Deck 16: Global Health Care

Question 1

About ________ of Japanese doctors are in private practice and are paid on a fee-for-service basis.

A) 12%.
B) 25%.
C) 33%.
D) 50%.
E) None of the above.

Answer 1

33%.

Question 2

The _____________ system of health care delivery is of particular interest to Americans, because it is the system most often discussed as a future model for the United States.

A) British.
B) Canadian.
C) German.
D) Swedish.
E) None of the above.

Answer 2

Canadian.

Question 3

What country had the highest life expectancy for males in the world in 2010? For females?

A) United States; United States.
B) Switzerland; Japan.
C) Japan; Japan.
D) Israel; Switzerland.
E) Australia; Spain.

Answer 3

Switzerland; Japan.

Question 4

What country established the first health care system in any Western society to offer free medical care to the entire population?

A) Britain.
B) United States.
C) Canada.
D) Sweden.
E) Germany.

Question 5

The first line of medical care in Great Britain is the:

A) Nurse practitioner/physician's assistant.
B) General practitioner.
C) Hospital, specifically the emergency room.
D) Gatekeeper, a nurse who assigns physicians based upon need.
E) None of the above.

Question 6

Taxes in ______________ have been the highest in the world.

A) Britain.
B) United States.
C) Canada.
D) Sweden.
E) Germany.

Question 7

What country established the first national health insurance program?

A) U.K.
B) Germany.
C) Japan.
D) Canada.
E) Austria.

Question 8

Except for the __________, participation in the welfare system is not considered normative in the United States.

A) Poor.
B) Elderly.
C) Unwed.
D) Young.
E) None of the above.

Question 9

The major problem facing Canada with respect to health care delivery is:

A) Rising costs.
B) Physicians' dissatisfaction with reimbursement.
C) Patient dissatisfaction with wait-times for procedures.
D) Program administration.
E) None of the above.

Question 10

________________ are aimed at providing people with welfare and health benefits, regardless of their position in society.

A) Pensions.
B) Employer sponsored health care plans.
C) Benefits.
D) Entitlements.
E) None of the above.

Question 11

What country does NOT have a centralized national health program?

A) Japan.
B) Russia.
C) Germany.
D) Mexico.
E) None of the above.

Question 12

What country had the lowest infant mortality rate in the world in 2010?

A) Cuba.
B) United States.
C) Japan.
D) Sweden.
E) Germany.

Question 13

Many Europeans receive:

A) Comprehensive health insurance.
B) Protection of lost income due to illness, injury, or unemployment.
C) Allowances to supplement family expenses for the maintenance of children, such as clothing and school lunches.
D) A and B only.
E) All of the above.

Question 14

The ________________ use more prescription drugs than patients anywhere.

A) Japanese.
B) Italians.
C) Mexicans.
D) Americans.
E) Chinese.

Question 15

In what way(s) do decentralized national health programs differ from socialized medicine?

A) There are both publicly and privately owned facilities.
B) Public access to care is guaranteed.
C) Private care plays only a limited role.
D) Government regulation is indirect.
E) All of the above.

Question 16

In some European countries, providing national health insurance was a means to reduce the chance that the working class would:

A) Die.
B) Revolt.
C) Get sick and be out of work.
D) Unionize.
E) None of the above.

Question 17

The Chinese health care system is best characterized as:

A) A state-run socialist program.
B) A system financed largely by fees by patients and private payers.
C) A decentralized national health program.
D) A comprehensive socialized program with traditional and Western elements.
E) None of the above.

Question 18

Japanese patients pay _______ of the cost of health services, with the national plan paying the remainder.

A) 20%.
B) 30%.
C) 40%.
D) 50%.
E) 60%.

Question 19

What is NOT covered by the Canadian insurance system?

A) Prescription drugs for persons under age 65.
B) Dental.
C) Ambulance service.
D) Eyeglasses.
E) All of the above.

Question 20

In Britain, _______________ are responsible for paying for health care in their area, managing the provision of that care, and planning in accordance with regional and national guidelines.

A) executive councils.
B) local health authority services.
C) district health authorities.
D) hospital and specialist services.
E) None of the above.

Question 21

The social welfare systems of the U.S. are more advanced than in Europe.

