career and harmonizing the marked difference between specialist and primary care physician salaries.

We're at the point where primary care is needed more than ever. Within a few years, the first wave of 76 million Baby Boomers will become qualified for Medicare. Patients older than 85, who need chronic care most, will rise by 50% this decade.

Who will be there to treat  them？