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


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

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Compared to Western industrialized nations


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.

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


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

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A

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


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.

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


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

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C

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


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

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The Flexner Report resulted in which of the following?


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

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


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

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


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

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


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

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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?


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

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


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

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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?


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

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"Moral Hazard" refers to the idea that


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

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


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 devices
Implement the Children's Health Insurance Program (CHIP)
D) keep immigrants from entering the United States who might have communicable diseases

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B

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


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

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


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

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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?


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

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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?


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

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


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

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