Which of the following best describes why it is so difficult to change the paradigm of health care from disease orientation to promoting health orientation?
a. The belief exists that those without insurance could obtain insurance if they worked hard enough.
b. People find it difficult to agree on what the ideal paradigm should be.
c. People realize the media have exaggerated the problems that result from lack of insurance.
d. Serious reallocation of resources would have to occur.
ANS: D
A shift in the paradigm would necessitate a substantial reallocation of resources because the vast majority of health spending is currently directed to medical care and biomedical research and reflects a viewpoint of health care as a commodity. The allocation of resources has the most influence on creating a paradigm shift. Individual opinions and the use of media do not play as great of role as where resources are spent.
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