Economic Issues Flashcards

1
Q

Is healthcare a right or privilege in the USA?

A

Privilege

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2
Q

What are the 2 main economic issues of health care?

A
  • Lack of equity in health care need

- Lack of equity in health care resources

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3
Q

What is the difference between macro-allocation, and micro-allocation?

A

Macro: How does the “system” distribute care
Micro: How is care distributed to individuals

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4
Q

What are the 3 methods of macro-allocation?

A
  • Free-market
  • Mixed
  • Egalitarian
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5
Q

Which macro-allocation method is the traditional US system?

A

Free-market

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6
Q

What is the free-market system?

A
  • Based on exchange of resources

- Get care that you can pay for through private funds or insurance

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7
Q

What is the mixed system of macro-allocation?

A
  • Partial free-mark or 2-tiered system (medicare)

- A minimum level of care is guaranteed with ability to pay for more if you choose

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8
Q

What is the egalitarian system of macro-allocation?

A

Everyone receives the same level of care with no option to acquire additional care

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9
Q

Where is the egalitarian system in place?

A

Canada and Europe

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10
Q

What are the pros and cons of the free-market?

A

Pros: Foster innovation and competition
Cons: There are haves and have nots

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11
Q

What are the pros and cons of mixed system macro-allocation?

A

Pros: Everyone gets a minimum level of care
Cons: Still haves and have nots

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12
Q

What are the pros and cons of the egalitarian system?

A

Pros: Everyone receives the same quality of care
Cons: May not be as sophisticated as care received on free-market

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13
Q

What percent of civilians were uninsured in the US in 2006?

A

15 % or 47 million

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14
Q

What is the US’s ranking in the world “Health System Performance”?

A

37th

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15
Q

What percentage of GDP did healthcare costs represent in the US in 2007?

A

16.2% (Projected to be 20% by 2015)

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16
Q

How is scare care distributed to individuals?

A

Through rationing

17
Q

What are the 2 concerns over rationing?

A

Who decides who gets care?

What is the criteria?

18
Q

What are the 4 criteria for rationing?

A
  • Fairness
  • Efficiency
  • Effectiveness
  • Cost/ benefit
19
Q

What are the 4 types of micro-allocation?

A
  1. Market approach
  2. Selection committees
  3. Lottery
  4. Customary
20
Q

What is the market approach to micro-allocation?

A

Provide service to anyone who can afford to pay for it; deny services to those who can’t pay for it

21
Q

What is the selection committee approach to micro-allocation?

A

Independent ‘objective’ panel or board makes decision

22
Q

What is the lottery approach to micro-allocation?

A

First come, first served

23
Q

What is the customary approach to micro-allocation?

A

Consideration by an individual basis, which MDs select

24
Q

What are the systems of micro and macro allocation responsible for in the USA?

A
  • Number of healthcare problems in US