SO, WHO IS RESPONSIBLE?

 

Student ID: _____________________________

 

Use the space provided to answer any 5 of the following 6 questions. Mark with an X the question omitted. Read questions carefully. Good answers (a) respond to the question, (b) show insight, (c) are concise and readable, and yet (d) provide pertinent specifics.

 

1. What characteristics of U.S. governments are the concerns of (a) the 10th Federalist Paper and (b) the 51st Federalist paper? Use health policy examples to illustrate how each relates to the complexity of policy making in health care?

a. 10th

 

 

 

 

 

 

 

b. 51st

 

 

 

 

 

 

 

 

 

2. Use an example from health policy in the U. S. to illustrate the relationship between the concepts of political capacity and fragmented power. You might include, in no more than a sentence, an illustration of “Majoritarian Politics.”

 

3. Two activities in the Jones outline are evaluation and resolution. From four of the books discussed in class, draw strong (one sentence) examples of the significance of these activities. Use one sentence for each of the four books. Books included •Complications (Atul Gawande) •A Civil Action (Jonathan Harr); •Medicine & Culture (Lynn Payer); •Smoking and Politics (Fritchler & Hoefler); •The Spirit Catches You and You Fall Down (Anne Fadiman); and •Pathologies of Power (Paul Farmer).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. In what ways does the source of payment for the nation’s total health care costs (that is, the proportion of the total costs paid by the federal government, vs. state government, vs. employers, vs. individuals) make a difference? You might include, in no more than a sentence, DRGs and RBRVS as an illustration.

5. Consider how the I.O.M. studies re medical errors may join the concerns about quality to concerns about cost, and assess the importance of such a connection. You might include, in no more than a sentence, the importance of habits.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. Use any two proposed or tried “reforms” or aspects of the present health care system (Oregon, Massachusetts, Medicare Modernization Act, single payer, etc.) to illustrate at least two ways the health care system may or may not be expected to behave as a true market. You might include, in no more than a sentence, expected value calculations as an illustration.