The Politics Of Health Care In The United Test Bank Ch3

Jonas & Kovner’s Health Care Delivery in the United States, 12^th Edition

Test Bank

Chapter 3, The Politics of Health Care in the United States

MULTIPLE CHOICE

1. The health care sector accounts for what percent of U.S. GDP?

A. 5%

B. 10%

C. 15%

D. 20%

1. Medicare and Medicaid together account for what percent of the federal budget?

A. 5%

B. 10%

C. 20%

D. 25%

1. Geography is a major determinant of health outcomes in the United States because it is a proxy for which of the following?

A. Gender and sexual orientation

B. Wealth and poverty

C. Educational level

D. Family health history

1. Which question is at the core of health politics and policy in the United States?

A. Whether individuals have a right to health care

B. Whether all doctors should work for hospitals

C. Whether immunization should be mandatory

D. Whether drug prices should be capped by law

MULTIPLE RESPONSE

1. What are some of the ways in which the United States views health care? Select all that apply.

A. As an entitlement for most people over 65

B. As a perquisite of employment in some companies and sectors

C. As a service to be purchased in the form of insurance

D. As a universal right of all residents

1. What are some of the means by which other countries deliver and finance health care? Select all that apply.

A. Through the government

B. Through the private market with government subsidies

C. Through a lottery system

D. Through a mixture of government-run and private care

1. What are some of the results of the United States’ lack of national health planning? Select all that apply.

A. The government pays most of the costs of care

B. Privately managed care facilities can open or close when and where they wish

C. Individual states and large cities monitor their own health systems but have no direct influence on the provision of care

D. Inner cities and rural areas often lack first-rate medical institutions or professionals

1. What are some reasons U.S. health expenses continue to rise? Select all that apply.

A. Higher costs for out-of-pocket care

B. Rising Medicare expenses as Baby Boomers age

C. A swelling population of uninsured Millennials

D. Increases in premiums under the Affordable Care Act

1. Which of the following are areas in which analysts now evaluate health care systems? Select all that apply.

A. Patient outcomes

B. Access

C. Care process

D. Staff professionalism

E. Equity

1. Which countries do not provide free care or seek to insure all residents? Select all that apply.

A. Liberia

B. Iraq

C. Haiti

D. The United States

E. France

1. Which of the following are among policies intended to fight the epidemic of obesity in the United States? Select all that apply.

A. A campaign promoting personal responsibility for health

B. Taxes on sugar-sweetened beverages and junk foods

C. Calorie labels on restaurant menus

D. Government encouragement to reformulate popular snack foods with less sugar, salt, or fat

MULTIPLE CHOICE

1. What percent of U.S. health care delivery is provided through government-run entities such as the Veterans Health Administration?

A. 10%

B. 20%

C. 25%

D. 40%

1. Which figure best estimates annual sales in the U.S. drug industry?

A. $125 billion

B. $200 billion

C. $400 billion

D. $500 billion

1. Despite its lack of coordination, the U.S. health system does lead in the world in which area?

A. Number of patients served

B. Health innovations

C. Size of government funding initiatives

D. Cost containment

1. Nearly a third of U.S. health care dollars are spent on which of the following?

A. Physician services

B. Prescription drugs

C. Hospital care

D. Long-term care

1. Which country has the highest total health expenditures per capita?

A. Germany

B. The United States

C. Great Britain

D. Japan

1. Which of the following most accurately describes the United States’ comparative standing on measures like infant mortality and life expectancy?

A. Almost every wealthy nation has surpassed the United States on these measures

B. The United States leads most other nations in health outcomes

C. The United States is about average among other industrialized nations in terms of health outcomes

D. Other nations do not keep sufficiently good records to make a valid comparison

1. A controversial provision of the Affordable Care Act (ACA) was the individual mandate. What did this mandate require?

A. That the government negotiate drug prices

B. That most people have insurance

C. That employers, no matter their size, provide insurance to all employees

D. That the CHIP program continues to provide insurance for children

1. Which is a reason some states have not expanded Medicaid to cover more of their needy residents following passage of the ACA?

A. High cost to the states

B. Political resistance

C. Concern about health disparities among residents

D. The opioid epidemic

1. What percent of U.S. adults were obese as of 2018?

A. 11%

B. 23%

C. 37%

D. 51%

SHORT ANSWER

1. Explain why the U.S. system of delivering and financing health care is the most complicated among the advanced countries of the world.
2. Compare the extent of the U.S. government’s provision of health care and that of private companies.
3. Discuss the current distribution of U.S. health care spending.
4. Compare health outcomes in the United States to those in peer nations.
5. Describe the purpose of the ACA’s individual mandate and its current status.

ESSAY

1. Using the rising incidence of obesity in the United States as an example, discuss the ways politics has influenced health care and the U.S. health care system.
2. Using examples, discuss the politics of providing equitable health services in the United States.
3. Briefly outline the history of health insurance reform in the United States.