HSCI710 Quiz Politics and Policy

Question 1

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

High cost to the states

Political resistance

Concern about health disparities among residents

The opioid epidemic

Question 2

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

Higher costs for out-of-pocket care

Rising Medicare expenses as Baby Boomers age

A swelling population of uninsured Millennials

Increases in premiums under the Affordable Care Act

Question 3

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

5%

10%

20%

25%

Question 4

Which of the following characterize China’s current health care system? Select all that apply.

Disparities in access across regions and medical sectors

The “barefoot doctors” program

Lack of a strong system of primary care

A rapid increase in health insurance coverage

Question 5

Which country has the highest total health expenditures per capita?

Germany

The United States

Great Britain

Japan

Question 6

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

11%

23%

37%

51%

Question 7

Three-quarters of the funding for England’s national health service comes from which of the following?

Philanthropic donations

A payroll tax

General taxation

Private payments

Question 8

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

Patient outcomes

Access

Care process

Staff professionalism

Equity

Question 9

Which does the French health care system have in common with the U.S. system?

Poor health outcomes

A multi-payer system for financing care

High costs

Large numbers of uninsured residents

Question 10

What percent of U.S. physicians are specialists?

10%

30%

75%

90%

Question 11

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

Gender and sexual orientation

Wealth and poverty

Educational level

Family health history

Question 12

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

5%

10%

15%

20%

Question 13

Which of the following are among the criteria specified by the Canada Health Act of 1984 for provincial and territorial health insurance systems that want to qualify for federal block grants? Select all that apply.

Administered on a non-profit basis by a public authority

Comprehensive in covering most health services provided by hospitals, medical practitioners, and dentists

Universal in that they cover all legal Canadian residents

Covering all medical needs except preexisting conditions

Portable so that coverage for all is transferable to all other parts of Canada

Question 14

In the English health care system, about two-thirds of general practitioners and dentists are paid through which of the following means?

A combination of capitation and fee for service

Straight salary

Fee for service

Capitation alone

Question 15

Which of the following are obstacles to the pursuit of efficiency in England’s NHS? Select all that apply.

Professional groups’ opposition to innovation

Difficulties in firing and reassigning health care personnel

The NHS’s separation among hospitals, general practitioners, and community health programs

An aging population

Question 16

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

A campaign promoting personal responsibility for health

Taxes on sugar-sweetened beverages and junk foods

Calorie labels on restaurant menus

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

Question 17

In NHS and NHI systems, most health care financing is based on which of the following?

Practitioners’ liability coverage

Employer contributions

Ability to pay

Insurance companies’ risk estimates

Question 18

Roughly one-third of all health care spending in China comes from which of the following?

Out-of-pocket payments

A payroll tax

General taxation

Voluntary premiums

Question 19

Which of the following are characteristic of the U.S. system of health care? Select all that apply.

The highest costs in the world

Lack of universal health insurance coverage

Wide inequities in access to primary and specialty care

Low mortality rates

Squandered resources

Question 20

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

That the government negotiate drug prices

That most people have insurance

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

That the CHIP program continues to provide insurance for children

Question 21

Which of the following operates a national health service?

England

Canada

France

The United States

Question 22

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

$125 billion

$200 billion

$400 billion

$500 billion

Question 23

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

The government pays most of the costs of care

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

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

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

Question 24

Which of the following is a characteristic of most national health insurance (NHI) systems?

Minimal freedom of choice

Payroll-tax based financing

High overhead costs

Scarcity of medical specialists

Question 25

Which country fears it might now have too many doctors and nurses?

The United States

France

China

England