Research Report State and Federal Roles in Health Care
Randall R. Bovbjerg, Joshua M. Wiener, Michael Housman
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This chapter explains how American federalism apportions responsibility for domestic policy between federal and state governments, and sometimes localities, often in overlapping ways. Arguments for relying on states versus the federal government can be grounded in political philosophy. Market principles also contribute to federalism debates. Finally, pragmatic considerations seem most important for most issues, most of the time. Citizens and policymakers decide what government performs best on a particular issue in their era. Thus, how states have exercised their enhanced authority in our New Federalism era matters a great deal. (25-57 in Federalism and Health Policy, edited by John Holahan, Alan Weil, and Joshua M. Weiner (Washington, DC: The Urban Institute Press, July 2003).)
Research Areas Health and health care
Tags Health care laws and regulations
Policy Centers Health Policy Center