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Aggregate U.S. health care spending in 2014 was approximately


A) 5.2 percent of domestic output (GDP) .
B) 13.1 percent of domestic output (GDP) .
C) 17.5 percent of domestic output (GDP) .
D) 21 percent of domestic output (GDP) .

E) B) and C)
F) All of the above

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Which of the following persons is most likely to be insured for health care?


A) a minimum-wage teenager working for a fast-food restaurant
B) a skilled worker employed by a large multinational corporation
C) an unemployed retail clerk
D) a part-time groundskeeper for a small manufacturing plant

E) A) and B)
F) None of the above

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Insurance tends to drive up health care costs by encouraging greater use of health care resources. Why has this occurred in the United States but not in Canada or the United Kingdom?


A) There is no health care insurance in Canada or the United Kingdom.
B) Canada and the United Kingdom use nonprice rationing to contain costs.
C) Canada and the United Kingdom have better health care technology that allows them to achieve lower costs than the United States.
D) Only private insurance creates an incentive to overuse health care resources.

E) B) and C)
F) C) and D)

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The twin problems of health care in the U.S. are the rapidly rising cost of health care and limited access to health insurance coverage.

A) True
B) False

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Data on the income elasticity of demand for health care suggest that health care is a(n)


A) inelastic good.
B) private good.
C) public good.
D) normal good.

E) A) and B)
F) C) and D)

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Monthly premiums for Medicare insurance that private individuals pay cover how much of the cost of benefits provided by the program?


A) one-fourth
B) one-half
C) three-fourths
D) 100 percent

E) B) and C)
F) A) and D)

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When economists say that health care services are overconsumed, they mean that


A) rich people buy too much health care and poor people buy too little.
B) some resources now used in the health care industry could produce alternative goods and services that society values more highly.
C) health care is being purchased in amounts such that marginal benefits exceed marginal costs.
D) the price of health care is below equilibrium so that quantity demanded exceeds quantity supplied.

E) A) and D)
F) None of the above

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Federal tax policy


A) treats employer health insurance premiums as taxable income.
B) subsidizes health insurance and thereby increases the demand for health care.
C) subsidizes health insurance and thereby decreases the demand for health care.
D) corrects the overallocation of resources to the health care industry that would otherwise exist.

E) A) and C)
F) A) and B)

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The main purpose of HMOs and PPOs is to


A) reduce health care costs for employers and their employees.
B) reduce medical malpractice suits.
C) enable groups of physicians to increase their fees.
D) direct patients to specialists rather than to more expensive primary-care physicians.

E) A) and C)
F) B) and D)

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Raising the deductibles and copayments is a way of dealing with the


A) adverse selection problem of health insurance
B) moral hazard problem of health insurance.
C) asymmetric information between doctors and patients.
D) externalities of health care.

E) A) and D)
F) None of the above

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Attempts to alter incentives and contain health care costs include the following, except


A) imposing a copayment or a deductible.
B) adopting managed-care systems, such as PPOs and HMOs.
C) universal coverage.
D) diagnosis-related groups (DRGs) of Medicare.

E) A) and C)
F) A) and D)

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Theoretically, the effect of private health insurance on the price and quantity of health care consumed


A) is the same as that of public health insurance.
B) is a lower price and a higher quantity compared to public health insurance.
C) is a higher price and a lower quantity compared to public health insurance.
D) is a lower price and a lower quantity compared to public health insurance.

E) A) and B)
F) A) and C)

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By early 2016, after PPACA had been in effect for two years, one major problem that became apparent was that


A) many employers were limiting workers to only part-time work to avoid the expensive employer mandate.
B) most states quickly set up their PPACA-related insurance exchanges without properly vetting applicants.
C) insurance exchanges in many states were swamped with applicants, resulting in severe resource problems.
D) the government had to close down many states' insurance exchanges due to abuses.

E) None of the above
F) A) and B)

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The increased practice of "defensive medicine" is a consequence of


A) professional board licensing requirements.
B) the threat of medical lawsuits.
C) incentives given by drug companies.
D) an Act passed by Congress.

E) A) and D)
F) None of the above

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Health care expenditures coming directly out of consumers' pockets, primarily in the form of deductibles and copayments, account for what percentage of U.S. health care spending?


A) 21 percent
B) 35 percent
C) 44 percent
D) 17 percent

E) A) and D)
F) A) and C)

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Insurance companies use deductibles and copayments to control increases in the amount of health care demanded.

A) True
B) False

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(Consider This) PPACA requirements for health insurance rates created incentives for


A) all uninsured people to purchase health insurance and then overuse the health care services.
B) companies to price insurance according to risk profiles.
C) older people to purchase, but younger people to decline, health insurance offered through insurance exchanges.
D) younger people to purchase, but older people to decline, health insurance offered through insurance exchanges.

E) A) and B)
F) A) and C)

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The number of Americans without health insurance (as of 2015) is approximately


A) 20 million, or about 6.3 percent of the population.
B) 49 million, or about 15.3 percent of the population.
C) 30 million, or about 9.4 percent of the population.
D) 72 million, or about 22.5 percent of the population.

E) B) and C)
F) B) and D)

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The reasons why health care costs in countries with public health insurance, like the United Kingdom and Canada, have not risen as much as the costs in the U.S. include the following, except


A) setting a cap on costs to ration health care.
B) waiting or queuing to ration health care.
C) fixed government budgets for health care, leading to rationing.
D) expanded coverage as a way to ration health care.

E) B) and C)
F) B) and D)

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The recently enacted health care reform package (the Patient Protection and Affordable Care Act) focuses solely on controlling health care costs.

A) True
B) False

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