Why is medical treatment of communicable diseases particularly important? - Answers because of the
possibility that one sick individual could infect many others
What is the Highway Safety Act of 1966? - Answers the federal government began to pressure states
and localities to develop procedures for proving quick access to emergency care
What are somethings that have been established following the act of 1966? - Answers 911 phone-
response networks, trained emergency medical technicians, dispatched ambulances using a centralized
system, regulation of the availability of hospital emergency rooms, identified trauma centers, and
provided evacuation helicopters in rural areas
Are there state and federal laws that require emergency rooms to provide treatment to any patient that
arrives with a life-threatening condition until he/she is stabilized, regardless of pay? - Answers yes
Who are the two groups that have a general right to medical care? - Answers veterans and prisoners
When did health insurance provided by employers mostly begin? - Answers World War II-- workers and
their families could receive care without having to worry about the cost and employers did not object bc
the price was modest at first
What are community health centers? - Answers supported by federal grants and payments by private
and public health insurance, is another source of basic medical care for the poor. Specifically provide
primary and preventative care to those who cannot afford it
Which country established the first national system of insurance? - Answers Germany-- compulsory
sickness insurance in 1883
Which country established a national health insurance plan in the 1970s? - Answers Canada
When did the US first try to establish a national health program? - Answers BEFORE WWI but it was
derailed by the war
Who were the presidents who tried to establish national healthcare? - Answers FDR- health insurance
was not apart of the social security act
Harry Truman- proposed a single health insurance system that would apply to everyone but this failed
(seen as "Socialized" health care)
Lyndon Johnson- Medicare and Medicaid were passed in 1965
Nixon- tried to expand these programs to everyone but his efforts were derailed by the watergate
scandal
Clinton- CHIP (children's health insurance program) coverage to children in families that earn too much
to qualify for Medicaid, up to 200% of the federal poverty level
, Obama- Affordable Care Act
What is medicare? - Answers a mandatory insurance program for people over the age of 65 as part of
the social security system. Younger people who are entitled to social security because of disability are
also eligible.
What is medicaid? - Answers a welfare program for the poor, with costs shared by the federal
government and the states. Eligibility is determined by income and varies from one state to another
What is the assurance function of public health? - Answers ensure communities receive the services and
benefits by enforcing regulations and providing services
-works with appropriate level government agencies to guarantee funding for services for all
-evaluating impact
What is health services research? - Answers multidisciplinary field that examines the cost, quality and
accessibility of healthcare services
-these researchers come from a variety of fields including economics, epidemiology, public health,
medicine, biostatistics, management, psychology and sociology
What is the primary goal of health service research? - Answers identify the most effective ways to
organize, manage, finance and deliver high quality care
What do findings from health service research help do? - Answers inform the health care policymaking
process, lead to improvements in clinical practice, and help shape how health care will be delivered and
paid for in the future
What are the three issues generally speaking? - Answers cost (spending), access (equity) and quality
(patient protection)
National health care expenditures and total federal spending on health care has ________ throughout
the years. - Answers increased
Who spends the most on medical care per person compared to any other country in the world? -
Answers United States
What does the US not have compared to other developed countries? - Answers -healthier people
-better access to health care
-less medical errors/higher quality care
What is a reason the costs continue to rise? - Answers -aging population
-new technology