WRITING MARK SCHEME JUNE FINAL
TEST 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
◍ Health security actAffordable care act.
Answer: Two major healthcare reforms in the late 20th century
◍ Health Security Act.
Answer: 1990Developed by Clinton administrationSpearheaded by Hillary
ClintonFailed to pass
◍ State government executive branch includes.
Answer: Governor, attorney general, lieutenant, secretary of state
◍ Affordable Care Act.
Answer: passed in March 2010Obama administration Federal law
◍ Health security act focused on.
Answer: Universal coverage mandate-required all employers to contribute to
cover costs of insurance premiums for workers.-caps on total employer cost
and subsidies for small businesses.-additional financing provided through
savings from cuts in spending and increased tobaccos taxes.
◍ ACA focused on.
Answer: Reforming the PHI market. -Extending coverage to the uninsured,
provide better coverage for those with preexisting conditions, improving
prescription drug coverage in Medicare, and extending life of Medicare trust
fund accounts.-financed through taxes, 40% on Cadillac insurance policies
and taxes on pharmaceuticals, medical devices, indoor tanning services, and
penalties on uninsured individuals.
,◍ Clinton plan derailed due to.
Answer: heavy opposition of the medical and insurance industries and by
antitax rhetoric.
◍ Trump Administration.
Answer: 2017Had republican controlled congressTried to repeal/replace
ACA and failed
◍ Repealing the ACA in 2016.
Answer: would leave 22 million people with a loss of insurance coverage by
2018Determined by Congressional Budget Office
◍ American Health Care Act (AHCA).
Answer: 2017Trump administration supportedCongressional Budget Office
determined 52 million people left uninsured and those with insurance would
have higher premiums by 2020Passed by the house of 217 votes compared
to 213Senate rejected
◍ Tax Cuts and Jobs Act.
Answer: passed and signed into law 2017repealed ACA mandate for
required coverage
◍ State government's role in health care.
Answer: US constitution gives certain powers of the state to the federal
government
◍ United States GDP.
Answer: Gross Domestic Product16.9%2018leading country for overall and
per capita measures
◍ WHO Report 2018.
Answer: US ranked 37 among 191 countries for healthcare
◍ US healthcare performance 2014.
Answer: ranked behind 10 other industrialized countriesbasis of quality,
efficiency, access, equity, and health outcome measures
◍ State government's role in healthcare.
, Answer: In the tenth amendment to the constitution, the states reserved to
themselves the rest of the power
◍ Police power.
Answer: -forms the basis of the states role in public health-the power to
provide for the health, safety, and welfare of the people-one that every
sovereign government has, simply by virtue of being a sovereign
government
◍ WHO definition of health.
Answer: Not merely the absence of disease or infirmity but a state of
complete physical, mental and social well-being.
◍ Examples of state healthcare legislation.
Answer: -environmental protection-clean water-occupational health:
workman's comp-definition, scope, and licensure of HC professionals-safe
food services- inspections- public health: communicable disease
control-family planning-prenatal care
◍ Impact of COVID-19 pandemic on states and their responses impact on
health.
Answer: Infection and mortality
◍ Public health issues.
Answer: according to WHO definition of health is issues such as poverty
lack of education, discrimination, and other social, cultural, and political
conditions.
◍ Life Expectancy.
Answer: most common measure of physical healthpositive health status vs.
lack of health/incidence of poor healthmost frequent indicators: mortality,
morbidity and disabilityanticipated number of years of life remaining at a
given age
◍ Quality-adjusted life years.
Answer: combines mortality and morbidityreflects the years of life free of
disability and symptoms of illness