Lecture 5 - Role of state/local gov

Question 1

What are the 3 levels of government in public health?

Answer 1

-local - city/county (NYC dept of health)

-State - NYS dept of health

-Federal (HHS)

Question 2

Which branch keeps track of record keeping and medical cases??

Answer 2

LOCAL

Question 3

Reporting sequence…

Answer 3

local to state –> state to federal

Question 4

In which scenarios would local report to state AND federal?

Answer 4

infectious disease - to limit spread

Question 5

Which branch provides resources? (budget)

Answer 5

ALL to varying degrees

Question 6

Which branch generates policies?

Answer 6

mostly local and state (some federal)

Question 7

vaccines, sealt belt laws, smoking ages, legalizing marijuana?

Answer 7

STATE

Question 8

The state mainly controls……

Answer 8

INDIVIDUAL policies

Question 9

Who controls industry workplace safety?

Answer 9

FEDERAL sets minimum standards and the STATE can enforce tougher standards

Question 10

Who monitors?

Answer 10

ALL

Question 11

Who monitors restaurants?

Answer 11

local

Question 12

who monitors schools?

Answer 12

local

Question 13

Who monitors seat belt laws and motor safety?

Answer 13

within city = local
highway = state

Question 14

Who monitors business/industry?

Answer 14

mostly STATE and FEDERAL but in big cities it can be LOCAL

Question 15

Who controls sanitation?

Answer 15

local

Question 16

What do local health departments have but they usually can’t do anything with it??

Answer 16

discretionary authority to pass laws without state legislature. Easily challenged by judicial review

Question 17

Most money for campaigning comes from….

Answer 17

the state, but federal gives money to “special interest groups” such as Planned Parenthood. Local can also fund in big cities

Question 18

What is the ultimate authority that allows laws to be written??

Answer 18

The constitution

Question 19

What are some NONgovernmental organizations that play an important role in public health

Answer 19

hospitals
businesses
religious and charitable organizations

Question 20

Does the constitution ever mention health?

Answer 20

NO, but the 10th amendment says that all other powers not mentioned are granted to the states

Question 21

Public health has been a responsibility primarily of…..

Answer 21

the states

Question 22

Are there any federal laws that mandate vaccinations for children?

Answer 22

NO - ONLY APPEARED DURING COVID FOR FEDERAL EMPLOYEES

Question 23

What does the preamble of the Constitution state?

Answer 23

gives the govt obligation to promote the general welfare and to REGULATE INTERSTATE COMMERCE

Question 24

Why is it significant that the federal government has authority to “regulate interstate commerce?”

Answer 24

FDA - regulation of food, drugs, medicine, cosmetics that are made in a state and will be sold to all states

Question 25

The federal government has "_______" for the states

Answer 25

money with strings. they have funding for certain things as long as the states agree to the terms

Question 26

Can a state restrict an individual's freedom for the common good?

Answer 26

YES

Question 27

How the law works.....

Answer 27

1. Legislature passes a statute 2. Statute may be challenged in court 3. Decision of the court may be appealed to higher courts

Question 28

What is OSHA?

Answer 28

Occupational Safety and Health Act (within the dept of labor)

Question 29

When was OSHA created?

Answer 29

1970

Question 30

What is the most common LOCAL health department?

Answer 30

County health department

Question 31

How does the local health department get funds?

Answer 31

Some get funding from their state, others don't get as much. property and sales tax

Question 32

Who is charged with licensing medical personnel?

Answer 32

the state

Question 33

Who is responsible for people who don't have health insurance?

Answer 33

the state

Question 34

Which 2 presidents tried to have health insurance for all?

Answer 34

Nixon and Clinton

Question 35

Does the united states have a national plan ensuring medical care for all its citizens?

Answer 35

NO

Question 36

Where does funding for the state health department come from?

Answer 36

state taxes and federal grants