000 01582naa a2200181uu 4500
001 9031917352610
003 OSt
005 20190211164852.0
008 090319s2009 xx ||||gr |0|| 0 eng d
100 1 _aWEISSERT, Carol S.
_911266
245 1 0 _aLearning from the State? :
_bfederalism and national health policy
260 _aMalden, MA :
_bBlackwell Publishers,
_cDecember 2008
520 3 _aIn its 1993 report, the Winter Commission gave direction to the federal government in the area of health policy and Medicaid: lead, follow, or get out of the way. This article examines how the federal government responded to that advice, specifically asking what has happened in the allocation of responsibility in health policies between 1993 and 2006. In short, unlike the suggestion that there be a better-defined direction in federal–state policy assignments in health, the ensuing years have resulted in more of the same. The authors examine what has happened, particularly focusing on vertical diffusion—where the states have acted first—and on the role of policy learning in federal decision making. They find little recognition of policy learning in recent federal health laws—even in areas in which state experience was extensive. The federal government is leading in some health policies—but it is leading without learning
700 1 _aSCHELLER, Daniel
_936580
773 0 8 _tPublic administrarion review : PAR
_g68, Special, p. S162-S174
_dMalden, MA : Blackwell Publishers, December 2008
_xISSN 00333352
_w
942 _cS
998 _a20090319
_b1735^b
_cTiago
999 _aConvertido do Formato PHL
_bPHL2MARC21 1.1
_c28566
_d28566
041 _aeng