Application: Federalism and Separation of PowerIn this week’s Discussion, you explained how the concepts of representative democracy, constitutional democracy, and republic forms of government impact democratic governance. Now you will consider the specifics of federalism and separation of powers in the United States. Federalism and separation of powers are hallmarks of American government. Contentious issues in the public agenda often are the result of a simple disagreement over state powers versus federal powers in governmental matters. The manner in which the legislative, executive, and judicial branches of government carry out their respective duties also is a point of conflict. When analyzing the influence of federalism and separation of powers on democratic governance, it is prudent to note the principles of each concept.To prepare for this Assignment:Review the article “The State of American Federalism, 2004: Is Federalism Still a Core Value?” in this week’s Learning Resources. Think about whether federalism remains significant in current governance.Review the “Constitution of the United States” in this week’s Learning Resources. Look for specific instances in the Constitution that explicitly describes the separation of powers and the concept of federalism. Think about the term separation of powers and reflect on how those powers are executed by the government. Are the powers actually “separated” or are the powers actually “shared” by different branches but executed “separately”? For example, in the Constitution, Congress is charged with enacting laws, the Executive Branch is charged with executing the laws, and the Judicial branch is charged with deciding the application of those laws in specific cases. In addition, Federalist 78 and the Supreme Court ruling in Marbury v. Madison (1803) also charge the Judicial branch with determining the constitutionality of laws enacted by Congress. As a result, each branch has the power to determine either what the law says or how it is executed or applied. Thus, the power of “the law” is shared by each branch, yet each branch executes that power separately.Reflect on the concepts of federalism and separation of powers and think about how each concept influences current governance.The Assignment (2–3 pages):Briefly describe the concepts of federalism and separation of powers. Cite specific references in the Constitution to illustrate your concepts.Evaluate the concept of separation of powers and explain whether you agree that the powers are separate or that they are shared but executed separately.Explain the influence of federalism and the separation of powers on current governance. Select specific examples of current governance to illustrate the influence of each concept.Share at least one insight that you gained as a result of your analysis. Or, if you live outside the United States, explain how you think federalism and separation of powers might affect governance in your country.

Read a selection of your colleagues' posts.Respond by Day 5 to at least two colleagues in one of the following ways:Describe two factors that might make minority groups especially vulnerable in the Medicaid policy your colleague cited. Explain why these groups may not have a voice in the policy-making process.Offer examples of organized self-help and citizens’ groups as both support mechanisms and potentially powerful lobbies. Describe how these lobbying bodies can help in amending the policy your colleague described.Support your response with specific references to the resources. Be sure to provide full APA citations for your references.Colleague 1: Nicolehow the evolution of health care policy has influenced programs such as Medicaid and Medicare.The evolution of health care policy has influenced programs such as Medicaid and medicare by contributing billions of dollars into these programs leading to better care. When Medicare was started 19 million Americans were enrolled focusing on America's most vulnerable, aging adults and people living in poverty. Today there are now more than 56 million people enrolled (usnews.com). Medicaid, started by only covering people who received government assistance, today it is the largest health insurance program in the country, with more than 71 million people enrolled. Due to these programs and health care policies, the "racial segregation" has been removed from hospitals and other health care facilities (usnews.com). It has provided better health care to millions of Americans, contributed to longer life expectancy, and helped many children grow into healthy teenagers and adults. There is now coverage for prescription drugs and medical devices. describe a specific Medicaid policy in your state that should be amended, and explain how you would amend it and why.In North Carolina, currently, there is not a policy for covering telemedicine and telepsychiatry services. While we are in a pandemic of Covid-19 right now people are not leaving their homes, thus subjecting them to different mental issues such as depression, stress, fear, and isolation. Amending this policy would offer support and guidance from medical personnel via a phone, computer, or by other means. To meet these people where there at during this difficult time. describe the stakeholders involved in the Medicaid and Medicare health care policy in your state, and explain the role of these stakeholders in policy development for this issue.Stakeholders involved in the Medicaid and Medicare health care policy in NC include the governor's office, the community, the patients and their advocates, state legislature, and the health care system as a whole. All of these people and groups focus on managing and developing existing policies and expanding or creating future policies. They are in favor of the rights of the people in their communities and how the policies affect them. Referenceshttps://www.ahrq.gov/https://medicaid.ncdhhs.gov/https://www.usnews.com/news/the-report/articles/2015/07/30/medicare-changed-health-care-in-america-for-the-betterColleague 2: Marilyn Post an explanation of how the evolution of health care policy has influenced programs such as Medicaid and Medicare:Medicare a federal program that provides health coverage if you are 65+ or under 65 and have a disability, no matter your income. Medicaid is a state and federal program that provides health coverage if you have an extremely low income. The evolution of medical care, its financing, and the expectations of the American population for high-quality care and rational use of public funds have linked, irreversibly, CMS(Centers for Medicaid and Medicare services) to clinical medicine.1 CMS finances health care for more Americans than any other single entity; the agency has a responsibility to its beneficiaries to ensure that they receive quality, effective, and efficient health care(Dewalt,et.al.2005).Describe a specific Medicaid policy in your state that should be amended, and explain how you would amend it and why: In the state of South Carolina, A policy that should be amended would be the program financial limits(income limits) policies, some should be adjusted, especially for the elderly population, sometimes they get denied for coverage because they are over the income limit by a few dollars or even cents. The federal government only give the state a certain amount of money for these types of programs, I would amend by seeing if there are additionally ways for an increase in some categories financial program limits.Describe the stakeholders involved in the Medicaid and Medicare health care policy in your state, and explain the role of these stakeholders in policy development for this issue: The stakeholders in South Carolina, Stakeholder support, beginning with program design and continuing through the evaluation, is critical to a successful Medicaid care management program. Stakeholders should be involved during each stage of the program to build support for it, provide suggestions for its design, and participate in evaluation and continuous quality improvement activities. Stakeholders include senior Medicaid and agency leadership, the Governor's office, the provider community, the patient and advocacy community, the State legislature, and the Centers for Medicare & Medicaid Services (CMS)(Unknown,2020).References:(Unknown,2020), Designing and Implementing Medicaid Disease and Care Management Program https://www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm2.htmlDarren A. DeWalt, M.D., M.P.H., Jonathan Oberlander, Ph.D., Timothy S. Carey, M.D., M.P.H., and William L. Roper, M.D., M.P.H.(2005) : Significance of Medicare and Medicaid Programs for the Practice of Medicine