15 ) Policymakers who delegate authority to private actors tend to develop a regulatory apparatus that a reduces consumer frustration, increasing the public 's trust in government b is overly protective of consumers rather than the private entities c is insufficient to oversee the private entities now charged with administering publicly funded programs d provides lower costs, efficient delivery, and higher quality services 16 ) Which statement best describes Pareto optimality 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 someone else worse off d It is impossible to make someone better off without making someone else worse off 17 ) State efforts in the 1990s to reintroduce community rating and guaranteed issue led to a healthier individuals dropping insurance due to rising premiums 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 comprehensive regulatory 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 manipulative practices b failed to broaden access to drug coverage for seniors c successfully introduced market competition through consumer choice d failed to induce better performance by insurance plans because very few seniors leave bad plans or use their market power 20 ) Commercial insurance is based on what concept a assumption of risk b classification of risk c cross subsidization d principle of solidarity 21 ) Which group was, for the first time, directly and actively 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 regarding Texas a Few potential Medicaid recipients who are in a category unrelated to income, such as blindness or disability, actually receive benefits b On principle, Texas has declined virtually all Medicaid funds c Texas was so adept at drawing down additional Medicaid funds that the federal government instituted new rules to limit this d Currently, more than one in three adults in Texas is covered by Medicaid, but only one in twenty children 23 ) The insurance industry in particular wanted to harness 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 to be the likely makeup of the Texas House of Representatives for the foreseeable 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 best described 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 but Massachusetts 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 mining industry d the presence of tropical diseases 27 ) The viewpoint that government regulations are instituted 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 care policy currently a occur in a vacuum b are dominated by groups representing consumers, women, and environmentalists c are dominated by the American Medical Association d are the target of attempted influence by commercial interests and groups seeking social change 29 ) Variation among the 50 states today includes the uninsured 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 's thinking a Democrats believe that Medicaid should serve only the neediest Americans b In the future, Democrats should attempt to hide Medicaid 's expansion to the middle class in hopes that hidden politics will allow for additional expansions c Democrats currently do not mobilize middle class constituents around the Medicaid program d Democrats usually speak openly in defense of Medicaid coverage for middle income Americans

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15.) Policymakers who delegate authority to private actors tend to develop a regulatory apparatus that ____. a. reduces consumer frustration, increasing the public's trust in

15.) Policymakers who delegate authority to private actors tend to develop a regulatory apparatus that ____.

reduces consumer frustration, increasing the public\'s trust in government

is overly protective of consumers rather than the private entities

is insufficient to oversee the private entities now charged with administering publicly funded programs

provides lower costs, efficient delivery, and higher-quality services

16.) Which statement best describes Pareto optimality?

Each person is as well off as they can be.

Each person is as close to parity as they can be.

It is possible to make someone better off without making someone else worse off.

It is impossible to make someone better off without making someone else worse off.

17.) State efforts in the 1990s to reintroduce community rating and guaranteed issue led to ____.

healthier individuals dropping insurance due to rising premiums

guaranteed broad access to affordable coverage

avoidance of high-risk individuals

"cherry picking" of people with fewer health problems

18.) The Affordable Care Act creates a comprehensive regulatory regime for all private health insurance, with states ____.

having the annual opportunity to opt out

relegated to the margins of decision making

having control over premiums

in charge of all major aspects

19.) The Medicare Part D drug plan has ____.

protected seniors from marketing abuses and other manipulative practices

failed to broaden access to drug coverage for seniors

successfully introduced market competition through consumer choice

failed to induce better performance by insurance plans because very few seniors leave bad plans or use their market power

20.) Commercial insurance is based on what concept?

assumption of risk

classification of risk

cross-subsidization

principle of solidarity

21.) Which group was, for the first time, directly and actively involved in Massachusetts health care reform efforts, broadening the constituency for reform?

Health Care for All

labor unions

the Greater Boston Interfaith Organization

ACT! (Affordable Health Care Today)

22.) Which statement is true regarding Texas?

Few potential Medicaid recipients who are in a category unrelated to income, such as blindness or disability, actually receive benefits.

On principle, Texas has declined virtually all Medicaid funds.

Texas was so adept at drawing down additional Medicaid funds that the federal government instituted new rules to limit this.

Currently, more than one in three adults in Texas is covered by Medicaid, but only one in twenty children.

23.) The insurance industry in particular wanted to harness the power of ____.

universal coverage

the individual mandate

the "fix" to the 1997 Medicare formula

the public option

24.) Based on the 2010 and 2012 elections, what seems to be the likely makeup of the Texas House of Representatives for the foreseeable future?

a lopsided Republican majority

an almost 50-50 Republican-Democrat split

a tenuous Republican majority

95 Democrats and 55 Republicans

25.) The role of government in the market place is best described as ____.

undesirable because of its paternalism

efficient because of economies of scale

dependent on the circumstances

strong because of its rulemaking powers

26.) A health issue that Florida might face but Massachusetts would not is ____.

the poverty associated with the closing of mines

the presence of the highest lung cancer rates in the nation

worker exposure to carcinogens associated with mining industry

the presence of tropical diseases

27.) The viewpoint that government regulations are instituted to help the public is called the ____.

public interest model

public choice theory

life cycle theory

economic theory of regulation

28.) Congressional deliberations regarding health care policy currently ____.

occur in a vacuum

are dominated by groups representing consumers, women, and environmentalists

are dominated by the American Medical Association

are the target of attempted influence by commercial interests and groups seeking social change

29.) Variation among the 50 states today includes the uninsured population, with a low of 5% in Massachusetts and a high, in Texas, of ____.

37%

16%

33%

24%

30.) Which statement best reflects the author\'s thinking?

a. Democrats believe that Medicaid should serve only the neediest Americans.

b. In the future, Democrats should attempt to hide Medicaid\'s expansion to the middle class in hopes that hidden politics will allow for additional expansions.

c. Democrats currently do not mobilize middle-class constituents around the Medicaid program.

d. Democrats usually speak openly in defense of Medicaid coverage for middle-income Americans.