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HCA 540 FINAL (Post-Midterm Chapters) EXAM LATEST UPDATE

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HCA 540 FINAL (Post-Midterm Chapters) EXAM
LATEST UPDATE


What committee highlighted problems in the early 20th century? - ANSWER Committee
on the Costs of Medical Care (CCMC)

What term was used in the 1960s and 1970s to describe issues in health care? -
ANSWER crisis"

Which magazine in 1970 described American medicine as standing on the brink of
chaos? - ANSWER Fortune

Who in 1971 acknowledged the growing costs of care and the need for improvements? -
ANSWER President Nixon)

What major issues did the Committee for Economic Development identify in 1973? -
ANSWER Faulty resource allocation and gaps in financing

What do advocates of a public approach believe health care is? - ANSWER A public
good, not a commodity

What goals do they emphasize in health care delivery? - ANSWER Quality, equity, and
efficiency

What is a common feature of public systems? - ANSWER Universal coverage and
government involvement in funding and regulation

What do supporters of a private approach emphasize? - ANSWER Limited government
involvement, individual choice, and market-driven solutions

What principles do they believe promote innovation and efficiency in health care? -
ANSWER Free-market principles

What is a key aspect of private systems? - ANSWER Competition among providers,
insurance companies, and market forces

What expanded government involvement significantly in the mid-1960s? - ANSWER
Programs like Medicare and Medicaid

What elements characterize the U.S. health care system? - ANSWER Mix of public and
private components

What unique balance does the U.S. maintain compared to other countries? - ANSWER
(Balance between public funding and private delivery

Which of the following is NOT a role traditionally played by the government in health

,care prior to the mid-1960s?

A) Medical research funding

B) Workforce training

C) Provision of medical care for the general population

D) Public health activities - ANSWER C) Provision of medical care for the general
population

What is a key factor driving the growth of for-profit entities in the U.S. health care
system since the mid-1960s?

A) Decreased government involvement

B) Increased public funding

C) Expansion into new service areas

D) Decline in demand for health care services - ANSWER ) Expansion into new service
areas

The regulatory structure of the U.S. health care system reflects a public-private
partnership, balancing technical expertise from private organizations and external
perspective from government agencies. - ANSWER True

The Medicare and Medicaid legislation in the mid-1960s reduced the public sector's
involvement in medical care delivery. - ANSWER False

Public opinion has no influence on determining the roles of the public and private
sectors in the U.S. health care system. - ANSWER False

Efforts for National Health Insurance (NHI) in the US: - ANSWER - Started by American
Association for Labor Legislation in 1906.

Included in Teddy Roosevelt's Bull Moose Party platform in 1912.

- Proposed compulsory medical care and sickness benefits insurance in 1916.

- Faced opposition from American Federation of Labor and commercial insurance
industry.

- AMA opposed NHI until the late 1960s.

Clinton Health Plan and Comprehensive Reform: - ANSWER - Aimed at comprehensive
healthcare system reform.

- Defeated in Congress in 1993-1994.

- Focused on high costs, personnel maldistribution, financial access, and health

, promotion.

Obama Health Plan: - ANSWER - Expanded access through ACA and Medicaid.

- Emphasized coverage, cost control, and quality improvement.

- Faced challenges from various stakeholders.

Challenges to Obama Health Plan: - ANSWER - Stemmed from public vs. private
healthcare solutions debate.

- Faced opposition from political, provider, and insurance sectors.

- Rooted in longstanding governmental role and public/private balance in healthcare.

What prompted the emergence of the Clinton Health Plan (CHP) in the early 1990s?

A) Declining quality of health care services

B) Escalating health care costs and growing uninsured population

C) Increase in government-funded health programs

D) Strong support from major health care industry groups - ANSWER B) Escalating
health care costs and growing uninsured population

Which of the following was NOT a feature of the Clinton Health Plan (CHP)?

A) Guaranteed private insurance for everyone

B) Choice of physician and health plan

C) Elimination of public health programs

D) Preservation of Medicare - ANSWER C) Elimination of public health programs



What were the primary principles underlying the Clinton Health Plan (CHP)?

A) Affordability and accessibility

B) Security, savings, simplicity, choice, quality, and responsibility

C) Privatization and deregulation

D) Profitability and competition - ANSWER B) Security, savings, simplicity, choice,
quality, and responsibility



How did the CHP propose to fund its operations?

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