Health Economics and Policy
7th Edition
ISBN: 9781337106757
Author: James W. Henderson
Publisher: Cengage Learning
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Chapter 13, Problem 4QAP
To determine
The viewpoint on the ideology that a free market mechanism is more
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Suppose the government sets the maximum price for a normal doctor's visit at $20, but the current market price is $40. As a result of this government action, doctors will see:
more patients.
the same number of patients.
fewer patients.
A consumer’s demand for a medical service is as follows:
Q = 100 - PP
where PP is the out-of-pocket price she actually faces. She is considering four different insurance options: uninsurance, full insurance, a 50% coinsurance
plan, and a copayment plan with a $25 copay.
Assume this service has a list price of PL = $70. Calculate Q under each insurance plan.
Calculate the amount of social loss under each insurance plan.
Derive a general expression for social loss as a function of x and PL, where x is the copay amount under a copayment plan. For simplicity’s sake, assume x < PL.
Derive a general expression for social loss as a function of y and PL, where y is the coinsurance rate.
Advocates of a market orientation argue that exclusive reliance on the visible hand of government will never bring spending address control. The missing component has been the invisible hand of the market pricing mechanisms. Patient spending their own money have an incentive to control spending. Comment.
Chapter 13 Solutions
Health Economics and Policy
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- Moral hazard creates tradeoffs that complicate insurance design and policy choices. Imagine a linear demand curve for outpatient clinician visits, and assume at $100 per visit there would be 50,000 annual visits to a particular urban clinic. A politician would like to be popular, and proposes making clinic visits free (zero price). You know, as the city's staff health economist, that if this were to happen, the number of visits would rise to 75,000. Your job is to testify before the city council, and answer at least two questions: how much social welfare loss from moral hazard would occur; and how much tax money must be raised to finance clinic services if visits were made completely free? a. $2,500,000; $15,000,000 b. $5,000,000; $30,000,000 c. $1,250,000; $7,500,000 d. $3,750,000; $22,500,000arrow_forwardMake the business case why healthcare providers should advocate for expansion of insurance coverage for the poorarrow_forwardThe presence of what two forces in a health insurance market may cause the market to completely unravel?arrow_forward
- In some countries, such as Canada and UK, direct-to-consumer (DTC) advertising for pharmaceutical products is illegal or tightly controlled. Which of the following is NOT a reason why DTC is tightly controlled? DTC have the potential to drive up spending on drugs and exacerbate moral hazard. DTC makes patients aware of new remedies. DTC can put a strain on doctor-patient relationship when patients demand some drugs that are not necessary or not the best options. Asymmetric information: consumers are not in a good position to determine if a drug is what they need.arrow_forwardThere is ongoing debate among U.S. policymakers whether the role the government in the healthcare system should be expanded or reduced. Which of the following are the arguments put forward by those who would like to see an expanded government role? Check all that apply. The government can offer people a public option in the healthcare. Private insurance companies put profit ahead of people. Private insurers and providers should compete for consumers. The government is to offer people a single payer system financed out of tax revenue.arrow_forwardBased on the Dartmouth Atlas which tracks Medicare spending across the United States Regardless of where patients live, they receive the same care for similar diagnosis Patients with the same diagnosis receive different care depending on where they live Dartmouth Atlas is not about medical care None of the abovearrow_forward
- Suppose you have an insurance plan in which you pay the market price for medical care until you meet a deductible of $1,000, after which you have a coinsurance rate of .20. Answer parts a and b assuming your inverse demand curve for medical care is P = 400 – 10Q and the market price for medical care is $200 per unit.a) Graph the price line and your demand curve. On the graph, label the values of the x and y intercepts of the demand curve, the quantity where you meet the deductible, the horizontal sections of the price line, and the point(s) where the demand curve intersects the price line.b) Find the number of units of medical care that you will demand. Show all calculations that youperformed in your analysis.arrow_forward1. An individual has a health insurance plan with a deductible of $1200 and a coinsurance rate of 50%. Their demand curve is Q=20-(P/10), and the equilibrium market price of medical care is $100 per unit. What quantity of medical care would the individual choose to consume? 2. Suppose that consumers are all risk neutral and so they do not purchase health insurance. The equilibrium price of a doctor visit is $30, the supply of doctor visits is perfectly elastic, and the aggregate demand for doctor visits is given by Q=200-5*P. Calculate the effect that universal perfect health insurance (that is, coinsurance rate=0) would have on social welfare, measured as the sum of consumer surplus plus producer surplus. 3. Consider a version of the Akerlof model in which neither buyers nor sellers observe car quality (though somehow – please suspend your disbelief – both buyers and sellers enjoy higher utility from higher quality cars). For this question, please assume that both buyers…arrow_forwardThe government wants to regulate health insurance companies requiring them to provide insurance coverage not just for future health problems, but also for pre-existing conditions. For such a policy to succeed, it is important to make purchase of health insurance compulsory for individuals. Is this true or false? Explain your answer.arrow_forward
- The government wants to regulate health insurance companies requiring them to provide insurance coverage not just for future health problems, but also for pre- existing conditions. For such a policy to succeed, it is important to make purchase of health insurance compulsory for individuals. Is this true or false? Explain your answer.arrow_forwardwhich option is correct about Medicare and Medicaid? Medicaid is a federally-sponsored program while Medicare is sponsored with states and federal governments The health care cost of Medicare enrollees in the last two years of their life is very small Medicaid is less costly than Medicare Under the Affordable Care Act, Medicare was expanded at the cost of contracting Medicaidarrow_forwardSuppose that there are two countries, Beta and Gamma. Suppose further that everyone in country Beta is on Insurance B and everyone in country Gamma is on Insurance G. Suppose further that both governments use government-set price controls. In 2005, country Beta decided to change the reimbursement rate for pharmaceuticals, but country Gamma did not make this change. You, a researcher. want to study the effect of offering coverage for this drug had an impact on health expenditures. You have average health expenditures for State Beta and Gamma prior to 2005 and post-2005. Using the information in the table below, a quick difference-in-difference calculation suggests covering this drug health expenditures by approximately. Time Periods Pre-2005 Post-2005 $1000 $1400 $1500 $1700 State State Beta State Gamma decreased: $400 increased; $200 decreased: $200 increased; $400arrow_forward
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