Question 22

A nation's approach to health care is based upon its historical experience, culture, economy, political ideology, social organization, level of education and standard of living, economic resources, and attitudes toward welfare and the role of the state.

Question 23

About _________ of the Mexican population has health insurance.

A) 59%.
B) 64%.
C) 76%.
D) 87%.
E) 98%.

Question 24

Approximately __________ of all Germans participate, involuntarily or voluntarily, in the nation's public health insurance program.

A) 60%.
B) 70%.
C) 80%.
D) 90%.
E) 100%.

Question 25

The United States has the highest rate of longevity of any nation.

Question 26

The value of studying the health care delivery systems of different countries is the insight provided into the norms, values, culture, and national outlook of those societies, as well as the lessons learned from their experiences.

Question 27

All nations of the world are faced with the pressure of public demands for quality health care and faced with rising costs of providing that care.

Question 28

The United States has the lowest infant mortality rate of any nation.

Question 29

In Europe, the provision of health services became an important component of government policy in the last half of the eighteenth century.

Question 30

Some __________ of China's adult male population smoke.

A) 20.8%.
B) 35.7%.
C) 52.9%.
D) 70.2%.
E) None of the above.

Question 31

What was the effort in China in which 1.8 million paramedical personnel were trained in rudimentary medicine and sent to rural areas to provide basic medical treatment and assist in efforts at preventive medicine and public health called?

A) Barefoot doctors movement.
B) Rural outreach.
C) People-to-people in health care.
D) Grassroots medicine.
E) None of the above.

Question 32

Americans who receive welfare tend to be stigmatized and have low social status.

Question 33

The largest health plan in Mexico covers workers in the private sector and is administered by the:

A) Mexican Social Insurance Institute.
B) National Health Service.
C) Federal Ministry of Labor and Social Affairs.
D) Secretariat of Health and Welfare.
E) None of the above.

Question 34

The _____________ is responsible for Mexico's overall health policy and provides health care directly to the urban poor through its own hospitals and clinics.

A) Mexican Social Insurance Institute.
B) National Health Service.
C) Federal Ministry of Labor and Social Affairs.
D) Secretariat of Health and Welfare.
E) None of the above.

Question 35

Which of the following is one of the general trends affecting health policy worldwide?

A) Attention to the cost of health care and implementation of cost control measures.
B) Increasing emphasis on preventive medical services.
C) Improving efficiency in the administration of large health care systems.
D) Demands that governments increase efforts to provide a health care system that meets national needs.
E) All of the above.

Question 36

____________ has more doctors per capita than any major nation.

A) Mexico.
B) Russia.
C) China.
D) Australia.
E) Untied States.

Question 37

The German health service organization represents a form of corporatism in which a set of institutions situated between the government and its citizens have the authority to manage health care.

Question 38

What country has the highest per capita consumption of alcohol in the world?

A) Ireland.
B) Germany.
C) Russia.
D) United States.
E) Mexico.

Question 39

Europeans have historically been less committed to government welfare programs and more in favor of private enterprise in dealing with economic and social problems.

Question 40

The Japan health care delivery system is by far the most expensive in the world.

Question 41

The Japanese national health insurance plan covers all Japanese citizens.

Question 42

Canada has a single, national health care delivery system.

Question 43

What is a decentralized national health program? Use the case of Mexico to illustrate this type of healthcare system.

Question 44

What is socialized medicine? Discuss the systems in three countries that have socialized medicine.

Question 45

What are the four general trends appearing in developed societies, which are likely to have an effect on health care policy in the future? Discuss.

Question 46

Canadians had a lower rate of infant mortality than Americans.

Question 47

There are three different forms of socialized medicine.

Question 48

Canada was late in adopting its version of socialized medicine.

Question 49

The Swedish National Health Service is financed through taxation.

Question 50

The U.K. was the first country to enact national health insurance.

Question 51

A major characteristic of the National Health Service in Sweden is that general hospitals are not owned by the government.

Question 52

Discuss in detail the health care system in Germany.

Question 53

Compare and contrast fee-for-service, socialized medicine, decentralized national health, and social medicine systems in terms of regulation, provider payments, facility ownership, public access, and private care.

Question 54

Whereas higher SES groups in the U.S. have healthier lifestyles, the well-educated and higher-income in China tended to have worse health than the lower classes.