Question 1

What was the primarily role of state and local governments during the nineteenth century?

Accepted Answer

A)   Oversight of medical clinics run by public health officials
B)   Preventing the spread of communicable diseases
C)   Maintaining general hospitals
D)   All of the above

Question 2

The Medicare/Medicaid programs were created as a result of compromise between different competing proposals. Which of the following is not an example of these proposals?

Accepted Answer

A)   Compulsory health insurance program for the elderly
B)   Mandatory dependent coverage for children up to age 26 for all individual and group insurance policies.
C)   Voluntary insurance program for physicians' services subsidized through general revenues
D)   Expanded means-tested program administered by the states

Question 3

The States Children's Health Insurance Program (S-CHIP)  was created during the

Accepted Answer

A)   George W. Bush administration
B)   Obama administration
C)   Clinton administration
D)   Trump administration

Question 4

What was a consequence of the rise of the third-party payment system?

Accepted Answer

A)   Increases in the number of visits to physicians
B)   Decreases in the incomes of hospitals
C)   Decreases in the number of insured people
D)   Financial insecurity for hospitals

Question 5

Despite the passing of the Sheppard-Towner Act, the first federal grant-in-aid program for local child health clinics, what was the main reason why many local health departments refused to accept these grants?

Accepted Answer

A)   Opposed by the AMA and local medical societies
B)   Increased government regulation
C)   Made local public health agencies responsible for the clinics
D)   Forced health departments to draft certificates-of-need before clinic construction could begin

Question 6

The Nixon administration's efforts to contain rising healthcare costs included all of the following except one. Which is the exception?

Accepted Answer

A)   Establishment of Professional Standards Review Organizations (PSROs) 
B)   Development of Health Maintenance Organizations (HMOs) 
C)   Establishment of Diagnostic Related Groupings (DRG's) 
D)   Requiring states to adopt Certificate-of-Need (CON)  laws

Question 7

The political ground was fertile for health care reform after Obama was elected to office because

Accepted Answer

A)   Obama won the popular and electoral vote.
B)   of successful mobilization of a new electorate increasing their participation in the voting process.
C)   the Democrats had supermajorities in the House and Senate.
D)   all of the above.

Question 8

What accounts for the fact that the United States spends more money of healthcare than any other countries in the world but underperforms on a variety of health system performance indicators like access, equity, and health outcomes?

Accepted Answer

A)   Lack of universal health care
B)   Fragmented healthcare system
C)   Consumer lifestyle choices
D)   All of the Above

Question 9

Congress passed the Sheppard-Towner Act in 1921 under which the federal government

Accepted Answer

A)   Provided federal funds to states for construction of hospitals
B)   Established the National Institutes of Health
C)   For the first time attempted to establish universal health care
D)   Established the first federal grant-in-aid program for local child health clinics

Question 10

What was one of the first health issues confronting the George W. Bush administration?

Accepted Answer

A)   Abortion Policy
B)   Cost of Prescription Drugs
C)   Stem Cell Policy
D)   State Children's Health Insurance Program

Question 11

The primary mission of the Centers for Disease Control and Prevention (CDC)  is to

Accepted Answer

A)   Implement Medicaid and Medicare programs
B)   protect public health by providing leadership and direction in prevention and control of diseases and responding to public health emergencies
C)   ensure the safety of nation's food, animal and human drugs, biological products, and medical devicesImplement the Children's Health Insurance Program (CHIP) 
D)   keep immigrants from entering the United States who might have communicable diseases B

Question 12

During the 1930s, three major developments played a major role in transformation of American medicine. Which of the following was not part of these developments?

Accepted Answer

A)   The start of a third-party payment system with the establishment of the Blue Cross and Blue Shield insurance plans
B)   Creation of the universal health insurance system through the Social Security Act
C)   Increased emphasis on biomedical research by the federal government
D)   Advances in medical technology and the discovery of antibiotics

Question 13

The Flexner Report resulted in which of the following?

Accepted Answer

A)   Proliferation of numerous medical schools
B)   Consolidation of medical education
C)   Adoption of the Italian model of medicine
D)   Establishment of the first general hospital

Question 14

"Moral Hazard" refers to the idea that

Accepted Answer

A)   Third-party payers (health insurance)  insulates healthcare consumers from the realities of healthcare costs leading to overconsumption
B)   Immoral lifestyle leads to health problems
C)   Profit driven insurance industry creates a moral hazard for the government
D)   Mixing of religion and politics is unhealthy

Question 15

Compared to Western industrialized countries, which of the following statement is false with respect to the United States?

