In: Nursing
in not more than 500 words explain the role of the local government in health care delivery
1) LOCAL GOVERNMENT HOSPITALS:-
Several features of local government hospitals are :
*Local governments own and operate a
large number of hospitals.
*Local responsibilities vary widely among
states, with nine states having no local
government hospitals and ten states hav-
ing more than 50 local hospitals each.
*Locally owned and operated hospitals
vary widely in size, with a few very large
urban hospitals and a large number of
smaller hospitals.
2)LOCAL GOVERNMENT EMPLOYEE HEALTHCARE COSTS:-
In implementing national health care re-
form, it will be important to recognize that most
local governments provide access to insurance
coverage for their employees and pay a substan-
tial share of the costs.
3)LOCAL GOVERNMENT RETIRE HEALTHCARE COSTS.
4) PUBLIC HEALTH SERVICES:-
The share of direct public health expendi-
tures paid by local governments varies widely
from state to state.
The sources of funds for local public health
spending are state aid and locally raised reve-
nues. It is not possible to determine how much
state aid may be passthrough federal aid, or how
much local funding is from charges or other
nontax sources.
5)LOCAL GOVERNMENT MEDICAID RESPONSIBILITIES:-
Local governments are not responsible un-
der federal law for any portion of Medicaid
funding. However, states may require local gov-
ernments to share in financing the nonfederal
share of Medicaid program costs.
Local governments play a major role in pro-
viding health care services and need to be consid-
ered in implementing any reform of national
health care systems.