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Does the Federal Government Learn from the States? Medicaid and the Limits of Expertise in the Intergovernmental Lobby

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  • Kevin M. Esterling

Abstract

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. Copyright 2009, Oxford University Press.

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  • Kevin M. Esterling, 2009. "Does the Federal Government Learn from the States? Medicaid and the Limits of Expertise in the Intergovernmental Lobby," Publius: The Journal of Federalism, CSF Associates Inc., vol. 39(1), pages 1-21, Winter.
    • Handle: RePEc:oup:publus:v:39:y:2009:i:1:p:1-21
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    File URL: http://hdl.handle.net/10.1093/publius/pjn025
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