Describe and explain why the USA health system is considered to be neither a centralized or de-centralized system and what is the impact of healthcare reform of the combined federal state...

WRITTEN ASSIGNMENT        8
WRITTEN ASSIGNMENT
Table of contents
Introduction    4
Centralization vs. Decentralization in the U.S. Healthcare System    4
Impact of Healthcare Reforms    5
Federal-State Collaboration    5
Federal Oversight and Funding    5
State Innovation and Implementation    5
Challenges and Opportunities    6
Conclusion    6
References    8
Introduction
The American healthcare system exemplifies a unique interaction between federal control and state sovereignty, representing a sophisticated combination of centralized and decentralized components. It functions in a framework that is difficult to describe in a straightforward way; neither a very decentralized nor a fully centralized model adequately captures its essence. The complex interplay between state discretion and federal obligations has influenced changes in healthcare delivery, policy implementation, and reform. This research aims to disentangle the hybrid structure of this system and clarify how the federal government's and individual states' cooperative obligations have affected healthcare changes. It specifically examines how this dependency affects reform implementation, emphasizing the conflict between state innovation and federal monitoring. Comprehending this dynamic relationship is essential to understanding the subtleties that propel the development and efficacy of the healthcare system in the United States.
Centralization vs. Decentralization in the U.S. Healthcare System
The healthcare system in the United States functions under a distinct structure that has both decentralised and centralised components. The system is not very centralised, even while some elements—including government control and financing sources for initiatives like Medicare, Medicaid, and the Affordable Care Act (ACA)—show signs of centralization. Rather, it strikes a balance between significant state authority and federal demands. Because of this two-tiered system, the federal government may establish broad policies and allocate resources, guaranteeing a uniform set of standards throughout the country. States do, however, still have a great deal of power to customise...