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1. In 2008, the state of Oregon used a lottery to extend Medicaid coverage to
an additional 10,000 residents (often called the Oregon Experiment). Two
years after enrollment, the lottery winners (the treatment group):
a. had lower predicted risk of cardiovascular episodes.
b. had lower overall health care spending.
c. had significant improvement in their quality of life measured by
blood pressure, cholesterol, and blood sugar levels.
d. experienced an increase in the probability of receiving a diagnosis of
diabetes and the use of drugs to control the condition.
e. had fewer emergency room visits than those who lost the lottery (the
control group). - ANSWER experienced an increase in the
probability of receiving a diagnosis of diabetes and the use of drugs
to control the condition.
2. Before entering the debate of whether access to medical care is a right, it is
important to distinguish between a negative right and a positive right.
Which of the following statements is true?
a. Coercion of some kind is essential to guarantee a negative right.
, b. Consider that Peter has no money. In order for Peter to exercise his
right to medical care, the law requires that Paul pay for it. This is an
example of medical care as a positive right.
c. Negative rights are resource-extracting rights. They require taking
resources from one person in order for someone else to receive
them.
d. Entitlements such as Medicare and Medicaid are examples of
negative rights.
e. Positive rights are freedom-preserving rights; they are enumerated in
the Constitution of the United States. - ANSWER Consider that
Peter has no money. In order for Peter to exercise his right to medical
care, the law requires that Paul pay for it. This is an example of
medical care as a positive right.
3. One of the reasons the 2008 Oregon Experiment was so important is
because it(s):
a. provided evidence that individuals with Medicaid had lower mortality
risk than those without insurance.
b. proved unequivocally that having Medicaid coverage resulted in
better physical health outcomes than being uninsured.
c. showed that individuals with Medicaid would receive more primary
and preventive care, reducing overall health care spending relative to
the uninsured.
d. experimental design included random selection of the treatment and
control groups.
e. provided solid evidence that expanding Medicaid coverage would
improve health outcomes. - ANSWER experimental design
included random selection of the treatment and control groups.
,4. The average federal medical assistance (FMAP) percentage across the
United States received by the typical state is approximately what
percentage of overall Medicaid spending?
a. 50 percent
b. 55 percent
c. 75 percent
d. 70 percent
e. 60 percent - ANSWER 60 percent
5. Which of the following statements is true about the Medicaid program?
a. Everyone in the poverty-level population is eligible for benefits.
b. Federal tax revenues provide 100 percent of the program's funding.
c. The majority of total outlays are for the elderly and disabled.
d. Eligibility standards are uniform across all states.
e. The law places a ceiling on state per capita spending for enrollees. -
ANSWER The majority of total outlays are for the elderly and
disabled.
6. Research indicates that the 2014 expansion of Medicaid has led to a
number of unintended consequences including:
a. more physicians accepting new Medicaid patients.
b. an increase in the birthrate among the eligible population.
c. higher per capita spending on the expansion population than
anticipated.
d. expanded opiate use among the elderly.
e. fewer Medicaid enrollees seeking emergency room treatment. -
ANSWER higher per capita spending on the expansion population
than anticipated.
, 7. A collectively financed medical care system that provides universal coverage to
a basic benefits package for everyone, including the ability to purchase additional
coverage with a supplemental insurance policy:
a. may not be equal but is welfare enhancing for everyone.
b. seldom works when actually applied in the real world.
c. Is unfair because it creates a two-tiered system.
d. will do harm to the more vulnerable segments of the population: poor, sick, and
elderly. - ANSWER may not be equal but is welfare enhancing for everyone.
8. Single-payer systems typically apply all of the following practices except which
of the following?
a. Require government ownership of the medical infrastructure of clinics and
hospitals.
b. Establish global budgets, setting caps on spending.
c. Provide a uniform fee schedule for all services.
d. Create a mechanism to ease pressure on the system when shortages develop,
i.e., a safety valve. - ANSWER Require government ownership of the medical
infrastructure of clinics and hospitals.
9. Which of the following statements is most true regarding the experience of
reforming medical care in the United States?
a. Increased access to care will reduce spending.
b. Investment in electronic health records will save money.
c. Collective action improves efficiency.
d. Moral hazard is a powerful force.