What is it about?

This study finds that there is little impact on overall public health program activity from intergovernmental transfers through the CDC bioterrorism preparedness program.

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Why is it important?

The results call into question the idea that federal spending has a stimulus effects on local governments.

Perspectives

This paper joins a body of research dating back at least to Pressman and Wildavsky's 1973 study, "Implementation: How Great Expectations in Washington Are Dashed in Oakland; Or, Why It's Amazing that Federal Programs Work at All," raising questions over the ability of the national government to use fiscal subsidies to obtain desired policy changes at the local government level.

Dr. George Avery

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This page is a summary of: Does Federal Assistance to Health Departments for Bioterrorism Preparedness Improve Local Public Health Activity? An Empirical Evaluation Using the 2005 NACCHO Profile of Local Health Departments, Journal of Homeland Security and Emergency Management, January 2010, De Gruyter,
DOI: 10.2202/1547-7355.1630.
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