1. What is the primary goal of the Patient Protection and Affordable Care Act (ACA)? - A) To reduce healthcare costs - B) To improve healthcare quality - C) To expand health insurance coverage - D) To deregulate the health insurance market Answer: C) To expand health insurance coverage Rationale: The ACA, often known as Obamacare, was enacted with the primary aim of expanding health insurance coverage to more Americans. 2. Which of the following is a key feature of a single-payer healthcare system? - A) Multiple insurance providers - B) Privately funded healthcare services - C) Government-funded healthcare for all citizens - D) Out-of-pocket payments for services Answer: C) Government-funded healthcare for all citizens Rationale: A single-payer system typically involves one entity, usually the government, paying for healthcare costs, rather than multiple insurance companies. 3. How does the concept of 'universal coverage' differ from 'single-payer' systems? - A) Universal coverage does not guarantee healthcare access - B) Single-payer systems require private insurance - C) Universal coverage ensures healthcare access for all citizens - D) Single-payer systems allow for out-of-pocket expenses Answer: C) Universal coverage ensures healthcare access for all citizens Rationale: Universal coverage refers to all individuals having access to healthcare services, whereas single-payer is a method of financing those services. 4. What has been a significant challenge in implementing healthcare reforms in the United States? - A) Lack of public interest - B) Bipartisan support - C) Political polarization