1. The first important NHS reforms, passed in 1974, ____.

Select one:

a.were aimed at improving management in the system through the establishment of local health authorities

 b.were based on the work of an American economist on internal markets

 c.imposed the use of non-medical managers to improve accountability

 d.were vigorously protested by the general public

2..By 1933, regulators in the Food and Drug Administration lamented the inadequacy of the Pure Food and Drug Act to regulate the drug industry. In response, President Franklin Roosevelt ____.

Select one:

a.wrote articles in the popular press against change in the law

 b.remained quiet

 c.provided loud public pronouncements in support of stronger regulation

 d.offered support to the coalition advocating for reform

3. What is the effective patent life of a drug newly approved by the FDA?

Select one:

a.several years less than 20 years

 b.at least 7 years

 c.25 years

 d.20 years

4. If a physician opts out of the public system, he or she ____.

Select one:

a.may see public-pay or private pay patients but only in an office setting

 b.may not accept public-pay patients and does not have hospital admitting privileges

 c.may have admitting privileges to a hospital but not a private office practice

 d.may have a full private office practice but not admitting privileges to a hospital

5. Hurricane Katrina had significant long-term health effects. Who does this study finding describe?  "Not only has [their health] not improved since the storm, over time it has declined to an alarming level . . . [as] reflected in their multiple medical and mental health needs . . . and an unusually high rate of nutrition problems."

Select one:

a.the elderly

 b.residents of the Lower 9th Ward

 c.children living in federally funded trailer parks

 d.racial minorities

6. After passage of the Affordable Care Act, a 2011 Institute of Medicine report recommended that ____.

Select one:

a.all insurance plans cover sterilization and abortion procedures at the same level of co-payment

 b.religious organizations providing health care be exempt from contraceptive requirements

 c.each state decide whether insurance purchased through the state exchange must include contraceptive coverage

 d.all insurance plans include contraceptive coverage without co-payments

7. Under the Bush administration, governors ____.

Select one:

a.took no action affecting child health policy because of partisan friction

 b.won the right to make major changes to the administration of Medicaid through a waiver application and review process

 c.fought to expand coverage to children beyond the parameters of current federal policy

 d.derailed a proposal to transform Medicaid into a block grant program where states would bear the risk of future cost increases