Health Care Poverty

Poverty and Health-care in the Federal System
The Constitution of the United States has two foundational organizational principles that one of them is federalism. Federalism was an unquestionable intellectual concern of the framers and ratifiers of the Constitution. Federalism is defined as the division of the power between a central government and several regional governments. The sharing of the power between the federal government and the state governments is consequential part of the United States system. The equilibrium of power in the United States has shifted from individual states to a more authoritative federal government (Nagel). Based on the need of the American people and the reserved powers of the states, the issue of poverty
Health-care in the United States transformed from a simple system to a complex system called the “medical industrial complex” (Fillmore). “While health-care has been a public policy concern since the inception of the nation, the role of the federal government in this area is somewhat newer. Historically, public health has been viewed as under the domain of state and local government (Roberts)”. When the American people migrated to urban areas during the Industrial Revolution, state governments focused on the on improvements in health care program (Roberts). The responsibility of the national government in health-care program like medical research can be traced back to the earliest agencies of disease prevention. “In 1798, the U.S. Marine Hospital Service (MHS), a precursor to the U.S. Public Health Service, was established to provide medical care for sailors (Roberts)”. During the American history, both federal and state governments have some roles in the issues of health-care and these roles are obvious today. These days, both federal government and state governments have responsibilities for public health-care. “On march 23, 2010, President Barack Obama passed the Patient Protection and Affordable Care Act to reform the United States health-care system. The act, which is based on the Massachusetts model set in motion by 2012 presidential hopeful Romney, is designed to ensure that most Americans receive access to affordable and quality health care. A week later, Congress passed the Health Care and Education Reconciliation Act of 2010, which amended some of the provisions from the Patient Protection and Affordable Care Act. The plan will be rolled out over a decade and include many changes to which individuals, employers, and insurance companies must adhere or face penalties ("Health Care