PSC 464 LATEST EXAM 1 2025 QUESTION AND ANSWER
(ORIGINAL PDF) SCORE A
What is universal care?
universal coverage
everyone has health insurance
What is a single-payer healthcare?
Medicare
not Medicaid because federally shared
Canada
What is Healthy People 2030?
set of goals for the next decade to accomplish focused on social determinants of health
Why don't we have more doctors?
hard-longtime expensive
med school acceptance rate is low
how many people that get into med school is controlled by physicians to make doctors more
valuable to make more money
8% uninsured
Race to the bottom
,welfare policy
TANF (AKA "welfare")
If we make welfare payments too high, poor people will flood the state
What are the factors that influence life expectancy?
The Great Divide
1912
for the first time in history, a random patient with a random disease consulting a doctor chosen
at random stood better than a 505-50 chance of benefiting from the encounter
doctors started getting there crap together
National Health Insurance
1912-1919
Former President Theodore Roosevelt leaves Republican party and runs for president as the
progressive (or Bull Moose) Party candidate
promoted national health insurance in campaign
19:15: model national health insurance bill introduced in 14 states
Medical societies denounced as "socialist", "Germanic", and "un-American"
Doctors and life insurance companies led fight against and defeated it
first time national health insurance was promoted
doctors thought that this was socialist and germanic
The Origins of Private Health Insurance 1
,1921-1929
Metropolitan and Prudential began selling health insurance in early 1920's
Mid-1920's first employer plan with General Motors
Blue Cross (untaxed, nonprofit) began selling hospital insurance plan in late 1920's
The Social Security Act
1935
Originally was going to include "Old Age Insurance"
Numerous telegraph's to President and Congress protesting
FDR mindful of what happened in 1919
Final bill calls only for "further study" of the issue
old age insurance
President and Congress Protest
"further study"
National Health Insurance 2
1944-1948
1944: FDR requests report on national health insurance
1945: FDR dies
President Truman recieved report and in special address to Congress, recommends
comprehensive national health insurance-fails
, The Hospital Construction Act (Hill Burton)
1946
Hospital industry idea: leave medicine and doctors alone; focus on building hospital
infrastructure
Public health service provided 347 hospitals in 42 states within 2 years
small town hospitals- hard to get doctors to live in small towns
National Health Insurance 3
1948
Truman wins in 1948, democratic majority in both houses in congress; national health insurance
on agenda
AMA denounces "the final irrevocable step to socialism", taxes every member $25, launches
public campaign against it
AMA wins battle - no national health insurance
The Rise of Employee Health Insurance
(ORIGINAL PDF) SCORE A
What is universal care?
universal coverage
everyone has health insurance
What is a single-payer healthcare?
Medicare
not Medicaid because federally shared
Canada
What is Healthy People 2030?
set of goals for the next decade to accomplish focused on social determinants of health
Why don't we have more doctors?
hard-longtime expensive
med school acceptance rate is low
how many people that get into med school is controlled by physicians to make doctors more
valuable to make more money
8% uninsured
Race to the bottom
,welfare policy
TANF (AKA "welfare")
If we make welfare payments too high, poor people will flood the state
What are the factors that influence life expectancy?
The Great Divide
1912
for the first time in history, a random patient with a random disease consulting a doctor chosen
at random stood better than a 505-50 chance of benefiting from the encounter
doctors started getting there crap together
National Health Insurance
1912-1919
Former President Theodore Roosevelt leaves Republican party and runs for president as the
progressive (or Bull Moose) Party candidate
promoted national health insurance in campaign
19:15: model national health insurance bill introduced in 14 states
Medical societies denounced as "socialist", "Germanic", and "un-American"
Doctors and life insurance companies led fight against and defeated it
first time national health insurance was promoted
doctors thought that this was socialist and germanic
The Origins of Private Health Insurance 1
,1921-1929
Metropolitan and Prudential began selling health insurance in early 1920's
Mid-1920's first employer plan with General Motors
Blue Cross (untaxed, nonprofit) began selling hospital insurance plan in late 1920's
The Social Security Act
1935
Originally was going to include "Old Age Insurance"
Numerous telegraph's to President and Congress protesting
FDR mindful of what happened in 1919
Final bill calls only for "further study" of the issue
old age insurance
President and Congress Protest
"further study"
National Health Insurance 2
1944-1948
1944: FDR requests report on national health insurance
1945: FDR dies
President Truman recieved report and in special address to Congress, recommends
comprehensive national health insurance-fails
, The Hospital Construction Act (Hill Burton)
1946
Hospital industry idea: leave medicine and doctors alone; focus on building hospital
infrastructure
Public health service provided 347 hospitals in 42 states within 2 years
small town hospitals- hard to get doctors to live in small towns
National Health Insurance 3
1948
Truman wins in 1948, democratic majority in both houses in congress; national health insurance
on agenda
AMA denounces "the final irrevocable step to socialism", taxes every member $25, launches
public campaign against it
AMA wins battle - no national health insurance
The Rise of Employee Health Insurance
