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Intergovernmental issues raised by the national health planning program.

G G Raab

    Journal of Health and Human Resources Administration
    |April 12, 1979
    PubMed
    Summary

    Federalism in health policy involves inevitable conflict as governments pursue objectives with national grants-in-aid. Lobbies for state and local governments have reduced this conflict, shifting focus to administrative structures.

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    Area of Science:

    • Public Administration
    • Health Policy
    • Federalism Studies

    Background:

    • The National Health Planning and Resources Development Act of 1974 (P.L. 93-641) established regional planning agencies, prompting discussion on federalism.
    • The administration of this act highlighted power allocation issues among national, state, and local governments.

    Observation:

    • The study examines U.S. intergovernmental relations, focusing on cooperative and competitive federalism perspectives.
    • Analysis traces the historical context of federalism and key issues in intergovernmental relations.

    Findings:

    • Conflict is inevitable as governments pursue distinct objectives in administering national grants-in-aid.
    • State and local officials prioritize administrative structures over policy substance.
    • The rise of state and local government lobbies has mitigated potential conflict.

    Implications:

    • Understanding federalism dynamics is crucial for effective health policy implementation.
    • The study suggests a need to balance administrative efficiency with substantive policy goals.
    • The evolving role of lobbying influences intergovernmental negotiations in health resource allocation.

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