<prompt> Translate the following text to EnglishIkiwa wagonjwa wengi hawana huduma ya msingi au watoa huduma ya msingi hawachanganui matatizo yanayohusiana na pombe, basi huduma ya msingi imeshindwa.  <response>: If many patients have no primary care or primary care providers do not screen for alcohol-related problems, then primary care has failed. 