8th Edition
by James W. Henderson
Complete Chapter Solutions Manual
are included (Ch 1 to 17)
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, Instructor Manual: Henderson, Health Economics and Policy, 8e, © 2023, 9780357132951,
Chapter 1: U.S. Medical Care: An Uncertain Future
Instructor Manual
Henderson, Health Economics and Policy, 8e, © 2023, 9780357132951,
Chapter 1: U.S. Medical Care: An Uncertain Future
Table of Contents
Instructor Manual .................................................................................................................................... 1
Table of Contents.......................................................................................................................................... 1
Purpose and Perspective of the Chapter ..................................................................................................... 2
Cengage Supplements .................................................................................................................................. 2
Chapter Objectives ....................................................................................................................................... 2
Complete List of Chapter Activities and Assessments ................................................................. 2
Key Terms...................................................................................................................................................... 3
What's New in This Chapter ......................................................................................................................... 6
Chapter 1: U.S. Medical Care: An Uncertain Future .................................................................................... 6
Chapter Outline ............................................................................................................................................ 6
Teaching Suggestions ................................................................................................................................... 8
Additional Questions for Discussion and Evaluation ................................................................................... 9
Multiple Choice .......................................................................................................................... 9
Structured Discussion: ............................................................................................................ 11
1
, Instructor Manual: Henderson, Health Economics and Policy, 8e, © 2023, 9780357132951,
Chapter 1: U.S. Medical Care: An Uncertain Future
Purpose and Perspective of the Chapter
This chapter introduces the student to the economic way of thinking as it relates to the
study of the U.S. medical care system. It gives an overview of the Patient Protection and
Affordable Care Act (ACA) and discusses why—more than 10 years after it was passed—it
has solved some critical issues but has still left many unanswered questions. The chapter
then offers a brief summary of the emergence of the modern medical care system, recent
changes of medical care delivery and payment structures, and the basics of system design
and economic modeling. It ends with a discussion of the current framework for
implementing ACA; the bill’s history, both before and after passage; and how America is
succeeding on some of the major accomplishments of ACA while dealing with some
unintended consequences. The chapter also lays the foundation for the focus and
continuity throughout the book and introduces and defines 10 guiding principles.
Cengage Supplements
Supplements, including PowerPoints, an Instructor Manual, and a Cognero Test Bank, can
be found at www.cengage.com.
Chapter Objectives
The following objectives are addressed in this chapter:
1. Understand the nature of the health care crisis in America.
2. Identify the important historical developments affecting health care delivery
and finance in the U.S. system.
3. Identify and explain the major reasons for the high and rising cost of medical
care.
4. Understand how the third-party payment mechanism and managed care
affect health care delivery.
5. Understand the Patient Protection and Affordable Care Act and its
importance to the U.S. health care system.
6. Understand the impact of the current health care reforms.
7. Recognize the relevance of economics in studying health care issues.
8. Understand the aspects of medical care that contribute to its uniqueness as
a commodity.
Complete List of Chapter Activities and Assessments
Chapter Activity/Assessment Source (i.e., PPT Duration
Objective slide)
1-1 Describe Additional Discussion Instructor’s 5–10 mins
the history of Questions #3, 4, and 6 Manual
health system Activity: Knowledge Check PPT slide 9 5–10 mins
reform in the 1 Activity
2