top-rated free essay

The Impact of New Federalism on Healthcare Delivery

By jenjelf Oct 18, 2009 682 Words
The government of the United States of America operates on the principal of federalism which is defined as “the allocation of responsibility and authority between the states and the federal government” (Weil, n.d.). Historically, federalism in the United States favored a central government (Ladenheim, 1999). The early framework is set in the U.S. Constitution which established the authority of the federal government over state governments (U.S. Constitution). Federalism favoring the authority of the federal government was further strengthened as a consequence of President Franklin Roosevelt’s New Deal and accompanying civil laws (President, 2004).
The political philosophy of New Federalism first emerged in the United States under President Ronald Reagan’s administration. New Federalism reverses Federalism, transferring power back to state governments (Caraley & Schlussel, 1986). The phrase “devolution revolution” has also been used to describe New Federalism (Hovey, 1998). Under New Federalism programs are typically implemented with the federal government providing block grants providing the funding for states to implement them (Ferejohn & Weingast, 1997).

The impacts of New Federalism on healthcare delivery can be understood by reviewing one program operating under similar circumstance, Medicaid. The Federal government provides funding and some program guidelines for Medicaid (Weil, n.d.). Specific program requirements are established and enforced by each state (Department Of Health And Human Services, 2005). Patient eligibility varies by state and each state sets the policy for who is eligible, what gets covered, and how much the coverage will be (Department Of Health And Human Services, 2005; (Weil, n.d.). Operationally, New Federalism will impact health care delivery by indicating who will have the authority to establish, responsibility to finance and the obligation to put into operation the programs needed (Weil, n.d.).

From a patient perspective, New Federalism would apply the strengths and weaknesses of state run versus Federal run programs. According to Weil (n.d.), state run programs offer the following benefits, each state can test different policies, each policy can be customized for local needs, officials would be more accessible to the constituents, and the program could be more adaptable to changing needs. Programs establish similarly to Medicare would leverage the Federal government’s ability to more efficiently fundraise (Weil, n.d.). Conversely, New Federalism would offer the following weaknesses, lack of standardization and efficiency in crisis response, in ability to utilize national sources of data, inability to redistribute resources, create redundant management and processes, and prioritizing states rights over the common good (Weil, n.d.).

Reflecting on these strengths and weaknesses, New Federalism brings the potential to develop a more robust local healthcare system, in the opinion of the author, by being able to factor in local variables and by being able to see options implemented in other states. It is the opinion of the author that the weaknesses around a lack of standardization would promote a healthcare system with a fundamental inequality towards patient illness and care. The benefits and the weakness of a New Federalist healthcare delivery system do not appear to be in balance, it is the author’s opinion that a partnership between state and Federal governments has the greatest potential for creating a more functional healthcare delivery system.

References

Caraley, D. & Schlussel, Y. (1986). Congress and Reagan’s New Federalism. Publius: The Journal of Federalism, 16, 49-80.

Department Of Health And Human Services. (2005). Medicaid At-a-Glance. Retrieved July 25, 2009 from http://www.cms.hhs.gov/MedicaidGenInfo/Downloads/MedicaidAtAGlance2005.pdf

Ferejohn, J & Weingast, B. (1997). The new federalism. Hoover Press.

Hovey, H. (1998). The Devolution Revolution Can the States Afford Devolution. New York: Century Foundation Press.

Ladenheim, K. (1999). History of U.S. Federalism. Retrieved on July 25, 2009 from http://www.cas.sc.edu/poli/courses/scgov/History_of_Federalism.htm

President Franklin Delano Roosevelt and the New Deal, 1933-1945. (2004). Retrieved July 25, 2009 from http://memory.loc.gov/learn//features/timeline/depwwii/newdeal/newdeal.html

Weil, A. (no date). American Federalism in Health Policy. Retrieved on July 25, 2009 from http://learn.gwumc.edu/hscidist/LearningObjects/Federalism/index.htm

U.S. Constitution, Art.VI, cl. 2.

Cite This Document

Related Documents

  • Healthcare Reform and Its Impact on the Delivery System

    ...EVANS DELA KWASHIE MANAGEMENT OF HEALTHCARE DELIVERY SYSTEM PROFESSOR LINDA C. L LOMBARDI, PH.D. 16/12/2013 Health Care Reform and Its Impact on the Delivery of Services If you are in the healthcare industry, you have probably heard some rumblings about the Health Care Reform of 2010, coolly refe...

    Read More
  • Healthcare Delivery

    ...•Regulates licensure of healthcare providers and implements review of patient services to ensure quality and equity of care. • Regulates, reviews, and prosecutes liability and malpractice claims. Judicial Branch •Interprets health care laws. •Ensures that the delivery of services are safe, non-competitive, and legal. ...

    Read More
  • HCA 240 Disease Trends and Healthcare Delivery

    ... Statistics make the world go round, literally. A certain population or ethnicity and their disease trends can really have an effect on what can happen in the future for our healthcare systems. Demographics and Disease trends can go hand in hand with one another because disease trends are so constant and unnoticeable that it continues daily, ...

    Read More
  • HealthCare Delivery Systems Essay

    ... Health Care Delivery Systems Susan Money HLT 314V 1/18/2015 Ms. Vance Health Care Delivery Systems Healthcare delivery systems refer to the organization of resources, institutions, and people intended to provide healthcare services to particular populations. Health systems vary substantially across the world. In fact, the organ...

    Read More
  • Us Healthcare Delivery Systems

    ...of the key drivers affecting the U.S. healthcare delivery system are cost of care, increase in need for healthcare workers and the demographics and needs of the patients. An article written by Ed O’Neil states, “the first and most overwhelming factor will be the current cost of care. At greater than 16% of the nation’s total productive eff...

    Read More
  • Impact of the Aging Population on Healthcare

    ...Demographics are an important factor in determining the demand and supply of healthcare works and services that will be needed for a particular region. Certain trends in demographics have to be carefully monitored in order to forecast those changes that may be needed in certain areas based on changes. One change in demographics that can change o...

    Read More
  • The Impact of Federalism on Accountability and Funding of Healthcare in Australia

    ...Leon SCOTT, B117, Unit 1 Major PSM UNIT 1: MANAGING UP: THE FRAMEWORK OF PUBLIC SECTOR MANAGEMENT MAJOR ASSIGNMENT – ASSESSMENT RESPONSE SHEET FOR ESSAY Participants – complete your details and submit with your major assignment. Your assessor will provide feedback and your grade on this sheet. Participant to complete Participant’s...

    Read More
  • Healthcare Delivery Systems

    ...Chapter 1 - Health Care Delivery Systems There are many interesting and important points in this chapter. Some of them include: Pennsylvania Hospital founded by Ben Franklin was the 1st US hospital University of PA was the US first medical school The AMA was founded in Philadelphia in 1847. The Flexner Report was published in...

    Read More

Discover the Best Free Essays on StudyMode

Conquer writer's block once and for all.

High Quality Essays

Our library contains thousands of carefully selected free research papers and essays.

Popular Topics

No matter the topic you're researching, chances are we have it covered.