The Constitution
- According to the Articles of Confederation (1777), states
printed cash, and regulated open security, wellbeing, welfare, and
ethics – consequently a frail national government
- Therefore a more grounded focal government was regarded to
Therefore, a more grounded focal government was esteemed to be
basic "to advance the general welfare" (U.S. Constitution,
Preamble).
- However, fears of an excessively solid focal government prompt
proceeded with state expert as a stabilizer to upgraded national
specialist
- Ambiguity in portion of forces was worked in to achieve trade
off every now and then
State Government State Government s Role:
- Started with the pandemics of the late eighteenth and mid 19th
century – founding isolate measures and enhancing group
sanitation
- Bubonic Plague in Boston in 1721
- Diphtheria in MA and NH in 1730s
- Yellow Fever in New York Philadelphia and Baltimore in 1820s
and Yellow Fever in New York, Philadelphia and Baltimore in 1820s
and Mississippi Valley in 1879
- Cholera in New York and Cincinnati in 1832
- Plague in San Francisco and Honolulu at the turn of nineteenth
century
- Polio in New York in 1916
- Led to production of state wellbeing offices and appointment
of wellbeing auditors
- Licensing and accreditation of doctors and doctor's
facilities
Government Federal Government s Role:
- Enumerated Powers Claus in the Constitution gives Federal
Government directly finished interstate business
- Food and medicines are transported crosswise over state
lines
- Hill-Burton Act (1946) – Federal activity to construct social
insurance offices
- Facilities must comply with group benefit commitment
- April 11, 1953 – Department of Health, Education and Welfare
appeared
- May 1980 – Department of Health and Human Services built
up