Reforming Rural and Urban access to quality care

Late Supreme Court Justice Louis Brandeis stated that “it is one of the happy incidents of the federal system that a single courageous state, may if its citizens choose, serve as a laboratory; and try novel social and economic experiments without risk to the rest of the country”. Reforms have taken place on the state level in many aspects of the health policy arena including end of life issues, medical malpractice, insurance regulation, medical marijuana, second hand smoke and tobacco regulation.

Examine access to care in rural and urban areas health policy issue in light of federal-state roles in the design, operations, oversight and modification of past, current and proposed policy. Consider the following points in your critical analysis of this topic:

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What are the roles of both the state and federal government in dealing with this policy problem?
Do they reflect a collaborative or fragmented approach to policy making?
Has the state or federal government taken the lead? How? What would be an argument to have the other entity take it on?
What fiscal and programmatic issues may be a challenge?
What might each entity have at stake if they do or do not take the lead?
What strengths and weaknesses do each bring to the process of problem solving related to your policy issue?
What are barriers to effective federal-state policy administration in this area?
What areas of this health policy are ripe for cooperative ventures between these two levels of government?
What can success in these ventures teach us about the true viability of health care reform?

NOTE: Your Written Submission should contain a Bibliography citing resources using the APA Citation style.

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