Local Government Responsibilities in Health Care

摘要

Local governments have a large and growing role in national health care, and theymust be included in any plans for implementing reforms. Whether policies and standards are set by the federal and/or state governments, local governments deliver many health services, especially those directed at vulnerable populations. Unless local officials are involved early in planning for implementation of health care reforms, unnecessary delays and problems may result, with serious effects on people who depend on local governments for health care services. This report reviews local expenditures for health care, their relation to health care reform, and the needs for additional information.