Author's Keywords: women's reproductive health, federalism	Convention All Academic Convention can solve the abstract management needs for any association's annual meeting. Submission - Custom fields, multiple submission types, tracks, audio visual, multiple upload formats, automatic conversion to pdf. Review - Peer Review, Bulk reviewer assignment, bulk emails, ranking, z-score statistics, and multiple worksheets! Reports - Many standard and custom reports generated while you wait. Print programs with participant indexes, event grids, and more! Scheduling - Flexible and convenient grid scheduling within rooms and buildings. Conflict checking and advanced filtering. Communication - Bulk email tools to help your administrators send reminders and responses. Use form letters, a message center, and much more! Management - Search tools, duplicate people management, editing tools, submission transfers, many tools to manage a variety of conference management headaches! Click here for more information.
Association: Name: American Political Science Association URL: http://www.apsanet.org
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Palley, Marian. "Federalism and Health Care: the Case of Women's Reproductive Health Care" Paper presented at the annual meeting of the American Political Science Association, Hyatt Regency Chicago and the Sheraton Chicago Hotel and Towers, Chicago, IL, Aug 30, 2007 <Not Available>. 2011-06-08 <http://www.allacademic.com/meta/p210508_index.html>

Palley, M. L. , 2007-08-30 "Federalism and Health Care: the Case of Women's Reproductive Health Care" Paper presented at the annual meeting of the American Political Science Association, Hyatt Regency Chicago and the Sheraton Chicago Hotel and Towers, Chicago, IL Online <PDF>. 2011-06-08 from http://www.allacademic.com/meta/p210508_index.html

Publication Type: Conference Paper/Unpublished Manuscript Abstract: FEDERALISM AND HEALTH CARE: THE CASE OF WOMEN’S REPRODUCTIVE HEALTH CARE Marian Lief Palley University of Delaware By its very nature, a federal structure has the seeds of public policy fragmentation built into it. It has been argued that variability in policy development and implementation can lead to program experimentation and innovation. In fact some scholars argue that important national policies depend heavily on state implementation. Moreover, states do much to shape policy and set the parameters for local implementation of policy. Scholars also point to the fact that states have always played a prominent role in American politics. They initiate programs and they play a central role in the intergovernmental nexus. Despite the growth of the national government and an increased role by the national government in setting public policy in a broad array of policy areas, states’ responsibilities have grown in the past 3 decades and there is more “state-centered” policymaking than there was in the past. Agranoff and McGuire have identified four models of management in the U.S. intergovernmental system. These are, the top-down model, the donor-recipient model, the jurisdiction-based model and the network model. The network model focuses attention on the actions of multiple governmental and non-governmental players as they pursue joint action and intergovernmental adjustments. There are several programmatic effects that can occur in this type of system, and one of them is fragmentation. Moreover, fragmentation is likely to be the by-product of a system that is not following a top-down approach. It can also be argued that a federal structure that relies on states to shape policy can lead to “horizontal inequity” – that is geographic inequities, and “vertical inadequacy” – that is unequal quality of services. This is not to say that public policies must be fragmented in a federal system. However, the potential for fragmentation is present and without a focused national policy that follows a top-down approach, fragmentation will likely result. Development of non-fragmented policies are certainly possible in a federal system and in many instances desirable. For example, the Social Security Old Age, Survivors and Disability Insurance (OASDI) program is a national program that adheres to a top-down model of management and thus has national administration and nationally determined contributions and benefits. The development and the delivery of health care services is a policy area that is rooted in localism and in our federal system, and it is fragmented. Fragmentation of the health care delivery system is the reality despite the fact that there are numerous federal programs and a multitude of federal regulations. The obvious question one should ask is WHY? That is, why is the OASDI program a centrally controlled program without the problems associated with fragmentation and health care delivery wrought with problems associated with federalism run amuck and its associated fragmentation? In this paper one example of health care fragmentation, women’s reproductive heath care, will be considered and the effects of this condition will be assessed.

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