Longest36610a - HSA 366 Session 10 State vs. Federal Roles...

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HSA 366 - Session 10 State vs. Federal  Roles  in Health Policy
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State-Federal Relationship Roles have Evolved over 200 years Madison’s “Federalist Paper No. 10” Central Gov’t would be barrier to Monopoly  of Power Roosevelt’s New Deal More Active Federal Role
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Madison’s “Federalist Paper  No.10” Promoted a Federal Gov’t Responsible  for a Dispersed & Disparate Population
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Roosevelt’s New Deal Shift of Power to Federal Government Concerns that Disparities across
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U.S. System of Government ____________________ Representative Government _________________  _________________ Broad  States’ Rights “State Police Powers”
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U.S. System of Government Participatory Democracy Majority Rule Minority Rights Preservation of Individual Liberty
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Madison’s  “Federalist Paper No. 10” Promoted a Federal  Government Responsible for a  Population Emphasized Protection from Power  Exerted by few
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Roosevelt’s New Deal Shift of Power to Federal  Government Concerns of Disparity across  Sectors Required Centralized  “Federal” Response Still-Federal Response was  Primarily Realized as Federal Aide  to States
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Categorical Grants in  Aid For Specific Programs in Every State Federal Legislation  Delineates  Specific parameters/ Eligibility/  Targets for Programs Little State Flexibility Greater Equity/Redistribution of Wealth Common Programs Across Disparate  States i.e. Older Americans Act (OAA)
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Block Grants Reaction to Federal Control Accelerated During Reagan -  Administration _________________________ But Lack Specific Guidelines / Rules Greater State Flexibility _________________________  _________________________
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1970s-80s “New Federalism” Nixon-Reagan Administrations Efforts to Return Gov’t Programs to  States
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This note was uploaded on 05/19/2010 for the course HSA 366 taught by Professor Lewis during the Spring '10 term at James Madison University.

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Longest36610a - HSA 366 Session 10 State vs. Federal Roles...

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