Homework
Powers and Responsibilities of Government
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com.
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Federal Versus State
U.S. Constitution states that a fundamental purpose of the government is “to promote the general welfare.”
Reserve clause is interpreted to mean that, since health is not mentioned in the Constitution, responsibility for public health primarily belongs to the states.
Interstate commerce provision justifies the activities of the Food and Drug Administration (FDA).
Power to tax and spend is widely used by federal government to control public health policy.
The federal government provides 65% of the funding for Medicaid.
The New Federalism limited Congress’s powers and returned authority to the states.
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Branches of Government: Federal, State, and Local
Legislative
Legislature passes statutes.
Executive
Public health agencies carry out the law.
They may issue regulations consistent with statutes.
Judicial
Laws and regulations can be challenged in court.
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Local Public Health Agencies
Local county and city health departments are often responsible for:
Day-to-day public health tasks
Core public health functions
Providing medical care for the poor
Funding sources are variable.
City or county legislatures may not understand the importance of core functions.
Mandates may be funded from state or federal governments.
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com.
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Federal Versus State
U.S. Constitution states that a fundamental purpose of the government is “to promote the general welfare.”
Reserve clause is interpreted to mean that, since health is not mentioned in the Constitution, responsibility for public health primarily belongs to the states.
Interstate commerce provision justifies the activities of the Food and Drug Administration (FDA).
Power to tax and spend is widely used by federal government to control public health policy.
The federal government provides 65% of the funding for Medicaid.
The New Federalism limited Congress’s powers and returned authority to the states.
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Branches of Government: Federal, State, and Local
Legislative
Legislature passes statutes.
Executive
Public health agencies carry out the law.
They may issue regulations consistent with statutes.
Judicial
Laws and regulations can be challenged in court.
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
Local Public Health Agencies
Local county and city health departments are often responsible for:
Day-to-day public health tasks
Core public health functions
Providing medical care for the poor
Funding sources are variable.
City or county legislatures may not understand the importance of core functions.
Mandates may be funded from state or federal governments.
Copyright © 2021 by Jones & Bartlett Learning, LLC an Ascend Learning Company. www.jblearning.com
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