Deck 4: Where Do We Want to Be

Question 1

Japan spends _____ on health care than the United States, and the Japanese live _____, on average, than Americans.

A) much less; longer
B) slightly less; longer
C) more; fewer years
D) less; fewer years

Answer 1

A

Question 2

Health care costs have been difficult for U.S. workers to bear because:

A) health care professionals charge high prices in order to raise their traditionally low wages.
B) Americans want too many unnecessary procedures.
C) the disease rate among Americans is higher than in other countries, leading to higher health care costs.
D) the inflation rate for health care costs is higher than the inflation rate for earnings.

Answer 2

D

Question 3

State and federal governments pay for over _____ of health care costs, both directly and indirectly.

A) 25%
B) 30%
C) 45%
D) 50%

Answer 3

C

Question 4

The _____ states that nurses must have the ability to fulfill their obligations to society and their patients and to meet their own needs.

A) ACA
B) Bill of Rights for Registered Nurses
C) AMA Ethical Guidelines
D) Joint Commission

Question 5

An ongoing dilemma in health care is the conflict between physician privacy and:

A) quality patient care.
B) timely reimbursement.
C) transparency.
D) business secrets.

Question 6

The sicker the patient is:

A) the less likely the patient is to rely on a clinician's judgment.
B) the more likely the patient is to rely on a clinician's judgment.
C) the more the patient will worry about the cost of care.
D) the more information the patient will seek, independent of the clinician.

Question 7

Most Americans' complaints about health care have to do with which of the following?

A) The quality of their individual health
B) The financial risks
C) Their relationships with their physicians
D) The availability of care

Question 8

Insurers want to avoid _____, or having those with a high probability of a claim joining their system in larger numbers.

A) adverse selection
B) moral hazard
C) the free rider problem
D) cost shifting

Question 9

Why do employers purchase health care for their employees?

A) To ensure the health of the workforce
B) Because it is mandated by the government
C) To help combat chronic disease
D) To recruit and retain competent employees

Question 10

State and local governments are most concerned with which of the following?

A) Medicare
B) Medicaid
C) Payouts to veterans
D) Private insurance companies

Question 11

People who receive emergency care without making provisions for paying for it ahead of time by carrying insurance are known as:

A) line jumpers.
B) the entitled.
C) typical consumers.
D) free riders.

Question 12

Helmet laws are primarily in place to offset the _____ of the general public paying the costs for motorcycle accidents.

A) free rider problem
B) moral hazard
C) cost shifting
D) outrage

Question 13

With regard to health care, policy makers are most concerned about which of the following?

A) Waste and inefficiency
B) The free rider problem
C) Reaching underserved areas
D) All of these

Question 14

Certificate of need legislation is an example of which of the following?

A) Regulation of supply
B) Regulation of demand
C) Organizational inefficiency
D) An anticompetitive practice

Question 15

Obstetricians may stop doing deliveries and provide only gynecologic services in response to high malpractice insurance costs. What is this an example of?

A) Malpractice
B) Withdrawal of services
C) Decline in fee for service
D) The free rider problem

Question 16

Some experts say ________ requiring health care providers to obtain state approval before making major capital investment stifle(s) competition.

A) state building permits
B) connector authority requirements
C) certificate-of-need (CON) legislation
D) antitrust regulation

Question 17

The provisions of the Affordable Care Act (ACA) represented:

A) compromise.
B) incrementalism.
C) extreme pragmatism.
D) all of the above.

Question 18

Research into the U.S. health care system has shown that more money spent on services does not necessarily translate into better quality health care.

Question 19

The fact that the United States spends more per capita on health care than other developed countries is reflected by our actual health, which is exceptional overall.

Question 20

The dominance of physicians is problematic to some professions, such as pharmacists and nurse practitioners, who continue to fight for their rights to practice independently.

Question 21

Consumers of medical care tend to see time spent in a waiting room or filling out paperwork to be costs.

Question 22

Under the ACA, insurers may still deny coverage on the basis of pre-existing conditions.

Question 23

Most health care professionals are not concerned with the plight of the uninsured and would rather concentrate their energies on patients who can pay.

Question 24

In response to the current climate, insurers are now showing more interest in offering self-insurance plans to small employers.

Question 25

The largest expenditure for individual states is often Medicaid.

Question 26

Whereas the federal government is more concerned with keeping health care costs down, local governments put more emphasis on having a satisfied public.

Question 27

Prior to the passage of the ACA, over half of state governors had proposed health insurance reform measures.