Accepted Answer

A)   U.S. spends the most money on healthcare compared to Western Industrialized
B)   American healthcare system is the least expensive
C)   U.S. spend more per capita on healthcare
D)   U.S. spends higher percentage of its GDP on healthcare

Question 16

Which of the following is a provision of the Health Insurance Portability and Accountability Act (HIPAA)  of 1996?

Accepted Answer

A)   Placed limits on insurance companies' authority to deny coverage
B)   Created a new system for classifying illnesses into one of 468 diagnosis-related groups
C)   Established certificate-of-need laws
D)   All of the above A

Question 17

Compared to Western industrialized nations

Accepted Answer

A)   Americans have the lowest infant mortality rates
B)   Life expectancy rates are much higher in the U.S. than countries in Europe
C)   U.S. has the highest rate of obesity compared to OECD countries
D)   U.S. ranks at the top compared to peer countries with respect child health outcomes.

Question 18

Which of the following was not a component of the Health Security Act?

Accepted Answer

A)   Universal coverage through employer mandate
B)   Subsidies for poor people and workers without coverage
C)   Prospective Payment System
D)   Minimum benefits package C

Question 19

Which of the following was mostly responsible for the establishment of early general hospitals?

Accepted Answer

A)   Military
B)   State governments
C)   Churches
D)   Philanthropic foundations

Question 20

The Trump administration, upon assuming office reinstated the Mexico City Policy. This policy

Accepted Answer

A)   Makes it illegal to import prescription drugs from Mexico
B)   Imposes death penalty for those caught smuggling illegal drugs from Mexico into U.S.
C)   Prohibits international non-governmental organizations (NGOs)  from receiving U.S. funding if they perform or promote abortions
D)   All of the above

Exam 2: Healthcare Policy in the United States

What was the primarily role of state and local governments during the nineteenth century?

Correct AnswerverifiedShow Answer

The Medicare/Medicaid programs were created as a result of compromise between different competing proposals. Which of the following is not an example of these proposals?

Correct AnswerverifiedShow Answer

The States Children's Health Insurance Program (S-CHIP) was created during the

Correct AnswerverifiedShow Answer

What was a consequence of the rise of the third-party payment system?

Correct AnswerverifiedShow Answer

Despite the passing of the Sheppard-Towner Act, the first federal grant-in-aid program for local child health clinics, what was the main reason why many local health departments refused to accept these grants?

Correct AnswerverifiedShow Answer

The Nixon administration's efforts to contain rising healthcare costs included all of the following except one. Which is the exception?

Correct AnswerverifiedShow Answer

The political ground was fertile for health care reform after Obama was elected to office because

Correct AnswerverifiedShow Answer

What accounts for the fact that the United States spends more money of healthcare than any other countries in the world but underperforms on a variety of health system performance indicators like access, equity, and health outcomes?

Correct AnswerverifiedShow Answer

Congress passed the Sheppard-Towner Act in 1921 under which the federal government

Correct AnswerverifiedShow Answer

What was one of the first health issues confronting the George W. Bush administration?

Correct AnswerverifiedShow Answer

The primary mission of the Centers for Disease Control and Prevention (CDC) is to

Correct AnswerverifiedB

During the 1930s, three major developments played a major role in transformation of American medicine. Which of the following was not part of these developments?

Correct AnswerverifiedShow Answer

The Flexner Report resulted in which of the following?

Correct AnswerverifiedShow Answer

"Moral Hazard" refers to the idea that

Correct AnswerverifiedShow Answer

Compared to Western industrialized countries, which of the following statement is false with respect to the United States?

Correct AnswerverifiedShow Answer

Which of the following is a provision of the Health Insurance Portability and Accountability Act (HIPAA) of 1996?

Correct AnswerverifiedA

Compared to Western industrialized nations

Correct AnswerverifiedShow Answer

Which of the following was not a component of the Health Security Act?

Correct AnswerverifiedC

Which of the following was mostly responsible for the establishment of early general hospitals?

Correct AnswerverifiedShow Answer

The Trump administration, upon assuming office reinstated the Mexico City Policy. This policy

Correct AnswerverifiedShow Answer

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B

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A

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C

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