15.) Policymakers who delegate authority to privateactors tend to develop a regulatory apparatus that____.
a.
reduces consumer frustration, increasing the public's trust ingovernment
b.
is overly protective of consumers rather than the privateentities
c.
is insufficient to oversee the private entities now charged withadministering publicly funded programs
d.
provides lower costs, efficient delivery, and higher-qualityservices
16.) Which statement best describes Paretooptimality?
a.
Each person is as well off as they can be.
b.
Each person is as close to parity as they can be.
c.
It is possible to make someone better off without making someoneelse worse off.
d.
It is impossible to make someone better off without makingsomeone else worse off.
17.) State efforts in the 1990s to reintroduce communityrating and guaranteed issue led to ____.
a.
healthier individuals dropping insurance due to risingpremiums
b.
guaranteed broad access to affordable coverage
c.
avoidance of high-risk individuals
d.
"cherry picking" of people with fewer health problems
18.) The Affordable Care Act creates a comprehensiveregulatory regime for all private health insurance, with states____.
a.
having the annual opportunity to opt out
b.
relegated to the margins of decision making
c.
having control over premiums
d.
in charge of all major aspects
19.) The Medicare Part D drug plan has____.
a.
protected seniors from marketing abuses and other manipulativepractices
b.
failed to broaden access to drug coverage for seniors
c.
successfully introduced market competition through consumerchoice
d.
failed to induce better performance by insurance plans becausevery few seniors leave bad plans or use their market power
20.) Commercial insurance is based on whatconcept?
a.
assumption of risk
b.
classification of risk
c.
cross-subsidization
d.
principle of solidarity
21.) Which group was, for the first time, directly andactively involved in Massachusetts health care reform efforts,broadening the constituency for reform?
a.
Health Care for All
b.
labor unions
c.
the Greater Boston Interfaith Organization
d.
ACT! (Affordable Health Care Today)
22.) Which statement is true regardingTexas?
a.
Few potential Medicaid recipients who are in a categoryunrelated to income, such as blindness or disability, actuallyreceive benefits.
b.
On principle, Texas has declined virtually all Medicaidfunds.
c.
Texas was so adept at drawing down additional Medicaid fundsthat the federal government instituted new rules to limit this.
d.
Currently, more than one in three adults in Texas is covered byMedicaid, but only one in twenty children.
23.) The insurance industry in particular wanted toharness the power of ____.
a.
universal coverage
b.
the individual mandate
c.
the "fix" to the 1997 Medicare formula
d.
the public option
24.) Based on the 2010 and 2012 elections, what seems tobe the likely makeup of the Texas House of Representatives for theforeseeable future?
a.
a lopsided Republican majority
b.
an almost 50-50 Republican-Democrat split
c.
a tenuous Republican majority
d.
95 Democrats and 55 Republicans
25.) The role of government in the market place is bestdescribed as ____.
a.
undesirable because of its paternalism
b.
efficient because of economies of scale
c.
dependent on the circumstances
d.
strong because of its rulemaking powers
26.) A health issue that Florida might face butMassachusetts would not is ____.
a.
the poverty associated with the closing of mines
b.
the presence of the highest lung cancer rates in the nation
c.
worker exposure to carcinogens associated with miningindustry
d.
the presence of tropical diseases
27.) The viewpoint that government regulations areinstituted to help the public is called the ____.
a.
public interest model
b.
public choice theory
c.
life cycle theory
d.
economic theory of regulation
28.) Congressional deliberations regarding health carepolicy currently ____.
a.
occur in a vacuum
b.
are dominated by groups representing consumers, women, andenvironmentalists
c.
are dominated by the American Medical Association
d.
are the target of attempted influence by commercial interestsand groups seeking social change
29.) Variation among the 50 states today includes theuninsured population, with a low of 5% in Massachusetts and a high,in Texas, of ____.
a.
37%
b.
16%
c.
33%
d.
24%
30.) Which statement best reflects the author'sthinking?
a.
Democrats believe that Medicaid should serve only the neediestAmericans.
b.
In the future, Democrats should attempt to hide Medicaid'sexpansion to the middle class in hopes that hidden politics willallow for additional expansions.
c.
Democrats currently do not mobilize middle-class constituentsaround the Medicaid program.
d.
Democrats usually speak openly in defense of Medicaid coveragefor middle-income Americans.