WRITING MARK SCHEME JUNE
COMPREHENSIVE STUDY GUIDE 2026
FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ What are the three major social programs explicitly mentioned in the
lecture?.
Answer: Medicare, Medicaid, and Social Security
◍ What are the broad determinants that drive health policy according to Dr.
Bost?.
Answer: Nature of the problem, reach and severity, urgency, sociocultural
norms, accepted values, beliefs, attitudes, behaviors, and political system.
◍ This Chinese official is appointed by the president and leads the state
council:.
Answer: Premier
◍ What are the narrow determinants that influence health policy?.
Answer: Potential solutions identified through research, stakeholder efforts
and views, leadership, and availability of money and administrative
resources.
◍ China's healthcare system is a:.
Answer: universal healthcare insurance system
◍ In China, there are 4 government insurance schemes:.
Answer: 1. Basic scheme for urban workers2. Urban resident scheme for
other urban residents3. Rural cooperative system for the rural population4.
, Medical assistance program for the poor
◍ How does Dr. Bost define the health policy marketplace?.
Answer: A process where suppliers and demanders negotiate, bargain, and
reach transactions that become current policy.
◍ China's healthcare is primarily delivered by:.
Answer: local government
◍ China's __________________ sets hc regulations..
Answer: State department
◍ What are the two main issues in negotiations within health policy?.
Answer: Division of resources, money, goods, and services, and intangible
factors such as power, satisfaction, fairness, mission, and outcomes.
◍ What is the cooperative strategy in negotiations?.
Answer: A win-win approach where each party sees the goals as fair and
reasonable, with enough resources for both sides to benefit and a long-term
relationship.
◍ In China, this health policy stakeholder sets strategic policy.
Answer: central gov
◍ In China, these health policy stakeholders set logistic policy (within limits).
Answer: relevant ministries
◍ In China, this health policy stakeholder deliver healthcare.
Answer: local gov
◍ In China, these health policy stakeholders are owned by the states.
Answer: hospitals & medical institutions
◍ In China, medical staff are:.
Answer: employees
◍ What is the competitive strategy in negotiations?.
Answer: A win-lose approach where resources are insufficient, only one side
wins, and the goal is short-term victory.
, ◍ In China, this health policy stakeholder has limited market power.
Answer: pharmaceutical industry
◍ What distinguishes economic markets from policy markets?.
Answer: Economic markets benefit now and pay now, while policy markets
often seek immediate benefits while postponing political or financial costs.
◍ In China, this health policy stakeholder serves as "state owned propaganda".
Answer: the media
◍ In China, this is a very popular force on public opinion, but doesn't play out
in policy making.
Answer: social media
◍ Who are the suppliers of health policy?.
Answer: Legislators, executives, bureaucrats, and courts/judges.
◍ What are the major health issues in China?.
Answer: 1. Data collection - garbage in, garbage out (ministry of health
surveys & surveillance systems)2. policy foci
◍ Who are the demanders of health policy?.
Answer: Powerful individuals, special interest groups, NGOs, media, and
legislators/bureaucrats.
◍ What are the main chinese policy foci?.
Answer: 1. infectious disease outbreak2. Noncommunicable diseases3.
Tobacco control4. Family planning5. Care for the elderly
◍ What percent of the money spent in healthcare goes to nursing homes/home
health?.
Answer: 9%
◍ What factors in America contribute to high healthcare costs?.
Answer: - Emphasis on curing disease rather than maintaining wellness
(reactive)- Extensive use of technology in delivering healthcare-
Inefficiency of a multiple third-party payer system- Increase in the elderly
population and accompanying chronic illness (demographic shift)- Waste