1. Approximately what percent of the U.S. healthcare system is paid for by taxes? -Half 2. What percent of U.S. gross domestic product (GDP) is spent on healthcare?- 17.5% or 17.6% 3. What is the largest health care delivery system i n the U.S.? This is an example of what kind of medicine? VHA or VA -- socialized 4. Americans are covered by Medicaid? Medicare? Medicare -- 50 mil. 13% Medicaid -- 62 mil 14% 5. Approximately how many Americans die each year because they lack health insurance? 18,314 6. Three-legged stool of health care organization? Cost/price, quality, access 7. T.R. Reid noted in his three-minute video clip that capitalist democracies (other than the U.S.) do three things with their health plans? 1. Insurance must accept everyone and can’t make profit on basic care 2. Everyone has to buy insurance and government pays premiums 3. Doctors and hospitals have to accept one standard set of fixed prices 8. What did Moses et. al. conclude in their 2013 article in the Journal of the American Medical Association about cost increases in U.S. health care between 2000-2011? Increase in prices (drugs, hospital care, and medical devices) produce 91% of costs 9. Four reasons why the U.S. healthcare system is so costly . 1. No pricing standards on pharmaceuticals 2. U.S. Healthcare prices not regulated 3. Politics 4. Limited competition among health insurers 10. Where does Congressional power primarily lie? Article 1 of the U.S. Constitution makes Congress the lawmaking body of the federal government by granting it “All legislative Powers” and the right to enact “necessary and proper laws” to effectuate its prerogatives (The Federal Legislative Branch); Creates laws/policies and appropriate money, funds, and taxes in order to pay for these laws/policies 11. Where does Presidential power primarily lie? Article 2 of the U.S. Constitution establishes the executive branch and vests executive power in the most well-known member of the branch, the president (The Federal Executive Branch) 12. Where must all federal taxation and appropriations bills originate? The House and Senate Appropriations committees (p. 11 -- Leadership Positions) 13. Why does initiating or changing health policies in the U.S. (e.g., a soda tax) oftentimes appear daunting? That is, what makes crafting health policy difficult? Members are concerned about pleasing the voters who elect them and they will prioritize their home constituents. High approval ratings deter challengers from trying to take an incumbent’s congressional seat and allow members of Congress more leeway to pursue their goals and policies (p. 16 -- Constituents) 14. Do Americans approve of “government solutions” to public policy issues? If so, which solutions? If not, why not? Americans approve of “government solutions” to public policy issues if it benefits them. Medicare is a solution for Americans who qualify for healthcare if they are 65 and older. Medicaid is a solution for people who are not 65 years of age and are low-income.
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- Fall '15