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You are the governor of a midsized industrial state. You have just read this chapter and have decided that you want to make reforms to the health care and services delivery systems in your state to increase access to care for vulnerable populations. How would you proceed?
1. Who would you choose to serve on your task force for this endeavor?
2. Who are the stakeholders?
3. How would you obtain their input but limit inappropriate influence?
4. Which of the various barriers are likely the most important to overcome in your state? A weak safety net? Poor provider performance? Cultural or language barriers? Education?
5. What is the realistic range of solutions/reforms that might be considered?
6. What is the likelihood of meaningful reform and over what time frame?
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a) According to this graph, what is the elasticity of health expenditure per capita with respect to income per capita? b) According to the terminology in the notes, what type of good does health care seem to be?
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