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American Federalism in Practice is an original and important contribution to our understanding of contemporary health policy. It also illustrates how contentious public policy is debated, formulated, and implemented in today’s overheated political environment. Health care reform is perhaps the most divisive public policy issue facing the United States today. Michael Doonan provides a unique perspective on health policy in explaining how intergovernmental relations shape public policy. He tracks federal-state relations through the creation, formulation, and implementation of three of the most important health policy initiatives since the Great Society: the State Children’s Health Insurance Program (CHIP) and the Health Insurance Portability and Accountability Act (HIPAA), both passed by the U.S. Congress, and the Massachusetts health care reform program as it was developed and implemented under federal government waiver authority. He applies lessons learned from these cases to implementation of the Affordable Care Act. “Health policymaking is entangled in a complex web of shared, overlapping, and/or competing power relationships among different levels of government,” the author notes. Understanding federal-state interactions, the ways in which they vary, and the reasons for such variation is essential to grasping the ultimate impact of federalism on programs and policy. Doonan reveals how federalism can shift as the sausage of public policy is made while providing a new framework for comprehending one of the most polarizing debates of our time.

The International Federation of Library Associations and Institutions (IFLA) is the leading international body representing the interests of library and information services and their users. It is the global voice of the information profession. The series IFLA Publications deals with many of the means through which libraries, information centres, and information professionals worldwide can formulate their goals, exert their influence as a group, protect their interests, and find solutions to global problems.

Far from heralding their demise, digital technologies have lead to a dramatic transformation of the public library. Around the world, libraries have reinvented themselves as networked hubs, community centres, innovation labs, and makerspaces. Coupling striking architectural design with attention to ambience and comfort, libraries have signaled their desire to be seen as both engines of innovation and creative production, and hearts of community life. This book argues that the library’s transformation is deeply connected to a broader project of urban redevelopment and the transition to a knowledge economy. In particular, libraries have become entangled in visions of the smart city, where densely networked, ubiquitous connectivity promises urban prosperity built on efficiency, innovation, and new avenues for civic participation. Drawing on theoretical analysis and interviews with library professionals, policymakers, and users, this book examines the inevitable tensions emerging when a public institution dedicated to universal access to knowledge and a shared public culture intersects with the technology-driven, entrepreneurialist ideals of the smart city.

Explores the various contexts in which debate about HIV/AIDS takes place and examines how the pandemic is perceived by scholars, religious leaders and traditional healers