Deck 7: Health and Human Services in Texas

Question 1

State funds (as opposed to federal funds) account for what percentage of total spending on health and human services?

A) 20 percent
B) 30 percent
C) 40 percent
D) 50 percent

Answer 1

C

Question 2

Which Texas governor of the 1930s supported "bread bonds" to provide relief during the Great Depression?

A) Tom Campbell
B) Jim Ferguson
C) Pat Neff
D) Dan Moody

Answer 2

B

Question 3

The federal court case Lelsz v. Kavanaugh forced Texas to reform its:

A) mental health care system
B) prisons
C) prison hospitals
D) youth detention facilities

Answer 3

A

Question 4

In 2013, the most recent data, the U.S. average per capita mental health expenditure was $120. What was the Texas expenditure per capita?

A) $19
B) $41
C) $79
D) $119

Question 5

In 2019, how many Texas counties had no doctors at all?

A) 86
B) 66
C) 46
D) 2635

Question 6

Which of the following is a federally funded, as opposed to being a joint federal/state, health care program?

A) Medicaid
B) CHIP
C) TANF
D) Medicare

Question 7

Most persons on Medicaid in Texas are?:

A) Immigrants
B) Children
C) Elderly
D) Pregnant

Question 8

The 2018 Dallas Morning News series on the problems with Texas' Medicaid managed-care system was entitled?:

A) State of Neglect
B) Uninsured & Hopeless
C) Pain & Profit
D) Healthy Living

Question 9

Temporary Assistance to Needy Families (TANF) is time limited. What is the maximum period a family can be on TANF?

A) 2 years
B) 5 years
C) 8 years
D) 10 years

Question 10

The U.S. Department of Agriculture describes people as "food insecure" if they have trouble keeping adequate food on the table. What percentage of Texas households are "food insecure?"

A) 154 percent
B) 25 percent
C) 354 percent
D) 42 percent

Question 11

Federal funds account for what percent of total spending in Texas on health and human services?

A) 50 percent
B) 60 percent
C) 70 percent
D) 80 percent

Question 12

Most slaveowners' wealth was bound up in:

A) slaves
B) land
C) U.S. bonds
D) equipment

Question 13

Which of the following Texas governors of the first third of the 20^th century did not campaign for more social services?

A) Tom Campbell
B) Wilbert "Pappy" O'Daniel
C) Pat Neff
D) Dan Moody

Question 14

Franklin Roosevelt's Texan vice president stood against him for the Democratic presidential nomination in 1940. Who was the Texan?

A) Wilbert "Pappy" O'Daniel
B) Sam Rayburn
C) Lyndon Johnson
D) John Nance Garner

Question 15

The expert consultant hired to oversee implementation of Texas mental health reforms in the 1980s was:

A) Jim Mattox
B) Tom Campbell
C) Linda R. O'Neall
D) Ken Paxton

Question 16

In 2013, the latest data, Texas ranked where among the 50 states and D. C. on per capita mental health expenditures? (1=highest, 51=lowest)

A) 20^th
B) 30^th
C) 40^th
D) 50^th

Question 17

Since 1970, Texas has had what percent of the number of doctors per 100,000 of population nationally?

A) 80 percent
B) 90 percent
C) 100 percent
D) 115 percent

Question 18

Over the past two decades, about what percent of Texas residents have been without health insurance?

A) 10 percent
B) 25 percent
C) 35 percent
D) 50 percent

Question 19

Medicare and Medicaid were passed by Congress and signed into law in:

A) 1935
B) 1945
C) 1965
D) 1985

Question 20

Who was the author of the prominent New Yorker magazine article based on the Dartmouth study of state variations in Medicare spending per enrollee?

A) Ashraf Ghani
B) Dennis McAllen
C) Ben Gazzarra
D) Atul Gawande

Question 21

In which big health care program do Texans receive more per enrollee than the national average?

A) Medicare
B) Medicaid
C) CHIP
D) Catastrophic coverage

Question 22

The funding for What proportion of Medicaid spending in Texas comes from state as opposed to federal fundscomes from?:

A) Local hospital districts
B) Federal and state funds
C) Insurance companies
D) Charitable contributions

Question 23

The welfare reform initiative that changed AFDC into the TANF program occurred under which president?

A) Franklin Roosevelt
B) Lyndon Johnson
C) Ronald Reagan
D) Bill Clinton

Question 24

In 2017, the average TANF payment nationally to a family with two children was $447. What was it in Texas?

A) $125
B) $181
C) $240
D) $370

Question 25

The pregnancy rate for teenage girls in Texas is about percent aboutve the national average?

A) 3 percent
B) 10 percent
C) 13 percent
D) 20 percent

Question 26

Texas frequently leaves large amounts of federal money on the table because it is unwilling to provide state matching funds. Discuss the strengths and weaknesses of this strategy.

Question 27

What factors explain the fact that Medicare costs per enrollee in Texas have been 110 to 115% of the national average for the past 20 years.

Question 28

What are the plusses and minuses of Texas's decision not to expand its Medicaid program as part of the Obamacare program?

Question 29

In early 1969, newly elected Texas Governor Preston Smith opined that "some people just like to live in slums." Does the Texas political culture help us to understand this comment?

Question 30

Texas has fewer doctors per 100,000 of population and the cost per day to stay in Texas hospitals is above the national average. Explain any relationship you see between these two facts.

Question 31

Describe the major differences between Medicare and Medicaid. Who runs them, how are they funded, and who are their clients?

Question 32

The reformed Aid for Families with Dependent Children (AFDC) is now known as Temporary Assistance to Needy Families (TANF). How do the programs differ in intention, design, and administration?

Question 33

Why do you think that Texas consistently has a higher rate of births to unwed teenage mothers than the U.S. generally?

Question 34

Texas President Mirabeau B. Lamar left the state to seek medical treatment in the U.S. in 1840.

Question 35

Most slaveowner wealth was bound up in land rather than in slaves.

Question 36

In 1969, newly elected Texas Governor Preston Smith opined that "some people just like to live in slums."

Question 37

Texas hospital costs per day are below the national average.

Question 38

Prior to the Great Depression, most social service aid was offered by churches and civic groups, not by government.

Question 39

In 1843, an English visitor described what Texas institution as "that shell of misery, that great coffin of the unburied dead"?_______

Question 40

Who was the 1950s Texas governor that called for reform of the state's mental institutions?_______

Question 41

Texas officials settled a federal suit over inadequate funding of mental health institutions in 2009 after incriminating _______ surfaced.

Question 42

The attempt to legally limit damage claims for personal injuries is called_______

Question 43

The Affordable Care Act of 2010 is better known as _______

Question 44

The program to provide health insurance to children in families making too much for Medicaid, but who are still needy, is called _______

Question 45

The Aid to Families with Dependent Children (AFDC) has been reformed and is now known as _______