Publius: The Journal of Federalism Advance Access originally published online on September 20, 2008
Publius: The Journal of Federalism 2009 39(1):1-21; doi:10.1093/publius/pjn025
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This article appears in the following Publius: The Journal of Federalism issue: Federalism and Health Policy [View the issue table of contents]
Does the Federal Government Learn from the States? Medicaid and the Limits of Expertise in the Intergovernmental Lobby
*University of California – Riverside; kevin.esterling{at}ucr.edu
State programmatic expertise is an important asset to federal systems, but this expertise is not always informative to federal decision-makers. I argue the degree to which state expertise is informative to federal decision-makers depends on how well the policy interests of state and federal levels are aligned. I illustrate variation in these conditions using case studies of congressional politics over the Medicaid program. I then apply a statistical test, which demonstrates that states programmatic expertise regarding Medicaid is less persuasive to congressional committee members compared to other witnesses who are equally knowledgeable. The results suggest a "failure of federalism," where the public good potential of state programmatic expertise often is not realized in the federal system.