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How do you envision the role of federal, state, and local government in the ongoing efforts...

How do you envision the role of federal, state, and local government in the ongoing efforts in the funding of and advocating for health care research?

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Ans) Public ownership:

- Provide health services to individuals under the support and/or direction of local, state or federal government.

- These organizations must answer directly to the sponsoring government agency or boards that are indirectly responsible to elected officials and taxpayers who support them.

Federal level: veterans, military, native americans, inmates

State: teaching facilities, chronic care facilities, prisoner facilities

Local: county supported and city supported

- The federal, state, and local governments play critical roles across the full range of disease prevention and health promotion activities.

- First, working together, governments at all levels should lead the effort to develop a national and regional strategy for public health and align funding mechanisms to support its implementation.

- Second, the field of public health would benefit from greater research to optimize (1) organization of the 3,000 health departments in this nation, (2) collaborative arrangements between levels of government and its private partners, (3) performance and accountability indicators, (4) integrated and interoperable communication networks, and (5) disaster preparedness and response.

- Third, the government must invest in workforce recruitment as well as modernizing our physical structures, particularly our public health laboratories. Addressing critical shortages in school nurses, public health clinic personnel, and home care/personal assistants also strengthens our ability to keep our population healthier and avoid worsening undiagnosed or untreated conditions. Recruitment among ethnic minorities and in populations representing growing immigrant communities is needed to ensure culturally and linguistically appropriate care.

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