Should The Federal Or State Government Control The Principle Of Healthcare Policy

Running Head: SHOULD THE FEDERAL OR STATE GOVERNMENT CONTROL THE

PRINCIPLE OF HEALTHCARE POLICY 1

Should the Federal or State Government Control the Principle of Healthcare Policy?

Student Name

Institutional Affiliation

SHOULD THE FEDERAL OR STATE GOVERNMENT CONTROL THE PRINCIPLE OF

HEALTHCARE POLICY 2

Abstract

Objective: To review various articles addressing the roles of the federal and state government in

controlling the principle of the health care policy.

Method: The study selects nine articles to address the principle of health care policy at both the

federal and state government levels. The journal articles relate the roles of the two governments

in promoting the health care policy. All the nine articles are analyzed systematically with the aim

of answering the question.

Results: The articles reveal that both the federal and state governments play a critical role in the

implementation of the principles of healthcare policy. However, appropriate coordination

between the two governments would work efficiently towards controlling the principle of

healthcare policy.

Conclusion: The state government should control the principle of the healthcare policy while the

federal government should just oversee the control for a consistent healthcare delivery across all

the states.

SHOULD THE FEDERAL OR STATE GOVERNMENT CONTROL THE PRINCIPLE OF

HEALTHCARE POLICY 3

Introduction and Background

This paper aims at surveying some articles on who should control the health care policy

principle between the federal and state government. Health care policy refers to the plans,

decisions, and actions chosen with the aim of achieving particular healthcare goals in a particular

region (Jacobsen, 2017). Healthcare policies are set to guide healthcare providers in achieving a

vision that establishes the targets and the points of reference for both the short term long term

goals. Through the analysis of a collection of articles, the question, “Should the Federal or State

Government Control the Principle of Healthcare Policy?” should be answered. Both the federal

and state government manage billions of dollars dedicated to the healthcare programs such as

Medicaid, Medicare and other programs targeted to help the public (Stanek, 2014).

The roles of these two governments in the health care have expanded for the past one

decade through the influences of policies and political discourse (Straube, 2012). Their increased

concern on the healthcare policies has led to the conflicts between the two particularly on who

should control healthcare. The health market is taking a new shape as the two governments seek

to have quality and cost-effective healthcare for their citizens while protecting healthcare

businesses. Leaving the control of the healthcare policy at the state levels would be crucial since

they have a great experience in healthcare management (Weil & Scheppach, 2010). However, a

regulated collaboration between the two governments defined by specific rules can effectively

help control the principle of healthcare policy (Tang, Eisenberg & Meyer, 2004).

Methods

The articles were identified from two sources: searching in the university library and

searching directly from the internet. The search extended to the internet to acquire the most

appropriate articles for this study. In the database, the search was limited to the Medicine articles

SHOULD THE FEDERAL OR STATE GOVERNMENT CONTROL THE PRINCIPLE OF

HEALTHCARE POLICY 4

with the application of particular keywords such as state, the federal government, control,

healthcare, and policy. There was a variety of peer-reviewed journals, and I picked the most

seemingly relevant articles related to the keywords mentioned above. As a way of making the

search more accurate, I limited the search in the United States that provided over 100 articles. I

choose the articles that exhibited the most keywords of the study. On the internet, the question

was just copy-pasted on the search button since it’s a big database. There were various academic

articles and educational blogs addressing the issue. Again, the most appropriate articles were

chosen. It is worthwhile noting that the dates of the articles were considered while choosing the

journals; the most current ones got the priority.

Results

Each of the articles acknowledged that both the federal and state governments have a

crucial role in the control of the healthcare policy. They began by identifying various issues that

affect the healthcare delivery across all the states in the U.S. amongst the issues most addressed

are the costs of healthcare, quality of healthcare, healthcare programs, roles of the governments

in healthcare and conclude by giving their recommendations to address these issues.

