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Health savings accounts (HSAs) , implemented by the 2003 Medicare law,


A) are only available to those enrolled in Medicare.
B) allow workers to accumulate untaxed dollars for payment of qualified medical expenses.
C) are criticized because they require workers to "use it or lose it" each year; workers are not allowed to accumulate balances over time.
D) can only be used to pay for prescription drugs.

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

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The provision of health insurance leads to a deadweight loss due to an overallocation of resources to health care.

A) True
B) False

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Health care costs have tended to rise more rapidly in the United States than in Canada because


A) state insurance regulators in the United States do not face the budget constraints that national regulators in Canada face.
B) people in the United States want more health care than people in Canada.
C) private insurance in the United States encourages overconsumption of health care; public insurance in Canada does not.
D) Canada has better achieved economies of scale in the production of health care.

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

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Which of the following terms best characterizes the demand for health care?


A) price elastic
B) price inelastic
C) income inelastic
D) negative cross elasticity

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

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Health care costs have greatly increased in recent years in the United States. This fact alone does not establish an overallocation of resources to health care, because


A) the benefits of health care have also greatly increased in recent years.
B) rising medical care prices have inflated health care costs.
C) the marginal cost of health care exceeds the average total cost of health care.
D) negative externalities sometimes result from additional health care spending.

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

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One of the special features of the health care market is asymmetric information. Which of the following is not characteristic of asymmetric information?


A) The doctor (supplier) tells the patient (demander) what to purchase
B) Buyers have little understanding of services they are asked to consume
C) Fee-for-pay arrangements lead to excessive quantities of services prescribed
D) Consumers pay lower out-of-pocket costs

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

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Medicare and Medicaid set their payment rates for medical services above marginal cost, but below average total cost. One major consequence of doing this is that hospitals and other providers are then


A) reducing the amount of health care services they provide.
B) passing the uncovered costs on to patients with private health insurance.
C) denying services to many Medicare and Medicaid patients.
D) filing for bankruptcy regularly.

E) A) and D)
F) All of the above

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Assume that health insurance pays three-fourths of the cost of health care. Under this type of system, there will be allocative


A) efficiency because consumers pay a price below market equilibrium and receive a quantity at which the marginal cost to society equals the marginal benefit.
B) efficiency because consumers pay a price below market equilibrium and receive a quantity at which the marginal benefit to society exceeds the marginal cost.
C) inefficiency because consumers pay a price below market equilibrium and receive a quantity at which the marginal cost to society exceeds the marginal benefit.
D) inefficiency because consumers pay a price above market equilibrium and receive a quantity at which the marginal benefit to society exceeds the marginal cost.

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

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Between 1960 and 2014, U.S. health care spending as a percentage of domestic output


A) more than tripled.
B) more than quadrupled.
C) declined by one-half.
D) remained relatively constant.

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

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Health care spending in the next 10 years is projected to grow at an annual rate of about


A) 2 percent.
B) 6 percent.
C) 14 percent.
D) 20 percent.

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

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Proponents of the Patient Protection and Affordable Care Act (PPACA) had one major goal, which is


A) to expand the range of illnesses covered by insurance.
B) to nationalize health care in the country.
C) to extend health insurance coverage to all Americans.
D) to set prices for all health care procedures and services.

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

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Defensive medicine


A) solves the moral hazard problem.
B) increases the demand and costs for health care.
C) solves the principal-agent problem.
D) is the same as preventive medicine.

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

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What is the primary purpose of the insurance exchanges set up by the PPACA?


A) provide direct care to those without employer-provided health insurance
B) allow those with employer-provided health insurance to trade for policies that are more cost effective
C) sell government-provided health insurance to those lacking employer coverage
D) promote competition among insurance companies to help reduce the growth in health care spending

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

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The Patient Protection and Affordable Care Act (PPACA) bans the previous practice of insurance companies to deny coverage based on preexisting conditions.

A) True
B) False

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With an intent to identify potential cost savings (which unfortunately have not materialized) , the HITECH Act of 2009 provides $20 billion of subsidies to encourage hospitals and physicians to


A) use more high-tech diagnostic equipment.
B) adopt electronic medical-records systems.
C) switch from human lab technicians to electronic ones.
D) devote more research efforts toward high-tech treatments.

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

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One of the main differences between PPOs and HMOs is that


A) HMO physicians charge on a traditional fee-for-service basis, while PPO physicians do not.
B) HMOs are usually for-profit organizations, whereas PPOs are not.
C) PPOs employ their own doctors, whereas HMOs do not.
D) PPO physicians charge on a traditional fee-for-service basis, while HMOs do not.

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

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Some employers have reacted to rising health care costs by hiring more part-time and temporary workers.

A) True
B) False

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After two years of being in effect by early 2016, one apparent implementation problem that the PPACA faced was that


A) many young people wanted to participate, but most older people did not.
B) many older people wanted to participate, but many younger ones did not.
C) in each state, the pricing structure (health insurance rates) was multitiered and too complex.
D) the health insurance rates created an implicit wealth transfer from older to younger people.

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

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In industrially advanced countries, the price elasticity of demand for health care is about


A) 2.0.
B) 0.2.
C) 4.5.
D) 1.0.

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

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Which person in the following list is least likely to have health care insurance?


A) a disabled person
B) a temporary worker in a bank
C) an accountant employed by a large corporation
D) a person who receives Social Security benefits

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

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