Exam 1 Flashcards
Which country has the only health care system not designed by the government?
The United States
What is the welfare clause?
A section in the U.S. constitution where it states they shall provide for general welfare, its not specific at all and could mean many things such as education, infrastructure, and income re-distribution
What is the commerce clause?
A clause that states that congress can have power to regulate commerce that travels across state lines (sulfanilamide poisoning)
What are state governments allowed to do?
They are able to retain broad powers not given to the federal government and to promote health BUT not health care
What is the entire extent that the government is involved in your health care?
“provide for the general welfare”
“regular commerce between states”
“to enact and enforce laws to protect the health, safety, morals, order, peace, comfort and general welfare of the people”
What is PPACA?
Patient Protection and Affordable Care Act set in place by Obama
What are the 3 justifications for government involvement in our HC?
- Economic Efficiency
- Social Equity “HC should be “fair””
- Safety “MAJOR driver”
What are the 4 viewpoints on HC systems from a libertarian viewpoint “republican”
- Personal responsibility
- Social concern
- Freedom “ultimate point”
- Equality
What are the 4 viewpoints on HC systems from a egalitarian viewpoint? “democrat”
- Personal Responsibility “HC is a right”
- Social Concern “self sufficiency”
- Freedom “No government intervention”
- Equality “remove the barriers that isolates people”
What branch of the government is the FDA located in?
The executive branch
What does the legislative branch do?
Create and enact laws and oversee implementation of the LAW “answer to judiciary branch”
What does the executive branch do?
Promulgate regulations, implement and administer laws to legislative.
What will happen if legislative and executive are opposite parties?
They wont agree on many laws
What does the judiciary branch do?
They act as a ref for the other 2 parties “checks and balances”
What does society have to do with control over healthcare?
We get to vote for people who will make change in office
What are the 4 roles of government in HC?
- Regulate “Quality standards, FDA, determine Rx vs OTC”
- Finance “Government pays for HC, around 40-50% of ALL HC is financed by the government”
- Provide “to lower income households, active military, and veterans”
- Purchase/Consume “buying HC insurance for government employees”
What are the 3 definitions of Health?
- Who “a state of complete physical, mental, and social wellbeing and not merely the absence of disease”
- Webster “Sound physical or mental condition”
- Dubos “a state of being enabling imperfect men to achieve a rewarding and not too painful existence while they cope with an imperfect world”
What year did many new technologies come out relating to HC?
1847, chloroform, anesthetics, cleaning surgery utensils became a thing leading to less deaths
What did Dr. John Snow do in 1953?
He used chloroform to the queen for her last two child births
What happened in the institutionalization period? (1850-1900)
With the new addition of anesthesia and adoption of hygiene surgery became POSSIBLE
When did Purdue RX get formed?
1884
Methods of payment in older US for physicians?
If they weren’t able to help the patient they wouldn’t get paid
What was one of the key issues that resolved in the evolution of our health care?
WW2
Why did WW2 have such a great impact of HC systems?
People at home didnt have enough money to pay with goods so they got health care benefits instead which eventually lead to HC insurance
