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Carol S. Weissert & Jaclyn Bunch

In: Guide to U.S. Health and Health Care Policy

Chapter 10: Federalism: Cooperation and Conflict Between State and Federal Health Care Responsibilities (1960s–Present)

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Federalism: Cooperation and Conflict Between State and Federal Health Care Responsibilities (1960s–Present)
Federalism: Cooperation and conflict between state and federal health care responsibilities (1960s–present)
Carol S.Weissert, and JaclynBunch

Federalism and health policy in the United States are inextricably linked. Until fairly recently, states and localities provided most of the funding supporting health care for the poor and then, as now, directly provided public health services such as immunizations and provision of clean water. However, in 1965, the country enacted Medicare and Medicaid, providing a new federal role for health care coverage for the elderly and the poor. Since that time, federal and state spending in health has increased significantly and even in tough economic times continues to grow, at times squeezing out other state responsibilities like education. ...

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