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Unformatted text preview: Inefficient [___] [___] Federal funding is efficient The Transportation Politic, February 16, 2012, “Clearing it Up on Federal Transportation Expenditures,” http://www.thetransportpolitic.com/2012/02/16/clearing-it-up-on-federal-transportationexpenditures/ Washington does run very competitive grant programs — exactly the type of performancebased financing Mr. Glaeser demands — for transit investment projects and for programs like TIGER (and, indeed, for the much-hated high-speed rail program). Federal guidelines require most of these projects (unlike those funded by formula) to meet cost-effectiveness and ridership standards [___] State transportation funding limited Economist, April 28, 2011, “Life in the Slow Lane,” http://www.economist.com/node/18620944 At the state and local level transport budgets will remain tight while unemployment is high. With luck, this pressure could spark a wave of innovative planning focused on improving the return on infrastructure spending. 16 | P a g e States CP Aff BDL Answers to: States are Laboratories [___] [___] States are not laboratories Allan Well, Dir., National Academy for State Health Policy, 2008 (HEALTH AFFAIRS, May/June 2008, 738) While states have accomplished a great deal with their reform efforts targeting access and quality, there is little about state health policy that resembles the conditions of a laboratory. Scientists in laboratories develop hypotheses, conduct experiments, collect and analyze data, and reach conclusions that are then applied to real-world conditions. State health policy development, by contrast, is episodic. Sometimes the spread of ideas is based on political trends that shift much more rapidly than the knowledge base that would support a policy shift. Examples can be found in state-level adoption of managed care regulation, regulation of the smallgroup insurance market, the wholesale adoption of managed care in Medicaid, and the growing application of cost sharing in public programs. 17 | P a g e States CP Aff BDL Answers to: State Leadership Good [___] [___] State leadership bad for the nation as a whole Allan Well, Dir., National Academy for State Health Policy, 2008 (HEALTH AFFAIRS, May/June 2008, 738) Relying upon states to lead comes at a price for the nation, particularly if it is encouraged through a process of selecting volunteer states to pursue a range of comprehensive reform plans. This approach is likely to increase interstate variation in health indicators, at least in the short run and probably in the long run as well. 18 | P a g e States CP Aff BDL Answers to: Federalism Net Benefit [___] [___] State leadership hurts federalism Allan Well, Dir., National Academy for State Health Policy, 2008 (HEALTH AFFAIRS, May/June 2008, 738) Ultimately, the weakest link of the state leadership approach is its unrealistic view of federalism. It is no easier for Congress and the president to give stated the authority and resources they need to do the job right than it is to ge...
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This document was uploaded on 02/06/2014.

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