Ch. 2 (economics of women's hlth) Flashcards

1
Q

Average annual spending on health care in the United States is _______ per person. That is ____% of all spending in the U.S.

A

$9,146; 18%

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2
Q

T/F: Healthcare costs are rising faster than inflation.

A

true

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3
Q

T/F: the out-of-pocket costs the national health expenditure is rising with the costs of insurance.

A

false (it’s staying relatively the same)

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4
Q

what act is “Obamacare” ?

A

Patient Protection and Affordable Care Act (PPACA)

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5
Q

PPACA caused _________, not _______

A

evolution; revolution

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6
Q

what has PPACA done (4)?

A
  • expanded coverage to millions of Americans (but many more remain uninsured or underinsured)
  • Increases government coverage of the poor and near-poor (Medicaid)
  • States offer “exchanges” where employers and individuals can buy insurance.
  • Reduction in some Medicare payments (from the government to hospitals)
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7
Q

T/F: Numerous Republican-led attempts to curtail or dismantle PPACA, but has stayed largely intact.

A

true

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8
Q

Legal and judicial efforts to stop PPACA (as of 2019) have been _________

A

unsuccessful

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9
Q

Legal and judicial efforts have been able to ______ ______ at PPACA, however-Medicaid expansion

A

chip away

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10
Q

PPACA has _______ legal future (will it be overturned? strengthened? Replaced with universal coverage?)

A

uncertain

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11
Q

Where Do People Get Their Insurance (in order of majority of ppl - 5)?

A
  1. employer
  2. medicaid
  3. uninsured
  4. private
  5. public
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12
Q

what age group gets the majority of Medicare coverage?

A

65 - 74

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13
Q

an increasing majority of Medicare beneficiaries are _______.

A

women

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14
Q

Provides health insurance for low-income Americans

A

Medicaid

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15
Q

medicaid is administered by federal and state governments, but largely run at the _______ level

A

state

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16
Q

Majority of recipients of Medicaid are low-income _______ and ________

A

women and children

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17
Q

Medicaid and CHIP cover over _____ _________ people

A

90 million

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18
Q

Qualifications of Medicaid (4):

A
  • Income status
  • Level of disability
  • Need for long-term care
  • Dependent of a Medicaid recipient
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19
Q

Basic services of Medicaid (6):

A
  • Inpatient and outpatient medical care
  • Laboratory + X-ray services
  • Chronic care facilities (for persons older than 21 years)
  • Home health care for nursing facility services
  • Services provided by a physician or nurse practitioner
  • Necessary transportation
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20
Q

____ ______ people were uninsured in 2016.

A

27 million

21
Q

T/F: in 2016, 27 million people were uninsured. This is the HIGHEST level in the last 20 years, due to the PPACA.

A

false (lowest)

22
Q

Rates of uninsured dropped most dramatically in people aged ____- _____, with current rates at 21% versus 34% prior to the law’s enactment (stay on parent’s insurance until 26).

A

19–25

23
Q

there’s a higher prevalence of uninsured individuals in what ethnic groups?

A

African and Hispanic Americans

24
Q

_____% of children younger than 18 are uninsured.

A

10%

25
Q

_____ _________ Americans were uninsured for all of 2004—more than the populations of Texas, Florida, and Connecticut combined.

A

45.8 million

26
Q

T/F: the amount of uninsured Americans is roughly evenly split between male and female

A

true

27
Q

if you’re an uninsured American, you’re more likely to be _______ or _______ (race*)

A

Black or Hispanic

28
Q

also, you’re more likely to be _______ or _____________ if you’re an uninsured American

A

poor or living near the poverty line

29
Q

consequences of being uninsured (4):

A
  • Significant financial risk if require emergency care (less likely to seek care until emergency – much more expensive)
  • Avoidance of preventive care and proper follow-up care
  • Ineligible for discounted pricing structures
  • Significantly less access to care
30
Q

RESULTS of being uninsured (4):

A
  • poorer health
  • higher hospitalization rates
  • more advanced disease states
  • earlier deaths
31
Q

Women make ____% of health-related decisions for their families.

A

90%

32
Q

T/F: Women earn more than $1 trillion annually.

A

true

33
Q

More than _____% of women manage their household bills, compared with ___% of men.

A

68%; 55%

34
Q

Increased participation in workforce and government from women = growing ________ ________

A

economic power (women making bigger decisions)

35
Q

where can universal healthcare be found in the world?

A

Canada and the United Kingdom + many parts of Europe

36
Q

Proponents of Universal healthcare =

A

Health care is a right, not a privilege and should be available to all citizens.

37
Q

Opponents of Universal healthcare (2):

A
  • Overly costly approach
  • Prefer private sector to manage and fund health care through a free-market approach
38
Q

T/F: Women put a bigger burden on healthcare because we live longer

A

true

39
Q

Average life expectancy (2012) =

A

78 years

40
Q

average life expectancy for WOMEN =

A

80 years

41
Q

average life expectancy for MEN =

A

74 years

42
Q

Burden of aging rests on _______.

A

women

43
Q

burdens of aging on women (3):

A
  • Without support of spouses
  • More likely to suffer from chronic disease
  • Increased need for prescription drugs, specialty medical assistance, medical equipment (walkers, etc.)
44
Q

Long-term care: Annual cost for home care is > $_________.

A

$20,000

45
Q

Long-term care: Annual cost for nursing home care is > $_________.

A

$74,000

46
Q

Most older women in nursing homes spend down their life savings to pay for services (home care/nursing home care) until ________ begins to cover the remaining costs of care.

A

Medicaid

47
Q

T/F: Less and less family members are taking care of family members when they get older (especially in the US); this is due to more women working today

A

true

48
Q

negative effects that women as care-givers suffer from (3):

A
  • Chronic health conditions
  • Depression
  • Sleeplessness