David is a young entrepreneur and began a small landscaping business in 2001 with 10 employees. He does not offer health benefits to his employees due to cost and the inability to negotiate affordable rates. The employees are hard-working and dedicated to their jobs, however, are increasingly concerned about not having medical coverage. The concern becomes more relevant when Jack, one of David's employees is diagnosed with Stage 3 skin cancer. Jack is married with 3 young children and lives paycheck to paycheck. He is not sure how he's going to pay for his treatment or how he will be able to take care of his family during this difficult time. Question #1: What are the three structural problems in the health care system? Which one(s) appear in this scenario? Describe one thing the government could do to help rectify these problems based upon the assigned reading for this lesson and outside research you have conducted. Question #2: Explain the five key groups that are influential stakeholders in the health care system and describe which ones appear in this scenario.

A46-year-old man with a history of hypertension and hypercholesterolemia visits the physician for a routine followup. the patient's job involves a lot of travelling, and he admits to occasionally forgetting to take his medications with him when he travels. he complains of several episodes of chest pain in the past few months. the pain is sharp in nature, mainly over his lower chest and epigastrium, and tends to come on when walking. he believes these episodes are due to indigestion and has been taking antacids. there is a family history of heart disease, and his father died of a heart attack at age 48. on physical examination, his blood pressure is 150/80 mmhg and heart rate is 86/min. his lungs are clear to auscultation. cardiac auscultation reveals normal rate and rhythm, without rubs, gallops, or murmurs. there is no pedal oedema. he is sent for an exercise stress test. five minutes into the test, he develops st depression of 3mm in leads v1-v5. the st segment depression is greater than 0.12 seconds in duration and the stress test is stopped. which of the following is the most appropriate next step in management? - coronary angiography- holter monitor- no further tests are required- repeat stress test with thallium- upper gastrointestinal endoscopy