New Federalism and Health Policy

Datos Bibliográficos

ID9748753
AutoresPhilip R Lee (0000-0003-3689-8812, autor de correspondencia), Carroll L Estes (0000-0003-1704-8097)
Año1983
Volumen468
Número1
Páginas88-102
Fecha de publicación1983-07-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaThe Annals of the American Academy of Political and Social Science (JOURNAL)
Identificadores de la revistaISSN: 0002-7162 • E-ISSN: 1552-3349
EditorialSAGE Publications (PUBLISHER • US)
DOI10.1177/0002716283468001006
PMID10261431
OpenAlexW1966105332
IdiomaEN
Citas recibidas3
Referencias citadas11

The making of health policy in the United States is a complex process that involves the private and public sectors, including multiple levels of government. Five characteristics of the policy process are identified, which establish the means by which policies are formulated and which affect the nature of the policies that emerge. These characteristics include (1) the relationship of the government to the private sector; (2) the distribution of authority and responsibility within a federal system of government; (3) the relationship between policy formation and implementation; (4) a pluralistic ideology as the basis of politics; and (5) incrementalism as the strategy for reform. The article focuses on the impact on health policy of the distribution of authority and responsibility within the federal system, particularly the impact of new federalism policies as they emerged during the past decade. The effects of dual federalism, cooperative federalism, creative federalism, and new federalism are examined in relation to health policies. The article concludes with an examination of the challenge to long-established values and health policies posed by new federalism

Cooperative federalism · Decentralization · Dual federalism · Economics · Federalism · fiscal federalism · Government (linguistics · Health care · Incrementalism · New Federalism · Political science · Politics · Public economics · Public policy · Healthcare Policy and Management · Law · Primary Care and Health Outcomes · Public Administration · Public Health Policies and Education · Health Policy