Health Affairs, 27, no. 2 (2008): 423 doi: 10.1377/hlthaff.27.2.423 © 2008 by Project HOPE	New Online   Senate Health Reform Bill   Rewarding Providers   Public Option Policy Brief   Health Reform & Abortion   Delivery System Reform

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States' Role

PROLOGUE

States’ Role In Addressing Disparities

Traditionally, the balance between state and federal responsibilities tips toward the states when it comes to protecting disadvantaged populations. How far a society is willing to go to help its most vulnerable members is a question that rests on values and sensitive intergroup relations that are hard to agree about, and it helps to break such decisions down to manageable social and geographic proportions. States have generally taken the lead in the history of welfare arrangements, mental health services, and health care for the poor, with some changes over time and varying levels of federal standard setting and burden sharing . . . [Full Text of this Article]

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