Healthcare providers usually complain of the dynamic healthcare policies that lead to

unfair labor practices, unsustainable compensation reductions, unfriendly healthcare plans and

unethical intrusion of healthcare policies that undermine the practice of medicine (Sekri, 2000).

Heskett 2007 highlights increased healthcare issues resulting from ineffective health care

policies such as cost escalation and how to contain it, quality issues and inequality of treatment

in healthcare centers. Previously, many countries could borrow the United States healthcare

policies to imitate them in the countries. However, due to various levels of management,

healthcare policy turned out to be uncontrollable, expensive and lacks equity and expression of

SHOULD THE FEDERAL OR STATE GOVERNMENT CONTROL THE PRINCIPLE OF

HEALTHCARE POLICY 5

social solidarity (Sekri, 2000). The most conflicting part of the health care delivery is that the

United States Constitution fails to provide an explicit right to health care while the Supreme

Court has not in any instance provides insights on the right to healthcare from the governments

for citizens incapacitated to afford it (Swendiman, 2012).

Health care policies usually arise a byproduct of government efforts in the promotion of

public social policies (Shi & Singh, 2005). Strong leadership can support the healthcare policies

regarding cost and quality of healthcare in the United States by both the federal and state

governments (Schoenbaum, Audet and Davis, 2003). They can marshal action to set

precedences for development and promulgation of care, quality health care, and standards for

providers and performance measures. According to Weil and Scheppach 2010, state policies and

implementation significantly influence federal law reforms relating to healthcare.

Effective communication between the two levels of governments would facilitate

implementation of healthcare policies that enhance affordable access and coverage health care

services. Creation of exchange looms is amongst the most crucial and consequential for the state

governments. Both the federal and state governments have had various roles in healthcare

delivery in the past (Tang, Eisenberg & Meyer, 2004). However, to avoid the confliction of roles,

each government will require a coherent vision that guides its activities in collaborating with

each other. States need to help the federal government in the implementation of healthcare

policies.

Conclusion

The articles recognize the roles of both the federal and state government in control of the

principle of health care policy. The state government is closer to the people and various

businesses that practice medicine in their regions. The federal government, on the other hand,

SHOULD THE FEDERAL OR STATE GOVERNMENT CONTROL THE PRINCIPLE OF

HEALTHCARE POLICY 6

oversees the healthcare policies implementation by the state government. The two forms of

government have a crucial role in the provision of quality and affordable healthcare through

control of healthcare policies. Therefore, an effective communication that would solve any

conflicts in their line of duties would be efficient towards the implementation and control of

healthcare policies.

SHOULD THE FEDERAL OR STATE GOVERNMENT CONTROL THE PRINCIPLE OF

HEALTHCARE POLICY 7

References

Heskett, J. (2007). What Is the Government’s Role in US Health Care? Business Research for

Business Leaders.

Jacobsen, K. H. (2017). Introduction to Health Research Methods: A Practical Guide.

Burlington, MA: Jones & Bartlett Learning.

Schoenbaum, S., Audet, A. M., & and Davis, K. (2003). Obtaining Greater Value from Health

Care: The Roles Of The U.S. Government. Health Affairs.

Sekri, N. K. (2000). Managed care: the US experience. Health Systems.

Shi, L., & Singh, D. A. (2005). Essentials of the U.S Healthcare System: Health Policy.

Stanek, M. (2014). Federalism in Health Care: Identifying Roles for Federal and State Partners.

The Commonwealth Fund.

Straube, B. M. (2012). A Role for Government: An Observation on Federal Healthcare Efforts in

Prevention. American Journal of Preventive Medicine.

Swendiman, S. K. (2012). Health Care: Constitutional Rights and Legislative Powers.

Congressional Research Service.

Tang, N., Eisenberg, J. M., & Meyer, G.S. (2004). The roles of government in improving health

care quality and safety. US National Library of Medicine.

Weil, A., &Scheppach, R. (2010). New Roles for States in Health Reform Implementation.

Health Affairs.

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