Identify by impact and timelines laws/policies responsible for altering healthcare delivery

Correct Answer: D

Rationale: The correct answer is D because all the laws/policies mentioned have had a significant impact on altering healthcare delivery over different timelines. The Affordable Care Act (ACA) introduced reforms to expand healthcare coverage and improve quality. Medicare and Medicaid were pivotal in providing healthcare access to specific populations. The Hill-Burton Act focused on funding for hospital construction. The Social Security Act established social insurance programs. The HMO Act promoted managed care. The Pure Food and Drug Act ensured safety and effectiveness of drugs. Each of these laws/policies has contributed to shaping the healthcare delivery system in the US, making D the correct choice.

Correct Answer: A

Rationale: The correct answer is A because the government in the U.S. healthcare system plays a multi-faceted role. It finances healthcare through programs like Medicare and Medicaid, regulates providers through agencies like the FDA and CDC, and also delivers care through facilities like VA hospitals and Indian Health Service. Choice B is incorrect because the government does not deliver healthcare to the general population but rather provides it through specific programs. Choice C is incorrect because the government not only regulates providers but also finances and delivers care. Choice D is incorrect because the government provides care not only to veterans and military personnel but also to the general population through various health programs.

Correct Answer: B

Rationale: The correct answer is B: Expanding access, focusing on cost containment. This choice accurately reflects the major trends in U.S. healthcare reform over recent years. Expanding access aims to ensure more people have health insurance coverage while cost containment strategies focus on controlling rising healthcare costs. Rationale: 1. Expanding access: The Affordable Care Act (ACA) and Medicaid expansion have been key initiatives to increase access to healthcare for more Americans. 2. Cost containment: Measures like value-based care, accountable care organizations, and efforts to reduce unnecessary healthcare spending are being implemented to address the issue of escalating healthcare costs. Summary: A: Increasing privatization, reducing regulation - While there have been some moves towards privatization, the main focus has been on expanding access rather than increasing privatization. Reducing regulation is not a predominant trend in U.S. healthcare reform. C: Shifting to a single-payer system - While this has been proposed by some, it is not currently a major trend in U

Correct Answer: A

Rationale: The major points in the historical timeline of U.S. healthcare reform are captured by the key legislations that significantly impacted healthcare. Choice A is correct because it includes the Pure Food and Drug Act, which laid the foundation for drug regulation, Medicare, which provided health insurance for the elderly, and the Affordable Care Act, a landmark reform aiming to increase access to healthcare. The other choices are incorrect because they do not include all three major milestones. Choice B misses the Affordable Care Act, while Choice C includes the Clinton healthcare proposal, which did not materialize into law. Choice D focuses on Medicare, Medicaid, and HIPAA, neglecting the Pure Food and Drug Act and the Affordable Care Act.

Correct Answer: A

Rationale: The correct answer is A because health exchanges allow individuals to compare and purchase insurance plans, Medicaid expansion extends coverage to low-income individuals, and insurance subsidies make coverage more affordable. Choice B is incorrect as prescription drug caps and limited network providers are not key measures of the ACA. Choice C is incorrect as the ACA does not implement a single-payer system or provide tax cuts for healthcare providers. Choice D is incorrect as the ACA indeed includes measures to improve healthcare accessibility.