Answer to Question 1
1
Rationale:
1. Despite availability of SCHIP, many eligible children are not enrolled. Reasons families have not enrolled include belief that their income is too high to qualify; they have obtained other insurance; they have difficulty with the application process and required documentation; and they lack skills in negotiating the system to get coverage.
2. Most families do value insurance coverage, so this is not the reason for failing to obtain SCHIP coverage.
3. Families have adequate time to complete the enrollment process, but some do not believe they will qualify, and so do not try to enroll.
4. Parents do value medical interventions for their children, but some do not believe they can qualify, believing that their income is too high.
Answer to Question 2
1
Rationale 1: The most common cause of death for children between 1 and 19 years of age is unintentional injury, which includes motor vehicle crashes, drowning, fire, burns, firearms, and suffocation.
Rationale 2: Infectious disease is not the cause of most deaths in children.
Rationale 3: The leading cause of death in children is unintentional injuries, not congenital anomalies.
Rationale 4: Cancer is not the leading cause of child mortality.
Global Rationale:
McBurney’s point is the common location of pain in children and adolescents with appendicitis.
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