Author Question: An economist explains that consumerism is not a preferred mechanism for the health care market ... (Read 14 times)

dmcintosh · **on:** Jul 22, 2018

An economist explains that consumerism is not a preferred mechanism for the health care market because of the

a. ethical viewpoint that equal access to health care is a universal human right.
b. inability of most people to save for or borrow enough money to pay for care.
c. trend for prices of health care goods and services that continue to skyrocket.
d. variability in people's ability to articulate current and future health care needs.

Question 2

A nurse working in a community clinic usually is consistent about screening women for intimate partner violence (IPV). However, the nursing manager found two charts during an audit in which the nurse did not do the screening.

When asked, the nurse stated that the two women were lesbians, so she did not need to screen them. What response by the manager is best? a. Lesbians who are in intimate relationships are considered intimate partners.
b. There is a specific screening tool just for lesbians and homosexuals.
c. You have to screen all women for IPV regardless of their sexual preference.
d. You're right; lesbians have a far lower rate of IPV than heterosexuals do.

jazzlynnnnn · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
The inability to predict future health care needs, the difficulties undereducated people have in negotiating the complex health care system, and the information imbalance make it very difficult for people to articulate their needs, and consumerism is based on being able to demand when and how people want health care services delivered.
People disagree as to whether or not health care is a universal human right, but consumerism says that people should dictate when and how they want health care services, not whether or not it is a right.
It is true that people cannot generally save or borrow enough money to pay for expensive health care, but this is not related to consumerism because of the advent of insurance, which guarantees continuing payment for services.
Prices and salaries and wages do continue to rise, but this does not explain why consumerism is not a good model for health care.

Answer to Question 2

A
Intimate partners are described as current and former husbands and wives, same-sex partners, boyfriends, and girlfriends, so the nurse should screen these patients too.
There is no specific screening tool for same-sex partners.
The policy may be to screen all patients, but this statement does not give the nurse specific information about this situation.
Lesbians have a somewhat lower rate of IPV than heterosexual couples do.