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As a percentage of GDP, U.S. health care spending is higher than that of any other major industrial country.

A) True
B) False

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The moral hazard problem created when consumers acquire health insurance leads them to


A) take more care of their health.
B) consume more health care services.
C) seek less care from their physicians.
D) exercise more and eat healthier food.

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

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Many economists believe that at the current level of consumption of health care in the United States, the marginal cost of health care for society is


A) less than the marginal benefit.
B) greater than the marginal benefit.
C) equal to the marginal benefit.
D) zero.

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

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One way that the Patient Protection and Affordable Care Act (PPACA) hopes to foster competition among health insurance companies is through so-called insurance exchanges.

A) True
B) False

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Supporters of setting a cap on medical malpractice (or "pain and suffering") awards do not argue which of the following?


A) The caps will reduce medical malpractice premiums.
B) They will help reduce health care costs.
C) Patients should receive full compensation for losses, but should not be made wealthy solely from the awards.
D) The cap will improve the overall quality of the health care system.

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

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Health care spending accounted for what percentage of U.S. GDP in 1960 and in 2014?


A) 5.0 percent and 5.5 percent, respectively
B) 10.0 percent and 12.0 percent, respectively
C) 5.0 percent and 17.5 percent, respectively
D) 20.0 percent and 33.5 percent, respectively

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

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If the existence of health insurance increases one's incentive to use the health care system more intensively, this is an illustration of


A) the adverse selection problem.
B) the moral hazard problem.
C) the benefits-received principle.
D) the Coase theorem.

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

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The dollar sum of costs that an insured individual must pay before the insurer begins to pay would be considered


A) copayments.
B) play-or-pay.
C) fee for service.
D) deductibles.

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

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The major purpose of Medicare is to


A) provide health care services to people on Social Security.
B) provide health care services to those receiving public assistance.
C) contain rising health care costs.
D) make a basic health care package available to all Americans.

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

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The Patient Protection and Affordable Care Act (PPACA) includes the establishment of "insurance exchanges" in each state, the purpose of which is to


A) create a monopoly or oligopoly of insurance companies in each state.
B) fix insurance premiums, similar to public utilities.
C) foster competition among insurance companies.
D) nationalize the insurance industry in each state.

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

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The asymmetric information problem in health care implies that the demand for health care is a "supplier-induced demand."

A) True
B) False

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The price elasticity of demand for health care is such that an increase in the price of health care will


A) decrease total health care expenditures.
B) increase total health care expenditures.
C) shift the demand for health care rightward.
D) shift the demand for health care leftward.

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

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The medically uninsured may wait until their illness reaches a critical stage before going to the hospital for admittance or emergency care. Hospitals in the U.S. provide how much of these uncompensated, or "free," health care services per year?


A) about $6 billion
B) about $12 billion
C) about $40 billion
D) about $65 billion

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

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Asymmetric information in the health care market has increased the supply of health care.

A) True
B) False

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A moral hazard problem arises in the health care market because health insurance encourages people to overconsume health care.

A) True
B) False

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Which of the following is not a reason why the demand for health care in the U.S. is quite price-inelastic?


A) People consider health care to be a luxury.
B) There are only a few, or no, substitutes.
C) Most consumers do not shop around, preferring a long-term relationship with their doctors.
D) Most patients have insurance, effectively removing their budget constraint for health care.

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

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The Patient Protection and Affordable Care Act (PPACA) of 2010 is designed to address a wide-ranging set of issues including the following, except


A) the large portion of health spending supported by government insurance.
B) the high and rising cost of health insurance and health care spending.
C) the fact that tens of millions of Americans do not have health insurance.
D) the inability of many people with preexisting conditions to obtain health insurance.

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

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Payments for which of the following would not be covered by Medicare?


A) all reasonable costs for the first 60 days of inpatient care in a hospital per "benefit period"
B) posthospital nursing services, home health care, and hospice care for the terminally ill
C) voluntary and subsidized medical insurance to cover physician services, lab tests, and outpatient hospital services
D) nonprescription drugs and travel to physician offices for normal medical treatment

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

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If the provision of medical insurance encourages people to take more health risks because they know they can receive treatment, then health insurance


A) produces an asymmetric information problem.
B) leads to a universal access problem.
C) causes a defensive medicine problem.
D) creates a moral hazard problem.

E) None of the above
F) All of the above

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The burden of Medicaid costs is


A) the sole responsibility of states.
B) the sole responsibility of the Federal government.
C) shared by the states and Federal government.
D) shared by the states and the individual receiving the benefits.

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

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