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Public Health Exam 1 > Lecture 5 - Role of state/local gov > Flashcards

Lecture 5 - Role of state/local gov Flashcards

1
Q

What are the 3 levels of government in public health?

A

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

-State - NYS dept of health

-Federal (HHS)

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2
Q

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

A

LOCAL

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3
Q

Reporting sequence…

A

local to state –> state to federal

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4
Q

In which scenarios would local report to state AND federal?

A

infectious disease - to limit spread

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5
Q

Which branch provides resources? (budget)

A

ALL to varying degrees

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6
Q

Which branch generates policies?

A

mostly local and state (some federal)

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7
Q

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

A

STATE

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8
Q

The state mainly controls……

A

INDIVIDUAL policies

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9
Q

Who controls industry workplace safety?

A

FEDERAL sets minimum standards and the STATE can enforce tougher standards

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10
Q

Who monitors?

A

ALL

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11
Q

Who monitors restaurants?

A

local

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12
Q

who monitors schools?

A

local

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13
Q

Who monitors seat belt laws and motor safety?

A

within city = local
highway = state

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14
Q

Who monitors business/industry?

A

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

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15
Q

Who controls sanitation?

A

local

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16
Q

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

A

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

17
Q

Most money for campaigning comes from….

A

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

18
Q

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

A

The constitution

19
Q

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

A

hospitals
businesses
religious and charitable organizations

20
Q

Does the constitution ever mention health?

A

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

21
Q

Public health has been a responsibility primarily of…..

A

the states

22
Q

Are there any federal laws that mandate vaccinations for children?

A

NO - ONLY APPEARED DURING COVID FOR FEDERAL EMPLOYEES

23
Q

What does the preamble of the Constitution state?

A

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

24
Q

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

A

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

25
Q

The federal government has “_______” for the states

A

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

26
Q

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

A

YES

27
Q

How the law works…..

A
  1. Legislature passes a statute
  2. Statute may be challenged in court
  3. Decision of the court may be appealed to higher courts
28
Q

What is OSHA?

A

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

29
Q

When was OSHA created?

A

1970

30
Q

What is the most common LOCAL health department?

A

County health department

31
Q

How does the local health department get funds?

A

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

32
Q

Who is charged with licensing medical personnel?

A

the state

33
Q

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

A

the state

34
Q

Which 2 presidents tried to have health insurance for all?

A

Nixon and Clinton

35
Q

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

A

NO

36
Q

Where does funding for the state health department come from?

A

state taxes and federal grants

Public Health Exam 1 (7 decks)

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