2025-2026
T or F? Globalization of health care has produced positive effects in both developed and
developing countries. - Answers False
The delivery of medical care in preindustrial America was governed mainly by - Answers free
market conditions
The private medical sector in the US has been heavily regulated by the government mainly
because - Answers the government finances Medicare and Medicaid
T or F? In the preindustrial era, much of the medical care in the US was provided by
nonphysicians. - Answers True
T or F? When hospitals first emerged in the United States, they were used primarily by the
wealthy. - Answers False
What was the main force that prevented a government-run national health care program from
becoming a reality in the United States? - Answers beliefs and values
What main purpose was served by an almshouse in the preindustrial period? - Answers it
performed general welfare and custodial functions
T or F? As the health care delivery system developed in the US, right from its inception primary
care physicians were assigned a gatekeeping role. - Answers False
During the World War II period, health insurance became employer-based because of - Answers
wage freezes
T or F? Middle-class Americans have historically opposed proposals for a national health
insurance program. - Answers True
T or F? When bills for compulsory health insurance were introduced in several states, they were
opposed by labor unions. - Answers True
During the World War II period, the US Supreme Court ruled that - Answers health insurance
could be part of union-management negotiations
What factor was particularly important in promoting the growth of office-based medical practice
in the postindustrial period? - Answers urbanization
Why in the preindustrial period most people could not afford the services of a qualified
physician? - Answers the economic cost of travel was too high
T or F? As the health care delivery system developed in the US, it emphasized specialization
over primary care. - Answers True
, The Baylor Hospital plan, started in 1929, laid the foundation for modern health insurance in the
US. This was a _____ plan. - Answers prepaid
In the preindustrial era, asylums were built by ____ to accommodate patients with severe and
chronic mental illness. - Answers the state governments
Medicare and Medicaid programs were created for population groups regarded as - Answers
vulnerable
T or F? In June 2012, the US Supreme Court ruling settled the implementation issues concerning
the ACA of 2010. - Answers False
What was the main reason for initiating national health care in countries such as Germany and
England? - Answers ward off political instability
What is not true about the Patient Protection and Affordable Care Act of 2010? - Answers most
Americans supported the legislation once they found out what was in it
How has Medicaid created a two-tier system of medical care delivery in the US? - Answers Many
physicians do not serve Medicaid patients.
Hospitals in the United States evolved from - Answers almshouses
T or F? In the preindustrial period, Europe was more advanced than the US in medical science. -
Answers True
Organized medicine... - Answers Concerted activities of physicians through the American
Medical Association
Historically, which interest group was the most powerful in opposing national health insurance
during the 1900s? - Answers The American Medical Association
T or F? Corporatization of medicine has resulted in delivering the same quality of health care at
a lesser cost. - Answers False
Development of the hospital and ______ happened almost hand in hand in a symbiotic
relationship between the two. - Answers the professionalization of medical practice
The Flexner Report, published in 1910, reported on - Answers standards of training in medical
schools
T or F? When bills for compulsory health insurance were introduced in several states, they were
supported by American employers. - Answers False
The US Supreme Court decision in Olmstead v. L.C. directed US states to - Answers
deinstitutionalize people with mental illness