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Intergovernmentalization of Health Care Reform

The Limits of the Devolution Revolution

Bibliographic Data

ID6387249
AuthorsMarian Lief Palley (corresponding author)
Year1997
Volume59
Issue3
Pages657-679
Publication date1997-08-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueThe Journal of Politics (JOURNAL)
Journal identifiersISSN: 0022-3816 • E-ISSN: 1468-2508
PublisherUniversity of Chicago Press (PUBLISHER • US)
DOI10.2307/2998632
OpenAlexW2159675636
LanguageEN
Citations received4
References cited7

Though the states appear to be the focal points for reform of the health care delivery system, the national government is setting the limits within which they must operate This is occurring despite the general opposition to national involvement by states' rights advocates, insurance companies, health maintenance organizations, pharmaceutical companies, small business interests, and some segments of corporate America National constraints on state initiatives are a function of two conditions First, expanded participation in federally funded programs, especially Medicare and Medicaid, has broadened the pool of those eligible for coverage Second, care providers-that is, medical practitioners and hospitals-often prefer national regulations to state guidelines or no governmental rules at all The support for national regulations increasingly has led to the unusual situation in which the care providers and the populations they serve often share a common interest in maintaining a regulatory framework within which state programming changes/reforms occur

Business · Devolution (biology · Economic growth · Economics · Environmental health · Government (linguistics · Health care · Health insurance · Medicaid · National health insurance · Opposition (politics · Political science · Politics · State (computer science · Healthcare Policy and Management · Law · Medicine · Public Administration

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  • Federalism and Health Care

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Unique citing works4
Citations per year0,24
Citation span2009 - 2019 (11)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 4

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