WGS Quiz 3
hobby lobby v. burwell
2014; the court ruled the federal contraceptive mandate under the Affordable Care Act was unconstitutional - allowing corporations to claim religious exemptions
health insurance marketplace
designed to help people more easily find health insurance that fits their budget- taxes pay some of the insurance if eligable
secondary care
disease detection
primary care
disease prevention and health promotion (physician, dentist)
tertiary care
disease treatment
no
does medicaid require a premium?
block grants
federal grants given more or less automatically to states or communities to support broad programs in areas such as community development and social services
differs
for medicaid eligibility _____ based on state
hmo
health maintenance organization. a prepaid health insurance plan in which patients receive health care from designated providers- designed to keep costs down
rehabilitation and long term care
home health, nursing, nursing home, assisted living
acute care
hospitals, "urgent/emergency care"
deductible
how much is out of pocket before insurance pays
monthly
how often must a premium be paid?
34
how old are most doctors before they can practice independently?
individualism
if health is important to us, we will make independent lifestyle changes (don't smoke, go on walks, etc)
non profit, has to cover everyone
in some countries, health care is ______ _____ and has to cover everyone
basic health for all
instead of focusing on a meritocracy perspective we should insist on...
prevention
instead of focusing on a technology perspective of health, we should focus on.....
community
instead of focusing on an individualist perspective, we should focus on a _____ one
few
insurance assumes that only a ____ people will need expensive health care
pooled
insurance is ______ resources
birth control
insurance must cover this without copays
employer based, profit
insurance providers favor ______ ______ insurance and don't make them pay their earned _____ in taxes
hmo/epo
insurance will not cover when going outside of the network with these plans?
political economy
intersections of legal, economic, education, and political aspects
no
is pregnancy considered a pre existing condition?
auxiliary services
lab, imaging, pharmacy
complimentary care
model of care- acupuncture, chiropractic, naturopathy- a lot of money is put into this, but it's out of a biomedical worldview license
healthcare system
network of individuals, companies, institutions, and government structure to provide care to individuals that protects and treats diseases to promote public health
single payer model
we should move to a ____ ______ _____ of health care
scientific
we value ______ knowledge over sensitive traits
intellectual
we value _______ knowledge over bodily experience
physician and dentist
what are 2 examples of primary care doctors?
health outcomes and cost
what are 2 ways to measure a good healthcare system?
lab, imaging, and pharmacy
what are 3 examples of auxiliary services?
individualism, meritocracy, technology
what are the 3 cultural values embedded in the us healthcare system?
primary, secondary, and tertiary
what are the 3 levels of health care?
medicare, medicaid, military/government employees, veterans and families, and indian health services
what are the 5 types of government funded health care?
65 or disabled
what are the qualifications to be on medicare?
biomedical and complimentary
what are the two different methods of care?
rising health care costs and aging population
what are there concerns about for the future of healthcare?
japan
what country has the highest life expectancy?
us
what country spends the most on healthcare
abortions
what differs by state and is not covered by the affordable care act?
hospitals
what is an example of acute care?
primary care providers
what is an example of preventative and primary care?
pap scan
what is an example of secondary care?
cancer (already diagnosed) treatment
what is an example of tertiary care?
$4000
what is the average deductible for single care?
$8000
what is the average family dedctable?
$830
what is the average family premium
$320 a month
what is the average premium for single care
amount of debt and specialties of doctors
what is there a relationship between?
91
what percent of americans are insured?
9
what percent of americans are not insured?
49
what percent of people have employer based insurance?
41
what percent of people have government funded insurance?
10
what percent of people have private insurance?
15
what percent of the federal budget is medicare?
johnson
what president pushed kennedy's medicaid health care through congress?
maternity
what type of care must be covered by insurance from the affordable health care act?
5/4
what was the ruling in the supreme court that any state can opt out of birth control coverage for religious purposes?
2012
when did the supreme court pass the affordable health care act?
charity services
when more people have health care, they spend more time at the doctor, and less time in the emergency room which reduces what?
2014
when was the affordable health care act finalized and most of its parts were put into place?
2010
when was the affordable health care act signed?
white and asian
there is disproportionately a large number of ______ and ______ doctors
income gap
the us has a larger _____ _____ compared to most countries leading to worse overall health
environments
the us has physical and social _______ that are not suited for human health
tradeoffs
there are _____ within each healthcare plan
technology
this will save a lot of our problems in biomedicine rather than a conversation or phone call
consumer directed
there is a lot of health care that is _____ _____ and some consumers receive antibiotics even if it is not necessary
medicaid
a federal and state assistance program that pays for health care services for people who cannot afford them.
copay
a fixed fee you pay for specific medical services
formulary
a list of medications approved for use that a plan will pay for
biomedical care
a model of care in the us that is regulated and licensed in the us?
coinsurance
a type of insurance in which the insured pays a share of the payment made against a claim.
health insurance and prevention services
according to the affordable care act, what is free?
premium
an amount of money regularly paid to an insurance company for a policy
impairment
any loss or abnormality of psychological, physiological, or anatomical structure or function
less
are more or less people uninsured now than 2010?
yes
are there about the same number of women and men in medical school?
private
because people opposed fdr's national insurance, what type of insurance came in?
fragmented
the us has a ______ health system- not everything is interconnected primary care, to specialists, etc
ppo
patients can go to any provider, but using nonparticipating providers results in higher costs to the patient
adverse selection
people who know they are sick will buy health care and then insurances pay more money
people who receive medicaid usually
poor children, parents of dependent children, pregnant women, and disabled receive medicaid
preventative and primary care
primary care providers (PCPs), state/city health departments
religious freedom restoration act (1993)
restored compelling purpose guideline for courts to use when states restrict religious liberty. struck down by supreme court in boerne v. flores.
long term care
since many people change jobs or insurance providers every 2 years, there is little incentive in what from insurance provider?
less people with healthcare
states what what type of people have the lowest life expentency and highest infant mortality rate?
meritocracy
the healthcare we have access to is through our hard work
out of pocket maximum
the most money you will pay during a year for coverage. It includes deductibles, copayments, and coinsurance, but is in addition to your regular premiums. Beyond this amount, the insurance company will pay all expenses for the remainder of the year.
provider network
the physicians and health care facilities that have contracted with a health insurance company to provide services
further along
the us devotes too much time in investing in diseases ____ _____ rather than preventing new ones
safety net
the us has a ______ ______ system from healthcare, one can go bankrupt easily
us
which country has the most complex healthcare system in the world?
no
while going out of network, does the out of pocket maximum apply?
states
who decides who gets medicaid unlike medicare?
yes
will the average healthy family maybe have no costs paid for by insurance?