Question 1

In response to rising health care costs and the high numbers of residents remaining uninsured, Oregon ____.

Accepted Answer

A) explored rationing of care and the use of lotteries 
B) provided universal health insurance coverage 
C) turned to the counties to fund safety-net hospitals 
D) developed state health insurance exchanges A

Question 2

Which statement is true regarding the political culture of the northern tier of the United States?

Accepted Answer

A) Community interests often take precedence over individual interests. 
B) Government is generally seen in a negative light. 
C) Government largely preserves the extant social order. 
D) Individual interests often take precedence over community interests. A

Question 3

In 2006, Massachusetts enacted a program health reform, at the center of which was a ____.

Accepted Answer

A) health insurance exchange 
B) system of rationing 
C) lottery for health insurance coverage 
D) penalty-free provision for opting out A

Question 4

Social capital would likely be highest in a state with

Accepted Answer

A) a homogenous population 
B) significant economic inequality 
C) a multi-racial population 
D) a high number of persons born abroad

Question 5

In Texas, Governor Rick Perry ____.

Accepted Answer

A) contested the role of the federal government in expanding the health insurance safety net 
B) supported the concept of state insurance exchanges 
C) offered a state initiative to protect citizens from catastrophic health care costs 
D) required employers of seasonal workers to provide health insurance

Question 6

In states experiencing the national move away from manufacturing and into service industries, families can experience poor nutrition through the intervening step of ____.

Accepted Answer

A) increased poverty 
B) high smoking rates 
C) pollution 
D) lack of food safety

Question 7

What does the author state is three times as high in the poor states as rich ones?

Accepted Answer

A) childhood poverty 
B) suicide rates 
C) smoking rates 
D) lack of social capital

Question 8

A health issue that Florida might face but Massachusetts would not is ____.

Accepted Answer

A) the presence of tropical diseases 
B) the poverty associated with the closing of mines 
C) the presence of the highest lung cancer rates in the nation 
D) worker exposure to carcinogens associated with mining industry

Question 9

Through the lens of political culture, why do many states in the South have higher rates of those lacking health insurance?

Accepted Answer

A) Health coverage is not generally seen to be an area in which extensive government action is deemed legitimate. 
B) A greater tolerance of corruption among political leaders impedes government action. 
C) A homogenous population leads to greater social capital, which is associated with better health. 
D) Self-sufficiency is stressed over government activism.

Question 10

Which statement is true regarding politics and diversity among the states?

Accepted Answer

A) The perceived efficacy of Congress can affect state and local elections. 
B) Each state actually blends all three political cultures. 
C) Political culture at the state level is separate from national politics. 
D) The popularity of a president's program is distinct from policymaking at the state level.

Question 11

The Articles of Confederation, the first effort at a governing document among the original American states, stressed ____.

Accepted Answer

A) difference over a commonality of purpose 
B) unity over decentralization 
C) a strong central government 
D) separation of powers among three branches of government

Question 12

Among the poorest states listed by the author is ____.

Accepted Answer

A) Mississippi 
B) New Hampshire 
C) Montana 
D) South Dakota

Question 13

Which statement is true regarding states?

Accepted Answer

A) States can contribute substantively to the search for solutions to the problems of our American health care system. 
B) States always function as "laboratories of democracy." 
C) States rarely take the lead in experimenting with innovation in the finance and delivery of health care. 
D) States have been the source of almost all advances in national health care reform.

Question 14

Variation among the 50 states today includes the uninsured population, with a low of 5% in Massachusetts and a high, in Texas, of ____.

Accepted Answer

A) 24% 
B) 16% 
C) 33% 
D) 37%

Question 15

The state of Texas is portrayed as a(n)____.

Accepted Answer

A) traditionalistic state 
B) state lacking a political culture 
C) moralistic state 
D) individualistic state

Exam 11: The View From the States: an Introduction