PB HLTH 150D Study Guide - Summer 2018, Comprehensive Midterm Notes - Medicaid, Unix File System, California
PB HLTH 150D
MIDTERM EXAM
STUDY GUIDE
Fall 2018
What is Health Care?
• Is it something you can buy? (a commodity)
OR
• Is it a right? - something you need and society should help you get it
As a commodity…
• It is bought and sold in the open market
• If you have enough money then you can buy it, but if you do’t, the you're out of luck
For the arket to ork, you eed…
• Equal info for ALL parties (consumer reports)
• Ability to compare with other sellers
• There needs to be a voluntary agreement between buyer and seller
• Supply and demand (no government)
• Free of government intervention and regulations (as people believe)
--------->So what does this mean for health care?
• You can't really compare the doctors
• No comparison "shopping"
• Doctors don't know what to charge
• Unequal access to information
• No need for an MD to practice health care
• I a free ope arket, the should let the arket drie the prices ad choices … the arket ill
find the balance/solution
• HOWEVER, IT IS NOT AN OPEN MARKET BUT RATHER A SOCIAL JUSTICE SYSTEM BUT NOT REALLY
>government takes charge of a lot of rules and regulations
>need to go to school
>hospital rules and regulation
>unequal access to education
>unequal access to medical services
There are two sides. Our country is equally divided on this.
Health care is a right.
Everyone deserves health
Unequal access to education and health care
Health care is a commodity.
It is a service that is provided by doctors.
People work really hard and should do what they want to do
• Prisoners are THE ONLY people in the US that are constitutionally guaranteed health care.
"No cruel and unusual punishment"
*A lot of other people just get it because of their job
find more resources at oneclass.com
find more resources at oneclass.com
Oregon
• Attempted to pass through state constitution, but was overturned in congress
2006
• Recession split people to lean one way more than another
• As of now, the US is 50/50 on health care
US health care system is driven by:
• Fascination with technology
• Individual orientation
• Expectation of latest and most expensive tests/procedures etc etc
*Canada's Constitution talks about having good government and ensures that everyone gets health care
and decides who gets what treatments
*data is taken from Kaiser
US Health Care Costs:
$3.35 trillion A LOT
Share of GDP = 17.8%
Per capita, per year = $10,345
Percentage of our budget is gradually increasing every year
Why?
• We believe that it is an entitlement
• Congress does not have control of medicare/medical
• The US guarantees no matter how much money the government has
• Same mindset for social security, welfare, etc
• The US can't spend money on other things AFTER doling out money to these groups
• Defense takes about 66%, welfare takes 13%, and Interest 6%, leaving only 16% of things to be
spent on other things (education, FDA, public services, etc)
• We can increase the 16% by taxing people a lot to get more money to spend (Democrats) , or to
take out welfare, health care, etc (Republicans)
• Or the federal governement can just go into debt (states cannot go into debt)
Ramifications of Cost Increases
• Spending in other sectors will shrink or we will need to grow the pie by raising taxes
• The federal govt will have to raise taxes or go into increased debt
• State/local governments can't go into debt and will face increased budget strains
Do higher costs mean better care?
• On average within OECD (vibrant economy), we spent more than twice the average
• NO.
find more resources at oneclass.com
find more resources at oneclass.com
