Download PDF by Michael Doonan: American federalism in practice : the formulation and

By Michael Doonan

ISBN-10: 0815724837

ISBN-13: 9780815724834

ISBN-10: 0815724845

ISBN-13: 9780815724841

ISBN-10: 1299808417

ISBN-13: 9781299808416

American Federalism in perform is a huge contribution to our realizing of latest well-being coverage in the United States. continuously a tremendous subject, the problem holds precise foreign money at the present time given the prominence of health and wellbeing care in contemporary political and fiscal panorama. Michael Doonan presents a special viewpoint on American federalism and U.S. health and wellbeing coverage in explaining how intergovernmental family form public  Read more...

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Direct restrictions included mandates to cover certain children and not others, to cover low-income before higher-income children, to instate waiting periods, and so forth. The federal government also established residency requirements, rules for treatment of immigrants, the definition of income, civil rights protections, and disability protections under the Americans with Disabilities Act (ADA). Each of those provisions taken separately was reasonable and still provided room for state flexibility, but taken as a whole, they significantly curtailed state autonomy.

However, implementation of the ACA is to occur over a long period, with critical elements not coming on line until 2014 and some stretching beyond that. The CHIP experience suggests that the administration should continue to expedite the regulation process and work collaboratively with the states to get the program up and running as quickly as possible. Rules and regulations define a program and make it real. The alternatives are to allow existing ambiguities to remain, which would weaken the program, or to let it be defined by the next administration, the states, or the courts.

These findings foreshadow the opportunities and challenges for national reform; they also hint at potential unanticipated consequences. Simply boosting federal funding for Medicaid expansions and for health care exchanges will not be enough. Political opposition at the state level can slow, stall, or completely prevent reform, but opposition can be quieted by early success and a greater awareness among federal officials of the challenges that states face. States will need flexibility to make national reform work; the federal government cannot expect Texas to follow the same rules as Rhode Island.

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American federalism in practice : the formulation and implementation of contemporary health policy by Michael Doonan


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