Evolution of Collaboration Among Federal, State, and Local Agencies

Source: Nathan Myers, Public Manager, Vol. 42 no. 2, Summer 2013
(subscription required)

… By the end of 2009, as seen in her public remarks, Sebelius had come to the conclusion that the United States must not have an ad-hoc approach to dealing with public health threats, but a flexible yet permanent system employing federal, state, local, private sector, and other types of resources that will allow us to bring the latest technology and our collective knowledge to bear on the latest contagion. However, with a traditionally decentralized federal public health system, creating and maintaining such a system will require a healthy dose of negotiation and relationship-building…