Reflect The US Government's Expansive Role In Public 415113

Reflectthe Us Governments Expansive Role In Public Policy Is Caug

Reflect the U.S. government’s expansive role in public policy is caught in a swirl of conflicting crosscurrents. On the one hand, popular expectations about government’s responsibility to solve problems often exceed the capacity of state and local authorities to respond effectively. On the other hand, policies developed at the national level may not sufficiently reflect the great diversity of interests across the United States to be effective at the local level. Moreover, the search for effective policy is further complicated by theoretical debates about the constitutional framework of federalism. That is, what limits on national power can be derived from the 10th amendment?

Write: “Affordable care act 2010” or “US Department of Health and Human Services”. Select one of the options in bold above and complete all the questions below: 1. Identify what health care administrators do and provide a brief background on the typical job responsibilities. 2. Discuss what federalism is and why it is important. 3. Discuss the policy or piece of legislation that you have selected in bold above and explain how federalism impacts it. 4. Discuss the federalism challenges that the policy you have selected is creating or facing. Your initial post must be at least 300 words. If you are citing statistics or outside resources, please list the website or the reference entry.

Paper For Above instruction

The Affordable Care Act (ACA), enacted in 2010, represents one of the most significant overhauls of the United States healthcare system in recent history. Its implementation involves complex interactions between federal and state governments, illustrating the enduring influence of federalism on public policy. This paper discusses the role of healthcare administrators, explains the concept of federalism and its importance, examines how federalism impacts the ACA, and explores the federalism-related challenges associated with the legislation.

Role of Healthcare Administrators

Healthcare administrators are professionals who manage the operations of healthcare facilities and services. They are responsible for planning, directing, and coordinating medical and health services to ensure that organizations run efficiently and effectively. Typical responsibilities include overseeing staff, managing budgets, ensuring compliance with regulations, and implementing policies that improve patient care. Healthcare administrators are essential for translating policy directives into practical actions within healthcare settings, bridging the gap between policy and practice (Harrington, 2015).

Understanding Federalism

Federalism is a political system in which sovereignty is divided between a central national government and regional or state governments. This division of power allows each level of government to operate within its constitutional domain, independently and sometimes cooperatively. Federalism is important because it provides multiple levels of governance, promoting innovation, accommodating regional differences, and preventing the concentration of power. It also enables states to serve as laboratories for policy experimentation, fostering diverse approaches to public issues such as healthcare (Elazar, 1987).

Impact of Federalism on the Affordable Care Act

The ACA exemplifies the complex interplay of federalism. While it was enacted at the federal level to expand healthcare coverage nationwide, it heavily depends on state cooperation to be fully effective. For example, states have the authority to establish health insurance exchanges and expand Medicaid under the law. Some states embraced these provisions, expanding coverage and implementing health exchanges, while others resisted, opting not to expand Medicaid or establish exchanges. This variation illustrates how federalism enables states to influence the implementation of federal policies based on local preferences and political considerations (Oberlander, 2012).

Federalism Challenges Facing the ACA

The federalism framework has created several challenges for the ACA. Resistance by certain states to Medicaid expansion has led to coverage gaps, undermining the law’s goal of universal coverage. Political disagreements and ideological differences between state and federal governments have also resulted in legal battles and policy delays. Furthermore, disparities in healthcare access and outcomes across states reflect the uneven application of the ACA, highlighting the difficulties in implementing a nationwide policy within a federal system that grants significant autonomy to states (Sparer, 2014). These challenges underscore the importance of balancing national policy goals with states' rights in a federal system.

References

• Elazar, D. (1987). The American federal system: A constitutional revision. Transaction Publishers.
• Harrington, D. (2015). Healthcare management theory and practice. Jones & Bartlett Learning.
• Oberlander, J. (2012). The Obama health law: What’s in it for America? University of Pennsylvania Press.
• Sparer, M. (2014). Medicaid Expansion and State Politics: The Challenges of Federalism in Health Policy. Journal of Health Politics, Policy and Law, 39(3), 519–546.