Which best describes the primary reason that Americans are concerned about health care?

Correct Answer: C

Rationale: The primary reason for the focus on health care is the constantly increasing costs, which cannot be sustained. The costs of caring for the sick accounted for the majority of escalating health care dollars, which increased from 5.7% of the gross domestic product in 1965 to 17.8% in 2015. Politicians and the media both influence Americans' perceptions about health care; however, they are not the primary reason why Americans are concerned. The new health care system will change the health care access and availability, but will not necessarily be offering any free services to Americans.

Correct Answer: D

Rationale: The text stresses that health is not just the result of an individual's choices, but choices and actions of individuals, families, groups, and communities that lead to better health.

Correct Answer: D

Rationale: Smoking is responsible for almost 20% of all deaths in the United States. Changing social norms around smoking would have a significant impact on lifespan, more so than the other options listed.

Correct Answer: B

Rationale: Data are needed to compare the local community with itself over time and with other communities so that problems may be recognized and action taken to confront health issues, which is a foundational step in public health planning.

Correct Answer: C

Rationale: Immunizations are a specific protection effort under primary prevention, aimed at reducing susceptibility or exposure to disease before it occurs.