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Description
How much responsibility for providing health care to the poor should be devolved from the federal government to the states? Any answer to this critical policy question requires a careful assessment of the Medicaid program. Drawing on the insights of leading scholars and top state health care officials, this book analyzes the policy and management implications of various options for Medicaid devolution.
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In Disunited States, John D. Donahue contends that despite its broad appeal, letting Washington fade and the states take the lead is a dubious strategy for reform. It reflects a misreading of America's history, a warped view of its bedrock values, and a false analogy to the virtues of competition and decentralization in the private sector. At worst, he argues, America's willing disintegration within an integrating world economy will be recorded among...
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"Between 1969 and 1995, Republican presidents and congressional leaders launched three bold attempts to reform American intergovernmental relations. With each attempt, the goals of reform grew more ambitious, from rationalizing and decentralizing an activist government to rolling back the welfare state to replacing it altogether. Expanding and updating his book, New Federalism: Intergovernmental Reform from Nixon to Reagan (1988), Timothy Conlan traces...
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