1-Introduction to US Health Care Policy

Question 1

formed to improve doctors’ status 1846

Answer 1

AMA

Question 2

Standardized medical education 1910

Answer 2

flexnor report

Question 3

marjet justice vs social justice

Answer 3

ability to pay vs everyone deserves it

Question 4

Canadas model of care

Answer 4

1. Health care is a basic right of all Canadians
2. The power of the medical profession is limited to its social obligation
3. Government retains monopsony power (single payer)
   • Monopsony
4. There is one standard of care for all Canadians

Question 5

Monopsony

Answer 5

= one buy for many sellers of a commodity or service
It is the flip side of a monopoly: It occurs when a buyer, rather than a seller, has sufficient market power to set its own price.

Question 6

in the US Decisions regarding organization and delivery of care concentrated in

Answer 6

in medical professions

Question 7

the US has the higest infant mortality rate and the lowest

Answer 7

life expectancy

with the highest expendatures

higher rates of disease burden

higher rates of medical errors

Question 8

The US health system is driven by

Answer 8

fascination with technology
orientation to needs of individual
expectation for the latest and most expensive tests and procedures
propensity to sue physicians
which also contribute to more expensive care

Question 9

policy vs law

Answer 9

A policy outlines what a government is going to do and what it can achieve for the society as a whole.
Policy” also means what a government does not intend to do.
Policies are only documents and not law, but these policies can lead to new laws.

Policies can be called a set of rules that guide any government or any organization.

Question 10

While a law is framed for bringing justice to the society, a policy is framed for

Answer 10

achieving certain goals.

Laws are for the people, and policies are made in the name of the people.

Policies are goals – so we will look at the causes, and effects of systems, structures, and processes, while considering the outcomes, the implictions, and mis-matched between our values, goals, policies and laws and regulations.

Question 11

according to the JAMA article how has health care improved since the ACA

Answer 11

. Since the Affordable Care Act became law, the uninsured rate has
declined by 43%, from 16.0% in 2010 to 9.1%

Research has documented accompanying improvements in access to care

The law has also begun the process of transforming health care payment systems,
with an estimated 30% of traditional Medicare payments now flowing through alternative
payment models like bundled payments or accountable care organizations.

Question 12

according to the JAMA article how can health care continue to improve

Answer 12

by continuing to implement the Health Insurance Marketplaces
and delivery system reform, increasing federal financial assistance for Marketplace enrollees,
introducing a public plan option in areas lacking individual market competition, and taking
actions to reduce prescription drug costs

Question 13

how would public plan improve access the health care and lower costs

Answer 13

Public programs likeMedicare often deliver caremore
cost-effectivelybycurtailingadministrativeoverheadandsecuringbetter
prices from providers

Question 14

spending a lot on these threese

Answer 14

heart
lung
DM

Question 15

we spend more on this in the US

Answer 15

heart surgery
child birth
MRI
prescription drugs

Question 16

In the US we have better

Answer 16

better rates of CA survival