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How Federalism Shapes Public Health Financing, Policy, and Program Options

Ogden, Lydia L. PhD, MPP

Journal of Public Health Management & Practice: July/August 2012 - Volume 18 - Issue 4 - p 317–322
doi: 10.1097/PHH.0b013e318241da71
Original Articles

In the United States, fiscal and functional federalism strongly shape public health policy and programs. Federalism has implications for public health practice: it molds financing and disbursement options, including funding formulas, which affect allocations and program goals, and shapes how funding decisions are operationalized in a political context. This article explores how American federalism, both fiscal and functional, structures public health funding, policy, and program options, investigating the effects of intergovernmental transfers on public health finance and programs.

This article explores how American federalism, both fiscal and functional, structures public health funding, policy, and program options and investigates the effects of intergovernmental transfers on public health finance and programs.

Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia. Dr Ogden is now with the Office of Health Reform Strategy, Policy, and Coordination, Centers for Disease Control and Prevention, Atlanta, Georgia.

Correspondence: Lydia L. Ogden, PhD, MPP, Department of Health Policy and Management, Rollins School of Public Health, Emory University, 1518 Clifton Rd, Atlanta, GA 30322 (logden@emory.edu).

The author declares no conflicts of interest.

© 2012 Lippincott Williams & Wilkins, Inc.